Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Acute care position with clinic experience???

Posted By: anon on 2008-06-26
In Reply to:

Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
i currently get a mix of clinic and acute care; sm
i get all different report types (clinic, acute, and various types), different facilities, just a big mix and yep it hurts on production. i have worked for MTSO before that assigned us set report types like i did consults and discharges. i was way much more productive there than i have ever been.
acute care vs. clinic

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 


Acute care clinic

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.


But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 


I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.


Do you do acute care or clinic?
nm
i went from clinic to acute care..
with no problem.  i work for 4 big hospitals and yes, there are a lot of doctors, but they tend to dictate all at the same time so i will get a bunch of dictations from the same doc in a row.  also, sometimes it seems like i get all ortho for a day or all ds for a day or all psych for a day.  i think it all depends on who you work for.  don't be afraid, jump in.  that's the only way to start and with all those acute job openings, i don't think anyone is going to tell you that you don't have the experience. 
clinic to acute care?
How do you transition from clinic work to acute care work?      I have done about a year of radiology work, which is what I started out doing.  I went to in-house family practice for 3 years.  Now I do GI and clinic notes.  I have also done a pain management clinic.  I have been doing transcription for about 6 years now.  I can't test for acute care because I do not have the 2 years required.  I tried working at a hospital part-time or PRN actually.  The drive and gas plus it was a second job for me, killed me and my budget.  It was an hour drive one way. 
clinic to acute care
I'll be starting with a new MTSO in a couple of weeks and will be doing acute care ONLY.  It's been a great many years since I've transcribed acute care; have only done clinic dictation for quite some time.  Can you guys give me some pointers to help me ease in to the transition? 
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



Need to vent acute care/vs clinic

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!



I went from clinic to acute care last year...
And then went back to clinic. I hated the acute care maybe because I think I had one of the worst accounts ever! Terrible dictators. It was such a big change. I didn't like it and I went back to clinic. You can do it and you could adjust in time but to be honest I wasn't making nowhere near enough money to bother with it. If the money was right it would be worth it but for not much money it wasn't worth it for me.
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
Acute care vs. Clinic reports-

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Difference in Acute Care vs. Clinic reports

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


difference in Acute Care vs Clinic Reports
I thought so.  Thanks!
Do have experience in acute care? (sm)
If so, you won't have a problem.  It will take just a little getting used to, but overall it is quite easy if you already have acute care experience.  I live in Texas, and the hourly pay is around $11-$14/hour.  Currently I make 11 cpl on radiology as well as acute care as a hospital employee.  Hope this info helps you out on your decision.   
How do I get acute care experience?
I've been working as an MT for over two years now for a local MTSO.  The MTSO I work for has several PT accounts, some family practice accounts, and a few others.  I've grown bored and want to get into hospital accounts (I want the action LOL).  Does anyone know of any companies that hire experienced MTs to learn acute care?
Is it harder to reach your daily line count on acute care or clinic?
nm
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
s
And I have 25 years of acute care experience
x
Hon, I have 16 years acute care experience sm
in all work types/specialties and only getting 9 cpl as an employee with a service plus incentives. 
EASY. If you have the experience in acute care,
No offense is intended to any radiology MT.
I have 17 years acute care experience and don't make 1200 lines in 6 hours. sm
I work for a company that is VERY picky about their work, 100% QA everything.  I have been with them over a year, and have to go back and listen to my work a second time while proofing.  I only make 160-170 lines an hour, but the pay is good for that, and I have learned so much in the year that I can go to work anywhere without problems.  For me it is worth the extra time to put in the few extra hours a week to have really top QA.  There is room for all types in this business, the really fast ones, and the slower ones who work differently, you just have to find your place.  Ideally, we should all type 200 lines an hour and have 99%+ QA, but I don't thank too many of us make it.  Good luck to you.
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Acute vs. Clinic

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.


I forgot to say it's a part-time clinic position
Thank you both. I'll take all of this into consideration.
try for a company with both clinic/acute
if you can get on a clinic account with a company, down the road you may be able to train for an acute account with that company.
clinic to acute work
I so understand where you are coming from.  I did clinic work for 16+ years and could never break into the acute care but just recently someone gave me the chance.  I thought I would have a hard time but I have had no problem and made my line count within a week.  I am soooo grateful someone finally gave me the chance.  Keep trying! 
2 accts are direct hospital, 1 is a clinic and the 4th is a subcontractor position. nm
.
16 years, 1 radiology, 7 clinic, 8 acute
.
Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm
s
own accounts, IC, employee with benefits, acute or clinic?
nm
variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
varies: clinic/acute, employee/IC, own accounts/pool.
nm
depends; clinic/acute, IC/employee, pool/own accounts....
nm
In my position I have to care
about the client .. my job is to see that everyone is on the same page and our work is correctly done in accordance with account specifics for the client.  Additionally, I do not look at AAMT as a union .. an association really is in no position to negotiate wages.  The idea is for them to be neutral .. and I know what you are going to say and I wish it were different but the barn door has been open to offshoring for a long time and now we just have to work smarter, not harder, although I can pretty much say I don't see me retiring any time soon .. blah.
1/2 rad and 1/2 acute care
Does anyone have an acount where they do some radiology and some acute care?  Do you get paid differently for rad/acute care on this account?  I get paid the same and have one radiologist that slows me down considerably (I transcribe for 2 radiologist alternating weeks).  I make 1/2 with him than what I would make doing acute care or the other radiologist. 
Acute care

Can someone please explain acute care setting in detail?


Yes, and also known as acute care. (sm)
To me, the next thing would be OPs right after doing radiology, because you have lost most of your drug names by now. But it is hard to break into OPs, especially exclusively. You would also likely do well with (office) orthopedics or gastroenterology. I'm not saying you can't do acute care, but you would want to be in-house with a mentor nearby for the easiest transition. The drug names and all the various mispronounciations will be a thorn in your side.
I do know that the acute care...
would benefit me in the long run because I would have more opportunity to learn more. I currently do not take on the variety of work that you do, hence, the boredom. I only do discharge summaries on a regular basis and just started with consults and H&Ps. I have yet to do any regular workload of OP reports, etc.

I have always been interested in the psych field. Maybe that is why I think that I would be more interested in doing the transcription. Also, yes, I am on the hardest account we have. Thanks for the input though.
Acute care, 0.07 and 0.075....maybe??
I was hired making 0.08 cpl doing acute care for a national right out of school. Personally I think your numbers are a little low compared to what I have seen out there.
Acute Care & QA
I guess that is where my problem lies.  If I send a blank to editing/QA, I do not get the corrected report back so I never know what was filled in for the blank. Obviously, that hinders the learning process quite a bit.  Since I have only worked for 2 companies (the first one I could view my corrected reports, second one not), I am wondering if this is the norm. 
how many lph on ave is everyone doing in acute care? sm
i know there are lots of variables. i am just looking for a general idea of about where most people average, lph. TYIA
Acute care is
all the basic work types found in a hospital, H&Ps, consults, discharges, op notes, cardiac reports, the whole shebang.  The work is so varied and you get to touch on just about all the specialties, especially if it's a larger hospital.