There are dedicated secondary education programs where certification can be gained through vocational schools, community colleges, or state universities. A few are people who choose to commit to the profession as full-time medical scribes. Some are college students wishing to gain exposure to the medical field as part of their career exploration process, often planning to later go into a D.O., M.D., or physician assistant program. Medical scribes come from a variety of backgrounds. This article will focus on the roles and uses of medical scribes in the emergency department setting. As physicians face increasing burdens of administrative work in an increasingly regulated field, more physicians have begun exploring the use of medical scribes in the clinic, emergency department, and hospital ward to streamline documentation. Though the exact history is unclear, some of the earliest documented scribe programs began in Nevada and Texas, and multiple subsequent companies and programs were developed from their template (Wikipedia, ER Scribes, 2012). In more recent times, the profession of scribes has made a resurgence in the medical world. With the advent of the printing press, traditional scribes were forced to evolve into more specialized professionals, such as as journalists, accountants, typists, and even lawyers and public servants (Wikipedia, 2012). In more modern times, the work of scribes could involve copying books, or secretarial duties, such as taking dictation and the keeping of business or judicial records for nobility, cities, or temples. In Mesopotamia, scribes, or “dubsars,” were trained in a “tablet house” and worked on practical matters, such as administrative and accountancy functions, as well as artistic matters, including writing such literary works as the Epic of Gilgamesh.Īs societies evolved with written history, the work of scribes evolved with them. In Ancient Egypt, scribes, or “sesh,” were educated in the arts of writing and arithmetic, for use in teaching and commerce. In ancient times, scribes were learned men (and specifically elite men) tasked with the important job of chronicling their civilizations’ history, stories, and work. Scribes have been around as a profession for as long as there has been written language. Explain the risks and costs of having scribes in an ED.Discuss the benefits of implementing a scribe program.Describe what functions a scribe performs in an emergency department. Emergency Department Patients Can Find Prescription HelpĮxplore This Issue ACEP News: Vol 31 – No 03 – March 2012.Emergency Department Benchmarking Alliance Releases 2014 Data on Staffing, Physician Productivity.Documentation Tips for Physicians Using Medical Scribes.
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