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Serving Over 20,000 US Medical Transcriptionists

Use your computer downtime for medical research (sm)

Posted By: NCQA on 2008-01-14
In Reply to:

First, this is not spam.  I am just a QA who found the below projects.  It is called BOINC, and the purpose is for home users to allow their CPU and memory to be utilized as a "supercomputer" for the purpose of medical and other research projects.  It runs on parameters you set in terms of when it can run, etc.  I have been using it for a week and it does not slow my system down at all.  Why not use that downtime for projects such as AIDS and cancer research?


Here are the links:


http://boinc.bakerlab.org/rosetta


You can also Google BOINC to find a list of projects.




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That means that medical files will be in computer
Information technology jobs are the ones that create, build & maintain the systems and networks we all work on.

Undoubtedly, a conversion from hard-copy medical files to electronic ones would entail a certain amount of data-entry for records to be transferred.

But whether the actual record is on a hard-copy chart or an EMR, if the info is dictated into a microphone, somebody's got to turn the doctor's mumbled, gum-chewing gibberish into meaningful, legible and legal medical documentation.
Unless you consider the downtime necessary to MT. sm
In other words, I can't transcribe hour after hour without breaks. With QA, you may not need nearly so many breaks. Also, MT work tends to run out with my company, but QA doesn't quite as often. So with MT there's also that sitting around, checking for work trickling in, which really is work because you're bound to that computer.

When you count these downtimes with MT and take them into account when figuring what you actually make per hour, QA probably comes ahead.
Then wouldnt' they owe you downtime pay since it was
THEIR equipment failure and not yours?
Hourly - think about downtime and
if that account moves to VR one day....
If all the downtime was due to maintenance, (sm)
could you please arrange that it's done during non-peak hours, for as you can see, many MTs have posted how much they rely on this site while working. It only makes sense to do upgrades, etc. during off-peaks. Most of the IT people I deal with have no problem working graveyard shift -- it goes hand-in-hand with the business.
Estimated downtime for hernia surgery?
I have a large ventral hernia that needs repair and am trying to determine how much I have to save to see me through the disability period...have any MTs had similar procedures who could tell me approximately how long you were not able to work?  Thanks for any input. 
my company pays downtime for conf calls...

Paid downtime vs unpaid slow time - sm

Do MTSOs, nationals, usually pay for downtime for employees?  If so, what has been your experience - ever received downtime? your company's policy, i.e., pay for two days downtime?


Also, as an employee for a nat'l, if you have a set schedule, what do you do when very little work comes in, for example one dictation/hour?  At what point do you cut out?  I'm new to working for a national and this has happened a lot lately - I know, the holidays.  If there is little work, I usually only stay connected for two hours, let me sup. know, and call it a day. 


I swear, sometimes I hate this industry!!  Any other company, at least in my state, if there is no work, as an employee, you still get paid or after a certain period, you get unemployment...something!


How common are server issues and other technical problems that result in downtime? (sm)
Do you get compensated for your downtime?  I'm thinking of going to work for a national, but I've heard there are a lot of technical issues at these bigger companies.  True?
LAW WITH REGARD TO UNPAID TRAINING, UNPAID WAIT TIME, DOWNTIME, ETC.

I was doing some research and just thought I would share it here. 


----------


http://en.allexperts.com/q/Employment-Law-924/2008/3/unpaid-training.htm


Question
I'm a part time security officer.  The contract is changing hands where i work (large corporate facility)...the location stays the same but a new company takes over the new contract next week.  The incoming company has advised everyone that they must attend a mandatory unpaid training class.  Is this legal?


Answer


Expert: Shirley McAllister, CPP, PHR
Date: 3/28/2008
Subject: unpaid training


It is not legal.



Here is the ruling from the Department of Labor Website at


http://www.dol.gov/esa/regs/compliance/whd/whdfs22.pdf


Lectures, Meetings and Training Programs: Attendance at lectures, meetings, training programs and similar activities need not be counted as working time only if four criteria are met, namely: it is outside normal hours, it is voluntary, not job related, and no other work is concurrently performed.


Since the meetings are not voluntary you must be paid to attend them.


FURTHER:


29 CFR 785.27 - General.
Attendance at lectures, meetings, training programs and similar activities need not be counted as working time if the following four criteria are met:
(a) Attendance is outside of the employee's regular working hours;
(b) Attendance is in fact voluntary;
(c) The course, lecture, or meeting is not directly related to the employee's job; and
(d) The employee does not perform any productive work during such attendance.


IF THE ABOVE 4 CRITERIA ARE NOT MET, THEN THE EMPLOYEE MUST BE PAID FOR THE TRAINING/MEETING TIME.


29 CFR 785.28 - Involuntary attendance.
Attendance is not voluntary, of course, if it is required by the employer. It is not voluntary in fact if the employee is given to understand or led to believe that his present working conditions or the continuance of his employment would be adversely affected by nonattendance.
__________________


ICs and unpaid trainings:


http://www.expertlaw.com/forums/showthread.php?t=59022


----------------


FURTHER
(FROM http://www.dol.gov/elaws/esa/flsa/hoursworked/screen1d.asp)


Waiting for Work
Time which an employee is required to be at work or allowed to work for his or her employer is hours worked. A person hired to do nothing or to do nothing but wait for something to do or something to happen is still working. The Supreme Court has stated that employees subject to the FLSA must be paid for all the time spent in "physical or mental exertion (whether burdensome or not) controlled or required by the employer and pursued necessarily and primarily for the benefit of the employer of his business."


Place of Work
Hours worked include all the time during which an employee is required or allowed to perform work for an employer, regardless of where the work is done, whether on the employer’s premises, at a designated work place, at home or at some other location.
------------


DOL.GOV, WAGE AND HOUR OFFICES:


Having trouble finding your answer on our website?


Call the Wage and Hour Division’s toll-free help line:
1-866-4USWAGE (1-866-487-9243)
TTY: 1-877-889-5627
Monday-Friday 8 a.m. to 8 p.m. Eastern Time


 


I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM

and Tessier's The Surgical Word Book, 3rd edition.  Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book.  These are all the books I use the most during my day.  You could buy other speciality word books as you need them and could probably go used with those.


I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.


Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot.  It's easier to open the program than it is to pick up a huge 30-pound dictionary.


Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
Is it their computer? Why are they installing a firewall and autocorrect on your computer? That sm
is usually the responsibility of the transcriptionist, especially if an IC or SE.  Which company?
I don't need to research what I said SM
and you are right that many people cannot afford the insurance, but guess what--I couldn't afford insurance on what I make as an MT even if my company offered it.  WM is not perfect.  I worked for them for many years, and my husband is still mgmt for them.  We both have seen things that we did not agree with, but I don't necessarily agree with everything I see in MT either or any other company for that matter.  I can go in Target and find things that aren't right.  I can go in any of the grocery stores and see things that aren't right.  WM gets a lot of bad press because of its size, some of it deserved, some not, but you can't believe everything you hear from your WM newsgroup. 
Did YOU do any research on this???
x
IMO, it is not for asking others to do research
MTs who dont do their own research, just want QA to do that for them. 
I did my research
I understand some people would try to get the answers and have "someone else do the work" as someone put it... but I have read through my books and been on so many website it was quite rediculous. I actually used this site as a last resort and have been doing research for 2 days before I made a post on another site last night and then here today.
research
It's one of my favorite parts of this job. I never worked in-house (except for 1 week in the office of my first MTSO, which was a very small company).  Did not go to MT school either so do not how they teach there (is there an emphasis on researching terms?). . Started with a better-than-average knowledge of medical terminology/anatomy and physiology  and strong interest in medicine. Bought books and did lots of looking up and learned on the job (with QA at first). Without an interest in medicine this would be a very boring job. I now primarily use the Internet for research because I know how to distinguish the good references from the bad, but there are still times I would rather consult a book. I would like to have an opththalmology book; that is one I have never had. -  15 year MT
I did look at your piece of research
and I am not seeing it. I don't think that all MTs will be out of work. There will be demand for editors, etc. I will stay in the field until I am told they don't need me anymore.
Research results
I checked on finasteride, and unfortunately it does not have great results for male acne. And it occasionally causes gynecomastia. BUT, here is a link to a cystic acne heater device:
http://www.myzeno.com/index2.htm?sckw=acne&scsrc=google&scgeo=national&sccrtv=nzad-zc90oai24h-bzoagns

You should research other websites because sm
Most of the information in the article doesn't coincide with any of the Biblical principles followed by the Christian churches in America today. Throughout the entire Bible, old and NT, we are taught to refrain from witchcraft, mediums, those who speak to the dead, or any kind of honoring of the dead. Christians are only to pay homage to God through Jesus Christ.
Actually I did some research about a year ago
and found out that in my state a surgical technician makes less than I do. Now THAT is messed up, in my opinion! Go figure.

I don't know, I can see that when first starting out a person doesn't have the knowledge and experience that they will gain by working on the job. At the very beginning a new MT is going to be less productive due to needing to build Expander list, look up terms that they do not understand, etc. So it makes sense to me that they get paid a bit lower at the beginning.

Now where I work they recently raised the minimum starting wage, so there are people coming in with about half my experience making almost as much if not as much as I do- that is kinda discouraging. I have complained and am waiting for their "response."
Poster IS doing research - here!
How better to research this subject than to personally ask a whole bunch of medical transcriptionists who actually do/have done this? Let's applaud the efforts of the poster rather than bash them!!
Thanks for your help. I'll research it more. Thx again. NM
x
OP could do like the rest of us----- research,
x
To help us we use education, research and
x
I do all of my internet research
on a separate computer, a laptop that sits right next to the work computer.  I have a home wireless network for the internet.  The company's firewall does not affect my laptop. 
Research and purchase best available. NM
x
Thanks Jamie for doing the research sm
maybe they will throw EMT jack off the board. Whoever EMT jack is makes me sick to my stomach. I knew he didn't know anything about MT.
newbies don't want to research?
It almost sounds like it is crime to be a "newbie" reading some of the posts here. If you invest your money in a really good MT school you learn how to research, you have the basic knowledge, and you also have a good library of reference books. There is nothing wrong asking for help on the word board unless you are a student.
It sounds like you've done your research, and your
grammar, English, and spelling skills are better than most MT wannabes.  LOL  You could do your schooling, then work parttime for a while.  That's what I did for the first several years.  I worked two hours before the kids got up, another two hours during naptime, then finish up after DH or my older kid got home to watch the little one for an hour.  It was slow going for a while there until my typing speed got faster and my terminology increased, but it beat paying daycare.
My information is from recent research >>>
for an MT's job search directory, and so far less than 1% of facilities, including hospitals, clinics, major healthcare providers and individual practices, have an awareness of AAMT/CMT.    With the current "unrest" even among members, as well as the move toward an AMA-sponsored MT association, I still believe CMT is not of much value - unless things change dramatically and soon.
more on Claudia Tessier...research and see for yourself...



Press Release


MoHCA Appoints Tessier as Executive Director

Mobile Healthcare Alliance Chair Ann Geyer Announces Appointment of Claudia Tessier, CAE, as MoHCA's Executive Director

WASHINGTON DC, September 1, 2001

Mobile Healthcare Alliance (MoHCA) is a not-for-profit organization formed to help healthcare vendors and providers influence the adoption of standard practices in mobile data management to ensure professional practices and patient trust. It announces now the selection of Claudia Tessier, CAE, as its Executive Director.

Tessier will direct MoHCA activities throughout the United States and internationally from its Washington DC office. She brings to MoHCA 18 years of association executive experience and leadership in healthcare informatics. She currently serves as chair of ASTM's standards committee E31 for healthcare informatics and is a member of numerous standards organizations including ANSI Health Informatics Standards Board and ISO TC 215 on Health Informatics.

"Mobile health care will facilitate a revolution in health care, and I am excited to head this organization, which will help providers and vendors address the issues of security standards, interoperability, and information management," said Tessier.

"Tessier's experience in data capture and health informatics standards provides an exciting background for MoHCA to become the leading organization to address privacy, interoperability, and user issues in mobile data management," noted Ann Geyer, Chair of the MOCHA Board of Directors.

Palm, Inc. is one of the founding members of MoHCA. "Many mobile healthcare applications are very promising, but user acceptance and confidentiality must first be resolved," said Dan Glessner, Director of Enterprise Marketing at Palm. "We are pleased that MoHCA has attracted an executive director of Tessier's caliber. She has the necessary experience and expertise to assist the board in developing MoHCA as the leader in resolving the issues that will enable widespread adoption of mobile healthcare applications."

"The healthcare industry presents a huge potential market for mobile technology products, but there are real issues related to data integration standards as well as data privacy and security. MoHCA is an excellent forum for really understanding the requirements and developing workable standards and best practices. With Tessier to lead and help grow the organization, MoHCA's ability to influence positive action is greatly enhanced," noted Paul Steinichen, Vice President of Enterprise Technology Solutions at First Consulting Group.

MoHCA Members

The diverse membership of MoHCA is unified by a shared interest of ensuring that mobile applications are incorporated into healthcare processes with appropriate regard for the privacy, confidentiality, and security of health information.

MoHCA Members include wireless carriers, application developers, device manufacturers, system integrators, technology consultants, practitioners, healthcare professional societies, and healthcare organizations.

# # #

For further information:

Ann Geyer
Chair, MoHCA Board of Directors
209-754-9130
ageyer@tunitas.com

Claudia Tessier, CAE
Executive Director, MoHCA
202-452-0889
ctessier@mohca.org

Website: www.mohca.org


Very interesting. Thanks. Gonna research
to see if there are any natural/alternatives remedies to help battle them, as I suffer from chronic RSI problems, as well as malaise. 
Think you need to do more research than the negative answers you are getting.
They have at least 2 platforms, Dictaphone and Merit. Not sure about all this offshoring stuff, but there is more than enough work. The Dictaphone platform is much better than Merit. I am able to use my text Expander or it has a built-in one. You need to do some searching on the company board on the archives, as there are happy MTs working for Medware.
I refuse to do it. I have research papers, etc.
get in the habit of doing INCORRECT things just to please AAMT.  If it means I can't be an MT after 25 years of MTing, then so be it.  But I learned English many years ago and every other facet of my life still requires PROPER English/punctuation and I'm not going to learn a bastardized version for AAMT.  AAMT can kiss my hiney!
Sorry about your experience. Research at dslreports.com. nm
xxx
No doubt!! MTs should be good at research.
Why would anyone just ASSume that someone is lying? Sad.
You need to do a little more in-depth research on AAMT... s/m
They are also really big on VR. Were damantly "against" it a few years back, all of a sudden did a 360 and now some of its biggest national company fans, who currently own MT companies, are getting into the VR business. Hmmm..... does one smell a rat? Or at the very least a conflict of interest? And no, I'm not one of the "cloistered" - I work onsite and am out there lookin', listnen' and learnin'. And while out and about doing a little info-gathering on AAMT, discovered that it has done far more HARM to the profession than good.
Coool. I'll do some research on this! ~Thank you~
dd
research archives here on board...nm
.
Opinion -- Do your own durn research!

My MTSO recently added new transcribers to a growing account that I've been working on for the past three years.  Yes, it is a very difficult account.  I was more than happy for the first month or so with constant IMs, phone calls at home and on my cell phone to "listen to this", emails with c&pd parts of the report asking for help filling in the blanks, did I know this doc name, etc. 


Okay, it's been a month.  I'm still getting questions constantly about things that I had to figure out for myself when I started the account!  I had nobody to help me, as it was a new account and I had never done this specialty before, so I know it's possible to just do your research.  I'm now getting moronic questions. 


Do you know this doctor's first name?  (Uhhhh, it's in the phone book, the Blue Book, in Google...)  Am I spelling this procedure right? (Hello!  Stedman's Word Book, about a million online references, a dictionary, a decent spell checker...)  Does this look right to you?  (then one of them IMs me a sentence that no, does not look right, but a little research would tell you that you've got the wrong word in there if they're talking about pain in the hip and you're using the name for a part of the small intestine!)  Come ON!   If you don't know the difference between the ilium and the ileum, what are you doing in transcription? 


The point is that I don't have time for this, when time is money and I only get paid by the line.  I've spent an average of an hour a day for over a month holding these girls' hands.  It's getting ridiculous, especially when I'm being asked questions that they could solve themselves with some RESEARCH.  I don't feel like I can "tattle" to my MTSO, because I don't trust him that much anyway -- He is as subtle as a freight train and would just make things difficult.  I may need these people to fill in for me now and then.  


I've handled it by logging out of IM when I need to just get busy and work, not answering the phone when I need to work, etc.  I am considering sending out an email asking these people to stop calling and IMing me, because I need to keep my work "rhythm", but to rather email me the question and I will get back to them before the end of the business day if it's something I know they probably cannot find on their own with research. 


Something like that.  Does anyone have any ideas for how to word this if that does not sound right? 


Livvie in Cali 


Poster is one who said no time to research, not
asdf
I did a little research on this board recently and sm
then I bid on and won a 10-book lot of Stedman's.  According to what I read on here and the condition of the books, definitely the Orthopaedic and Rehab book.
I can tell you to polish up your resume and do some research.
x
You'll need to research rates (sm)

in your area to find out what to charge or just decide what you'll take to do the work.  Transcription systems depend on what your clients need.  I wouldn't spend a ton of money buying stuff because your client may not want what you just spent a fortune on.  You can find good used transcription equipment on ebay if you're willing to search for it.  Good luck.  I'm in the same boat.


Don't buy books. Use the internet for research.
of using Stedman books is over.  You can find new drugs, surgical instruments and much more. 
One of my favorite research sites is gone. s/m

A website that I use very frequently seems to have disappeared.  AAMTonline.org/resources that I use to look up terminology seems to be gone.  It has been replaced with something that is not a resource site.  Has it moved or changed names?  I would appreciate any info on this!!


Where O where is my favorite research site? s/m
Anyone on here familiar with a website "aamtonline/resources"?  It was my most-accessed website where you had the ability to look up partial words by using an "*", you could look up physicians, acronyms, etc.  I used it constantly and in my opinion was one of the best out there.  It has recently been replaced by another website that evidently has something to do with education or something other than what it used to be.  Does ANYONE know anything about what happened here -- has it moved, been renamed?  Certainly I am not the only one that used this website?  I would love any input on this!! 
I always found that if I took the time to research
a term or a phrase myself and put the 'leg work' into it, I'd remember it much better the next time the phrase came up. The research might be time consuming but is an excellent study tool as well.

I suspect a lot of MTs on the board are cheating themselves by just letting others 'feed' them the answers.

Question about transfering computer into to another computer.. sm

I have a dumb question - Just bought a new computer and someone told me to get a flash drive to transfer all my info.  But I'm assuming that ExText that I work off of and Escription will have to be downloaded again by the tech people onto my new computer.  I can tranfer these can I?


Thanks