MEDICAL TRANSCRIPTION NC II – TESDA COURSE MODULE

TESDA TRAINING REGULATIONS FOR MEDICAL TRANSCRIPTION NC II

The TESDA Course in MEDICAL TRANSCRIPTION NC II consists of competencies that a person must achieve to transcribe dictated recordings made by physician and other health care professionals and transcribe them into medical reports.

This Qualification is packaged from the competency map of the Information and Communication Technology Industry (Service sector)

A student who has achieved this TESDA Course in MEDICAL TRANSCRIPTION NC II is competent to be:

• Transcriptionist

TRAINEE ENTRY REQUIREMENTS

Trainees or students wishing to enroll in MEDICAL TRANSCRIPTION NC II Course should possess the following requirements:

• can communicate either oral and written;
• must be physically and mentally fit
• with good moral character; and
• must pass the trainability/aptitude test.

This list does not include specific institutional requirements such as educational attainment, appropriate work experience, and others that may be required of the trainees by the school or training center delivering this TVET program.

MEDICAL TRANSCRIPTION NC II – TRAINING AND REGULATION MODULE

Course Title: MEDICAL TRANSCRIPTION
Level: NC II
Nominal Training Duration :

(Basic Competency) 18 Hours
(Common Competency) 18 Hours
(Core Competency) 360 Hours

Total Duration: 396 Hours

This course is designed to develop knowledge, desirable attitudes, and skills in preparing medical reports from dictated recordings made by physicians and other health care professionals. It covers specialized competencies such as using business technology, use medical terminology to carry out tasks, and produce text from audio transcription.

COMPETENCIES REQUIRED IN MEDICAL TRANSCRIPTION NC II

This units of competency comprising this qualification include Basic, Common, and Core Competencies.

To obtain this TESDA course in MEDICAL TRANSCRIPTION NC II, all units prescribed for this qualification must be achieved.

These units of competency comprising this qualification include the following:

UNIT CODE	CORE COMPETENCIES (360 Hours)
ICT313307	Use business technology
ICT313308	Use medical terminology to carry out task
ICT313309	Produce text from audio transcription
UNIT CODE	COMMON COMPETENCIES (18 Hours)
ICT315202	Apply quality standards
ICT311203	Perform computer operations
UNIT CODE	BASIC COMPETENCIES (18 Hours)
500311105	Participate in workplace communication
500311106	Work in a team environment
500311107	Practice career professionalism
500311108	Practice occupational health and safety procedures

This section gives the details and contents of the units of competency required in MEDICAL TRANSCRIPTION NC II. These units of competency are categorized into basic, common and core competencies.

CORE COMPETENCIES

This section gives the details of the contents of the core units of competency required in MEDICAL TRANSCRIPTION NC II.

UNIT TITLE : USE BUSINESS TECHNOLOGY TO RESPOND TO CUSTOMERS NEEDS
UNIT CODE : ICT313307

This unit covers the knowledge, skills and attitude required to respond to customer needs using appropriate technology.

1. Select and use technology
   • Appropriate technology and software applications are selected to achieve the requirements of the task.
   • Work is performed within ergonomic guidelines.
   • Technology is used according to organizational requirements that promote a safe work environment.
2. Process and organize data
   • Files and records are identified, opened, generated or edited according to task and organizational requirements.
   • Input devices are operated according to organizational requirements.
   • Data is stored appropriately and application is exited without damage to or loss of data.
   • Manuals, training booklets and / or on-line help or help-desks are used to overcome basic difficulties of application.
3. Maintain technology
   • Used technology consumables are identified and replaced in accordance with manufacturers’ instructions and organizational requirements.
   • Routine maintenance is carried out and / or arranged in order to ensure that equipment is maintained in accordance with manufacturers’ instructions and organizational requirements.
   • Equipment faults are accurately identified and action taken in accordance with manufacturer’s instruction or fault reported to the designated person.

UNIT TITLE : USE MEDICAL TERMINOLOGY TO CARRY OUT TASKS
UNIT CODE : ICT313308

This unit covers the knowledge, skills and attitude needed to understand and respond to instructions, carry out routine tasks to prepare documents using medical terminology.

1. Respond appropriately to instruction
   • Written and oral instructions using medical terminology are received, understood and properly documented.
   • Abbreviation for commonly used medical terms and associated processes are understood.
   • Clarifications are sought from references, if necessary.
2. Perform routine tasks
   • Medical terminology is used correctly in the completion of routine tasks.
   • Gaps in knowledge are identified and clarification is sought through appropriate person.
   • Abbreviation for commonly used medical terminologies are identified and used, where appropriate.
3. Use appropriate medical terminology in the preparation of documents
   • Appropriate medical technology is used in preparing documents.
   • Medical terminology is spelt correctly and used in appropriate context.
   • Advice is sought from designated person with regards to medical terms and accompanying process, if necessary.

UNIT TITLE : PRODUCE TEXT FROM AUDIO TRANSCRIPTION
UNIT CODE : ICT313309

This unit covers the knowledge, skills and attitudes necessary to transcribe audio files and produce accurate texts from the transcriptions.

1. Prepare for audio transcription
   • Client requirements relating to style, presentation and storage of technology are identified prior to commencing the task.
   • Equipment and materials needed for transcription are obtained and checked for correct operation and safety.
   • Requirement of the texts are clarified with the superior.
2. Transcribe audio file
   • Text is produced from transcription with the required accuracy.
   • Audio transcription reflected the intended meaning of the author/physician.
   • The meaning of unclear speech is predicted from the context of the dictation.
   • Meaning and spelling and technical terms are clarified to ensure accuracy of the text.
   • Text is produced within designated timelines.
   • Transcription is self-checked for accuracy.
3. Edit and revise text
   • Final text is self-checked for accuracy
   • Grammar and syntax are appropriate for the intended purpose.
   • Text is revised, formatted, labeled, stored, and printed in accordance with clients’ requirements.

COMMON COMPETENCIES

UNIT TITLE : APPLY QUALITY STANDARDS
UNIT CODE : 506315202

This unit covers the knowledge, skills, attitudes and values needed to apply quality standards in the workplace. The unit also includes the application of relevant safety procedures and regulations, organization procedures and customer requirements.

1. Assess quality of received materials
   • Work instruction is obtained and work is carried out in accordance with standard operating procedures.
   • Received materials are checked against workplace standards and specifications.
   • Faulty materials related to work are identified and isolated.
   • Faults and any identified causes are recorded and/or reported to the supervisor concerned in accordance with workplace procedures.
   • Faulty materials are replaced in accordance with workplace procedures.
2. Assess own work
   • Documentation relative to quality within the company is identified and used.
   • Completed work is checked against workplace standards relevant to the task undertaken.
   • Errors are identified and isolated.
   • Information on the quality and other indicators of production performance are recorded in accordance with workplace procedures.
   •  In cases of deviations from specific quality standards, causes are documented and reported in accordance with the workplace’ s standards operating procedures.
3. Engage in quality improvement
   • Process improvement procedures are participated in relative to workplace assignment.
   • Work is carried out in accordance with process improvement procedures.
   • Performance of operation or quality of product of service to ensure customer satisfaction is monitored.

UNIT TITLE : PERFORM COMPUTER OPERATIONS
UNIT CODE : 506311203

This unit covers the knowledge, skills, attitudes and values needed to perform computer operations which include inputting, accessing, producing and transferring data using the appropriate hardware and software.

1. Plan and prepare for task to be taken undertaken
   • Requirements of task are determined in accordance with the required output.
   • Appropriate hardware and software are selected according to task assigned and required outcome.
   • Task is planned to ensure that OH & S guidelines and procedures are followed.
   • Client -specific guidelines and procedures are followed.
   • Required data security guidelines are applied in accordance with existing procedures.
2. Input data into computer
   • Data are entered into the computer using appropriate program/application in accordance with company procedures.
   • Accuracy of information is checked and information is saved in accordance with standard operating procedures.
   • Inputted data is stored in storage media according to requirements.
   • Work is performed within ergonomic guidelines.
3. Access information using computer
   • Correct program/application is selected based on job requirements.
   • Program/application containing the information required is accessed according to company procedures.
   • Desktop icons are correctly selected, opened and closed for navigation purposes.
   • Keyboard techniques are carried out in line with OH & S requirements for safe use of keyboards.
4. Produce output/ data using computer system
   • Entered data are processed using appropriate software commands.
   • Data are printed out as required using computer hardware /peripheral devices in accordance with standard operating procedures.
   • Files and data are transferred between compatible systems using computer software, hardware/peripheral devices in accordance with standard operating procedures.
5. Use basic functions of a www-browser to locate information
   • Information requirements for internet search are established.
   • Browser is launched.
   • Search engine is loaded.
   • Appropriate search criteria/or URL of site is entered.
   • Relevant links are followed to locate required information.
   • Useful pages are bookmarked or printed as required.
6. Maintain computer equipment and systems
   • Procedures for ensuring security of data, including regular back-ups and virus checks are implemented in accordance with standard operating procedures.
   • Basic file maintenance procedures are implemented in line with the standards operating procedures.

BASIC COMPETENCIES

UNIT OF COMPETENCY : PARTICIPATE IN WORKPLACE COMMUNICATION
UNIT CODE : 500311105

This unit covers the knowledge, skills and attitudes required to gather, interpret and convey information in response to workplace requirements.

1. Obtain and convey workplace information
   • Specific and relevant information is accessed from appropriate sources
   • Effective questioning, active listening and speaking skills are used together and convey information
   • Appropriate medium is used to transfer information and ideas
   • Appropriate non- verbal communication is used
   • Appropriate lines of communication with supervisors and colleagues are identified and followed
   • Defined workplace procedures for the location and storage of information are used
   • Personal interaction is carried out clearly and concisely
2. Participate in workplace meetings and discussions
   • Team meetings are at ended on time
   • Own opinions are clear expressed and those of others are listened to without interruption
   • Meeting inputs are consistent with the meeting purpose and established protocols
   • Workplace interactions are conducted in a courteous manner
   • Questions about simple routine workplace procedures and matters concerning working conditions of employment are asked and responded to.
   • Meetings outcomes are interpreted and implemented
3. Complete relevant work related documents
   • Range of forms relating to conditions of employment are completed accurately and legibly
   • Workplace data is recorded on standard workplace forms and documents
   • Basic mathematical processes are used for routine calculations
   • Errors in recording information on forms/documents are identified and properly acted upon
   • Reporting requirements to supervisor are completed according to organizational guidelines

UNIT OF COMPETENCY : WORK IN TEAM ENVIRONMENT
UNIT CODE : 500311106

This unit covers the skills, knowledge and attitudes to identify role and responsibility as a member of a team.

1. Describe team role and scope
   • The role and objective of the team is identified from available sources of information
   • Team parameters, reporting relationships and responsibilities are identified from team discussions and appropriate external sources.
2. Identify own role and responsibility within team
   • Individual role and responsibilities within the team environment are identified.
   • Roles and responsibility of other team members are identified and recognized.
   • Reporting relationships within team and external to team are identified.
3. Work as a team member
   • Effective and appropriate forms of communications used and interactions undertaken with team members who contribute to known team activities and objectives.
   • Effective and appropriate contributions made to complement team activities and objectives, based on individual skills and competencies and workplace context.
   • Observed protocols in reporting using standard operating procedures.
   • Contribute to the development of team work plans based on an understanding of team’s role and objectives and individual competencies of the members.

UNIT OF COMPETENCY : PRACTICE CAREER PROFESSIONALISM
UNIT CODE : 500311107

This unit covers the knowledge, skills and attitudes in promoting career growth and advancement.

1. Integrate personal objectives with organizational goals
   • Personal growth and work plans are pursued towards improving the qualifications set for the profession
   • Intra- and interpersonal relationships is are maintained in the course of managing oneself based on performance evaluation
   • Commitment to the organization and its goal is demonstrated in the performance of duties
2. Set and meet work priorities
   • Competing demands are prioritized to achieve personal, team and organizational goals and objectives.
   • Resources are utilized efficiently and effectively to manage work priorities and commitments
   • Practices along economic use and maintenance of equipment and facilities are followed as per established procedures
3. Maintain professional growth and development
   • Trainings and career opportunities are identified and availed of based on job requirements
   • Recognitions are sought/received and demonstrated as proof of career advancement
   • Licenses and/or certifications relevant to job and career are obtained and renewed

UNIT OF COMPETENCY : PRACTICE  OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
UNIT CODE : 500311108

This unit covers the outcomes required to comply with regulatory and organizational requirements for occupational health and safety.

1. Identify hazards and risks
   • Safety regulations and workplace safety and hazard control practices and procedures are clarified and explained based on organization procedures
   • Hazards/risks in the workplace and their corresponding indicators are identified to minimize or eliminate risk to co-workers, workplace and environment in accordance with organization procedures
   • Contingency measures during workplace accidents, fire and other emergencies are recognized and established in accordance with organization procedures
2. Evaluate hazards and risks
   • Terms of maximum tolerable limits which when exceeded will result in harm or damage are identified based on threshold limit values (TLV)
   • Effects of the hazards are determined
   • OHS issues and/or concerns and identified safety hazards are reported to designated personnel in accordance with workplace requirements and relevant workplace OHS legislation
3. Control hazards and risks
   • Occupational Health and Safety (OHS) procedures for controlling hazards/risks in workplace are consistently
     followed
   • Procedures for dealing with workplace accidents, fire and emergencies are followed in accordance with organization OHS policies
   • Personal protective equipment (PPE) is correctly used in accordance with organization OHS procedures and practices
   • Appropriate assistance is provided in the event of a workplace emergency in accordance with established organization protocol
4. Maintain OHS awareness
   • Emergency-related drills and trainings are participated in as per established organization guidelines and procedures
   • OHS personal records are completed and updated in accordance with workplace requirements

DEFINITION OF TERMS

• Anatomy – the branch of morphology concerned with the structure of animals or plants.
• Browser – a software package that provides the user interface for accessing Internet, intranet and extranet Web sites.
• Computer – a device that has the ability to accept data; internally store and execute a program of instructions; perform mathematical, logical, and manipulative operations on data; and report the results.
• Computer Terminal – any input/output device connected by telecommunications links to a computer.
• Data – objective measurements of the attributes (characteristics) of entities such as people, places, things, and events.
• Documentation – a collection of documents or information.
• Edit – to modify the form or format of data
• Encryption – to scramble data or convert it, prior to transmission, to a secret code that masks the meaning of he data to unauthorized recipients.
• End user – anyone who uses an information system or the information it produces.
• Ergonomics – the science and technology emphasizing the safety, comfort, and ease of use of human-operated machines. The goal of ergonomics is to produce systems that are user-friendly: safe, comfortable and easy to use.
• Information – data placed in a meaningful and useful context for an end user.
• Information and Communication Technology (ICT) – refers to technologies associated with the transmission and exchange of data in the form of sound, text, visual images, signals or any combination of those forms through the use of digital technology. It encompasses such services as telecommunications, posts, multimedia, electronic commerce, broadcasting, and information technology.
• Keyboarding – using the keyboard of a microcomputer or terminal.
• Knowledge workers – people whose primary work activities include creating, using, and distributing information.
• Local Area Network (LAN) – a communications network that typically connects computers, terminals, and other computerized devices within a limited physical area such as an office, building, manufacturing plant and other work sites.
• Outsourcing – turning over all or part of an organization’s information systems operation to outside contractors, known as systems integrators or facilities management companies.
• Physiology – the branch of biology concerned with the functions of living things.
• Protocol – a set of rules and procedures for the control of communication in a communications network.
• Quality Assurance – methods for ensuring that information systems are free from errors and fraud and provide information products of high quality.
• Software – computer programs and procedures concerned with the operation of an information system.
• Standards – measures of performance developed to evaluate the progress of a system toward its objectives
• System – an assembly of methods, procedures, or techniques unified by regulated interaction to form an organized whole
• Telecommunications – pertaining to the transmission of signals over long distances, including not only data communications but also the transmission of images and voices using communication technologies.
• User- friendly – a characteristic of human-operated equipment and systems that makes them safe, comfortable, and easy to use.