Medical Records Keeping Course
Everything we do in healthcare involves some degree of communication, be it visual, verbal or written. Communicating effectively involves the proper and complete transfer of information from one to another.
In the practice of medicine, the provision of appropriate care necessitates the seamless and flawless flow of this information to ensure continuous, collaborative care. When this flow of information is incomplete or contains error, it disrupts patient care.
This medical records keeping course is designed to provide information on standards of care in medical record keeping in Nova Scotia and across Canada. Content includes guidelines on documentation of a clinical encounter, standards and guidelines around patient consent, and current guidelines for the correct storage and sharing of information in all aspects of patient care.
The course is housed on Dalhousie University’s learning platform, Brightspace.The cost is $495, paid at registration. You will receive a formal certificate of completion.
If you are registering for this course as part of a College-directed activity, the course will include the required assessment component to satisfy your requirements. The additional course cost is $755, for a total of $1250, paid at registration.
Overall Learning Objectives:
By the end of this course, participants will be able to:
• Identify the importance of keeping good Medical Records including their impact upon the provision of quality, comprehensive, collaborative continuing care. [Communicator, Medical Expert, Collaborator,]
• Describe the components of a complete Medical Record in a variety of settings. [Scholar, Medical Expert]
• Recognize and apply tools to assist in medical record keeping, including identifying potential pitfalls. [Communicator, Scholar]
• Review the topic of consent, including how to obtain and document properly. [Medical Expert, Communicator]
• Translate and integrate new knowledge into practice improvements in your documentation and correspondences. [Scholar, Professional, Leader]
For more information and to register, please use this link: Medical Records Keeping course. Contact facdev@dal.ca if you have any questions.