The summer issue

JULY 2016  |  THEME: scribe to scribe connections

Welcome to the redesigned PhysAssist Scribes newsletter, The Beat. We are excited to deliver more relevant and engaging content about the people who make our company great. The focus of this issue is scribe-to-scribe connections, with stories about how scribes connect to one another and how they're making important connections to med school. We hope you enjoy it and look forward to your feedback and future contributions.

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In this issue:


josue_estrella.jpgPhysAssist Scribes is undergoing tremendous growth and this means that new scribe programs are starting across the country. We talked to Josue Estrella, Certified Trainer Scribe (CTS) and former Lead Trainer, about his experience at some of these sites. 

As a former Lead Trainer, how do you cultivate teamwork within your team? 

The best way is to unite the team from day one. It's great to kick off with a group dinner or sporting event. This gives them the opportunity to open up share and come together as a close team, building friendships and stronger relationships. When starting a new site, we are all strangers in a foreign city, so rely upon one another at work and outside of the ED as well. Since we genuinely care about one another, we tend to work harder for each other. You're more excited to show up for work, because it means working with friends.

Part of our growth has included taking over some of our competitors' scribe programs. In that case, you're walking into a site that already has an established scribe team and may not be happy about the change. How do you bring the team together and build trust? 

As Lead Trainer of transition teams, I have experienced some tension with the established teams. Even prior to our arrival, they have already undergone so many changes, like new rules and coworkers switching up, so they are already stressed and overworked. The first step in establishing trust with them is being upfront, open and honest. It's important to let them know we are there to help make a smooth transition and learn from what they are doing that already works. I always introduce myself to the entire team and take time to explain my role as Lead Trainer. Being friendly and open to the different workflow and culture at a transition site is very important. Many CTSs/LTs make the mistake of thinking things should be done the same way it’s done at their home site. Unless a team is completely lacking, adjusting to the flow of a new hospital is a must. 

How do you define PhysAssist Scribes culture to new scribes?

The dedication scribes and corporate employees have to their job defines the PhysAssist Scribes culture. I know PhysAssist  Scribes strives to provide the best scribe quality and boasts a nearly perfect shift filled percentage, and that wouldn’t be possible without buy-in from everyone in every position. Starting from day one, we make sure new scribes understand the quality of work expected of them from their ED team and corporate office. We spend a lot of time talking about the culture, but more importantly, we try to be a live by example, demostrating what it means to be a PhysAssist Scribe. That means going the extra mile and always maintaining open communication with all of your team members.

Do you want to become CTS? Click here to learn more and apply!

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We are so pleased for all of the 1,175+ PhysAssist Scribes who have been accepted into medical, nursing and PA school this past year. Congratulations to each and every one of you! We hope your experience as a PhysAssist Scribe helped you prepare for this tremendous next step in your medical experience. 

Of all of the med schools our scribes are attending, these five colleges have the most former PhysAssist Scribes enrolled this year:




A new scribe’s first shift in an ED can be extremely overwhelming. The chaos of a busy ED combined with the pressure to perform well is a lot to handle. Trainees rely heavily on trainers to assuage their nerves and navigate them through Day One. A trainee’s experience during those first few shifts is often a key indicator of success as a scribe. Here are five qualities of great trainers who help trainees get the most out of each training shift.

1.     EmpathyNever Criticize, Condemn or Complain
In Dale Carnegie’s book, How to Win Friends and Influence People, he writes, “If you want to gather honey, don't kick over the beehive.” So, when you’re trying to coax the best performance from your trainee, don’t make criticisms while they are trying to keep up with the physician. Remember that not every trainee has the same strengths and it is your job to help them get better across the board. As trainers, one needs to be flexible with your training style in order to better accommodate each trainees’ needs. By listening, observing and working with your trainee, you can better empathize, guide and support them to be a great scribe.
2.     Encouragement: Don’t Hate, Appreciate
As trainers, it is your job to instill confidence and foster engagement in trainees. The easiest way to do that is by expressing that their effort is noticed and appreciated. Without recognition, trainees may become discouraged on that long and grueling path to scribe independence. Remember that trainees need appreciation, especially during the stressful process of residency. A little encouragement and kind words can go a long way.
3.     Coaching Skills: Try Not to Scribe
While training, it is best not to step on the trainees toes and takeover when they are in their later residency shifts. Have them do as much of the scribe work as possible. Practice and repetition are vital during residency shifts; the more actual charting they do, the quicker they can refine their charts. After they write the chart, work with them on identifying issues and the best way to correct them. Remember that trainees only spend a finite amount of time in residency, so it is best to prepare them on every aspect of the chart and proper ED etiquette in these early shifts.
4.     Relatable: Be Yourself & Relax
Remember that at one time you had been in the same shoes as your trainee, anxious and nervous and wanting to perform. Your job as a trainer is to have their back while they overcome fears and learn what it takes to be a scribe. Even though a trainees may think that their trainer has all of the answers, it is important to convey that you are in a position of "learner" as well. Demonstrate that you and the providers you work with are all normal people who are in the thick of it together. Get them to open up to you and have them ask questions of the providers often; they will then lean so much more and more quickly too.
5.     Knowledgeable: Be Consistent & Know Your Material
We all know the adage: Practice makes perfect. This is universal to all things, even as you develop the skills and qualities of being a trainer. The more exposure you have and the more you do, the more you will develop a unique training style. If you see something that another trainer does and you like it, try it out and make it yours. Practice to discover the techniques that work best. Do not ever forget that having an in-depth knowledge of the material is critical to being a good trainer. So continue to become an expert at your own charts. The biggest disservice to a trainee is to not be prepared and worse yet is for a trainee to lose confidence in their Trainer Scribe.

Becoming a great trainer is not something that happens overnight. Keep these five tips in your back pocket and continue to grow your own list on what makes a good trainer and a great training environment. 

Have an idea of more training tips? Email and we'll turn it into an extended blog story together!

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