Healthcare Documentation: Fundamentals and Practice, 4th Edition

Ideal for learners with no prior experience and those seeking refresher training, Healthcare Documentation: Fundamentals and Practice, 4/e is the most comprehensive healthcare documentation learning system available. It begins with a thorough overview of the medicolegal and technology aspects of healthcare documentation, including key trends such as electronic health records, security, privacy, and speech recognition. Next, it provides integrated content linked to 10 hours of authentic medical dictation practice. Extensive exercises in the text combine with online audio exercises to systematically reinforce core knowledge and build critical thinking, editing, and research skills. The final chapter focuses on finding employment and preparing students for the workplace, professional development, and continuing education. This edition has been extensively revised for the latest industry trends and techniques, contains many new learning features, and offers a compelling new full-color design with many new illustrations.

For Instructors:

The dictations are available here while we get the MyKit up and running. The access code is available in the Instructor's Resource Manual available for download on the Instructors Resource Center or through the Resources Tab on PearsonHigherEd.com.

Hallmark Features

Teaches through hands-on practice with authentic healthcare dictation. Presents 10 hours of authentic healthcare dictation online at www.myhealthprofessionskit.com, organized by specialty, graduated in difficulty; male, female, and ESL voices; covering all report types.

Uses multiple modalities and techniques to deepen student mastery. Presents dictated research and spelling quizzes, soundalike exercises; and editing practice on professionally prepared transcripts, and more. Vocabulary from transcription practice dictation allows students to hear terms in context, develop research skills and create personal word lists. Soundalike exercises focus on common “mishears” and confusing terms to help students avoid common errors. Editing errors in transcripts using audio files reinforces ear training and editing/proofreading skills.

Gives students extensive experience with specialty dictation. Includes extensive coverage of anatomy, pathophysiology, diagnostic, and therapeutic transcription.

Provides the core knowledge students need to understand what they are dictating. Pause for Reflection questions focus on content that students are likely to encounter. Labeled illustrations reinforce anatomy, clarify disease entities, and illustrate surgical procedures. Transcription Tips point out potential dictation stumbling blocks; Spotlights provide industry insights and personal anecdotes that give students an “insider’s view” of the field.

Gives students deeper insight and context about the profession. Contains boxeshighlighting historical, epidemiological, and both lay and medical terms, further illuminating chapter content, and showing vocabulary used in context.

Improves learning through many proven pedagogical features. Contains clear learning objectives, Pause for Reflection opportunities, bolded and defined key terms, Common Disease descriptions, and many other learning features.