About 110 programs have been approved by the National Court Reporters Association, and all of them teach computer-aided transcription. A certification test is administered by a board of examiners in each State that has CCR laws. Although voluntary, the RPR designation is recognized as a mark of distinction in the profession. For medical transcriptionist jobs, understanding medical terminology is essential. Good English grammar and punctuation skills are required, as well as familiarity with personal computers and word processing software.
Many employers prefer to hire transcriptionists who have completed some college coursework.
Many vocational schools and community colleges offer programs and associate degrees in medical transcription. Courses in the various programs often include computer applications, business communication, English composition, grammar, keyboarding, medical terminology, and medical transcription. The American Association for Medical Transcription awards the voluntary designation Certified Medical Transcriptionist to those who earn passing scores on written and practical examinations. Stenographers can advance to more responsible secretarial positions, especially if they develop their interpersonal skills, such as the ability to communicate well. Stenographers who get the necessary education can become court reporters.