Pre-Employment Skills Assessment

Online Employment and Skills Assessment


Exam Overview:

Welcome to Career Step's skills assessment process for medical transcription. This exam is for Career Step students only. It will act as a pre-final exercise to help prepare students for the final exam. In order to complete this exam, you should have completed all reports in the Advanced Acute Care module. After reading the instructions, begin the exam by clicking the “Sign Up” button below and filling out the form provided. IN STEP 1, PLEASE USE THE SAME INFORMATION THAT YOU USED TO SIGN UP FOR THE CLINIC NOTE AND BASIC ACUTE CARE ASSESSMENT TESTS!!

* Please note...You only have one chance to take this assessment so make the most of it!

It is important that you read all of the following instructions carefully before beginning your assessment.

  1. TIME LIMIT — There is no time restriction; however, we recommend you take no longer than 3-5 hours to complete this assessment.
  2. INSTRUCTIONS — Carefully read and follow the instructions given in each section. Once you have completed the objective section, you will be automatically directed back to the main navigational page where you will be given access to the practicum section.
  3. RESOURCES — You may use any resources, except human resources, during the examination.
  4. TECHNICAL SUPPORT — If you have technical problems, please contact Technical Support. Contact information and hours for Technical Support are at the bottom of all pages in this test.
  5. AUDIO AND FOOT PEDAL — The sound file for this exam plays directly within the exam site—downloading is not required. If you are using Windows XP or better and Internet Explorer 7.X or later, your foot pedal should work directly with the audio within the site. Technical Support does provide foot pedal support to Career Step students in the skills assessment process.
  6. TRANSCRIPTION — Please transcribe the sound files assigned to you at the test site. You will be graded on these reports. If you submit reports different from the files assigned to you, your exam will not be graded. The reports should be transcribed essentially verbatim. This means that whenever possible (and that is most of the time) the transcription should reflect exactly what the dictator says, including all dictated headings. You should make corrections when incorrect grammar is used or when there is usage that makes no sense in standard English. This includes correcting the dictator's errors with subject/verb agreement; correcting verb tense to be consistent within a sentence, provided your changing the tense does not affect the meaning of the sentence; and expanding dictated contractions and inappropriate slang terms, as well as disease-entity acronyms that are dictated in the diagnosis portion of the report. Also be certain to include grammatically correct punctuation throughout the reports including comma usage and capitalization.
  7. FLAGGING — For flagged questionable words, enclose any uncertain words within the set of parentheses, i.e. (mattress sutures). Remember, however, that excessive flagging (flagging unnecessarily throughout the majority of a report, for example) is inappropriate in a testing or working situation and may be penalized accordingly. For blanks, enclose 3 underscores in parentheses, i.e. (___). Each flag can represent up to 2 consecutive words. For example, if you think you are hearing 3 or 4 missed words, include 2 consecutive blank flags, (___)(___). If you are unsure of exactly how many words you cannot hear, it is acceptable to include an additional blank flag.
  8. SUBMISSION — After you submit the transcription portion of the exam, you will be taken to a screen that says, “Congratulations, you have completed the exam.” If this page does not appear, please contact Technical Support.
  9. GRADING TIME AND NOTIFICATION — Please allow one week from the time you submitted your exam for grading. Your results will be emailed as soon as they are available.
  10. PRINT — We suggest you print a copy of these instructions for your reference or you can return to the homepage to review them.
  11. Relax! You have worked hard for this and you are ready!

Good Luck!

Skills Assessment Department
Career Step



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To enable Javascript:

  • Internet Explorer 6 and 7
    1. Click Tools then Internet Options... from the main menu.
    2. Select the Security tab a the top of the Internet Options windows.
    3. Select the Internet icon from the list of zones at the top of the Security options.
    4. Click "Custom level..."
    5. Scroll down to Active Scripting.
    6. Under Active Scripting click Enable.

  • Mozilla Firefox 1.5 and 2.0
    1. Click Tools then Options... (or Firefox then Preferences on the MAC) from the main menu.
    2. Select the Content button at the top of the window the appears.
    3. Click the box by Enable Javascript to put a checkmark in it.

  • Safari
    1. Click Safari then Preferences from the main menu.
    2. Select the Security tab.
    3. Click Enable JavaScript to put a checkmark by it.



System Requirements to Complete This Evaluation:
  • Browser Requirements
  • *** Internet Explorer 9 and Google Chrome are NOT compatible with this testing platform. Internet Explorer 9 won't let you install versions 7 or 8. If you have IE 9, you will need to install both Firefox and Quicktime and then open Firefox (see links below or the FAQ). ***
  • Operating System Requirements
    • Windows XP, or Windows Vista, or Windows 7
    • or
    • Mac OS X 10.4 or newer (10.5 or newer suggested)
  • Javascript must be enabled. This is enabled in most browsers by default.
  • Hardware Requirements
    • Speakers/headphones to hear audio dictations