![]() ![]() For example, I work with two attending physicians and a midlevel provider in the ED. This is probably the most efficient way when there are a lot of patients and you’re working with multiple providers. The second way is to take dictations from the provider several patients at a time.With time, you’ll witness the proper way to do abdominal exams, neurological exams, chest and respiratory exams, full trauma exams, etc. You’re then able to see how physical exams are done. You have to talk over the case with the physician to make sure you’re both on the same page – especially to assemble the bits and pieces to complete a history of present illness. They can easily start talking about one thing and hop into a seemingly unrelated complaint. Patients’ medical histories can be very complex. Time permitting, you can follow the physician into the room and take notes during the physician-patient encounter.Generally, there are three ways to work as an ED scribe: It’s definitely not Grey’s Anatomy, House or whatever your favorite medical TV show may be. The exposure to what medicine “is really like” becomes invaluable. Many of my fellow scribes got into the job as a way to work side-by-side with doctors and midlevel providers (PAs and NPs) with the goal of obtaining experience before their move up to the next rung of the professional ladder. I studied science as an undergrad and have always been fascinated by medicine. My background aligns with most other medical scribes. The reality is, there is much more to it than just “typing charts.” The person who is asking usually exclaims, “Oh! You type the charts!” I smile, nod and leave it at that. I make sure to follow through by explaining that I’m a medical scribe and outline a few things that I do: I help create the physician note I get the radiology results into the charts I follow up with labs I increase clinician productivity. ![]() The reaction that follows is probably best described as awkward confusion. “Clinical Information Manager,” or simply “CIM,” is my reply when a new face in the emergency department (ED) asks what I do.
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