This invaluable textbook and desk reference explains the history and physical report step by step, demystifying the language of physicians. It aids both novice and experienced transcriptionists in deciphering difficult dictation and can be used as a study aid for credentialing exams. It is essential for anyone handling or interpreting healthcare records—in the classroom or on the job.

Each chapter contains comprehensive exercises that build vocabulary, increase understanding of medical concepts, and develop critical thinking and decision-making skills. The book includes hundreds of excerpts from authentic H&P reports; a glossary of words and phrases not found in standard references; and photos and anatomical drawings.

CMTs can earn up to 20 Continuing Education credits with this book.

Distributed by Stedman's