1. Clinical Jobs: Medical Scribe, Pharmacy Technician, CNA, and EMT November 18, 2015 5 points (Academic/Workshop)

2. Medical Scribe

3. What is a medical scribe? - https://www.youtube.com/watch?v=7yCOWuZe7_ohttps://www.youtube.com/watch?v=7yCOWuZe7_o The doctor’s personal assistant who helps to ensure that the doctor is working as efficiently as possible. Perform the duties that would ordinarily slow the doctor down and prevent him/her from seeing more patients. Essentially the doctor’s shadow, ready to assist him/her with anything they need. Part of the healthcare team. Required Training Classroom and clinical preparation Proficiency in typing tests Proficiency in medical terminology and the parts of an EMR required for billing

4. Medical Scribe - Responsibilities Completing the electronic medical record (EMR) History of Present Illness (HPI) Review of Systems (ROS) Physical Exam Findings (PE) all other billing points necessary - reassessment, consultation, disposition, etc. Informing the physician when new patients and pertinent lab and radiology results arrive Interacting with the other members of the medical team to guarantee efficient patient care Maintaining professional relationships and confidentiality Long-term commitment (not seasonal) Shift possibilities: early morning to overnight

5. Medical Scribe - Benefits Build personal relationships with the physicians mentorship letters of recommendation learn about their life and the pros/cons of physician-hood financial side of medicine Build personal relationships with other pre-health students First-hand exposure to medicine and being part of the healthcare team Ability to learn how to handle stressful situations Familiarization in EMR, medical terminology, and HIPAA Development of skills necessary to work as a team Great experiences to discuss in professional school interviews Development of computer skills.

6. Medical Scribe - Opportunities Work in an emergency room or outpatient clinic setting. Current Opportunities During Undergrad: ProScribe - WACO @ Providence Hospital and surrounding clinics Contact Brittnye Screws (Project Leader) at brittnyes@proscribemd.combrittnyes@proscribemd.com Scribe-ology - WACO @ Hillcrest Hospital Contact Rahul_Dadwani@baylor.edu For Gap Years: ScribeAmerica (Austin, El Paso, Galveston, DFW, Houston, Midland, Lubbock, San Antonio, Texarkana) PhysAssist (Austin, College Station, DFW, Houston, San Antonio) Elite Medical Scribes (Fort Worth and Baytown) Scribe Connect (Dallas)

7. Pharmacy Technician

8. What is a Pharmacy Technician? Pharmacy Technicians work under the supervision of pharmacists and compound of mix medications and call physicians for prescription refill authorization List of common duties: Take the information needed to fill a prescription from customers or health professionals Measure amounts of medication for prescriptions Package and label prescriptions Organize inventory and alert pharmacists to any shortages of medications or supplies Accept payment for prescriptions and process insurance claims Enter customer or patient information, including any prescriptions taken, into a computer system Answer phone calls from customers Arrange for customers to speak with pharmacists if customers have questions about medications or health matters

9. Requirements Training: Many technicians learn through on-the-job training Some attend programs offered through vocational schools or community colleges Programs cover a variety of subjects, such as arithmetic used in pharmacies, recordkeeping, ways of dispensing medications, and pharmacy law and ethics. Technicians also learn the names, uses, and doses of medications. Most programs also include clinical experience opportunities, in which students gain hands-on experience in a pharmacy. Customer-service skills. Pharmacy technicians spend much of their time interacting with customers. Detail oriented. Serious health problems can result from mistakes in filling prescriptions. Although the pharmacist is responsible for ensuring the safety of all medications dispensed, pharmacy technicians should be detail oriented so that complications are avoided. Math skills. Pharmacy technicians need to have an understanding of the math concepts used in pharmacies when counting pills and compounding medications. Organizational skills. Working as a pharmacy technician involves balancing a variety of responsibilities. Pharmacy technicians need good organizational skills to complete the work delegated by pharmacists while at the same time providing service to customers or patients.

10. Job Benefits ●The median annual wage for pharmacy technicians was $29,320 in May 2012 ●Exposure helping people and providing a need ●Experience of working in coordination with people ●Way to become familiarized with drugs- both names and pharmacology

11. Certified Nursing Assistant (CNA)

12. What is a CNA? A CNA or certified nurses assistant is someone “who cares for physically or mentally ill, injured, disabled, or infirm individuals in hospitals, nursing care facilities, and mental health settings.” -[BLS.gov] CNAs are… the eyes and ears of the healthcare team- CNA’s work closer with the patient than any other provider the defenders of the patient by monitoring and asking questions such as: ●Is my patient safe? ●Am I protecting their privacy? ●Am I doing everything possible to protect their dignity? ●How can I encourage my patient to be independent as possible? ●Does my patient want to talk?

13. Requirements Need to: ●Own a high school diploma or GED (for hospitals and long-term care facilities) ●Be emotionally and physically stable ●Complete a training program ●Pass a State-Certified Test ●Pass a background test and drug screen Training Program: ●Minimum federal requirement for nursing homes is 75 hours ●Some employers will have own standards ●Training programs are offered through high schools, trade schools, technical schools, community colleges, and hospitals ●Training includes theoretical and hands-on practice ●Training topics include procedures, body mechanics, physiology, nutrition, infection control, communication and resident rights. ●Must renew license every year! Training varies between 12 and 14 hours by state ●Many CNA course that teach a vast range of skills that can be utilized in hospital settings. Ex. phlebotomy

14. Job Benefits ●Median Annual Wage- $24,010 ●Salary varies by : 1.Type of facility (In general, hospitals pay more than nursing home or in- home care) 2.Experience 3.State you live in 4.Required duties (more technical and precise = higher wages due to the need for more training and more responsibility ex. some CNA are certified in phlebotomy) ●Exposure to the human side of medicine- affirmation of why you want to go into medicine ●Experience being part of a healthcare team ●Insight on the inner workings of healthcare ●Ability to better coordinate teams when leading as a doctor ●Ability to earn humility through “scut” work

15. Emergency Medical Technician (EMT)

16. What is an EMT? A Provider who responds to emergency situations where the patient may be sick or injured

17. Certification Traditionally need 175 - 200 hours of training Courses usually range from 7 - 16 weeks Age: State certification varies Must be 18 years old to get Nationally Certified For Texas Pass both State and National Certification exams Precepting Some programs require a certain amount of hands on training Continual Education Credits Must obtain 24 hours of credit every 3 years

18. Skills Acquired & Responsibilities How to treat: Allergic reactions with Epipens Chest pains with Nitroglycerin Shortness of breath with oxygen Asthma with inhalers Diabetic Emergencies with glucose Certain indications for Activated Charcoal for poisonings Various traumas CPR Responsible for: ● Determining and providing all Basic Life Support treatment to patients ● Assisting the Paramedic with Advanced Life Support ● Advocating for your patient ● Ensuring the successful transfer of care to the hospital or alternative provider

19. Where can I sign up for a course? Local Fire/Ambulance stations Most times, if you join a station, they will pay for you to get trained! County districts Emergency Department Community Colleges and some 4 - year colleges

20. Jobs 911 Responder (Paid) May be limited until 21 years of age Traditionally shifts are 12 hours or 8 hours long 911 Responder (Volunteer) Good alternative to being paid Build great experience working as a team Find mentors Non - Emergency Transport Make sure patient's condition is sustained while transporting home or other hospital

21. Salary Hourly: $10-16 Yearly: $34,000

22. Medical Scribe – Rachael_Helpenstell@baylor.eduRachael_Helpenstell@baylor.edu CNA/Pharmacy Technician – Chase_Gottlich@baylor.eduChase_Gottlich@baylor.edu EMT – Michael_Alonso@baylor.eduMichael_Alonso@baylor.edu