A medical secretary is a secretary/personal assistant who manages the office and administrative matters of doctors, consultants and surgeons in a hospital or clinical setting. They may work for one or more clinician. Medical secretaries/PAs manage diaries, arrange and attend both general and clinical meetings to take notes and minutes, manage waiting lists - adding patients onto lists for different procedures, co-ordinating the admission and ensuring the patient has the necessary information and instruction, type up clinical and general letters from dictation, deal with phonecalls and receive and sort mail and patient test results. A medical secretary/PA may supervise, train and manage clerical staff and audio typists and perform their appraisals and annual review. As well as a general secretarial qualifications a Medical Secretary/PA usually holds a medical secretarial diploma or other specialised qualifications.