What Are Medical Scribes and How Do They Help Doctors and Patients?

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on September 12th, 2024.

Key Takeaways

  • These healthcare assistants reduce physician documentation time by up to 70% while allowing doctors to maintain direct eye contact and focus on patient care instead of typing into computers.
  • Most are college students or recent graduates who complete specialized training in medical terminology, documentation standards, and electronic health record systems but cannot provide clinical advice or make treatment decisions.
  • Primary care studies show facilities using scribes see increased patient throughput, improved physician job satisfaction scores, and reduced burnout rates among healthcare providers.
  • Training typically covers medical coding, HIPAA compliance, and real-time charting of patient histories, physical exam findings, and diagnostic test results during appointments.
  • Virtual and AI-powered documentation systems are emerging as remote alternatives, allowing scribes to work from different locations while still providing real-time support during patient visits.

When you visit your doctor's office, you may notice someone else in the room besides your physician - a medical scribe. Medical scribes are becoming increasingly common in healthcare settings, but what exactly do they do, and how do they help both doctors and patients?

The Role of Medical Scribes

Medical scribes are assistants to physicians and other healthcare providers. Their primary role is to document patient visits by entering information into the electronic health record (EHR) system. This includes:

  • Patient history

  • Physician examination findings

  • Test results

  • Other pertinent information related to patient care

In addition to documentation, scribes may also assist with tasks such as checking for test results and assigning diagnoses and billing codes. However, the physician is ultimately responsible for reviewing and signing off on all documentation.

What Are Medical Scribes and How Do They Help Doctors and Patients?

Training and Background of Medical Scribes

Many medical scribes are college students or recent graduates looking to gain experience in the healthcare field before pursuing further education, such as medical school or other graduate programs. Some individuals also choose to become full-time professional scribes.

Scribes receive training on proper documentation techniques, medical coding, and billing rules. However, they typically do not have advanced healthcare provider training or certification. As such, scribes should not provide medical advice or deliver care to patients unless they have additional qualifications, such as being a nurse or medical assistant.

Benefits of Using Medical Scribes

The use of medical scribes offers several benefits for both physicians and patients:

  1. Increased physician-patient interaction: By handling documentation, scribes allow doctors to spend more time directly communicating with patients.

  2. Improved physician productivity: Scribes can help reduce the administrative burden on physicians, enabling them to see more patients or spend more time on complex cases.

  3. Enhanced physician satisfaction: With less time spent on documentation, physicians may experience reduced stress and increased job satisfaction.

A study published in JAMA Internal Medicine found that the use of medical scribes in primary care settings was associated with reductions in time spent on electronic documentation, as well as improvements in physician productivity and work satisfaction.

The Future of Medical Scribes

As technology advances, the role of medical scribes may evolve. Some healthcare organizations are exploring the use of virtual scribes, who document visits remotely using audio recordings or video teleconferencing. Additionally, advances in artificial intelligence and natural language processing may one day automate the documentation process.

However, until documentation requirements are reduced or fully automated, medical scribes will likely continue to play a valuable role in helping physicians focus on what matters most - providing quality patient care.

The Bottom Line

Medical scribes handle the administrative documentation burden during appointments, freeing physicians to spend more quality time directly interacting with patients while significantly reducing paperwork stress. This leads to more efficient visits and better doctor-patient communication. If you have questions about how healthcare documentation affects your care experience, Doctronic can provide personalized guidance.

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