The Scribe Role
Scribing in Different Specialties (Primary Care, ER, etc.)
Clinical Settings
Legal & Ethical Responsibilities (HIPAA, confidentiality)
The Electronic Medical Record
Common Medical Terminologies
General Abbreviations
Common Conditions Abbreviations
Anatomy Abbreviations
Body Position
Anatomical Movement
Body Systems
The Nervous System
The Cardiovascular System
The Respiratory System
The Reproductive System
The Integumentary System
The Urinary System
The Digestive System
The Endocrine System
The Musculoskeletal System
Common Conditions & their Symptoms
Pharmacology Basics
Medication Overview
Common Drugs
Prescription Abbreviations
Medical Coding and Billing
ICD-10 Codes
CPT Codes
Medical Coding Changes
Introduction to EHR Interfaces
Components of the Medical Record
Common Charting Errors & How to Avoid Them
Overview of Medical Charts
Subjective Documentation
Objective Documentation- Physical Exam
Objective Documentaton- Diagnostic Tests
Assessment & Planning
Levels of Chart Planning
Clinical Practice Scenario
