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Serving Over 20,000 US Medical Transcriptionists

True, ESLs are not the only horrible

Posted By: kt on 2009-04-16
In Reply to: Maybe I should not even use the term ESL - Fingers

dictators, plenty of USA physicians that fall into that category.

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Maybe so, but anyone new won't be put on it. I had too many horrible ESLs on my accts. nm
OMG, so true about the ESLs....
and they lied about that little bit of information in the interview too.
Horrible, horrible, horrible place. Unlike the other poster
I actually worked there.   Sound quality is horrendous.  The account I had was the worst ESL I've ever had and I do 85% ESL so I have no problems doing ESL.   Frequent management turnover.   When I was doing QA the work was so bad that I pretty much had to redo every report.  I hear about how well they pay, but they don't pay that well and certainly not enough to compensate for all the other stuff. 
Worked there 2 years ago..horrible, horrible, horrible.
Would totally avoid them at all costs.
SoftScript is the worst - horrible accounts, horrible management, don't go there! nm
horrible, horrible contact person! Worst experience ever. SM
Turned it down because of the arrogance and attitude.

That was not long ago. Ads run every 2 - 3 months.
Horrible accounts, horrible sound quality, etc
The only time SoftScript would not be wonderful is if you aren't doing your job. They are an extremely professional company. Sounds like someone may not have lived up to their standards.
Horrible, horrible place. Lots in the archives.
Thanks. Yes I heard from others many ESLs and many very difficult ESLs. nm
Horrible company, horrible dictators, ESL
at its absolute worst, sound quality horrible.  The MTs I did QA for were horrendous.  They made up words, obviously didn't use a spellchecker, couldn't get the hang of something as simple as copying and pasting Preop diagnoses to postop diagnoses and would type same again and again.  QA manager would send out updates for new drugs, equipment and have things misspelled, frequently got e-mails that evidently were sent because someone wanted to feel important, absolutely no useful information, management problems, lots and lots of turnover, including management.    The CEO has no clue about transcription and is in it for the money.  After talking with him you feel like you need a shower. 
Horrible platform. Horrible communication.
Horrible people who say one thing and then when you do what they say, they get mad and act ugly.

Enough of a bone?
Glad that's true for you for 8 years. Not true for many. I love the company, but I do run out of
as do many others. Wish I were as fortunate as you.
Not necessarily true. That is not a true test of skill.
Do you know how many people get others to take tests for them? It happens and it happens more often than you might think. The only skill that shows anyway is that you can do it.

We are actually more than a transcriptionist. We are specialists in our field and we are supposed to know some things regarding anatomy and physiology as a working base. That's how we can judge if a physician dictates something in accurately and many do because they can't pronounce or just are not thinking. That's why our skills of basic knowledge come into play and that means basic knowledge of body parts. If our job was just to sit there and type without thinking about what we are transcribing, then all patients are in trouble and this is just based on what I see as a QA person.

It's more than just knowing how to transcribe and some of the companies have discovered how to know what your basic knowledge is based on what you have picked up with your experience by utilizing your references etc. Hopefully that utilization of your references has taught you something that does stick in your head.

Beliefs like yours are just so far off base. You have to know what you are doing. It's not just about being able to listen and type. Base knowledge is a very important thing and the services have to find a way to know that knowledge base that is there in your head.

Arrrgh!!!  Is there any company out there that has a minimal number of ESL dictators?  This is my second week with a new company with a VA Clinic account that has to be at least 80% ESLs--I just cannot do them.  If I have a good dictator I can transcribe them with no problem--even with the myriad of drugs I'm unfamiliar with.  I'm on the verge of resigning.  Thank Goodness it's Friday!!
It comes with the territory. Focus and try harder.
ESLs for Joy
Joy if you keep at it, you will become familiar with what ESLs are saying.  It is like anything unfamiliar, allow yourself time to become familiar with the ESLs.  It is difficult, but it come together for you if you keep trying.  :)

There are maybe 3 doctors across the whole company that are ESLs.  I don't know if someone confused the name of this company with another or if things were different in the past.  But since you are not working in pools and there is very little ESL, you can request not do have to do them.  Also, you are paid higher for the more difficult dictators, so it doesn't waste your time.  But you are not "forced" to do anything awful, like some places I have worked before.

Out of all the nationals that I have worked for only 2 didn't have "clunky" software.  There is better software and there is worse; the software here is in between.

There are no more ESLs at TT than ...
I have had at the other company's I have worked for and I have been at this for 25+ years.
Just make sure you can type 100% ELS - and I mean, I haven't had an English speaking doctor now for DAYS. I have been doing this for nearly 15 years, and I have NEVER struggled like I am struggling with this account at Transcend ... I literally cannot understand a dang word these guys are saying, plus with the bold this, list that, don't do this, make sure to do this ... all I can say is, good luck. I'm not sure how much longer I'm going to be at Transcend. I'm losing money BIG TIME.
Many ESLs, but....
Many ESLs but most are good dictators.  Most accounts are specific with what they want, how they want the set-up and format to be, etc. But once you get it down, you have it.  FutureNet is an excellent company to work for.  They have plenty of work, very flexible with your schedule, they do not bother you throughout the day (they just send an email about three times a day to let you know the account count for the evening), pay is ALWAYS ON TIME EVERYTIME....People are very nice and supportive.  I have been there almost a year and I could not have found a better place.  Everyone has their opinion, but my opinion of it is THEY CANNOT BE BEAT!    Hope this helps.

As far as ESLs, it all depends what account you are assigned.  Some hospitals have more ESLs than others, and I have also found that certains states have more ESLs than other states in the US. 

I was on one account that had some wonderful ESLs.  I actually preferred them over the American doctors who like to talk at 3,000 miles per hour.  The ESLs seem to enunciate their words more clearly.  Again, every company has ESLs; they are just part of the job.


Used to ESLs
I've done them my entire career and I don't know how any account wouldn't have them.  I much prefer them over the fast-talking Americans. 
If you are going to try to avoid ESLs in this business, I would just avoid medical transcription all together!
Not all ESLs are created equal..................the ESLs that I had experienced at SS were of Russian descent and that accent was tough to pick up.  Mind you, I had 15 years in the business at that time, all aspects, all work types, and it was VERY difficult to pick up that accent.  However, with samples and help, it can be done. 
The ability to do ESLs is integral to being successful in this business. If you do not want to learn to do ESLs, you are severely limiting your chances of success. I have four huge hospitals, about 80 percent ESL, and that is perfectly fine with me. I always have work and always make great money.
I had ESLs too (sm)
Very poor sound quality.  I was almost in tears myself.  I left the company after trying my best.  Everything I read was good, people were extremely nice, just hated the ESLs and poor quality I had, so I moved on. 
more ESLs?
I am wondering is it common for companies to give new employees the accts others don't want, or are they just trying to 'break us in' good?
I still wouldn't just up and quit without asking someone for some samples or feedback. Take note of the people around us, we are no longer living in a world of just Americans. We have to expect that we are going to see more and more of this as time goes on. Best to make the adjustment and learn it now.
I do not think they have any more ESLs sm

than anyone else. Of course, I used to work for YOG and had an account that they admitted was 92% ESL (!!), so I guess nothing phases me anymore.

The other poster is right -- some of the worst dictators are the docs for whom English is their FIRST language, yet they talk at the epeed of light, mumble, etc., and seem not to care.  A plus with most ESLs, they tend to say the same things over and over again in their review of systems and physical exams, so you can make normals and such.

TransTech is a great place.  I wouldn't let the thought of ESLs scare me away if I were you.  More and more, it is the nature of the business. 

Good luck!  

She was smart to leave. I should have left a long time ago. I have lost thousands of dollars by giving this account a chance. I gave it months and have worked with the staff on trying to make things better, (long story). I have plenty of experience with ESLs but not 80-90%!! It usually takes me a month or two to get used to an account at the most, not this one!! I just got offered another position this week, and as it turns out I have done this account before working somewhere else so I know it is a good one. I can't wait to start making a livable wage again!! It is going to take me a couple of years to make up for the lost wages for giving TT's account that chance.
I am very proficient at ESLs but you can't make a living doing almost all ESLs!! There needs to be under 50% at least for crying out loud so a person can make a decent paycheck.
I would not like having to send so much of my work to QA all the time. I take pride in the quality of my reports with high production and little to no blanks. I understand blanks at the beginning when you are getting used to an account but after that you should rarely need stuff sent to QA but obviously that is impossible if you have such a high percentage of ESLs. Who has time for that???
There are ESLs (sm)
But I remember the sound quality to be horrible as well. I felt like a piece of equipment too, with the fakeness of the supervisor to make you FEEL like one big happy family. I moved on and now make twice what I did at Amphion.
How are the ESLs?
ESLs - sm
I probably do about 75% ESLs and most of them are right off the boat and barely seem to speak the language.  However, they do tend to use the same ROS and PE over and over and I have been able to get the hang of most of them through sheer determination.  My big beef is I am docked every time I leave a blank and send to QA because of their unintelligible mutterings that QA and then QC will often leave that same blank.  Tell me patient care is not being compromised here with blanks in reports that no one can fill in. 
ESLs are everywhere --
The ESLs on my end are
for the most part from India, I believe but I was shocked that Escription could get the first word that they said so I would not worry about where they were from, it really does good with ESLs, in fact I have some English doctors that it does not pickup as well. I was a true disbeliever before I actually started it. Oh, did someone tell you you would be doubling the amount of lines and also do you do any straight at all with the VR?
ESLs and VR
Obviously there are ESLs and there are ESLs.  Some of those I have done over the years I have often said God Himself couldn't understand what they were saying so how in the world could a computer program understand? 
Not my hospital...mostly ESLs and you need
at least three years experience just to apply.
my acct has about 80-90% ESLs
my back up account is worse. 
Seems like the ESLs will eat you for lunch
I know they had one good account but think that has been filled. 
I can live with some ESLs, but I don't - sm
Really want to do predominantly-ESL work. Would you say that the work is mostly ESL?

TIA, by the way!
What about their accounts? Do they have ESLs?
lots of ESLs
There are very few jobs where you don't have ESLs, but
some have less than others. 
Most nationals are going to have a lot of ESLs. sm
I was told by one MTSO owner that they needed American MTs to do that kind of stuff overseas because they couldn't ship that stuff out and expect any kind of quality in return. So as long as there are crappy ESL dictators, they will need American MTs.

I think it is funny that even their own people can't transcribe that stuff.
80% or more ESLs on accounts, otherwise okay!nm
thanks for the info on the ESLs
anything else specific besides this?  ESLs can't be that bad can they?  As long as you have the same account don't you get used to them after a little while?  At least that was my experience during school... 
It's already become a biz consisting of only ESLs for most of us..
only with the good docs going to the new MTs.
mumbing ESLs

I've been doing this for 18 years and I firmly believe that ESLs are getting worse and worse and worse.  I think that as their population in America grows and grows, they rely very little on the English language outside of work so they don't get in as much practice at speaking well.  Here's what I do:  Transcribe the report, leaving A marker every time it's a really bad mumble.  Listen twice or three times only, then move on.  When you have reached the end of the report, go back and tackle each blank one by one.  I am amazed at how much faster I can figure out the blanks with this method.  Most of the time I hear right away what I couldn't get the first time through.  I hope you have a platform that is conducive to this method.  Good luck! 

I believe there are a lot of ESLs on the accounts that are not the best. nm