Salma Bouthaleb
Westlake,OH
Summary
Detail-oriented and highly organized Medical Scribe and International Medical Graduate with extensive experience documenting real-time patient encounters in fast-paced clinical settings. Proven expertise in Epic and eClinicalWorks EMR systems, medical terminology, and internal medicine workflows. Strong ability to accurately capture histories, ROS, physical exams, assessments, and plans while maintaining strict HIPAA compliance. Excellent written and verbal communication skills with a strong commitment to supporting provider efficiency and high-quality patient care.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Resident Physician – Family Medicine
Faculty of Medicine of Sousse, Tunisia
01.2023 - 12.2025
- Extensive experience with clinical documentation across inpatient, outpatient, and emergency settings.
- Strong familiarity with internal medicine presentations, chronic disease management, and acute care workflows.
- Developed efficiency in synthesizing patient histories, exams, and plans into clear medical records.
- Collaborated with multidisciplinary teams
- Met with more than 30 patients each day in dynamic setting.
Medical Scribe – Clinical Documentation
Aquity Solutions
12.2021 - 12.2022
- Accurately documented real-time patient encounters for internal medicine physicians using EMR systems (Epic and eClinicalWorks), ensuring comprehensive and precise medical records.
- Recorded detailed patient histories, review of systems (ROS), physical exam findings, diagnostic test results, assessments, and treatment plans during busy clinical sessions.
- Supported efficient patient throughput by enabling providers to focus on clinical care while maintaining high-quality documentation.
- Maintained strict adherence to HIPAA regulations and patient confidentiality standards.
- Collaborated closely with healthcare teams to clarify clinical information and ensure accuracy of documentation.
- Developed strong knowledge of medical terminology, clinical workflows, and electronic charting protocols.
Medical Scribe – Clinical Documentation
Scribe America
02.2021 - 05.2021
- Assisted in managing electronic health records, maintaining data integrity and facilitating efficient workflows.
- Documented patient encounters accurately, ensuring comprehensive and clear communication for healthcare providers.
- Collaborated with medical staff to streamline documentation processes, enhancing overall operational efficiency.
- Implemented quality assurance measures to improve documentation accuracy and reduce errors in patient files.
Internal Medicine Observership
Lutheran Hospital
12.2020 - 01.2021
- Observed diagnostic evaluations, treatment planning, and multidisciplinary team discussions for a diverse patient population with complex medical conditions.
- Participated in clinical case presentations and medical decision-making processes, enhancing understanding of evidence-based medicine and patient-centered care.
- Engaged in patient communication and education sessions to observe best practices in delivering culturally sensitive care.
- Familiarized with hospital protocols, electronic medical record (EMR) documentation, and compliance standards.
Medical Internship
Faculty of Medicine of Sousse, Tunisia
07.2018 - 07.2019
- Gynecology & Obstetrics: Assisted in prenatal care, labor, and delivery under supervision, ensuring comprehensive maternal and fetal monitoring. Participated in postpartum follow-up and routine gynecological procedures, contributing to patient education and care planning.
- General Surgery: Provided preoperative and postoperative patient care including wound management, vital sign monitoring, and pain control. Assisted surgical teams during minor procedures and participated in multidisciplinary rounds to optimize patient recovery.
- Internal Medicine: Managed hospitalized patients and assisted in treatment monitoring.
Education
Doctor of Medicine (M.D.) -
Faculty of Medicine of Sousse
Tunisia01.2025
Skills
- Real-time clinical documentation
- History of Present Illness (HPI)
- Review of Systems (ROS)
- Physical exam documentation
- Assessment & Plan transcription
- Epic & eClinicalWorks EMR
- Internal Medicine workflows
- Provider support & clinic efficiency
- Medical terminology (IM, FM, ER)
- HIPAA compliance & confidentiality
- Diagnostic test documentation (labs, imaging, EKG)
- Chart review & encounter preparation
- Patient throughput optimization
- Multidisciplinary team communication
- Accurate and timely note completion
Certification
- Good Clinical Practice (GCP) Certification –2025
- Basic Life Support (BLS) – 2025
- Medical Assistant program at Larock Healthcare Academy– 2022
Languages
Fluent: French, Arabic, English
Intermediate: German
Timeline
Resident Physician – Family Medicine
Faculty of Medicine of Sousse, Tunisia
01.2023 - 12.2025
Medical Scribe – Clinical Documentation
Aquity Solutions
12.2021 - 12.2022
Medical Scribe – Clinical Documentation
Scribe America
02.2021 - 05.2021
Internal Medicine Observership
Lutheran Hospital
12.2020 - 01.2021
Medical Internship
Faculty of Medicine of Sousse, Tunisia
07.2018 - 07.2019
Doctor of Medicine (M.D.) -
Faculty of Medicine of Sousse