MbShea@PWP@English@UMCP

Scribe Manual:
Abstract:
The scribe profession can be a very rewarding experience for anyone. The occupation allows scribes to learn about the medical field first hand. However, the documentation process can be a daunting task for novice scribes. As a result, I have created a scribe guide that aids in transcribing process. I start the document by explaining what scribes do and their importance in the medical field. Then, I highlight the history of the scribe profession which includes the transfer of paper history to electronic records. Furthermore, I underscore some statistics and experiments which convey how the scribe profession has changed physician and hospital performance. In the second section of the document, I outline the documentation process. I explain the scribe jobs and responsibilities during the history of present illness, review of systems, past medical history, exam, differentials, radiology results, medical courses, and discharge. I give numbered directions for how each step in the documentation process should be completed. Finally, I provide my own advice on the documentation process in the last section. These pieces of advice include my own thoughts and suggestions that I believe a novice scribe should know.
WC: 189

Reader’s Profile:
I imagine a critical reader that is a current scribe who is weary of using an unofficial scribe manual.

Reader’s Response:
I read your “manual” but what how can I trust your document. Your manual is not a certified training tool. However, the current official manual is like ninety pages and your manual is a tenth of the size. I do like shorter readings. The official manual is also filled with technical jargon that confuses me. I like the easy read of your version of the scribe manual. I guess, your guide is useful for a quick overview of how to be a scribe: a dummy’s guide to scribing.

M

Will you use first person in that last section? I also think that a brief first person cover note/letter is a good way to open the document.

I would use formal citation in this document, given the medical context.