Role Of Scribe Research Articles

The Role of Scribes in Orthopaedics.

The rapid increase in the use of electronic medical records (EMRs) has led to some unintended consequences that negatively affect physicians and their patients. The use of medical scribes may serve as a possible solution to some of the EMR-related concerns. Research has demonstrated an overall positive impact of having scribes on both physician and patient well-being, safety, and satisfaction. Adaptation of advances in technology, including remote and asynchronous scribing, use of face-mounted devices, voice recognition software, and applications of artificial intelligence may address some of the barriers to more traditional in-person scribes.

Getting the Predoc Back Into Documentation: Students as Scribes During Their Clerkship.

The goal of this study was to investigate the impact of medical students functioning in the role of scribe on students' learning, medical practice, and preceptor. Third-year students from the University of North Dakota School of Medicine and Health Sciences volunteered and were trained to function in the role of scribe. Preceptors also completed training to have students scribe in their practice. The students, preceptors, and staff completed questionnaires assessing perceptions of the impact on the student, the practice, and the provider. We elicited comments and concerns from students, staff, and preceptors. All groups perceived medical students' scribing as helpful for teaching medical students in the clinical setting, with an average questionnaire score for all groups of 4.7/5. The students reported it was a positive experience. It allowed them to be more engaged, improved the learning environment, and didn't detract from clinical learning. Staff reported that students were more engaged, and scribing did not impact time management. Preceptors reported that students were more engaged in the practice, and with their team. Preceptors reported it was also easier to teach, and easier to stay on time with medical students scribing. All reported that documentation was important to learn in the third year of medical school, and that students should be trained to function in a limited scribe role. Allowing students to document in the electronic medical record provides many benefits to students and preceptor practices and should be encouraged and advocated for in medical education.

Influence of Scribes on Patient-Physician Communication in Primary Care Encounters: Mixed Methods Study.

BackgroundWith the increasing adoption of electronic health record (EHR) systems, documentation-related burdens have been increasing for health care providers. Recent estimates indicate that primary care providers spend about one-half of their workdays interacting with the EHR, of which about half is focused on clerical tasks. To reduce documentation burdens associated with the EHR, health care systems and physician practices are increasingly implementing medical scribes to assist providers with real-time documentation. Scribes are typically unlicensed paraprofessionals who assist health care providers by documenting notes electronically under the direction of a licensed practitioner or physician in real time. Despite the promise of scribes, few studies have investigated their effect on clinical encounters, particularly with regard to patient-provider communication.ObjectiveThe purpose of this quasi-experimental pilot study was to understand how scribes affect patient-physician communication in primary care clinical encounters.MethodsWe employed a convergent mixed methods design and included a sample of three physician-scribe pairs and 34 patients. Patients’ clinical encounters were randomly assigned to a scribe or nonscribe group. We conducted patient surveys focused on perceptions of patient-provider communication and satisfaction with encounters, video recorded clinical encounters, and conducted physician interviews about their experiences with scribes.ResultsOverall, the survey results revealed that patients across both arms reported very high satisfaction of communication with their physician, their physician’s use of the EHR, and their care, with very little variability. Video recording analysis supported patient survey data by demonstrating high measures of communication among physicians in both scribed and nonscribed encounters. Furthermore, video recordings revealed that the presence of scribes had very little effect on the clinical encounter.ConclusionsFrom the patient’s perspective, scribes are an acceptable addition to clinical encounters. Although they do not have much impact on patients’ perceptions of satisfaction and their impact on the clinical encounter itself was minimal, their potential to reduce documentation-related burden on physicians is valuable. Physicians noted important issues related to scribes, including important considerations for implementing scribe programs, the role of scribes in patient interactions, how physicians work with scribes, characteristics of good scribes, and the role of scribes in physician workflow.

P030: Role of scribes in emergency care in the Saskatoon health region

Introduction: Increasingly, hospitals are adopting electronic charting systems. Recent literature suggests that physicians are spending roughly 2:1 hours on charting as compared to actual patient care raising questions as to whether manual electronic charting is the best use of scarce physician resources. To counter these effects, some hospitals have introduced scribes into their departments. A medical scribe is a person, or paraprofessional, who specializes in charting physician-patient encounters in real time. In this pilot study, we assessed the impact of having a scribe on the mental and physical fatigue, patient and healthcare-team engagement, and overall work satisfaction of emergency physicians at an urban emergency department (St. Paul’s Hospital, Saskatoon). Methods: Three research participants (emergency physicians) were recruited to the study. Each participant completed a typing test to determine typing skills. The student researcher then provided scribe services for each participant for two shifts. The scribe charted physician-patient interactions in real time and also completed order sets, wrote orders, imaging requisitions, and prescriptions. Physicians completed surveys after each shift with the scribe as well as after 2 shifts without a scribe (for a total of 12 shifts in the study, 6 with the intervention). Physicians were asked to rate their mental and physical fatigue, enjoyment of work, and impact on patient/team engagement on a 10-point Likert scale. Results from the questionnaires were analyzed to determine individual and group mean responses. Given the small sample size, no further statistical calculations were completed. Results: Typing test results (in words per minute) were as follows: Scribe 93, Physician A 64, Physician B 40, Physician C 25. In terms of both mental and physical fatigue post shift, all 3 participants recorded being less fatigued after working shifts with a scribe. Mean group scores were as follows: mental fatigue decreased by 33%, physical fatigue decreased by 23%. Physicians work enjoyment improved by 10%. Team and patient interaction did not seem impacted by the intervention. Conclusion: It appears that regardless of typing skills, all physician participants noted a measurable benefit from having a scribe on shift. This suggests that off-loading documentation to the scribe has a positive effect on mental and physical endurance. These results warrant further investigations.

Walking the Deckle Edge

The article presents a preliminary survey of textual reuse in Nepalese collections of j?takas and avad?nas, focusing in particular on three works: the Avad?na?ataka, the Divy?vad?na, and the Dv?vi??atyavad?nakath?. The reassessment of the manuscript tradition of these three Sanskrit collections, based on Nepalese manuscripts and Tibetan translations, sheds more light on the role of scribes in the creation of these collections and of the Nepalese avad?nam?l? literature. In particular, the great role played in the 17th century by the Nepalese scribe and scholar Jayamuni in shaping the text of the Avad?na?ataka, the Divy?vad?na, and many other Buddhist narrative works is brought to light. The result of this preliminary survey shows that a study of this type of collections based on the available critical editions should be rethought in the light of the specific character of their manuscript and textual transmission in medieval and early modern Nepal.

The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety.

Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center. It places factors associated with of scribe systems within an eight-dimension sociotechnical framework for evaluating health information technology, and discusses key aspects of those perspectives.

I trovatori nel Veneto e a Venezia. Atti del Convegno internazionale - Venezia, 28-31 ottobre 2004 (review)

Reviewed by: I trovatori nel Veneto e a Venezia. Atti del Convegno internazionale - Venezia, 28-31 ottobre 2004 Wendy Pfeffer Lachin, Giosuè, ed. I trovatori nel Veneto e a Venezia. Atti del Convegno internazionale - Venezia, 28-31 ottobre 2004. Medioevo e Rinascimento Veneto 3. Roma/Padova: Editrice Antenore. 2008. ISBN: 978-88-8455-623-3. I Trovatori nel Veneto includes most of the presentations given at the conference organized under the auspices of the Fondazione Giorgio Cini, with support from the Società Italiana di filologia romanza and the Association internationale d'études occitanes. The premise of the 2004 meeting was to summarize research of the last thirty years or so and to share current work of the scholars involved, with a particular focus on the area of Venice and its surroundings. Given the importance of the northeastern region of Italy as a venue for troubadour performance and for the preservation of medieval Occitan texts, there was no shortage of content. The volume opens with a long essay by Giosuè Lachin labeled "Introduzione" (xiii-cv), though the essay is anything but. Lachin uses this opportunity to showcase his current work with troubadour manuscript D, offering readers a very careful description of that volume and an interpretation of the logic of its composition. Lachin hypothesizes that D and the Liber Alberici represent a primitive phase of the development of a troubadour canon of authors (lxxvi). Lachin emphasizes the role of scribes trained at the university (e.g., Padua, lxxxviii) as an important factor in understanding the composition of D; he sees the volume as an example of pecia construction1 (xciv). Daniela Rando considers the question, What is a court? in "I luoghi della cultura nella Marca del duecento" (3-25) and offers a coherent response, not only to the question itself but also how the setting for culture evolved in the eleventh-thirteenth centuries in Italy. In this retelling, the passage from vagrant court to castle to city seems almost ineluctable. The next essay, "Alla corte dei Tempesta: trovatori e magistri nel castelle di Noale (sec. XIII-XIV)" by Raffaele Roncato (27-38) is a bonus, for the presentation was not on the original conference program (xii). Roncato emphasizes the importance of the castle and court at Noale as a stopping point for troubadour and Occitan culture. [End Page 69] Francesca Flores d'Arcais reminds the reader, in "Letteratura cavalleresca e arti figurative nel Veneto dal XIII al XIV secolo," (39-46) of the role of figurative art in this region, though most of the examples illustrate Old French rather than Occitan texts. The author suggests two frescos may refer to the themes of Occitan lyric, one in Bassano portraying a lover (45) and a second in Trento, which portrays a courtly scene, a distant echo of troubadour poetry (46). Continuing the theme of pictorial arts, Giordana Canova Mariani addresses "Il poeta e la sua immagine: il contributo della miniatura alla localizzazione e alla datazione dei canzonieri provenzali AIK e N" (47-76). Here an art historian uses the methods of that discipline to date four chansonniers. The author suggests that A can be dated to shortly after 1273-75 (61), that I and K can be dated to the 1290's (67), that N dates from the 1260's–1270's (75).2 The arguments mustered depend almost entirely on comparing the art in these four manuscripts (portraits and flourishes) with dated manuscripts from scriptoria in the Veneto. Historian Michel Roquebert offers "L'Emigration languedocienne en Italie padane au cours du XIIIe siècle" (77-95), based largely on Inquisition documents relating to four heretic travelers. Roquebert establishes a geography and a sociology of exile; the documents he examined allow him also to consider the material and social conditions of exile. In "Sur quelques troubadours qui franchirent les Alpes du temps de la Croisade contre les Albigeois," (97-133), Gérard Gouiran extends Roquebert's discussion to specific troubadours, notably Folquet de Romans. Gouiran's essay is, in truth, a description of the lifestyle of troubadours and joglars who flourished in thirteenth-century Italy. Saverio Guida's contribution, "Esperienza trobadorica e realtá veneta" (135-170) complements Gouiran's essay nicely...

Scribes Before and After 587 BCE: A Conversation

The conversation represented here originated in a special session at the 2006 Annual Meeting of the Association for Jewish Studies that dealt with the issue of the shifting role of scribes leading up to and following the Babylonian destruction of Jerusalem in 587 BCE. The essays situate all scribal groups in relation to the nation's priestly tradition and circles, address diverse matters of socio-political agenda, and identify trends in the development of literary methodology. This conversation includes an introduction by the editor, and contributions by M. Leuchter, Jacob L. Wright, Jeffrey C. Geoghegan, and Lauren A. S. Monroe.

Trial discourse and manuscript context

The present paper underscores the importance of examining the original manuscripts and their context(s) of production, with specific reference to the wealth of documentary material produced in connection with the Salem witchcraft outbreak of 1692. The background to this study is an international project to publish a chronologically structured edition of this material. One central aspect of this work is a reassessment of the role of scribes in the production of these documents. As shown in the paper, scribal profiles can be reconstructed by means of linguistic and palæographic analysis. Specifically, the linguistic and scribal features of two relevant genres (depositions and indictments) are explored here in the light of the 1692 Salem documents.

Transmitting Jewish Traditions: Orality, Textuality, and Cultural Diffusion (review)

T H E J E W I S H QUA R T E R LY RE V I E W, Vol. 94, No. 1 (Winter 2004) 176–177 YAAKOV ELMAN and ISRAEL GERSHONI, eds. Transmitting Jewish Traditions: Orality, Textuality, and Cultural Diffusion. Studies in Jewish Culture and Society. New Haven, Conn.: Yale University Press, 2000. Pp. xi Ⳮ 353. This book is a collection of essays derived from a year-long group on the theme of the transmission of knowledge in Jewish culture that was held at the Center for Advanced Judaic Studies at the University of Pennsylvania during the academic year 1995–96. The group comprised scholars working in virtually every period and area of Jewish studies, from the Hebrew Bible and rabbinics through medieval and early modern Jewish culture into the modern period and in fields as diverse as German and Yiddish literature, Jewish musicology, and Zionism. The ten essays in this volume reflect this wide historical span as well as the group’s disciplinary and thematic variety, with essays ranging from Martin Jaffee’s comparative study of rhetoric and paideia in the Talmud Yerushalmi and in Greco-Roman literature, to Jeffrey Grossman’s engrossing study of translation technique in early twentieth-century German translations of Y. L. Peretz, to Israel Bartal’s essay on the Kinnus Project as a tool of cultural fashioning in early Zionism. Beyond the excellence of nearly all its individual components, however , this collection is a remarkably coherent volume with a contribution of its own. It is especially important for the ways that it develops its main theme, namely, as its editors write in their introduction, how ‘‘the transmission of various cultural elements is affected by the mode of transmission .’’ Whether that ‘‘mode of transmission’’ is oral or literary, or in the form of translation, or in the anthologizing of earlier sources, the importance of foregrounding and highlighting this all too often neglected dimension of textual study cannot be overestimated. Indeed, the import of this volume’s diversity is to show how the question of the mode of transmission should be a subject of vital concern to all scholars in Jewish studies regardless of field or period. It is hardly a topic that begins with the age of print. Without disparaging the important contributions of the essays dealing with the modern period, like those of Bartal and Grossman, it is fair to say that the most exciting essays in the book are those devoted to ancient and medieval texts. Let me just cite a few of the more original and innovative contributions. Paul Mandel’s study of the different recensions of Lamentations Rabbah expertly moves beyond philology to use its evidence ELMAN AND GERSHONI, JEWISH TRADITIONS—STERN 177 as source material for speculations upon modes of teaching and the role of books in Palestine and geonic Babylonia respectively. Daphna Ephrat and Yaakov Elman’s joint contribution is an exemplary model of innovative comparative work, in this case of the use of orality in the geonic yeshiva and the Islamic madrasa; Malachi Beit-Arie’s paper on medieval scribality focuses upon the highly creative role of scribes in copying texts and the implications of their interventions in how we conceive of a text. Similarly, Mark Saperstein’s study of the sermon as an oral performance also works to blur the lines between orality and written transmission, as does Elliot Wolfson’s masterly study of the intercalation of oral tradition and written communication in the transmission of esoteric literature. The essays in this volume reflect the influence on Jewish studies of what has come to be called the ‘‘new materialist philology,’’ to use Stephen Nichols’s term—that is, the methodologically self-conscious and rigorous extension of traditional philological study from purely textual matters to larger questions of literary and cultural significance. The text, as we know, is not only a conveyor of knowledge but also a medium of cultural exchange. Jewish studies has of course been a text-centered discipline from its inception. But as this volume demonstrates, we still are in the process of learning how much a text—in its full material sense— can actually teach us. University of Pennsylvania DAVID STERN ...

A New Introduction to the Peshitta of the Old Testament

Abstract The first part of this review article gives a full summary of Michael Weitzman's The Syriac Version of the Old Testament. It is agreed that this book is a masterpiece. Yet, as it will probably serve as the standard introduction to the Peshitta for many years to come, some critical notes are in order. These concern some methodological questions, the evaluation of the 'three-stages model' for the text history of the Peshitta, the precise role of scribes, Weitzman's multidimensional maps, and the overrated position of translation technique as an explanation of differences between the Peshitta and the Masoretic text.

La rhétorique oraculaire dans les chroniques anciennes de la Chine. Une étude des discours prédictifs dans le Zuozhuan

L'article étudie les discours prédictifs dans les Chroniques de Zuo ( Zuozhuan ; IVe siècle avant notre ère). Après avoir dégagé les facteurs qui permettent de considérer ces discours comme un genre littéraire particulier, à mi-chemin entre le mode discursif des argumentations de conseillers et le mode oraculaire des consultations divinatoires, il analyse leur incidence sur la composition de l'ouvrage. Puis, l'auteur considère les liens qui existent entre la rhétorique oraculaire des Chroniques , la tradition des scribes préimpériaux et les mouvements d'idées à l'époque des Royaumes combattants.

Todavía en La Luna

TodavÃ-a en La Luna A Round Table Discussion with DarÃ-o Alvarez Basso, Antonio Bueno, Pierluigi Cattermole Fioravanti, Ignacio MartÃ-nez Lacaci Fortuny, Javier Timmermans de Palma and José Tono MartÃ-nez Some fifteen years have passed since a group of young friends decided to found a magazine to take the pulse of what was happening in Madiid. Theii creation, La Luna de Madrid, published its first issue in November of 1983. For more or less half a decade, La Luna was ar the center of the cultural transformations fashioned in Spain's urban centers in the wake of the political changes which moved Spain from dictatorship to democracy. La Luna was an integral part of a period of cultural effervescence in Madrid summed up by such popular slogans of the era as "De Madrid al Cielo," and "Madrid Me Mata" that adorned everything from napkins to postcards to tee shirts. Perhaps Javier de Juan captured it best in a particularly vivid cover design for the graphic magazine/adult comic book Madriz. He portrays a red bus much like the kind belonging to Madrid's public transportation system, the EMT. Alongside strides a young man moving effortlessly but forcefully in a fashionable suit. He grasps a copy oÃ- Madriz. The slogan complementing this image became Arizona Journal of Hispanic Cultural Studies Volume 1, 1997 154 Arizona Journal of Hispanic Cultural Studies one of the battle cries for young Madrileños: "Vamonos que nos vamos." This slogan captured rhe impatience of a whole youthful generation longing to catch up with the rest of the modern world and leave the past behind. La Luna documented this generation's efforts to transform Spain's cultural landscape in their own image. The magazine quickly transcended the role of scribe and became a promoter and driving force for that cultural shift. It was one of the first publications to promote the work of Almodovar and other young filmmakers. In fact his Borgesian alter ego, Patti Diphusa, had her/his own column in La Luna for over a year. Young musicians, photographers, painters, designers and writers also found a home in the magazine's pages. La Luna was eventually identified with that slippery and poorlyunderstood phenomenon, L· movida. While the magazine had no specific intellectual agenda, it promoted the liberating forces of the postmodern because La Luna's intellectual brain rrusr believed rhat radical posrmodernism provided the best way to challenge the Habermasian vision of modernity championed by the young politicians who swept into power as a result of the PSOE's victories in the municipal elections in 1979 and in the general elections of 1982 generally referred to as the "elecciones del cambio." La Luna at first tentatively collapsed the difference between L· movida and the postmodern but the editors eventually found it in their best interest to disavow this position. This disavowal became necessary when hordes of "hangers on" who wished to become up to date and "in" attached themselves to the surface manifestations of what La Luna espoused without understanding the strongly-held motivations for advocating a wholly different version of what Spain should and could be. The elections held in Spain in the Spring of 1996 ended a decade and a half of Socialist hegemony, installing in their place the more politically conservarive Parrido Popular. This party's polirical agenda is considerablly different from that of the Socialists. For this reason we believe that a retrospective examination on culture in Spain in the 1980s provides an insightful look into the dynamics of cultural change and indicates how Cultural Studies can contribute to this enterprise. Cultural Studies provides a solid vantage point from which to investigate the cultural dynamics to which publications like La Luna responded. It is particularly adept at unraveling the economic, political, and cultural threads of the fabric of a society like that of Spain during the 1980s. In its May, 1986 issue, La Luna featured an important round table discussion about the state of Spanish culture from 1975 onward. It was Round Table Discussion with La Luna 155 significantly titled "Diez, cinco, dos años atrás: ¿qué ha pasado?" A number of young artists (Miguel Angel Arenas...

Biblical Interpretation in Ancient Israel

Part 1 Scribal comments and corrections: the role of scribes in the transmission of biblical literature lexical and explicative comments pious revisions and theological addenda. Part 2 Legal exegesis: the scope and content of biblical law as a factor in the emergence of exegesis legal exegesis with verbatim, paraphrastic, or pseudo-citations in historical sources legal exegesis with covert citations in historical sources legal exegesis and explication in the Pentateuchal legal corpora. Part 3 Aggadic exegesis: preliminary considerations aggadic exegesis of legal traditions in the prophetic literature aggadic transformations of non-legal Pentateuchal traditions aggadic exegesis in historiographical literature. Part 4 Mantological exegesis: the shape and nature of mantological material as factors for exegesis the mantological exegesis of dreams, visions, and omens the mantological exegesis of oracles generic transformations. Epilogue.