İzmir Ekonomi Üniversitesi
  • TÜRKÇE

  • VOCATIONAL SCHOOL OF HEALTH SERVICES

    Department of Medical Documentation and Secreteriat

    TDS 101 | Course Introduction and Application Information

    Course Name
    Medical Documentation I
    Code
    Semester
    Theory
    (hour/week)
    Application/Lab
    (hour/week)
    Local Credits
    ECTS
    TDS 101
    Fall
    2
    2
    3
    6

    Prerequisites
    None
    Course Language
    Turkish
    Course Type
    Required
    Course Level
    Short Cycle
    Mode of Delivery -
    Teaching Methods and Techniques of the Course Discussion
    Case Study
    Q&A
    Lecture / Presentation
    Field work/Application
    National Occupation Classification -
    Course Coordinator
    Course Lecturer(s)
    Assistant(s) -
    Course Objectives This course aims to enable students to define fundamental concepts related to medical documentation and medical records, to understand the importance of medical documentation for healthcare institutions and patients, to learn the principles of planning and organization in medical record and documentation processes, to explain the role, duties, and responsibilities of the medical secretary, and to gain awareness of legal and ethical principles, patient rights, patient confidentiality, and the protection of personal health data in medical documentation processes. In addition, the course aims to equip students with ten-finger touch-typing skills on an F-keyboard.
    Learning Outcomes

    The students who succeeded in this course;

    • Will be able to define the concepts of medical documentation and medical documents and their importance.
    • Will be able to identify the basic characteristics and types of medical documents.
    • Will be able to list the principles to be followed in planning and organization within medical record and documentation activities.
    • Will be able to define the role, duties, and responsibilities of the medical secretary in medical documentation processes.
    • Will be able to organize patient files.
    • Will be able to explain and arrange patient files and other medical documents in accordance with standards.
    • Will be able to explain the legal and ethical regulations related to medical documentation processes, as well as the basic principles regarding patient rights, patient confidentiality, and the protection of personal health data.
    • Will be able to apply fast, accurate, ten-finger typing skills using an F-keyboard.
    Course Description This course covers the history and fundamental concepts of medical documentation, the importance of medical documentation, types of medical documents, patient files, the principles of planning and organization in medical record and documentation processes, medical archive management, the protection of personal health records, patient rights, patient confidentiality along with legal and ethical issues, and ten-finger keyboard typing.
    Related Sustainable Development Goals

     



    Course Category

    Core Courses
    X
    Major Area Courses
    Supportive Courses
    Media and Management Skills Courses
    Transferable Skill Courses

     

    WEEKLY SUBJECTS AND RELATED PREPARATION STUDIES

    Week Subjects Related Preparation
    1 Introduction, Course Overview, Basic Concepts Related to Medical Documentation - F-Keyboard Practice Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 17–34. Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 197–203.
    2 History of Medical Documentation - F-Keyboard Practice Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 17–34.
    3 Importance of Medical Documentation - F-Keyboard Practice Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 17–34.
    4 Legal Duties and Responsibilities in Medical Documentation - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 168–171.
    5 Types of Medical Documentation - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 192–194.
    6 Types of Patient Files - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 192–194.
    7 Forms Found in Patient Files - F-Keyboard Practice Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 17–34.
    8 Midterm
    9 Planning, Organization, and Basic Principles in the Medical Record and Documentation Process - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 207–209.
    10 Medical Archives and Archive Management - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 207–239.
    11 Protection of Personal Health Records, ICD - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 236–239. Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 81–104.
    12 Ethics in Medical Documentation - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 395–424. Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 167–182.
    13 Patient Confidentiality, Patient Rights - F-Keyboard Practice Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services, pp. 395–424. Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services, pp. 167–182.
    14 Assignment Presentations - F-Keyboard Practice
    15 Course Review - F-Keyboard Practice
    16 Final

     

    Course Notes/Textbooks

    Ataklı, A., & Kaplan, A. (2016). Medical Documentation and Secretarial Services. Ankara: Güneş Tıp Publishing.

    Tengilimoğlu, D., & Köksal, A. (2013). Medical Secretarial Services: Duties, Medical Terminology, Medical Documents, and Archives. Ankara: Seçkin Publishing.

     
     
     
    Suggested Readings/Materials

    Regulation on Patients’ Rights. (1998, August 1). Official Gazette (No. 23420). https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=4847&MevzuatTur=7&MevzuatTertip=5

     

    EVALUATION SYSTEM

    Semester Activities Number Weigthing
    Participation
    Laboratory / Application
    Field Work
    Quizzes / Studio Critiques
    2
    20
    Portfolio
    Homework / Assignments
    1
    10
    Presentation / Jury
    1
    5
    Project
    Seminar / Workshop
    Oral Exams
    Midterm
    1
    30
    Final Exam
    1
    35
    Total

    Weighting of Semester Activities on the Final Grade
    65
    Weighting of End-of-Semester Activities on the Final Grade
    35
    Total

    ECTS / WORKLOAD TABLE

    Semester Activities Number Duration (Hours) Workload
    Theoretical Course Hours
    (Including exam week: 16 x total hours)
    16
    2
    32
    Laboratory / Application Hours
    (Including exam week: '.16.' x total hours)
    16
    2
    32
    Study Hours Out of Class
    10
    3
    30
    Field Work
    0
    Quizzes / Studio Critiques
    2
    8
    16
    Portfolio
    0
    Homework / Assignments
    1
    20
    20
    Presentation / Jury
    1
    5
    5
    Project
    0
    Seminar / Workshop
    0
    Oral Exam
    0
    Midterms
    1
    20
    20
    Final Exam
    1
    25
    25
        Total
    180

     

    COURSE LEARNING OUTCOMES AND PROGRAM QUALIFICATIONS RELATIONSHIP

    #
    Program Competencies/Outcomes
    * Contribution Level
    1
    2
    3
    4
    5
    1

    To have the required contemporary theoretical and practical knowledge in his/her field.

    -
    -
    -
    X
    -
    2

    To use the material and technology related to his/her field, and make their maintenance, use the information and communication technologies at basic level.

    -
    X
    -
    -
    -
    3

    To have the competency to recognize the problems in his/her field, analyze them, develop evidence-based solutions and have the ability to share their suggestions with others

    -
    -
    -
    -
    -
    4

    To be aware of legal responsibilities, conduct basic studies in her/his field independently.

    -
    -
    X
    -
    -
    5

    To communicate with patients, relatives and colleagues properly, comprehensively, honestly and explicitly, transfer his/her thoughts and knowledge through written and oral communication.

    -
    -
    -
    -
    -
    6

    To take responsibility as an active team member during the practices in his/her field.

    -
    -
    -
    -
    -
    7

    To commentate and evaluate the scientific information with a critical approach by the help of knowledge gained in his/her field.

    -
    -
    -
    -
    -
    8

    To comprehend the importance of lifelong learning, to determine and meet her/his learning needs, to develop herself/himself by monitoring the development in science and technology.

    -
    -
    -
    -
    -
    9

    To act by considering the universal ethical values, social and cultural characteristics.

    -
    X
    -
    -
    -
    10

    To know the concepts of occupational safety, patient safety, environmental protection and quality, and fulfill the requirements.

    -
    -
    -
    -
    -
    11

    To be able to follow information in his field and communicate with colleagues in English at least a level of European Language Portfolio A2 General Level.

    -
    -
    -
    -
    -
    12

    Demonstrates knowledge of patient rights, the principles of patient privacy and confidentiality, and professional terminology, and applies this knowledge effectively in professional practice.

    -
    -
    -
    -
    X
    13

    Possesses the knowledge and skills to perform patient registration and admission procedures in written or electronic environments, understands the content and significance of medical records, and organizes and maintains patient records in accordance with established archiving principles and procedures.

    -
    -
    -
    -
    -

    *1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest


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