Scribe Training Programs – One size does not fit all

Necessity is very often the mother of invention, hence this past decade’s dramatic rise in the use of medical scribes. Medical transcriptionists have traditionally filled the role of documenting physician-patient encounters by passively listening to recorded dictations which were, in turn, transcribed into a “free text” patient record. However, the increasingly complex nature of medical practice, the pressure to see more patients in less time, and the ever-changing regulations related to billing and coding have created an atmosphere of inefficiency and errors, not to mention the increased stress placed upon providers. Therefore, medical scribes not only document a provider’s activity with their patients in “real time”, they have the added responsibility of increasing physician’s productivity while reducing the possibility of medical errors. Included in these errors is a doctor’s inability to precisely recall details of an encounter or procedure when the “treat now and dictate later” method is used which is quickly becoming a thing of the past.

The Joint Commission has recently clarified the use of scribes in medical practice.[1] While scribes are not yet required to be licensed or certified through formal training, they must still adhere to Joint Commission standards. The rising use of medical scribes has in a sense been validated by this clarification. However, since there is no set requirement or standard for training, the disparity in “quality” and experience which often translates into usefulness, is most definitely an issue to consider when hiring a medical scribe.  Some healthcare organizations will require no more than a high school diploma and no specific formal training, while others will require some experience with medical terminology, perhaps some college, or even certification by way of formal scribe training.  Certainly a medical transcriptionist is considered well suited for the role of scribe, however additional learning is required, specifically in the world of  billing and coding, electronic medical record documentation, and the use of specific templates which drastically cuts down on the time needed to create full free text.

The existence of the American College of Medical Scribe Specialists (ACMSS) has made it possible to “upgrade” from medical scribe to certified medical scribe which requires formalized scribe training, work experience, and a few continuing scribe education.  Additionally, there are reputable web based medical scribe companies that make the process of applying, training, and even job search a much easier process since it is all generally accomplished online. A good training program should have the aspiring scribe interact directly with physicians throughout the process of certification since a working scribe-physician relationship will become the foundation for any future effectiveness on the job. Finally, there are certain characteristics a good scribe must possess outside of formal training which include efficient organization skills, the ability to work under intense pressure, good communication skills, and a friendly, outgoing disposition to name a few.

Clearly the use of medical scribes is increasing over time, and the profession is here to stay. However, the disparity in educational and certification requirements, or lack thereof, can make a big difference in how effective and useful a scribe will be in the day to day medical setting. It is quite likely that as this ancillary profession grows, a more uniform standard regulating the education, training, and background requirements in becoming a medical scribe will be developed. We have seen this same process occur with other ancillary healthcare groups which not only “evens the playing field” but can also serve to improve the overall quality within a particular profession.

  1. Medical Scribes Make Their Presence Felt By Mary Anne Gates For The Record Vol. 24 No. 21 P. 14
Sarah Lamb
Sarah Lamb is a native of Southern California. She received her Bachelor of Science in Biology from the University of California at Santa Barbara. After becoming ScribeAmerica's first employee and supervisor, Sarah placed her pursuit of medical school on hold indefinitely. Within two short months, Dr. Michael Murphy and Dr. Luis Moreno welcomed Sarah as part of the ScribeAmerica Executive Management Team. Sarah led the company's growth from infancy and now holds the position of Chief Operating Officer. Among other achievements, Sarah contributed to the development of the medical scribe industry's leading scribe curriculum. She has nine years of experience with EDIS implementation and works firsthand with nearly two dozen different EMR's. Sarah specializes in overcoming the challenges posed by EMR and CPOE implementation. Sarah prides herself in changing the quality of life of hundreds of emergency medicine providers and plans to continue to do so, one "click" at a time.
Posted In: General, Life as a Scribe, Quality, Efficiency, Utilization On: Wednesday, 18 June, 2014


  • Dawna Coffland - June 22, 2016

    I am currently a transcriptionist an have been for about 25 years plus. My next goal is to be a Scribe as I feel this is my calling. I need more money also than just transcribing. How do I get started? Do you have classes locally in Cedar Rapids Iowa area? Would it be easier to just do the medical assistant or nurses aide? Confused on all of that, but I known my ultimate goal is to be a Scribe, for now.

  • Niketkumar Patel - January 9, 2018

    I am currently a pursuing my undergraduate while on premed track. I wanted to know about the good programs that are available for medical scribe training at scribe america.

  • Amy Leigh Hayward - August 10, 2018

    Please contact me and let me know how I can become a scribe. Im very interested. Thank u

  • Brianna V - February 22, 2019

    I would like to be certified as a medical scribe. Is there a program in central florida, or online that I can take?

  • Dpinderjot - May 14, 2019

    I am very much interested in scribe training. Please let me know what is the process to get training? Thank you


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