VOCATIONAL SCHOOL OF HEALTH SERVICES
Department of Medical Documentation and Secreteriat| 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 | DiscussionCase StudyQ&ALecture / PresentationField 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;
|
| 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 |
|
|
|
Core Courses |
X
|
| Major Area Courses | ||
| Supportive Courses | ||
| Media and Management Skills Courses | ||
| Transferable Skill Courses |
| 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 | |
| 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 |
| 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 |
| 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
|
|
#
|
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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