yes!
Posted By: grace on 2009-05-28
In Reply to: headings - Cora
Subject: yes!
At least I think it gets better - I find everything so much easier to understand now than I did even a few months ago.
Found a good article on headings that may be informative for you at http://www.selfgrowth.com/articles/Medical_Transcriptionist_s_Role_with_Medical_Report_Formats_and_Style.html
and a resource for beginners at http://www.myexperiencespeaks.com/Description%20of%20Side%20Headings.html
Generally, unless the account specifies otherwise, you don't need headings for the individual parts under the physical examination unless the dictator states them. For instance, if the dictator says "Heart is regular rate and rhythm," you do not need to put in the heading "Cardiovascular:" or "Cardiovascular exam." And those are usually just subheadings anyways, just part of the whole paragraph under the physical examination heading.
Just FYI, I'm still fairly new at this myself, so if anyone with more experience wants to speak up please do so!
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