This assessment evaluates the readiness of trainees in the Augmedix Scribe Training (AST) for progressing to live medical scribing. It covers key areas such as exam prerequisites, grading criteria, and training phases, ensuring trainees meet critical safety and care standards.
Doctor Approval (DA) Audit
Doctor Ready (DR) Audit
Final Exam Shadowing (FES)
2 of the above
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Average score of 35/50 (70%) on last 5 notes
Average score of 40/50 (80%) on last 5 notes
Average score of 45/50 (90%) on last 2 notes
Average score of 50/50 (100%) on last 2 notes
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Final Exam Shadowing (FES)
Doctor Ready (DR) Audit
Doctor Approval (DA) Audit
On-the-Job Training (OJT)
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Shadow Shifts
Implementation
On-the-Job Training
Augmedix Scribe Training (AST)
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Lecture-based learning
Interactive learning
Shadow shifts - creating practice notes
A goal to understand the fundamentals of medical documentation and reasoning
Quizzes on lecture material
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...may affect the integrity of the chart.
...affects the way the chart is written/presented but does not change the meaning or have the potential to affect patient care.
...may affect the safety, care, or treatment of the patient.
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Health insurance helps to protect people against catastrophic risk
Health insurance is any program that helps pay for medical expenses
Health insurance may be privately purchased, social insurance, or a social welfare program funded by the government.
Health insurance plans offer varying benefits and/or restrictions
All of the above are true
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ICD-10 codes are a way to categorize procedures and diagnoses
One purpose of ICD-10 is to determine reimbursements for providers based on services provided for the patient
ICD-10 codes are sent to insurance companies by providers
There are less than 1,000 ICD-10 codes
Emergency Room
Medical Offices
Urgent Care
Hospital
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Emergency Room
Medical Offices
Hospital
Urgent Care
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Dermatology
Orthopedics
Rheumatology
Gastroenterology
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Patient calls specialist and requests an appointment
Patient walks into specialist's office and is seen the same day
Primary Care Provider determines the need for a specialist. Primary care provider gives patient referral to specialist. Patient can then schedule an appointment with the specialist.
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Obstetrics/gynecology
Dermatology
Otorhinolaryngology
Psychiatry
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Psychiatry
Rheumatology
Primary Care
2 of the above
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Neurology
Primary Care
Dermatology
2 of the above
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Transcriptionists listen to recorded dictations. Scribes observe patient visits in real-time.
Transcriptionists write down what they hear word for word. Scribes listen to determine important information and then convert it into a cohesive note.
Transcriptionists are able to rewind a dictation if they do not hear something. Scribes CAN NOT rewind visits if they miss something. Scribes CAN ask questions to the provider if they miss something.
Transcriptionists do not communicate with providers. Scribes communicate, collaborate, and build a real relationship with their provider.
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Notify the provider that the patient is ready to be seen.
Notify the provider that you are ready to see the patient.
Leave for a break.
Be aware of the schedule so you can anticipate the visit type and when the patient is ready to be seen by the provider.
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Listen closely for all medically relevant information. Write down all medically relevant information.
Write down information that the patient has not said.
Take note of any questions you may have for the provider.
Convert medically relevant information into a cohesive and clear medical note.
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Provide a chronicle of the patient's medical history and care
Primary means of communication between members of the health care team
Legal document which can be used in a court of law
It is necessary for billing payment and provider reimbursement
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A public health record that can be accessed by the public online
The electronic system into which a scribe documents a patient's medical note
A universal health record system that can only be accessed by anyone involved in a patient's care
A highly-secure electronic health record system that can only be accessed by a patient and their provider
Simple, Objective, Accurate, Professional
Severity, Orders, Assessment, Physical Exam
System, Orders, Advice, Procedures
Subjective, Objective, Assessment, Plan
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Patient: "My stomach has been feeling really strange and grumbly"
Provider: "Jack, on exam, you have clear breath sounds, bilaterally"
Patient: "I finally stopped smoking last month"
Provider: "Jack, your labs show that your White Blood Cell Count is elevated"
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Psychiatry
Neurology
Orthopedics
Rheumatology
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Listen attentively to the information the provider is telling the patient.
Based on the diagnoses and your medical knowledge, decide what is the best treatment for the patient
Associate the plan details with the correct assessment
Decide medication dosages and refills
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1. Check in. 2. Discuss reason for visit. 3. Record vitals. 4. Physical Exam. 5. Decide on care plan.
1. Check in. 2. Record vitals. 3. Physical Exam. 4. Discuss reason for visit. 5. Decide on care plan.
1. Check in. 2. Record vitals. 3. Discuss reason for visit. 4. Physical Exam. 5. Decide on care plan.
1. Record vitals 2. Check in. 3. Discuss reason for visit. 4. Physical Exam. 5. Decide on care plan.
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Because they would like a second opinion from a provider with more experience in a certain field.
Because, as a non-specialist, they are not legally allowed to treat the condition.
Because the patient has requested a referral to a specialist.
Because they are unsure of the best way to treat a condition.
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Information stated by the patient
Patient's medical history
Patient's current medications
Provider's treatment plan
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"I have been taking Phentermine and I still haven't lost any weight."
"I have been eating healthy and haven't had a drink in weeks!"
"There was a cake at my nephew's wedding which was tempting but I held back."
"I no longer feel the urge to over-eat."
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True
False
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Quiz Review Timeline (Updated): Feb 29, 2024 +
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