Training Guide

Medical Scribe Training Guide 2026

Everything you need to know about scribe training programs, certifications, curriculum, and how to get started in medical scribe documentation.

18 min readUpdated December 2025Career Development
Medical Scribe Training Guide

Medical scribe training prepares you for a career documenting patient encounters alongside physicians. Whether you're pursuing scribe work as a pre-med pathway, a healthcare career step, or full-time profession, proper training is essential for success.

This guide covers everything you need to know about scribe training in 2026, from choosing the right program to certification options and what to expect during the training process.

Scribe Training Overview

Medical scribe training combines classroom instruction with hands-on clinical experience. The goal is to prepare you to accurately document patient encounters in real-time while understanding medical terminology, anatomy, and EHR systems.

Training Timeline Overview

40-80 hrs

Classroom/Online Training

Medical terminology, anatomy, documentation standards, EHR basics

40-80 hrs

Clinical Floor Training

Shadow experienced scribes, practice documentation, learn workflows

2-4 wks

Supervised Independent Practice

Work independently with chart audits and feedback until competency

80-160

Total training hours

2-8

Weeks to complete

$0-1.5K

Training cost range

Training Curriculum

Scribe training curriculum covers the knowledge and skills needed to document patient encounters accurately and efficiently. Most programs include the following core topics:

Medical Terminology

  • • Root words, prefixes, and suffixes
  • • Body system terminology
  • • Common abbreviations and acronyms
  • • Pharmacology basics
  • • Diagnostic and procedural terms
  • • Specialty-specific vocabulary

Anatomy & Physiology

  • • Major body systems overview
  • • Anatomical terminology and positions
  • • Common pathophysiology
  • • Physical examination components
  • • Laboratory values interpretation
  • • Imaging modalities basics

Documentation Standards

  • • SOAP note format
  • • History of Present Illness (HPI)
  • • Review of Systems (ROS)
  • • Physical Exam documentation
  • • Medical Decision Making (MDM)
  • • Assessment and Plan

EHR & Technology

  • • EHR navigation (Epic, Cerner, etc.)
  • • Chart opening and closing
  • • Order entry basics
  • • Template usage
  • • Smart phrases and macros
  • • Typing speed optimization

Compliance & Professional Topics

HIPAA Compliance
  • • Privacy Rule basics
  • • Protected Health Information
  • • Minimum necessary standard
  • • Breach prevention
E/M Coding Basics
  • • CPT code structure
  • • MDM levels
  • • Time-based billing
  • • Documentation requirements
Professional Conduct
  • • Scope of practice
  • • Patient interaction
  • • Dress code and appearance
  • • Workplace professionalism

Training Program Types

Several pathways exist for scribe training. The right choice depends on your timeline, budget, and whether you already have a scribe position.

Company-Provided Training

Most Common

Major scribe companies (ScribeAmerica, PhysAssist, Proscribe) provide comprehensive training to hired candidates at no cost. This is the most common pathway into scribing.

Pros:

  • • Free training
  • • Paid during training
  • • Guaranteed placement
  • • Site-specific preparation

Cons:

  • • Must commit to company
  • • Training timeline varies
  • • May not be transferable

Independent Certification Programs

$300-1,500

Organizations like ACMSS offer independent certification programs that lead to credentials like CMSP. Good for candidates who want certification before applying to jobs.

Pros:

  • • Nationally recognized credential
  • • Portable certification
  • • More competitive for jobs
  • • Self-paced options

Cons:

  • • Out-of-pocket cost
  • • No guaranteed job
  • • Still need clinical training

Community College Programs

$500-2,000

Some community colleges offer medical scribe certificate programs, often as part of health information technology or medical assistant tracks.

Pros:

  • • Academic credits
  • • May include clinical placement
  • • Financial aid eligible
  • • Broader healthcare education

Cons:

  • • Longer duration (semester)
  • • Higher cost
  • • Fixed schedule

Online Courses

$200-800

Online platforms offer medical scribe training courses covering terminology, documentation, and EHR basics. These provide foundational knowledge but not clinical experience.

Pros:

  • • Fully self-paced
  • • Lower cost
  • • Accessible anywhere
  • • Good for preparation

Cons:

  • • No clinical component
  • • May lack accreditation
  • • Limited hands-on practice

Scribe Certifications

While certification is not legally required to work as a medical scribe, it demonstrates competency and can enhance job prospects. Several certification options exist:

Certified Medical Scribe Professional (CMSP)

The most widely recognized national certification, offered by the American College of Medical Scribe Specialists (ACMSS).

$400

Exam fee

150

Questions

3 hrs

Time limit

2 yrs

Recertification

Other Certifications

Registered Medical Scribe (RMS)

Offered by AHDI (Association for Healthcare Documentation Integrity). Focus on medical transcription and documentation quality.

Cost: ~$300

Company-Specific Certifications

ScribeAmerica (ScribeU), PhysAssist, and others offer internal certifications. Valid within the company but may not transfer.

Cost: Included in training

CMSP Exam Content Areas

Medical Terminology

25%

Documentation

30%

Clinical Knowledge

25%

Compliance/Ethics

20%

Scribe Company Training Programs

Major scribe companies each have their own training programs. Here's what to expect from the largest providers:

ScribeAmerica (ScribeU)

The largest scribe company with the most comprehensive training program.

Duration

120-160 hrs

Format

Online + Clinical

Cost

Free (employed)

Paid Training

Yes

PhysAssist Scribes

Second-largest scribe company with strong presence in hospital systems.

Duration

80-120 hrs

Format

Hybrid

Cost

Free (employed)

Paid Training

Yes

Proscribe / Envision

Focus on emergency department and hospital-based scribing.

Duration

100-140 hrs

Format

In-person + Online

Cost

Free (employed)

Paid Training

Varies

Training Success Tips

Before Training

  • Study terminology: Get a head start on medical terminology using free resources or textbooks
  • Practice typing: Aim for 60+ WPM with high accuracy using typing.com or keybr.com
  • Review anatomy: Refresh basic anatomy and physiology knowledge
  • Research your specialty: If placed in a specialty, learn common conditions and terminology

During Training

  • Take detailed notes: Create your own reference guides and cheat sheets
  • Practice mock charting: Use practice scenarios to build speed and accuracy
  • Ask questions: Don't hesitate to clarify confusing concepts
  • Review charts: Study how experienced scribes document encounters

During Floor Training

  • Stay focused: Minimize distractions, stay engaged with the encounter
  • Develop abbreviations: Create personal shorthand for common phrases
  • Seek feedback: Ask physicians and trainers for specific feedback
  • Build relationships: Connect with physicians you'll work with regularly

After Training

  • Continue learning: Keep studying specialty-specific content
  • Review your charts: Learn from audit feedback and corrections
  • Consider certification: Pursue CMSP or other credentials
  • Stay current: Follow updates in documentation and coding requirements

AI Tools for Scribe Training

Modern AI documentation tools can help scribes learn faster by providing instant feedback on documentation quality and completeness. Consider exploring AI-powered training resources.

Explore AI Documentation Tools

Frequently Asked Questions

How long does medical scribe training take?

Medical scribe training typically takes 80-160 hours total, completed over 2-8 weeks. This includes classroom/online instruction (40-80 hours) covering medical terminology, anatomy, and documentation, plus clinical floor training (40-80 hours) shadowing experienced scribes. Some accelerated programs complete in 2 weeks, while part-time programs may take 2-3 months.

What certifications are available for medical scribes?

The main certification is Certified Medical Scribe Professional (CMSP) through the American College of Medical Scribe Specialists (ACMSS). Other certifications include Registered Medical Scribe (RMS) from AHDI and company-specific certifications from ScribeAmerica (ScribeU), PhysAssist, and others. CMSP is the most widely recognized national credential.

How much does scribe training cost?

Scribe training costs vary: company-provided training (free, paid employment); independent certification programs ($300-1,500); community college programs ($500-2,000); online courses ($200-800). Most scribe companies provide training at no cost to hired candidates, making paid programs unnecessary for many aspiring scribes.

Can I take medical scribe training online?

Yes, the classroom portion of scribe training is available online from multiple providers including ACMSS, Career Step, and company-sponsored programs. However, clinical floor training still requires in-person shadowing in a healthcare facility. Hybrid programs combine online coursework with in-person clinical experience.

What is covered in scribe training curriculum?

Scribe training covers: medical terminology and abbreviations, anatomy and physiology basics, documentation standards (SOAP notes, HPI, ROS, physical exam), EHR navigation (Epic, Cerner, etc.), HIPAA compliance, E/M coding fundamentals, specialty-specific documentation, and professional conduct. Training also includes clinical scenarios and mock charting exercises.

Do I need scribe training before applying to scribe jobs?

Not necessarily. Most scribe companies (ScribeAmerica, PhysAssist, etc.) hire candidates without prior training and provide comprehensive training as part of onboarding. However, having prior certification or training can make you a more competitive candidate and may lead to faster placement or higher starting pay.

Related Resources

The Future of Medical Documentation

While scribe training remains valuable, AI documentation tools are transforming healthcare. PatientNotes AI works alongside scribes and physicians to streamline documentation.