When the medical assistant answers an e-mail, why is it customary to create the answer as a reply?


Vocabulary

academic degree A title conferred by a college, university, or professional school upon completion of a program of study.

amiable (a′-me-uh-buhl) Having qualities that make one liked and easy to deal with.

annotating Furnishing with notes that are usually critical or explanatory.

archived To have filed or collected records or documents.

bond A durable, formal paper used for documents.

categorically Placed in a specific division of a system of classification.

clauses Groups of words containing a subject and predicate and functioning as a member of a complex or compound sentence.

collect on delivery (COD) A method of payment used when an article or item is delivered and payment is expected before it is released.

concise (kun-sis′) Expressing much in brief form.

condescending Assuming an air of superiority.

continuation pages The second and following pages of a letter.

courier A messenger, especially one on official or diplomatic business; a service that provides delivery and transportation services for documents and/or packages.

curt Marked by rude or peremptory shortness.

disseminate (di-se′-muh-nat) To disperse throughout.

domestic mail Mail sent within the boundaries of the United States and its territories.

editing To prepare for publication or public presentation; to alter, adapt, or refine, especially to bring about conformity to a standard or to suit a particular purpose.

flush Directly abutting or immediately adjacent, as set even with an edge of a type page or column; having no indention.

girth A measure around a body or an item.

grammar The study of the classes of words, their inflections, and their functions and relations in the sentence; a study of what is preferred and what should be avoided in inflection and syntax.

international mail Mail that is sent outside the boundaries of the United States and its territories.

intrinsic (in-trin′-zik) Belonging to the essential nature or constitution of a thing; indwelling, inward.

phrases Groups of words with a specific grammatical function, such as a noun phrase or an adjective phrase.

portfolio A set of pictures, drawings, documents, or photographs either bound in book form or loose in a folder.

ream A quantity of paper weighing 20 lb or consisting of, variously, 480, 500, or 516 sheets.

recipient The receiver of some thing or item.

stationers (sta′-shuh-nerz) Sellers of stationery.

substance number A number based on the weight of a ream of paper containing 500 sheets.

superfluous (suh-puhr′-flu-uhs) Exceeding what is sufficient or necessary.

template Something that establishes or serves as a pattern.

watermark A marking in paper resulting from differences in thickness usually produced by the pressure of a projecting design in the mold or on a processing roll; it is visible when the paper is held up to the light.


Scenario

Brandon Tipps is a medical assistant who works with his father, Dr. Rick Tipps. Brandon has considered continuing his education to become a doctor, but he is not sure whether he would like to be a medical doctor, an osteopathic physician, or a chiropractor. He decided to spend his summer off from college working in his father’s family practice so that he can get a closer look at the inner workings of a physician’s office.

Brandon has assisted with every procedure in the clinic, including the administrative skills required in the front office. The staff has been impressed with Brandon’s ability to do any task, no matter how small, as if it were the most important task in the office. He continuously moves from employee to employee to ask what he can do to help. When the administrative medical assistant working in the front office, Darla Grover, was injured in a car accident and had to be off work for a while, Brandon stepped right in to do her job and quickly learned her duties. His help enabled the office to continue to run smoothly even with one employee absent for several weeks.

Brandon has an excellent command of the English language and types about 60 words per minute. Because he is organized and efficient, he can handle the enormous amount of incoming and outgoing mail with very little assistance from the office manager. He also is able to answer phones and schedule appointments. He speaks clearly and is an expert in customer service. Many of Dr. Tipps’ patients have known Brandon since he was a small child, and they enjoy seeing him helping in his father’s office. The patients and staff alike will certainly miss him once he returns to college.

While studying this chapter, think about the following questions:


Written correspondence and mail processing consume a large part of the day of the administrative medical assistant. When asked what skills they most want in an administrative assistant, many physicians specify the ability to spell accurately and to write a good letter. When a physician delegates the responsibility for composing letters or reports with the potential to reflect positively or negatively on the practice, he or she is expressing confidence in the medical assistant’s abilities.


Importance of Written Communications

Written communications offer the perfect opportunity for making a good impression on others. However, communications that make such an impression do not just happen; they require thought, preparation, skill, and a positive attitude. Written communications include original letters, memorandums, replies to inquiries, responses to requests for information, telephone messages, e-mail, transcriptions, orders for supplies, instructions for patients, and a variety of other forms. Communications that are courteous to the reader, correct in content, and concise without being curt are most appreciated. Remember that people may misjudge the “tone” of an e-mail and determine that the sender was rude or hateful, when the sender may have just been very direct and pointed. Communication truly is both an art and a skill. The ability to communicate effectively is extremely important to the administrative medical assistant who wants to succeed and advance his or her career.


13-1

Critical Thinking Application

Brandon has just found a small backlog of correspondence that accumulated during the first 3 days Darla was out of the office. A large amount of mail comes to the office each day. How can Brandon manage the daily mail and clear the pile of communications that accumulated over those 3 days?


Reflection on the Physician

Each member of the staff must be conscientious about the documents and materials in the office and those that leave it. An envelope addressed carelessly or a patient information sheet that has been photocopied over and over implies that the office staff is not concerned about the appearance of documents that leave the office. If the staff is careless in this respect, many patients assume the staff is careless with everything, including patient care.

Everything that happens in the medical office reflects on the physician or physicians who practice there. Letters with misspelled words or errors give the reader a negative impression of the physician and the practice itself. Great care must be taken to ensure that each document in the office and sent from the office is well written and grammatically correct. Table 13-1 lists some frequently misspelled and misused words. For a list of more misspelled medical words, visit the Evolve site at evolve.elsevier.com/kinn.


TABLE 13-1

150 Frequently Misspelled or Misused English Words
























































































































































































absence corroborate inimitable persistent ridiculous
accede definitely inoculate personal sacrilegious
accessible description insistent personnel seize
accommodate desirable irrelevant possession separate
achieve despair irresistible precede siege
affect development irritable precedent similar
agglutinate dilemma judgment predictable sizable
all right disappear labeled predominant stationary
altogether disappoint led predominate stationery
analyses (pl.) disastrous leisure prerogative subpoena
analysis (s.) discreet license prevalent succeed
analyze discrete liquefy principal suddenness
anoint discriminate maintenance principle superintendent
argument dissatisfaction maneuver privilege supersede
assistant dissipate miscellaneous procedure surprise
auxiliary drunkenness mischievous proceed tariff
balloon ecstasy misspell professor technique
believe effect necessary pronunciation thorough
benefited eligible newsstand psychiatry tranquility
brochure embarrass noticeable psychology transferred
bulletin exceed occasion pursue truly
category exhilaration occurrence questionnaire tyrannize
changeable existence oscillate rearrange unnecessary
clientele February paid recede until
committee forty pamphlet receive vacillate
comparative grammar panicky recommend vacuum
concede grievous parallel referring vicious
conscientious height paralyze repetition warrant
conscious incidentally pastime rheumatism Wednesday
coolly indispensable perseverance rhythmical weird


When the medical assistant answers an e-mail, why is it customary to create the answer as a reply?


Writing Skills and Composing Tips

All medical assistants must know the fundamental skills of proper business writing. Most business letters should be less than one page long and carefully organized (Procedure 13-1). This takes practice and preparation. Everyone who writes letters develops a personal style.


Procedure 13-1

Compose Professional Business Letters

GOAL: To compose a professional business letter that conveys accurate, helpful information that is easily understood, clearly written, and free of both spelling and grammatical errors.

EQUIPMENT and SUPPLIES


Procedural Steps


The medical assistant should carefully read the letter to be answered. Make note of or underline any questions asked or materials requested. Decide on the answers to the questions and verify the information; this is called annotating. Draft a reply, proofread it, and then rewrite for clarity (Procedure 13-2). Keep most sentences short. Put only one idea in each sentence and eliminate superfluous words. Be careful about using medical terms in correspondence with patients. Instead, use language the reader can easily understand.


Procedure 13-2

Organize Technical Information and Summaries

GOAL: To compose information accurately and in an organized manner, using strong spelling and grammatical skills, so that it meets the goals of the writer and is usable by the receiver.

EQUIPMENT and SUPPLIES


Procedural Steps


Most physicians use a highly professional and formal style in their dictation. The medical assistant responsible for composing correspondence for the office should strive for the same degree of formality the physician uses. It would be inappropriate for the assistant to write in a breezy, informal style when acting as the representative of an employer with a more formal approach. The principal point to remember is that every letter produced in your office should project the image of the physician, regardless of who composes or signs the letter.


Grammar Review

Good grammar is essential to the writing of effective, professional business letters. Medical assistants must understand the elements of acceptable grammar and writing skills.


Parts of Speech


Nouns.

A noun is a person, place, or thing. Nouns can also be thoughts, ideas, or concepts, such as freedom or courage. Common nouns name general persons, places, or things (e.g., teacher and city). Proper nouns are specific (e.g., Mrs. Adams and New York City).


Pronouns.

Pronouns replace nouns and provide the writer with shortcuts so that proper nouns do not have to be repeated constantly. Pronouns include words such as it, you, he, she, her, his, them, mine, you, yours, its, ours, and theirs.


Verbs.

Action verbs are words that express movement, such as run, drive, or type. Linking verbs express a condition or state of being; they include is, am, are, was, be, and been. Linking verbs also express the senses, as in smell, hear, taste, touch, feel, and look.


Adjectives.

Adjectives can describe nouns and pronouns, or they may show which one, how many, and what kind of. A, an, and the are special types of adjectives called articles. Examples of adjectives include a golden sunset, a playful dog, and a crooked nose.


Adverbs.

Just as adjectives describe nouns, adverbs describe verbs, adjectives, or other adverbs. Adverbs specify when, where, to what extent, or how. Examples include unusually warm, never won, and quite cold.


Prepositions.

Connecting words that show a relationship between nouns, pronouns, or other words in a sentence are called prepositions. Examples of prepositions include by, from, of, to, in, at, with, into, and on.


Conjunctions.

Conjunctions join words or phrases. These helpful words include and, or, nor, and but.


Interjections.

Interjections show strong feeling. They often are followed by an exclamation point and sometimes by a comma. “Ouch! That really hurt!” is a sentence that uses an interjection.


Making Sense of Sentences

Sentence structure is important when writing a professional letter or document. Medical assistants should know the basics of good sentence structure so that written documents make sense and represent the medical facility and staff in a positive way.


Types of Sentences.

The four basic types of sentences are declarative, interrogatory, imperative, and exclamatory. Declarative sentences make a statement, whereas interrogatory sentences ask a question. Imperative sentences state a command or request. Exclamatory sentences express strong feeling.
















Declarative: She was the last person here.
Interrogatory: Are we going to the fair today?
Imperative: Clean your room before dinner.
Exclamatory: I am so excited for you!


Sentence Structure.

When written correctly, sentences follow certain patterns. Three very basic patterns are used to construct sentences:


The subject of a sentence usually is a noun; it is the word or group of words that acts, or that is acted on or described by the verb. The predicate is the part of the sentence that contains the verb; it tells what the subject is doing or experiencing, or what is being done to the subject. The object is a noun, pronoun, or group of words functioning as a noun or pronoun that receives the action of the verb. The complement is a word or group of words in the predicate that renames or describes a subject or object in the sentence.


Sentence Errors.

Three main sentence errors plague most writers: the sentence fragment, the run-on sentence, and the comma splice.

A sentence fragment is an incomplete thought or a part of a sentence that is punctuated as though it were a complete sentence: Although the doctor had seen the patient.

A run-on sentence contains independent clauses that do not have a semicolon, a comma, or a conjunction between them. These are also called run-together or fused sentences: The office was clean when the staff left on Friday the doors were locked.

A comma splice is a sentence in which a comma alone joins independent clauses: The storm grew worse, it began to snow.


Personal Tools

Competent handling of written communications requires a basic knowledge of composition. A personal reference library that includes an up-to-date standard dictionary, a medical dictionary, a composition handbook, an English language reference manual, and a thesaurus is a tremendous help.

Those who have difficulty with spelling should keep a small, loose-leaf, indexed notebook or card index of troublesome words. If you need to look up the spelling of a word in the dictionary, record the word in the notebook or card index for quick reference. The physician or a medical assistant familiar with the practice might compile a basic list of frequently used medical terms and abbreviations as a reference.


Equipment and Supplies

To create a favorable impression with letters, the medical assistant must use good equipment and high-quality supplies. Regardless of the kind of equipment available, the medical assistant is responsible for knowing how to use it to the best advantage and how to keep it in good working condition. If the equipment manual is available, study it and keep it handy for reference when problems occur. Know how to maintain equipment so that the effort invested in composing correspondence has a high-quality appearance.


Equipment


Computers

Computer applications and electronic technology have made all types of communication easy, efficient, and effective. Various letters and documents can be saved and reused time after time by changing the name and the basic information in the text. Computers can add graphics to text, compute figures, and use multimedia in communications, all of which enhance the document’s appearance and effectiveness.


Copiers

Maintain the copier so that copies are crisp and clear. The toner cartridge must be replaced or refilled when necessary, and this can be expensive. Multiple copies of documents usually are made on a copier rather than printed from the computer.


Scanners

Occasionally documents are scanned and sent by e-mail. Scanners provide high resolution and can produce images of written text and photos. Scanners often are used to create images so that older documents can be stored.


Printers

Machines that function only as printers are available and quite inexpensive; however, most medical offices can benefit from an all-in-one printer. These machines print, fax, copy, and scan laser-quality documents. Many all-in-one printers available today have advanced features, such as lab-quality photo printing, printing on both sides of the paper, and wireless connectivity.


Supplies


Stationery

Paper quality unquestionably affects the reader’s overall impression of the communication. Stationers or printing companies are qualified to advise on the selection of paper, which can range from all sulfite (wood pulp) to all cotton fiber (sometimes called rag). Letterhead paper usually is bond paper that has a cotton fiber content of 25% or higher.

The weight of a type of paper is described by the substance number. This number is based on the weight of a ream that consists of 500 sheets of 17- × 22-inch paper. The higher the substance number, the heavier the paper. If the ream weighs 24 pounds (lb), the paper is referred to as Sub 24 or 24-lb weight. Letterhead station­ery and matching envelopes are usually 16-, 20-, or 24-lb weight. This often is abbreviated as 16#, 20#, or 24#.


Sizes and Types of Letterhead Paper.

Letterhead paper is available in four basic sizes:
















Standard or letter 8½ × 11 inches
Monarch or executive 8½ × 10½ inches
Baronial 5½ × 8½ inches
Legal 8½ × 14 inches

Standard letterhead is used for general business and professional correspondence. Letterhead should be well designed and of a high-quality paper. The letter represents the sender and can help the receiver form an impression of the professionalism of the business.

Bond paper has a felt side and a wire side. When a sheet of letterhead is picked up and held to the light, a design or letters can be read from the printed side. This design, called a watermark, is an indication of quality. The side from which the watermark can be read is the felt side of the paper and the side on which printing or typing should be done. The watermark should always read across the page in the same direction as the typing.


13-2

Critical Thinking Application

Brandon realizes that his father’s office does not have a method of logging letters sent by certified mail. This forces the receptionist to dig through a patient’s file to determine whether certified mail was actually sent and the notice of delivery received. How can this issue be resolved?


Continuation Pages.

The second and continuing pages of a letter are placed on plain bond that matches the letterhead in weight and fiber content; these are called continuation pages. The stationery used for continuation pages should exactly match the letterhead but should not have the letterhead printing. Using different paper for the continuation pages is considered unprofessional.


Envelopes.

Just as the continuation pages should be the same type of paper as the letterhead stationery, so should the envelopes. Envelopes are available in three basic sizes or types:


No. 10 envelopes are the general business size used for letter and legal stationery. No. 6¾ envelopes and window envelopes often are used for statements.


Letter Styles

A business letter usually is arranged in one of three styles: block, modified block or standard, or modified block indented. A fourth style, simplified, occasionally is used. The block and modified block styles are most commonly used in the physician’s office.


Block Letter Style

When the block letter style is used, all lines start flush with the left margin (Figure 13-1). This style is considered the most efficient but is less attractive on the page.



Modified Block Letter Style

In the modified block style, the dateline, complimentary closing, and typed signature all begin at the center. All other lines begin at the left margin (Figure 13-2).



Modified Block Letter Style with Indented Paragraphs

The modified block letter style with indented paragraphs is identical to the block style except that the first line of each paragraph is indented five spaces (Figure 13-3).



Simplified Letter Style

In the simplified letter style, all lines begin flush with the left margin (Figure 13-4). The salutation is replaced with an all-capital subject line on the third line below the inside address. The body of the letter begins on the third line below the subject line. The complimentary closing is omitted. An all-capital typed signature is entered on the fifth line below the body of the letter.



Types of Punctuation for Letter Styles

Traditionally the punctuation pattern used is based on the letter style. Normal punctuation is always used in the body of a business letter. In the other parts, either standard or open punctuation is used.

When standard punctuation is used, a colon is placed after the salutation, and a comma is placed after the complimentary closing. This is the punctuation pattern most often used, and it is appropriate with the block or modified block letter styles. When open punctuation is used, no punctuation is used at the end of any line outside the body of the letter unless that line ends with an abbreviation. This pattern is always used with the simplified letter style.


Spacing and Margins

Generally, centering a letter on the page is the most attractive presentation. This is easily done with computer programs, such as Microsoft Word or WordPerfect. Business letters almost always are single spaced. If a letter consists of only a few lines, double-space both the inside address and the message and indent the first line of each paragraph five spaces.

The first typed entry, which is the date on the first page of the letter, usually is placed on the third line below the letterhead or on line 13 if the paper has no letterhead. The typing on continuation pages begins 1 inch from the top.

On standard letterhead, the side margins are usually 1 to 1½ inches on each side. If a letter is very short, making the margins wider creates a better appearance.

A 1-inch margin is the minimum at the bottom of the page. This can be increased if the letter will be carried over to a second page. Never use a second page to type only the complimentary closing and signature. Carry over a minimum of two lines of the body of the letter onto a continuation page. The heading of continuation pages is single spaced.


The Parts of a Letter

The structure of a letter and its placement on the page have been fairly well standardized into four main parts:


Why should the medical assistant proofread all letters memos or other documents that will be distributed quizlet?

Why should the medical assistant proofread all letters, memos, or other documents that will be distributed? The computer spell check function cannot verify that a word is used in its correct context. A memorandum is usually printed on letterhead just like a business letter.

What is the letter style in which the first line of each new paragraph is indented five spaces?

Modified block differs from block style in that the date, sign off, and signature lines begin at the centre point of the page line. The beginning of each paragraph is indented five spaces, along with the subject line, if used.
It may contain instructions about what to do if the fax is received in error. It informs the recipient of the name and telephone/fax number of the sender.

What is the process used by a fax facsimile machine to send documents from one location to another?

All fax machines perform the same basic tasks — they scan a document, then transfer the data to another fax machine that decodes the data and prints out the document. Modern fax machines typically have the same main three components: a scanner, a printer, and a phone line or modem.