Course Overview
Accurate record keeping is essential for a competent practice. In this 4-hour course you will learn how to create, format and manage patient records. Content includes risk management, informed consent and refusal, patient termination, legalities, and privacy acts. Exercises to create appropriate records for initial and follow-up visits will also be covered, as well as examples of consent, initial intake, referrals and real-life clinical experience will be shared.
All participants will receive a reference handbook highlighting all aspects of the course.
Additional relevant reference material for this course includes the Jurisprudence handbook from the CTCMA (not included). To purchase a copy of this handbook click here.
Objectives
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Understand how clinical record keeping relates to competent practice.
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Understand how to create and maintain accurate clinical (patient) records.
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Understand the ethical and legal issues surrounding clinical (patient) record keeping.
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Recognize areas of weakness in current record keeping practices and how to correct them.
Outline
0 hrs - 15 min
What is Accountable Record Keeping and The Purpose of Record Keeping
15 min - 30 min
Code of Ethics CTCMA
30 min - 1 hrs
Legal
1 hrs - 1.25 hrs
How-To
1.25 hrs - 1.5 hrs
Medical History/Intake & Activity
1.5 hrs - 1.75 hrs
CTCMA Guidelines for Informed Consent
1.75 hrs - 2 hrs
Informed Consent & Activity
2 hrs - 2.5 hrs
The Clinical Record: Charting
2.5 hrs - 3 hrs
Storage & Disposal
3 hrs - 3.5 hrs
FAQs
3.5 hrs - 3.75 hrs
MSP
3.75 hrs - 4 hrs
Recorded Question and Answer segment
Reviews
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Kirsten T. (Canada)
Kim should teach more courses, ANYTHING as she is so knowledgable and is so confident in front of the public
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Jill S. (Canada)
I found this course quite helpful. Coming from Alberta, I had many questions regarding what is required in B.C. Kim is very knowledgable in the subject of Clinical Record Keeping and has many beneficial suggestions to keep your charting professional and complete.
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Corrine W. (Canada)
This course was clear, concise and on point. It was easy to follow and pertinent to our profession.
Reviews
Kim should teach more courses, ANYTHING as she is so knowledgable and is so confident in front of the public
Kirsten T. (Canada)
I found this course quite helpful. Coming from Alberta, I had many questions regarding what is required in B.C. Kim is very knowledgable in the subject of Clinical Record Keeping and has many beneficial suggestions to keep your charting professional and complete.
Jill S. (Canada)
This course was clear, concise and on point. It was easy to follow and pertinent to our profession.
Corrine W. (Canada)
This course provided some very important and necessary information on how to maintain a professional record that will hold up legally, can easily be cross-referenced and/or transferred to other professionals.
Rita W. (Canada)
Course every practitioner should take.
Barbara B. (Canada)
Teacher
Kim Schneberk
A graduate of the International College of Traditional Chinese Medicine of Vancouver, Dr. Kim Schneberk has dedicated the majority of her practice to the treatment of Addiction & Mental Illness. She has also been part of the CTCMA committee to improve competencies for Dr. TCM, and has been teaching the Record Keeping course at Langara College for over 5 years.
Disclaimers
Please read these important disclaimers before purchasing:
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