Its training regimen takes place at a dedicated facility featuring five state-of-the-art rooms equipped with all the necessary resources, including mock exam rooms for hands-on patient encounter experiences. As such, they are just as responsible for ensuring an excellent patient experience as any other staff member, whether that involves fetching a thirsty patient a glass of water, keeping patients apprised of wait times, or serving as liaison between the physician and other team members.ĬityMD hires and trains its scribes rather than utilize one of the growing number of companies that outsource scribes. Kapoor, treasurer of the ACMSS board of directors, says CityMD scribes are as much a part of the clinical team as the physicians, nurses, and medical and radiology technicians. By 2020, that number is expected to reach 100,000 as scribes become increasingly engrained in the fabric of clinical workflow documenting patient encounters, gathering data such as lab and radiology results, editing medical histories, and scheduling and receiving patients. Scribes are the key to that."ĬityMD is at the forefront of the trend, which today encompasses more than 20,000 scribes, approximately 17,000 of whom are certified through the American College of Medical Scribe Specialists (ACMSS). I want them to know they have my undivided attention. "As a physician, I don't want to look at a computer screen when I'm seeing a patient. They knew this was a positive and were happy to hear we were using scribes and understand how they maximize efficiency," says Tushar Kapoor, MD, FACEP, executive vice president of staff development for CityMD, which has approximately 340 scribes at 55 locations throughout New York and New Jersey. "From day one, physicians realized the value. The clinical team at CityMD has embraced scribes, who have been part of the environment ever since the urgent care practice launched in 2010. When CityMD Urgent Care physicians enter exam rooms, a medical scribe stands ready to capture the narrative of the visit as it unfolds. Their role may be cause for consternation, but there's no denying their imprint.
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