This has got to be the best tutorial video that I have seen so far. I just got a new job as a scribe and start clinical training next week, and am anxious about learning the new system. After watching this video I feel more confident that I will be having no problem. Thanks for posting this. Great realistic charting. j
Thank you so much for taking the time to provide feedback! Tell your friends and subscribe :) I hope to be more active on the channel and bring more, realistic medical scribe content! GOOD LUCK in your clinical training next week. You are going to rock it!!!
@@mgbuploads23 No, these are tools for the scriber, they make their job much more easier, AI can automate the manual labor but as you know the "devil is in the details" and that's where the Scribe comes, here's a demo video where they show this exact same workflow but with AI ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-my_EN0g7U4c.html
Great insight. However, I did notice the scribe chose the wrong strength of the narcotic the MD ordered (Norco 5/325 vs Norco 7.5/325), which could be dangerous. I know this is a staged training video and in real life I’m sure when the MD went to sign the RX, he most likely would’ve caught the error. Shows how much attention to detail this job requires.
I really like that this video gives a raw example of a task that a scribe would be performing. I do however think that the music is unnecessary; This is especially true since it's difficult to make out what the patient is saying for those of us who would like to use this video to practice. Very helpful, Thanks!
I agree. The music made it very hard to hear the doctor and patient at times, otherwise SUPER helpful video for new scribes like myself still getting the hang of things!
This is a nice video and is mostly accurate to what happens. I've been scribing for three years. Two years in Urgent care/ER and 1 year in a busy high acuity ER. The initial HPI gave me a heart attack but the one you typed looked good. This patient is the best type of patient to have because it's pretty straight forward. Most patient's I work with are really poor historians due to the acuity. The busy ER I work at every patient is severely ill and sometimes die which makes HPI's and charting way more complex than what you wrote. Still a great introduction. In my personal opinion this is the best job you can get if you are interested in being a doctor, nurse practitioner, or physician assistant. It's like shadowing but you get to be apart of the team and really see what it's like to work in their shoes.
How do you ever keep up with all those words in a conversation? Man! It's so difficult to type out all those words while listening to them talk and not miss important points.
Peach Daiquiri Practice makes perfect! The more reps you have, you learn to focus on key information. Also, you often develop a relationship with your physician - knowing what elements of the HPI they are looking for as well as the order they conduct the physical exam. It’s a challenge at first but anyone can do it. Thanks for commenting!
Been a scribe for 6 months now. I have been doubting my abilities since I got sent home early 3 days ago. What you demonstrated is exactly what I do on a daily basis. I guess I just have some provider's who are non communicative and have unrealistic expectations of someone who hasn't finished med school yet.
Hang in there. It's hard when they have unrealistic expectations. I didn't feel confident until a year or two in. Just keep showing up. You’re going to be a fantastic provider one day!
why is the background music??Do we have this in real world clinics during such an important patient visit?Audio of physician and patient is difficult to concentrate.
I love the part where she said "so I had the Chinese food and I was watching Netflix romantic comedies because it was that bad of a day." Idk why I love that part but I do. My favorite part of working as a medical scribe is hearing all the different stories each patient describes to what caused to come to the ED. And even though I rarely communicate with patient's myself, I find that I start developing a connection with them because they often are sharing something that is vulnerable to them. This often times leaves me with a feelings of love and kindness that just makes my job so much more enjoyable.
Let me get this right, the doctor doesn't have to dictate his/her encounters or chart himself during visits and expects his encounters to be transcribed in real time in someone else's words while offering minimal pay, sounds like a recipe for disaster but good for the doctor's time and pocketbook.
Partially right! Pay is dictated by the company you work for :) You are correct that it is good for the doctor’s time and usually the *hospital’s pocketbook.
@@brianamagana5828 no I didn't, knowing medical terms are important for whatever specialty. One of the things I learned about writing an HPI is grouping your symptoms and writing sections separately. I was in ENT and pt seen for more than 1 thing.
I also used quizlet to learn more about the specialty. Also know difference between the HPI, PE and ROS. And lastly the elements of the HPI, acronym LOCATES is important in documenting the who what when where and why of the exam.
@@brianamagana5828 I was asked why I wanted to do this, what I was expecting out of it, and describe some high pressure situations and how you handled them.
Thank you soooo much for this! I will be working with EPIC but my scribe training uses a different EMR so its very helpful to see how to chart in the environment that I'll actually be using!
I have bad anxiety over this and don't know if I want to do it :( I hear a lot of horror stories about mean doctors and I am a sensitive person. I want to be a nurse and I know I have to toughen up but I am very scared!
This looks really hard having to listen to all that, writing it down, putting the doctor’s orders. How long was the training and what is the training like? How long does it take to be this good? I can’t believe this is a minimum paying job, what’s the reason?
Training varies by where you are hired. Some medical scribing staffing companies only offer online training before having you onsite. Others combine classroom training and clinical training. Look for an employer that offers around 100 hours of training prior to being on your own. Then, expect to really feel comfortable after about a month on the job. It's crazy to me that so many staffing agencies only pay minimum wage! The reason is likely medical scribe staffing is saturated with pre-health students that are looking for experience, not financial stability. This makes it a huge challenge for those seeking experience AND financial stability. Or, those looking into medical scribing as a career instead of just a stepping stone. I hope this information is helpful! Let me know if you think of other questions.
Kelly Schulte thank you for the reply and the advice. I didn’t expect to get a reply from you. The information is definitely helpful. It seems that ScribeAmerica is the biggest scribe staffing around. I’m currently on furlough from my full-time job, so I hope I’d get trained before things back to normal. I read online that the shift is twice a week. Is that true? Is it the normal or bare minimum? Since I have my other full-time engineering job, are night and weekend shift only usually acceptable? Thank you and I truly appreciate your advice. Hope you stay safe 🙏
@@vraeleragon7211 Glad to help! Thanks for being patient with my delayed responses. You are correct; ScribeAmerica is the largest scribe staffing company. They require you to work two shifts a week which can be nights and weekends, from my understanding. Students of mine that work for the company have shared they can find coverage on weeks that they need off for other responsibilities or pick up hours if their schedule is light. I am sorry to hear you are on furlough from your full-time engineering job. I am fortunate to only be on partial furlough from my job (for now, fingers crossed!). Let me know if you think of other questions and keep me posted on your journey. Stay safe and healthy!
How did you keep up with the rapid requests the doctor made? What happens if you fail to catch something? do you tell him to repeat it there and then or ask later?
Learn to type fast, listen carefully, review common medical terminologies until you know a lot, use a lot of abbreviations then go back and change it to the full word, and only put down everything relevant. If you miss something, ask the doctor when you leave the patient room or when you see that he's not too busy. If you're not sure that you heard something right, either ask about it or check the nurse's notes or don't include it.
Good question. I always get done all of the information I can in the room. Then, while en route to the next patient I ask any clarifying questions to the provider. It's always helpful for me to have a small notepad for questions. When we see the next patient, while there is downtime, I make edits to past charts. You usually have time between patients or a gap in the schedule (or flow in the ER) to catch up on documenting. Each clinical setting is different but there will always be some time to edit the chart. Hope this helps! Let me know if you have questions. I have not been active on this channel in the past but WILL BE moving forward to help everyone with questions!
Hi Lenore! I missed your comment so I am going to reply a whole year later (in case you are still interested!). Yes, the physician reviews all of the test to make sure all were inputted correctly. Scribes can only “pend” the order. Think of it as saving a draft. Then, the physician “signs” the order which means it can be acted on. Hope this helps! Thanks for stopping by the channel!
this is an older video, nowadays it is all done remotely, meaning the scribe works from home and opens the patient software program and charts live. I dont know if they have any camera viewing for privacy reasons, I think it is just a live audio feed. Soon AI will do it anyway.
This is an amazing and super helpful video! It is very good how you display live-time charting alongside video of the patient encounter. I am wondering how you were even allowed to record and post a patient encounter like this.
Before I watched your VDO, I always thought these duties are completed by RN, BSN or NP. I can't believe they are done by someone who get paid minimum wage. Medical terminology, smart progression in brain, fast typing and etc. 😱
This is so helpful but I just hope if you could tone down the background music or removing it completely. But nevertheless... this is insightful and informative. Thank you!
Do you think it's possible for a hard-of-hearing person to be a scribe, along with an interpreter? There are times when the interpreter can miss something and ask for clarification, but due to the nature of the situation, we would ask for clarification afterwards. I'm trying to gain more clinical experience prior to applying for med school.
Hey Kelsey! What a wonderful question. I most certainly believe that it is possible. The key to success would be to be placed in the correct clinal setting with a physician that is receptive to needed changes in the workflow. Reach out to places that you are interested in working and present your idea. If you would like help hammering out how the logistics could work, let me know and I'd be happy to brainstorm with you!
I got offered today to be a Medical Scribe with no prior experience necessary, after watching this video, I am more educated about the role of a Medical Scribe. Do you have any tips you would give beginners? Like will they train me on how to remember all the terminology ? How long is training?
My scribe friend is currently suffering under mean doctors and shit pay. Medical scribe places are predatory on students seeking experience, recommendations, and money. It’s sad and I wish the industry would change for the better.
I’m so sorry to hear about your friend😢 Sadly, it happens often. Predatory is the best way to describe it. Let’s change the industry by putting the tools in the hands of scribes and physicians--cut out the medical scribe company.
Lots of practice! If you can't keep up, talk to your provider or trainer about seeing every other patient so you have time to edit the notes until you gain speed. As long as you have good training, you will be able to keep up. The important thing is to stick with it!
Interested in scribing...are you assigned to one doc or different ones? Is there flex time during the day to say...pick up kids from school, etc or do you have to be at your computer at all times? Just curious, thx!
Hey MG! Great questions. It 100% depends on the company you work for. The best strive for you to only work with one doc on a fixed schedule. You’ll be glued to the computer during your shift. An exception would be if a patient cancels, or has no more scheduled for the day, so they leave early. Many physicians are happy to work with you-just ask upfront. The worst they can say is “no”. Medical transcription is closely related to medical scribing. It can be done on YOUR schedule, anytime, as long as you meet the deadline for completion. I’m not as familiar with it. Might be worth looking into!
Hi Monika! Thanks for watching and your question! No, recording the conversation would be a HIPAA violation. However, Medical transcriptionists (MTs) transcribe voice-recorded medical reports that are dictated by physicians, nurses and other healthcare practitioners. I want to really clear that the actual patient encounter is *not* included in the audio file for MTs. Hope this helps! Let me know if you have other questions.
I sure wish I could have watched this w/o the background music. It made it harder to hear what was going on and was distracting. Otherwise a great video!
Latest reply to a comment ever-sorry! If you are still interested, Jeon is 100% right. However, more and more hospitals are requiring them for employment. Please make sure you certified through a credible company. Some of the options out there are really awful.
Wow that looks so hard. And having to remember what the patient is saying. What if you can't keep up? Do you need to type word for word or only key points? Do you have to be in the medical field or have experience to be a scribe? Honestly I'm not interested in the medical field I just need a job
Thanks for the feedback! We had really low-quality equipment when this was made. I look forward to remaking this content with better audio and no music.
Good question! Depending on typing speed and medical term proficiency, 1-3 months. Highly recommend typing 75 wpm and taking a med term class before starting as a scribe. There are free resources for both!
Absolutely not. Any reasonable employer knows it takes time and experience to gain speed. If they don’t understand that, get out of there and find a better place to work!
Great question! Medical transcription is word for word documenting a recording made by a provider. Medical scribing is completing documentation in real-time either onsite or virtually. Medical scribes have training on where different aspects of the medical encounter belong in the chart and interpret the interaction accordingly. Hope this helps! Let me know if you have any other questions.
I've done both and medical transcription is writing a document for the patient chart from a physician's dictation (after the fact) and scribe you are charting in real time with the physician. Medical transcription is being faded out, while scribing is the new in thing.
It depends on the hospital. Some have laptops that you carry using the strap that you slide your hand into underneath and other places have you push around a computer on wheels. If the place you're working at is too small, they'll just have you chart it on paper and then go back and type it into the computers after.
Don't mind me casually jumping into the conversation 8 months later... :) Some facilities have you use desktops alongside the physician. This is the case for most of the settings I have worked in. There is a ton of variation by speciality and who you are working for!
I have been in the medical transcription field for the 13+ years and I would like to move on to medical scribe, can I do it easily or should I continue in the same field...Can you please suggest me
Hey Sai! As an experienced transcriptionist, you are in the *perfect position* to make the career change. I will make an entire video on this by the end of the month, taking about going from transcription to scribing😊 Two benefits of the change are higher pay and career advancement. Let me know what other questions you have, and I'll address them in the video! Thanks so much!
@@ScribeAcademy Thank you Kelly for quick response....my base is at India, will I can get any opportunities to move abroad with Medical Scribe experience and what will they pay for us onsite as well as here in India for Medical Scribe.
Hello, I am a medical scribe with more than 3 years of experience in scribing with multiple specialities and medical transcription experience of more than 9 years. Please help me find a job in USA.
12 dollars an hour is what the medical scribe company I used to work for offers full-time scribes. As a direct hire to a hospital or physician office, you will make 12-$15 per hour.
