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Teaching hospitals are no picnic! Accents up the wazoo, rotating interns every 3 months, won't ge

Posted By: the same docs over & over, etc.!! nm on 2005-10-29
In Reply to: P.S. Sounds as though they are hiring for large teaching hospitals from the ad. Any info would be - MTPA

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My experience, teaching hospitals have a lot of ESL
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LOVE teaching hospitals, makes you a better MT. NM
.
I have 18 years experience with very large, well-known teaching hospitals. (sm)
and I went to TT in October with the big hiring push. Yep, there are lots of ESLs on my account, but no more than I've ever had on any previous account I've worked on. Most of the ESLs I'm getting are quite good, in my opinion. I can handle them. The one doc that gives me the most grief is actually EFL. He's just lazy and mush-mouthed. As for the sound quality, I haven't had a single problem with sound quality.
What I like about my current account(s) is that there are rarely any residents dictating! Oh! What a joy that is! Nothing like residents, whether ESL or EFL. Ugh!
Some people can deal with the ESLs, some can't. All you can do is try. We don't all fit into the same work situations.
P.S. Sounds as though they are hiring for large teaching hospitals from the ad. Any info would be
appreciated.
I believe they do have rotating weekends available. sm
  It would be worth contacting them to find out for sure.
rotating/schedule
I used to be in charge of scheduling and I had some people who wanted to work every other weekend and the way we would do it was the first week, they would work Mon-Thursday with Fri/Sat/Sun off and then the second week of the rotation, they worked Monday through Saturday the next week with only Sunday off.  That way, you worked 4 days the first week and 6 days the second week.  It may sound like a tough schedule, but getting those 3-day weekends every other weekend was sure nice!  And, as long as you had someone else working the exact opposite schedule, it worked out okay as far as making sure we always had weekend coverage.
You might be able to negotiate a rotating weekend - sm
some MTs work Mon-Fri one week, Tu-Sa the next. Or every third weekend. It's worth asking.
Southern accents? That's right up my alley. :) nm
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Don't know about that, but the accents there are supposed to be really tough! nm
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Hey, I live in SoFlorida. We're used to accents around
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Editors have knack for accents, language, etc.
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There's no comparison in being a hospital employee with benefits working rotating weekend and IC
Initially what made being an IC worth sacrificing benefits was having a flexible schedule. I have read the laws and have done research. An independent contractor is not obligated to a set schedule and this definitely includes holidays and weekends. So what if this is a 24/7 business? How many hospital workers do you know that work every weekend with no benefits?? Nada! I knew student nurses who chose 24 hours every weekend so they could go to school thru the week, but they were compensated quite well at 40 hours with full benefits.

A company may hire a lot of misinformed ICs for Sun-Th and Tues - Sat schedules, but by law they are pushing the envelope. ICs need to remind these companies what the legal definition of an IC is. I'm sure they remember that we don't receive benefits. They want it both ways. If I'm going to be an IC with the only benefit being flexibility, there's no way I'm giving that up!

A national I worked for, which I won't name (squid)tried that on us after taking over our company. They even used scare tactics. We still didn't get on every weekend. There was nothing they could do and they knew it.
Put the extra work in to studying ESL accents, word expanders, become
more proficient as an MT and you will become more valuable and get better line count. Just IMO.
It is not the hospitals on a short TAT it is what MQ wants to make the hospitals very happy with

them. I would assume the accounts are on 12, 24 or 48 TAT but wouldnt they love having their work back no sooner than it is dictated.


They have at least 1, maybe 2 teaching
hospitals and you typically get a lot of ESLs with them.  You also get a ton of new dictators every year.   Pay is based on lots of things and many MTs have trouble figuring out their rate.   Many have complained how hard it is to make lines.   They are currently training women in Trinidad in medical transcription so it is a no brainer that the jobs will follow eventually. 
that is why I got out of teaching also. I sm
could not take anymore of the work at home I have a child thing. Folks came in not even knowing what an MT was. The schools put no pre-requisites on the course, wanted the course done in too little time etc. Bottom line is you cannot tell these people anything, they have to find out for themselves. Some will stay in and keep learning, some wont. I just don't want to be their babysitter anymore.
Teaching hospital
I love my teaching hospital account at MDI. Many of the ESLs are better than the English-speaking docs.
teaching in the Phillipines ....

OP - If this is in response to the article about AAMT teaching (or overseeing teaching, I can't remember which off the top of my head) in the Phillipines, the use of the AAMT acronym is NOT our AAMT.  It is used for the name of a company (not, to my knowledge at any rate) affiliated with the AAMT.  You can Google the name of that company and it does have American in its name, but its not American Association of Medical Transcription (I think that's our AAMT's name? Its way to early for me to post, obviously, my brain is still asleep).  However, the point is, AAMT and AAMT are two different organizations.  There's also AAMT (Australian Association of Massage Therapists), and many others.  AAMT is not exclusively associated with our AAMT.


 


Just food for thought :)


teaching hospital
I don't work for Keystrokes but my account is also a teadching hospital and it is very difficult for me. There are so many ESLs. Some of the dictator are horrible. Is the account you are on the same?
Education. Think that I could get a job teaching and
Or at least partial forgiveness if I don't get a very high paying job at first. A dream of mine and the gov't is encouraging with loans and grants, so I decided to go for it. It will be hard work studying but then again it will help make ends meet and I will have a future, rather than sitting and feeling sorry for myself as an MT like do lately. Thanks for asking.
It depends. If it is a teaching hospital it can be very

difficult.  I had about 15 years' experience when I started a job where I did a teaching hospital and it was very challenging for me, lots of new tests, labs, etc.  New doctors rotated in in July and you got about 100 so you had to start over again with learning new dictators, who might use totally different tests, procedures, and equipment because they came from a different part of the U.S. or world.  I'm not currently working for a teaching hospital, but a large multi-hospital system.   For the most part it isn't that hard, though just like a teaching hospital you get a new batch of dictators every year.


GI procedures are easy and nothing really technical.   Ophthalmology is the same.  You usually only get cataract surgeries and occasionally something else, but most eye surgeries are done in eye centers so you don't get a lot of those. 


Since you have so much experience you probably wouldn't have much trouble, but would have to look up lots of stuff initially. 


Post your resume on the job boards.  There are companies who don't post openings, but will hire from the resumes.


Anyone work for Keystrokes on a teaching
hospital account that started recently?  I've been on the account for about 6 weeks.  I'm struggling on it and I'd just like to talk to another MT on the account. 
I'm on a huge teaching hospital with..
eTransPlus. Surprisingly very few ESL dictators. I probably would do better with a smaller hospital but the work is interesting for sure. Good company to work for too, IMO. They do not do VR at all.
Nah, my dad was teaching me a lesson. You know one of those types.
I have learned young how to survive. This may also include having to deal with parents/boss who give you what they think you deserve and in some cases not much. One thing I did learn though in life you may not be able to depend on others, but you need to learn to depend on yourself.
Had someone tell me they do a teaching hospital with them, if you like large accts. Might want to
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Re Diskriter, anyone work for the PA teaching hospital they have? SM
If so, can you post your opinion here?  Or you may email me if you'd like.  Thanks.
I worked on a large teaching hospital account and was
frequently out of work.  KS didn't have the entire account.  I don't know if they had in-house MTs or they used more than one company.  You should have a backup account too, though there may be some  lag time between getting you a backup as they figure out where they can plug you in.   They supposedly are getting several new accounts so surely they should be plenty of work. 
I doubt a huge teaching hospital "wants to
If it were a non-issue, they wouldn't even bother with it, as this is a big hospital, with the highest level trauma center, the highest level neonatal ICN, a well known heart facility, etc. etc. etc.  They are consistently named the best employer in the city.  They a well known and highly respected.  And they make sure things are done correctly and on the up and up and yes, there are rules that they follow, and that is one of them.
Sorry. That was eTransPlus. TT had the miserable ESLs and teaching hospital that I couldn't
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No. Teaching Hospital account, too many dictators = low line count = little $$$. nm
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TransTech and low/no work for months and months _ don't think there are continous holidays LOL

This HORRIBLE low/no work situation has been going on at TT for almost a year now.  You can't convince me it is due to Memorial Day.  Are holidays now assigned in this world to being daily. 


That is an excuse these companies use in these no work situations, but it is due to their OVERHIRING.  Holidays just come on a daily basis, but LOW WORK/NO WORK is happening and has happened going on a year now at TransTech.  Always asking to flex into the middle of the night, EVERY weekend, etc. 


The TT mgmt checks are NEVER affected, tho, so they can continue to HIRE EVERY MT who gives them a call, and create a NO WORK situation for all of us.  The newbie MT's are cheering at first, but then realize that it hit them in the paycheck, too, and very soon it did!!!!!!!


My company has been low on work for months and months..sm
Tired of getting the same ol' message that things will pick up.  I remember the days of bonuses, making money and being able to pay my bills!  I am also wondering what is going with these companies not having work.  Is everybody sending work overseas?
HOW DO YOU KNOW THEY ARE GETTING RID OF THE LITTLE HOSPITALS THAT WON'T DQS?
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So does that mean that the hospitals (sm)
(their website indicates US-based hospitals) that use this company are okay with this level of quality that the QA in India provides?  Thank you.
Is there anyone else who would like to see hospitals (or more hospitals)

offer transcriptionists the opportunity to work at home directly for them, with decent hourly pay that is at least consistent with the cost of living in the employee's particular region (and assuming that the MT would be working at home for a hospital that is in her/his region), with same employee benefits as the on-site employees?


hospitals?

i've been applying to the hospitals in the area about every 6 months, and no one is hiring.  i don't even think hospitals or doctors offices have MTs anymore...not my doctors office, and not another place i applied for a job...they have these little hand held things they dictate into that transcribe their words right there and then, they print it out, sign it, stick it in the chart, over and done. 


if i weren't 10 years away from retirement, there is no way i would get into this business.  having been doing this for over 20 years, its hard to find something else. 


i've got work today, but its crappy work, the national cesspool stuff, and my line count is going to be so far below the minimum requirement it won't be funny. but they shouldn't mind, since it means they won't have to pay too much at the holiday rate. 


but i keep applying and looking and applying and i know something good will hopefully come my way eventually.


in the meantime, i've had to get a 2nd job, part-time, another at home MT job, with a much smaller company, all IC employees, and i'd jump ship in a second and work for them full time if that wasn't the case because they are like night and day from the place i work for full-time now, but i need benefits, am single, own my own home, and will soon be one of those old ladies living out of shopping carts on the street, eating out of dumpsters, at this rate.


 


Yes, I have three hospitals too
and am very pleased. My liaison is awesome. She actually treats me like a human being.
CA Hospitals
I wondered the same thing. So many of the hospitals and clinics rely on MediCal, Medicaid payments. What is going to happen? Does the state have any safety net built into the system? What if the insurance companies go belly-up and quit paying as well? Domino effect!!! Ark!
Plus hospitals don't want to buy sm
the dictation or transcription equipment, just download the completed product into their electronic medical record. How would a bunch of ICs manage that?

Not to mention getting American MTs to all agree to be ICs - personally I wouldn't want to be one. I NEED INSURANCE and want a paid vacation, which I get through my company.
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
St. Louis Hospitals
Hi!! I, too, would love to chat with fellow STL MTs.  Feel free to e-mail me!
I'm not sure who the other university hospitals use but

I never see anything on their sites or on CareerBuilder about hiring in-house MT's so apparently they're all using an outside service of some type.  Most hospitals I've worked in-house for use Medquist and another service at the same time (without Medquist's knowledge).


The only Phila. area hospital I've ever seen advertising for in-house MT's is Cooper in Camden, NJ (across the river from Philly).


I emailed you with some hospitals to look into - sm
I really hope it helps. In the meantime, I will get in contact with a couple of people I know to see if they hire outside their state.


I think MQ used to have them right. I guess they still have a lot of hospitals in the
Philly area.
hospitals hiring again?
Does anyone know if the east coast transcription scene is any better than other parts of the country, i.e., work?  Are east coast hospitals starting to hire in-house once again?  I am moving back to the east coast mid 2006 and wonder if I will still be working out of my home or can look to applying for an in-house position.  I was gonna post this on the state board of NY but it seems to be quite inactive.  Any information is truly appreciated!
Not that I know of. More likely to find hospitals that do. nm
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No work on four hospitals
I'd like to know how it happens that four hospitals can suddenly just stop dictating, and work suddenly just get slow, on all of them at the same time, and them not even in the same group.  I think the company has hired too many transcriptionists and can't keep them busy, or is offshoring most everything, but telling us a different story.  Is there any way to find out what's the real case?  XXXXX  It has happened several times like this over the past five years, and I am getting fed up.  Are all companies like this or is this the only one where this sort of thing happens? People get sick and have operations every day of the year.  They don't suddenly stop going to the hospital.  Are they playing on our stupidity, or could this be legitimate? I find it very hard to believe.  I'm a seasoned MT with 15 years' experience, and provide excellent work. What' up? 
Hospitals outsourcing?
Anyone know of any hospitals directly outsourcing to MTs?  My local hospital does - but not hiring now.  I'm w/a great company other than running out of work consistently even on three accounts for months on end ....
Started several new hospitals

is starting at the end of August.  4th was a little slow but only for a few days.  Work is fine and nothing much has changed so all's well.


What I have found is that the hospitals SM
will usually try that as a last resort to get their own transcriptionists to produce more.  When they find out that the production increase isn't that big (or production actually decreases), then they outsource the whole thing and say that they tried everything to keep their own people.
hospitals vs. companies



I am applying at both a hospital for a prn position and with an MT company for part time work. I have the option to work in-house with the hospital, which I may do because I have to drive 25 miles to the city to bring my kids to their preschool anyway.  My question is, what are some of the differences between working for a hospital and working for a company?  (Pros and cons for each)  I have less than 2 years experience, and some of that time was spent doing chiropractic transcription, so I am concerned that I might need more experience or training for the hospital work.  Thanks in advance for any comments.