Essential Functions: The scribe should be able to accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to:
- Patient medical history and physical exam
- Procedures and treatments performed by the physician
- Entering orders for lab tests, imaging studies and referrals to other providers in the electronic medical record system
During times when there are not scribe responsibilities, the individual will work on research data entry or analysis for the physician in support of his research mission. It is possible that this work could lead to publication of peer-reviewed papers whereby the applicant could receive authorship credit. Will collects and compile data from a variety of sources; may enter data into a PC or computer terminal. Statistically analyzes data to include calculating the mean, median, and standard deviation, plotting scatter grams and performing multiple regression analysis in addition to other statistical computations. May edit research papers, project reports, proposals and curriculum materials prior to publication or presentation. Prepares format for final disposition of data; maintains an internal library on project information resources and final data collected. May work with research personnel in the design and preparation of research projects and in recording
data.
This is an excellent job opportunity for someone who seeks admission to medical school, or any other healthcare setting as it combines clinical and research experience at an NCI comprehensive cancer center. Qualifications: At least 2 years of college. Ability to type 65 WPM; and knowledge of medical terminology required. The successful applicant will also require:
1. Language Skills – The ability to write routine reports and correspondence. Medical Scribes must be proficient in typing and good at spelling, punctuation, grammar, and oral communication. Must be able to listen to complex medical information and summarize in a clear, complete, and concise fashion. Excellent English composition skills required to generate professional, polished writing at a high rate of production.
2. Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations into their expanded forms.
3. Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Prepare and interpret charts and graphs. Have the ability to compute ratio and percent.
4. Reasoning Ability – Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to apply logic and draw conclusions based on knowledge. Have the ability to refer to reference materials to solve problems.
5. Computer Skills – To perform this job successfully, an individual should be able to learn and use all functions of electronic medical record software and transcription software. Must accurately enter data into a database, search for information, send and receive email and attachments. Must be proficient in Microsoft Word in order to prepare correspondence, medical reports, and other documents. Must use Microsoft Excel to prepare flowcharts and organize data. Must use the internet to access schedules, research information, etc.
6. Other Skills and Abilities – Must be able to type words and numbers quickly and accurately; must comply with HIPAA confidentiality standards when accessing or communicating patient information. Physical Requirements: While performing the duties of this Job, a Medical Scribe is regularly required to stand; sit; walk; use hands to type, write with a pen, finger, handle, or feel; reach with hands and arms and talk or hear. The Medical Scribe is occasionally required to climb or balance and stoop, kneel, or crouch. The Medical Scribe must regularly lift and /or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.