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Serving Over 20,000 US Medical Transcriptionists

I have very few applicants who can even do easy clinic notes,

Posted By: forget about acute care on 2006-05-03
In Reply to: MTSOs, on a scale of 1 to 10, how qualified are - your applicants for acute care work? sm

Hiring is can be a total nightmare.

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Anyone know of a company, easy clinic work, easy Word format, dependable pay? Help!
9 cpl as an IC doing clinic notes vs. 8 cpl is
still quite a bit of difference, especially 8 cpl as an IC at Softscript...
9 cents for clinic notes
Clinic notes 6.65 then 7 when off proofing within 90 days
It was supposed to be 7.5 cents if off proofing within 30 days, but they never did a QA assessment, so got 7 cents after calling and asking for an assessment.
Yes clinic notes go to Cameo India
Also the Clinic work SOAP notes
Clinic notes. SOAP is the format,





Clinic notes or physical therapy?


Does anyone have suggestions for companies that hire for physical therapy or just general transcription/clinic work?  I've tested at several companies and did not score high enough apparently to do acute care, even though I did not leave so many blanks, I thought.  My problem was with the actual transcription; passed the other part of tests.  Really discouraged right now.  TIA--


ExCUUSSE me... she said 7.5cpl for clinic notes,
NOT op-notes. Most places consider clinic notes easier and pay less for them. So if that is the case, the op-notes SHOULD pay more at that job.
Clinic notes very rarely delve into
specifics like acute care does. There is a difference.
Acute care is very different than clinic notes

I have been an MT for 20 years.  I have hired and trained MTs for a service.  There is a HUGE difference between clinic notes and acute care.  The poster who says she made the switch and didn't have problems is lucky and is probably a very good MT, who had a good base of knowledge to start with.  It can be done, but not in every case. 

Some MTs who work on clinic notes work for the same set of dictators every day typing about colds and aches and pains.  Dictators tend to say the same things over and over.  Most clinic notes are only a 2 or 3 paragraphs.  They work for the same set of dictators for years and even have their stuff canned, just pull it in and make the changes.

You put that same MT on an acute care account for a large teaching hospital and they may have a nervous breakdown, I've seen the meltdown, it's not pretty.  On an acute care account like that you may have all the specialities and subspecialties, probably 30-40 or maybe more, adults and peds, with all the dictators, anywhere from 5 to ??  And residents, let's not forget them.  And all the work types.  They are dictating DS, H&Ps, consults, ORs, clinic visits, progress notes, etc.  They are dictating about new procedures and medications that may not even be in reference books yet or that are experimental.  Some of those reports are 20-30 minutes long, 7 or 8 pages.

I'm not knocking the clinic MTs, but don't just assume because one does clinic notes, they can jump into acute care.  That would be very misleading and a total injustice to a newbie who read that and got into an acute care position, possibly setting themselves up for failure. 


i would definitely start out with clinic notes first to get a good base.
You need to try to get as much learning as you can in an unrushed way. When you do acute care notes, you are having all medical specialties pushed on you all at once.
are clinic notes productive... 2 and 3 line reports?
Can you turn them around pretty fast or do they slow you down?
Was told recently that they do 70% clinic notes and 30% acute care, very few Ops. Don't know
I don't do clinic, but it is very easy
to make money with clinic dictation.  You usually have a limited number of dictators and can make lots of macros/normals and really produce a ton of lines. 
Yes they can put them to work on easy stuff, such as clinic
Nice people, easy clinic work, leave you alone, but low pay. nm
been with spheris 4.5 years, easy platform, good clinic account
Do you recommend starting with clinic notes or acute care when just starting in the MT field?
!I realize this question may be better suited for the new MT board, but this board is my favorite)

I am considering accepting an acute care position, even though I am just out of MT school. However, I don't want the learning curve to be so steep that I fail before I even begin. I would also like to have a smaller pool of dictators to transcribe from as opposed to many.

Also, are there more ESLs in acute care versus clinic/dr office work?

What has your experience been? Would you do it differently?

Thanks for any insight!
I love it. It is fast, easy to learn and easy to use.

100 applicants
Curious...Do you know if those positions have been filled? I tested too.
100 applicants
Curious...Do you know if those positions have been filled? I tested too.

I'm one of those applicants!
I'm one of the acute care applicants, we just got a mass email listing the days and times they want us to work (but they are flexible if something happens) and that they filled their radiology but will probably hire again in summer.

I'm glad to see this post...I know there are different opinions about companies so it is good to see some real opinions based on fact. I think if someone was bashing my company and possibly stating false accusations I'd threaten lawyers too!

Anyway, If anyone has tips for the testing and such let me know! :)
Unfortunately, they will get applicants,
There are 2 companies that I know of that pay less than this. They pay their ICs 4 cpl and 1.25-2 cpl for editing, yet they get tons of applicants from new grads hoping to get experience. I see new MTs on the Career Step forum all the time excited that they got their first job with these companies. To them, 5 cpl is a raise! It really is said how fast the rates are dropping. When I graduated, the norm was 7-8 cpl and my lowest offer was 6.5 cpl for employee status. That was only 3 years ago!
Two are hospitals, one is a clinic. The biggest one is a clinic that only does sm
oncology. We cannot post account names here and do not give out that information until confidentiality forms are signed.

I can tell you that a very, very large oncology hospital will be starting on March 1st that will need 30+ transcriptionists to run smooth.
Yes and no. It depends on how well the other applicants did.
I've left blanks and been hired, but I've also left blanks and never heard from the company again. It doesn't necessarily exclude you unless someone aced the transcription test, which I've done that before, too.
Well, maybe they don't want US applicants to send pic?
Thanks for clarifying. I looked and to be honest, thought you had put the synthescribeofamerica.com link. i'm just crazy, lol.

Thanks again.
Any applicants who interviewed..
for DeVenture's radiology account starting next month heard anything back yet?  I had my interview almost 2 weeks ago and I can't wait no longer. 
Iridium job applicants
Has anyone who applied for the oncology job at Iridium heard back from them?  I applied but haven't heard back and was wondering if anyone else has...maybe they're inundated with applicants.
Maybe potential applicants
will respond to the ad by pointing out the apparent history of nonpayment. We can deal with difficult aspects our jobs; we CANNOT tolerate working without timely pay.

I agree with the other poster- if there is even ONE legitimate IC/employee posting about nonpayment, an MTSO shouldn't be allowed to post job openings (until issue resolved).

Are all the bad applicants necessarily newbies?????


You should be grateful for, and consider, any applicants you get, cutesy or not. Do you really sm
think you are going to get professional experience MTs applying in this day and age?  LOL.  I think not.  But still, you need to publish the name of the company and provide a website, if you expect any qualified applicants.
TransTech has been flooded with applicants
They are so personable and devote as much time as necessary to each person and talk to you like you are an important person with a real life. I have never been happier in my life at a job whether sitting in an office somewhere or working remotely from home. My last job consisted of the holier-than-thou attitudes and treating me like I was about 2 years old, constantly being admonished for stupid crap. Debbie Hood and everyone else at TranTech are great. :)
Betcha most do (or at least get permission to), and applicants don't
LOL, it DID look kinda like something Focus would do to get applicants....
We all need an occasional giggle...Thinking Focus posted that to attract applicants was pretty entertaining :-)
Can you imagine the 100s of applicants
I could not even imagine working in HR for TT right now! I would not apply there now, it would be impossible to try to stand out among all the applicants. Its crazy!!!!!
sick person going through applicants.
I haven't heard back yet either. I hope that because the person has been sick that it doesn't mean she will be rushed and use arbitrary criteria to reject people without reviewing all the tests. This happens a lot, I did that job off and on for many years and when busy, they tell you to thin the herd quickly meaning the tests/transcriptions are not thoroughly reviewed.
Platform very easy and quick - easy to get used to. :)
Most applicants GROSSLY overestimate their abilities -
The worst was a former nurse of 20 or so years. She could not do the easiest clinic notes with no ESL doctors. Some days I would swear she was writing a fiction book because her transcription was THAT far off from what was dictated. She had very poor English skills and, if you can believe this one, seemingly little actual understanding of medicine or disease processes. She also claimed to have graduated from one of the top 3 schools, which we did verify. She was astounded when we let her go. I bet she found her way to some other service and is drifting around! Acute care? I would not have let her feed my fish, let alone be responsible for what can be the complex care of an acute patient!
No but it is my job to weed out applicants based on their resumes. sm
I cannot speak for Keystrokes, but I doubt any company would hire you with typos. This is in any industry, but especially in transcription. This is one of the first things you are told when you are looking for a job. I learned that back in college, and I was an engineering major, not anything to do with transcription.

I work for a company that is much larger than Keystrokes, and if they get half the garbage we get in resumes, they are definitely frustrated. I know I am!
I am grateful - for professional, mature, experienced applicants.
I'm not responsible for the voice recognition craze. Go blow somewhere else about that!

Doesn't matter whether you like it or not, the MT has to get past ME in order to get the job!

If you were one of the recent applicants for Advanced Transcription in Oregon ...SM
Are any of you still hearing back or is the hiring over, I wonder? I sent my application in but pretty late by the time I saw the message.

If any of you have started already, how do you like it? Are they really that flexible that you just log on and work when you want as long as you meet a minimum number of lines a week? How does the QA work...what if you have blanks?

I guess any info would be appreciated, even though I'm probably not going to get in on it this time around, it seems.

I am a recruiter and sick and tired of the stipulations put on us by applicants. sm
You want the job, why should we bend over backwards, arrange our schedules, etc. What happened to actually working to get a job. Instead, it seems like everyone wants it handed to them on a silver platter.

I work Monday through Friday, 9a.m. to 5p.m. If that does not work for someone, they need to make arrangements to make it work. If you were in another industry and were interviewing, they would not stay late, work weekends, etc to accommodate you. Grow up and treat this as a career - you may be pleasantly surprised!
The recruiters (pleural) test and fill applicants based on (sm)
what accounts have needs and whether your skills and shifts requested fit those account needs.

Also, perhaps another recruiter filled the position they originally thought was open.

I do know there are some new accounts coming on soon and I hope many of the more qualified applicants are tested and ready to jump on board with us when they do.

It is a good place to work and worth waiting for an appropriate opening.

Also, call the recruiter and ask more questions if you want. They certainly won't bite.
Why do you think there are so many notes SM
on this board pertaining to how long it takes to get a decent line count?

They will tell you it is a 65 character line. It is not. As stated, more like 75-80. There are ways to work with it, make tons of macros, etc. But it is tough.
I only wish I had ER or OP notes, mostly
consults, discharge summaries, H&Ps and the occasional progress notes. I've been at this for almost 20 years though.
op notes
I do acute care which includes a pretty good many op notes but there are other work types too. I dont know if you are looking strictly for only op notes. I work for Alphamed solutions who is currently hiring. I have DSL. I believe it is required. There is usually plenty of work on my account. I hardly ever get on and no work. Rare. I work on the Dictaphone Extext with Transnet. But they also have other platforms. I hope I was of help.
Does anyone remember seeing the job posting for someone to do ERs and op notes?  What company was it?  I cannot find it.
Can't you do everything but op notes?
H&P reports and consultations are similar whether acute care or clinic work. Discharge summaries aren't that difficult either for someone coming from clinic work. I agree that the op notes will take lots of time to learn. So why not ask if you could just do H&P reports for a while and then consultations, and then discharge summaries and maybe later on the op notes? I just received the opportunity to do discharge summaries after having only clinic work experience, and what I like the most is that this offers the opportunity to expand my knowledge because I get to transcribe reports in so many specialties. I understand that you are mad at the recruiter and somewhat unhappy because of computer issues, which means there are several things going on here. First you might want to figure out whether you want to stay with them or move on. If you like working for Precyse, then I would try to find a solution as mentioned above. If you do not like working for them, then it would be best to move on.
PO/OT notes
I agree. Not only are they boring, good grammar is lacking on many of them; they slur through the reports and don't seem to have any continuity of thought or format. I had one very good dictator the other day; I could have kissed her! Otherwise, I don't consider those medical reports, just a mess of words on a page. This is from my experience. You can also nix about 50% of the psych dictators. Just my take on this.
Vet notes

The trend has always been that vets handwrite their own reports in order to save on costs, but that may be changing now that they are hearing other vet groups are using transcription services?  The company I work for only types veterinary ophthalmology reports, along with a few simple op reports.  The ophthalmology terms and medications are pretty much the same as those for humans, but the reports can be a lot more interesting at times, since the animals don't always cooperate!  Once you are comfortable with the terminology the doctors use on a regular basis and the company guidelines as to how the reports should be formatted, the work is a breeze!