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PDF Editor FAQ

Is MS Access still considered very useful?

Don’t use a sledgehammer to hammer in a nail.We’ve all dealt with the Nick Burns character that Jimmy Fallon plays on SNL. He’s the uber-computer geek that scoffs at your lack of enthusiasm for the biggest, nerdiest and best technology out there. He wants to set up servers and load up the beefiest database technologies on there to manage any job, big or small. He gets off on nerding out in databases and want to always use his database-sledgehammer no matter how big of a nail you got. He will roll his eyes if you mention Microsoft Access to him.If anyone tells you that Microsoft Access isn’t useful anymore, turn your geek radar on. I’ve been developing with Access for over 20 years and have seen it’s role in technology change. There are things I wouldn’t recommend using Access for but there are plenty of other scenarios where Access would be my first tool to use.Here are five areas where Microsoft Access leads:Small business applications: Access comes with dozens of pre-built database templates for managing employee and customer lists, business inventory, time sheet tracking, finances, budgets, sales, events, and projects. These templates can be used as is but the real magic comes from customizing these databases to the exact needs of your business. Also these templates are free so the only expense is your time customizing the database. No monthly costs for hosted software either. Many people already have Access on their computers and you don’t have to hire a geek to set up a server and load it with database software. There is no setting up needed with Microsoft Access.Custom software applications: When businesses have unique software needs that can’t be fulfilled by off the shelf software they have a choice of hiring a software firm to build them a custom solution costing five figures and more or they can build a custom solution in Access themselves. Access provides forms and reports with automation features to connect with other Office applications like Outlook and Word to automate business tasks. Access can also import and link to data files from other applications to serve the needs of any industry.Data analysis: Much of my job requires me to do data analysis for medical research using small data sets. Small for me is less than 200,000 records. The tools I have loaded on my computer are Excel, Access, SAS, and JMP. Hands down, the tool I use most is Microsoft Access, followed by Excel, SAS, then JMP. Access is great at number crunching. The combination of using queries and writing Visual Basic code lets me summarize, iterate and perform statistics quicker and easier than the other programs I have. (Excel’s Data Ribbon is a fantastic 2nd choice).Personal databases: Most people use Excel or Google Sheets to manage their recipes, contacts, or media collections. These spreadsheet programs do an OK job but if your needs are a little more sophisticated, then you need your spreadsheet tabs to interact with each other which essentially is a Microsoft Access database. The worksheets are tables in Access and sorting and filter in worksheets are saved queries in Access, but even better. Excel doesn’t have reporting or forms that Access provides and you don’t have to worry about losing unsaved data since Access saves entries as they happen. Finally Access has free pre-built database templates to organize recipes, contacts or your book collection.This next bullet is where Microsoft Access’s future shines the brightest.Big Data for small and medium businesses: Big Data is all the rage today. Large corporations who are dealing with millions and millions of records of data employ Data Scientists to manage and mine this data using Hadoop and other similar programs. However, medium and small businesses can rely on Microsoft Access to manage and mine their data. Microsoft’s Office team states: “Access is a great database management solution for small businesses because it makes collecting and storing data accessible on the desktop—without requiring support from an IT administrator. Access enables users to develop business applications, collect and analyze data from multiple sources, and track any kind of data, from a customer contact list to robust asset management.”[1] Microsoft has added data connectors for Salesforce, Amazon Redshift, OData Feed, Dynamics CRM and others. You can integrate your data from different business applications and mine this data to get insights on your business.Footnotes[1] Microsoft Access now included in Office 365 Business and Business Premium with new enhancements - Office Blogs

My Primary Care Doctor engages more with his computer screen than with me throughout my 10 minute yearly physical. He is asking computer generated questions. How can I best address this lack of human interaction within this setting?

I had to wait a day to collect my thoughts to answer this question. *sigh* Where do I begin?Short answer: this doctor needs a scribe.Long answer: The business of medicine is changing the practice of medicine. The only way to keep up in primary care is to use an electronic health record. During the Obama administration, several mandates were set in place to allow for bonuses for quality care and other feats of strength which pretty much replaced the decreased reimbursement. I don’t blame President Obama singularly since this was the aim even before he became president. In general, if you could measure something, you can change it. This is where data collection becomes ever important. On the grand scale nobody really cares about it, especially patients. The main ones we can impress are the number crunchers and data mongerers. The other issue is the fear of being sued. Yes, we do practice defense of medicine much more these days.Your “10 minute visit“ is really a 15 minute slot that saves five minutes for documentation and transition to the next patient. And by the way, all of that work being said, we also have to be on time and give service with a smile so we get good patient satisfaction ratings. It’s like juggling chainsaws, and yes while riding a unicycle.There is no such thing as “computer generated questions”. A computer does not generate those questions, someone with medical background has formatted those template questions to follow certain algorithms we already have established long ago. The question sets that are part of a visit template say, for a cold or abnormal vaginal bleeding, are part of routine questions that exist in our medical training. Yes it does look like they are filling out questions that seems like they are coached. My job is to present those questions in a way that feels organic. I memorize my question sets in the order that they appear so my data entry is easier. I was going to ask you those same questions anyway.I do go out of my way to show patients exactly what I’m filling out so they know my pain and they understand that this is the way medicine is now. I have apologized many times if I appeared distracted by the screen. Try typing without looking at the screen and doing it in another language that you are speaking in. Very difficult. I have tried memorizing everything only to document outside of the room and there’s no way I can keep up and end up forgetting something. Yes, it is that detailed now in primary care. What used to be a four-line note for strep throat is now a two page note, I swear.I do have to tell you that it’s worth every penny to hire a scribe help you fill out your notes well you maintain good eye contact with the patient.Many physicians lament labor-intensive documentation and computerized entry. We know it impacts our rapport with patients. Your frustration is speaking to the choir. If you were going to mention anything to your physician I would suggest you ask why he doesn’t have a scribe to free up some of the work?Alternatives to that would be simply free typing pertinent details or dictating into the note instead of template data entry. Problem is not everybody can type at least 35 words per minute. Dragon medical dictation software is also helpful for some providers. I use it on occasion but sometimes it has trouble recognizing my Valley Girl/Chicana accent.

What is the status of medical transcription in India?

Graduates in any discipline with good English language skills, comprehension, English grammar, and keyboard skills are qualified to become medical transcriptionists. Nevertheless, every aspiring medical transcriptionist has to undergo intensive training to qualify as a professional. The training curriculum includes subjects such as Americanisms, phonetics, medical terminology, and computer skills. Success in this newly emergent profession requires documentation ability (not a keyboard specialist), and a high degree of fluency in medical language which requires intensive studyWith the IT revolution sweeping the country, a large number of new career options have opened up for the next generation of 21st century job seekers. One of the hot new careers is medical transcription (MT). As per NASSCOM estimates, the medical transcription industry has the potential to generate jobs for over 160,000 professionals annually and attain an aggregate industry revenue of Rs.9,000 crore per annum.Medical Transcription is the process of converting free flow medical dictation into electronically formatted patient records which healthcare providers use for patient care and administrative purposes. A medical transcriptionist is a highly skilled and trained medical language specialist who listens to and deciphers the medical dictation of physicians and other healthcare professionals who verbalise a variety of medical reports such as emergency room visits, diagnostic imaging studies, operations, chart reviews, final summaries etc into dictaphone and tape recording machines. The medical transcriptionist then transcribes the dictated reports as necessary and returns them either in printed or electronic form to the ‘dictator for review, signature, or correction.Today theres a sudden spurt in demand for companies with trained MTs. Unsurprisingly, a number of entrepreneurs across the metros and major cities of India who have ventured into this country are offering MT training programmes.According to the Speech & Voice Recognition Market by Technology, Application, Vertical, and Geography - Global Forecast to 2022, the market of speech recognition is going to increase to a staggering $9.97 billion by the year 2022. In today's day and age of digitalization and the ability to access a plethora of information at your fingertips, documenting every detail has become vital. Latest trends in medical transcription show that the industry is going to be one of the fastest growing industries in 2018. Keeping this is in mind, businesses need to keep themselves updated with the latest happenings in the industry. This will help them take the right business decisions at the right time.Top Medical Transcription Predictions for 2018 and BeyondThe constantly changing role of medical transcription has transformed transcription professionals into keen learners. The future of medical transcription is strong, and here are a few trends the industry which will prevail in 2018 and in the coming years -Cloud Technology to Revolutionize the Transcription World Documents and medical records will be stored on cloud-based systems, making them easily accessible from any part of the globe. As part of this huge shift, communication will also change to that of an online, instant variety. This will change the future of medical transcription in 2018 and beyond, for decades to come, quite drastically. With the easy availability of medical records across the globe, the role of medical transcription in 2018 becomes that of an influencer, especially to the research and development section of the medical industry. It can aid in breakthroughs in science for cures, alternative solutions, and general do's and don'ts to follow in clinical trials.Globalization of Workforce to Take Place With the advancement of technology and communication methods, the workforce in the medical transcription industry will no longer be restricted to the first world countries specializing in the industry. Medical transcription in 2018 and beyond is likely to be heavily outsourced to the rest of the world to reliable third-party vendors. Outsourcing wasn't considered during the earlier recession as an effective cost-cutting strategy due to the difficulty in communication, sharing of data, and lack of reliability. However, with technology playing the role of an enabler, those factors are no longer a bone of contention.Voice Recognition Software Will Become a Key Tool As an extension of the first point, the medical transcription industry in 2018 will take an active interest in voice recognition programs. This will greatly help with transcribing audio recordings of doctors' notes, prescriptions, reports, etc. This will also reduce turnaround times for transcription services.Technological Advancements to Accelerate With the soaring advancements that technology is making in most fields today, the future of the medical transcription industry definitely cannot be left unaffected. It is expected that 2018 is the year in which the medical transcription industry will catch up with the rest of the world in terms of high-end technology. Analog devices, which have essentially been made obsolete with the introduction of digital, are still being used in this industry. All analog devices will be wiped out in 2018, making way for their shiny new digital counterparts. With the move to digital, the methods of storage are also slated to change.Trained Medical Transcriptionists Will be in DemandWith the focus shifting to technology, many employees, especially medical transcriptionists, will be expected to keep themselves updated with the latest technology and tools to stay relevant in the medical transcription industry. "Learn with the industry, grow with the industry" could become an effective strategy for companies to attract and retain talent. The required skill set will no longer be just for basic transcription and medical terminology. It will include proofreading capabilities as well as extending a handover of editing drafts created by voice recognition software in the market.As much as trending software and digitalization helps, the crux of the matter is that it is not 100% accurate. It will become essential for the medical industry to make sure that data and records are created and maintained accurately. For this reason, humans will always be employed to oversee the work of the machinesSecurity Measures will be Ramped UpThe future of the medical transcription industry is riddled with issues and concerns of the transition to digital. The topmost item on the list of every provider of medical transcription services will be the security of such sensitive data. Security costs are likely to go up, however, the necessity of the measures would be clearly evident. This will change the way one would look at medical transcription in 2018 and beyond.New Markets will RiseIndia and South-east Asia have always been the top choices when companies decide to outsource medical transcription work. However, with the globalization of data and workforce, the optimal communication methods and the unifying nature of the entire process, a number of new markets will slowly emerge as centers for high-end medical transcription services.Service providers in South America, Eastern Europe, etc. will be able to leverage the availability of highly skilled human resources. For example, the market in South America is close to the US, which will address the requirement of working with companies in the US time zone.In addition, South America has a majority of native speakers of English. Such competitive advantages will make the service providers in South America market an ideal option to outsource. The emergence of such new markets will create healthy competition in the global market, as companies will have more options to choose from with respect to availing medical transcription services.New Documentation Formats Will EmergeThe medical transcription industry in 2018 will take a turn away from the word-processed documents in order to meet the new standards and guidelines for Electronic Health Records (EHR). The new data format has been drastically modified to accommodate room for point-and-click fields, dropdowns, macros, and neatly structured templates. This step in creating standards as per the new guidelines of EHR and will be vital for the future of the medical transcription industry. It will provide a systematic approach to recording and reading data without the need for a backstory.

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