Medical Scribe Plastic Surgery

Tufts Medicine - Boston, MA

Part-time - Entry Level

Boston, MA

Ambulatory Health Care Services

About the position

The Medical Scribe for the Plastic Surgery Clinic plays a crucial role in supporting physicians by documenting patient encounters in real-time. This position focuses on administrative and clerical tasks to enhance the efficiency of patient care, allowing physicians to concentrate on clinical responsibilities. The scribe will work closely with a physician to ensure accurate documentation of patient histories, examinations, and procedures, thereby improving patient flow and satisfaction.

Responsibilities

• Assigned to work with one physician at a time.
• Accompanies the physician in the exam room for the patient interview and examination.
• Documents the physician's dictated patient history, history of present illness, review of systems, past medical and surgical history, family and social history and allergies and medications.
• Documents the physical examination findings as dictated by the physician and any procedures performed.
• Lists diagnoses and symptoms as directed by the physician.
• Documents lab and radiology results as instructed by the physician.
• May document time spent on patient care related activities, MD to MD communication and patient re-examination, if applicable.
• May be present and record the physician's consultations with family members or other physicians about a specific patient's case.
• Documents any procedures performed by the provider including nurses.
• May gather data about the patient prior to and following the visit including medical records from referring MDs, lab, radiology results and other data for review.
• Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment.

Requirements

• Enrolled in undergraduate university studies.
• One (1) year of experience in a medical setting.

Nice-to-haves

• Enrolled in undergraduate university study studying biology or pre-med.
• Two (2) years of experience in a medical setting.