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Serving Over 20,000 US Medical Transcriptionists

Yes, exactly!!! The entire profession will wind up being "dumbed-down"

Posted By: RME on 2005-08-15
In Reply to: The answer is, at least from my perspective,...SM - Leadfeather

to where anyone with a keyboard and software can do it.  It used to be that medical transcriptionists were required to have a great deal of knowledge to transcribe medical documents.  If they are reduced to being custodians, cleaning up the punctuation and doing odds and ends because the VR program already knows how to interpret the "big words," then anyone would be able to do this job, anyone.........anywhere in the WORLD!!!!!! 

Tell me, how many American MTs/editors are going to be left once we "fix" the broken machine that is replacing us all?

You make a WHOLE LOTTA SENSE, and it's becoming clearer and clearer that employment with smaller "mom and pop" companies who still believe in quality is the way to go. 

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Gone with the wind
They moved it from the Main board to the company board and i guess deleted the replies..
Run run run run like the wind...





She is the biggest wind bag of the
and suggest you all watch your backsides.
Are we going to get screwed if we are MT/ME? I wind up
doing about half transcription and half ASR, so I might have 800 lines of each. I wouldn't get 1200 transcription lines done because of the ASR work, wonder if that will screw me out of a bonus all the way around or if they have some other complicated formula figured out for that scenario?
But WILL they? They may be suspicious when they get wind of -
Drs. who are so disorganized you get a 15-minute report and wind up
Drives me NUTS! 
You are in a profession
of people who really are scrambling for work. It's not like you are a doctor or lawyer. You are a typist and so stop being so uppity about it. your profession. I thought you had friends and that you are a mother, sister, niece.... get lost
Thanks everyone! Due to this profession and
all the garbage that goes along with it, I have accepted a position outside of transcription.  Pay is better and bennies to boot!  It's sad to see what this profession has lead to .  The ungratefulness from MTSOs is growing by leaps and bounds.  Please no replies that.... the grass is not always greener, etc.  Been there, done that.... I'm very comfy with my decision.  I can always fall back on transcription -we are a dime a dozen whether we are seasoned or newbie (unfortuantely)!
This profession... SM

can be a rewarding profession, but definitely not an easy one.  There are waves of workflow, waves of pay, waves of anger, waves of joy, waves of guilt, waves of happiness, waves of sadness, waves with a shark lurking (like an ocean).  hehe

So what do we do in the ocean?  Go with the waves!  Surf's Up!!! 

MT isn't the only profession
As a coder, we often work around and in spite of. Their written documentation is just as bad as their dictation. One visit the patient has metastatic cancer, the next visit they have cancer in situ, then they have a history of cancer, etc., etc., etc. One visit HIV positive, next visit AIDS, next visit HIV positive. There is no consistency at all. They come in with a visit diagnosis of Diabetes type 1 but their office note says type 2. MTs have it rough but we're not the only one. I think anything in the HIM field meets these challenges. They're just in such a big hurry to whip through it that they don't pay attention. Most docs consider doing their documentation just too big a bother and scr__ the consequences.
And I think that anyone in this profession that has

in this year 2009, should automatically be a CMT; no test; no money; just grandmothered into a CMT.  I am only 38, but I've been transcribing for almost 20 years now and used to have to look every word up in a dictionary and didn't have Google or electronic spell checks to help me do my job.  I feel like I should already be a CMT and not have to take the test.

I also think the line rates are very low here lately especially for acute care work that requires evenings and weekends.  I know this profession is 24/7, but all MTs deserve more than 7 cpl to work nights and weekends as in any other profession, there is a shift diff that pays.

As far as the ist at the end of my title, I don't mind.  A transcriber, in my opinion, sounds more like the name of a machine or office equipment.  The ist I feel is derived from the term specialist, so add what you like before the ist and that's what you get; it is not belittling and definitely not feminine when you consider how many male physicians there are in society today.  Furthermore, I'd take a male dictator over a female any day of the week. 

Okay, I'm done...  for whoever cares... 

This is the only profession ......
that the longer you are in it and the more experienced you are, the less you get paid.
If you are in this profession you have to
accept them, they are part of it whether you like it or not, or as you say - get out.
MTs getting out of the profession
I agree with that assessment. My local technical college is discontinuing their MT program because of the changes being made. So what is going to happen is that there is going to be a huge paucity of qualified people who can accurately transcribe and edit the few remaining necessary functions that they now perform and they will then be at a premium and the price will go up. Then once the medical providers figure out that the way they keep records (EMR point and click and VR), while they may be expedient and cheap, are not living up to the hype and hence will get them into trouble legally (due to sloppy entries and slipshod data entry by the physicians themselves), they will reassess the need for those in our profession and go looking for us again. Perhaps we will be there but probably not.
I think it is the entire company.
Starts at the top. I am truly amazed they are still in business.
IMO, I think the ENTIRE MT INDUSTRYhas become
Yes they did. However, should expect it, since entire co is
The entire ad is an insult - nm
well it's kind of taken over the entire

to have a real profession
So before you going calling anyone dumb.... think about just how skilled you aren't. MQ'ER move along.
Don't let this sour you on this profession. sm
There are great companies out there and horrible ones. What was horrible for you might be a good fit for someone else.
the problem with this profession..

is..... it is very ill defined.  nothing is measured, nothing is objective, at least consistently.  7 cpl is equal to 10 cpl somewhere else.  a few examples.  people don't say they are acute care MTs to annoy you, there are a million different scenarios and a whole lot of jargon being thrown around, and i guess i'd be wondering what a person is called that does acute care but no ops.  a whole half a company where i work are like that.  so.. uh...see.  every scenario is different... which is a major part of the problem.

but, in response to your note, i disagree with a whole lot of it, and it's due mainly to what i say above.  i chose to work at home because i dont want to work at an office so i am sure as heck not interested in turning this environment into the very thing i left.

any, may i submit to you, and many others speaking in these forums.... it's fine to express opinions; it's not heard with much regard when it is touted as fact.  you see divas.  i see an industry of people who have been taken advantage of like no other.  there is no accountability from the doctor, the hospital, or the MTSO... it all runs down hill to the MT.  laws are blatantly ignored and policies rarely written with any definition.  if you want to compare the way we work to traditional offices, when was the last time you worked at an office where you worked 10 hours to get in 8, and you only got paid for some of the work, but not all.  it's come to be the norm here.

some heavy duty revamping needs to take place... and i'm working on it.  everyone put their thinking caps on about what's really at the root of these problems, and stop arguing for crying out loud. never seen so many arguers in my life.  it's apples and oranges that everyone is arguing over.... little bites of fact taken out of context.  no big picture.

i will be back over the next few months to hear them.  let's get down and serious and fix this chaos. look underneath what got you ramped up.. the ramping isn't valuable, but figuring out what is driving it is.  i say we start a revolution.

You are a traitor to this profession.
What you are doing is the reason why MTs are in the fix they're in.  You are selling US out for profit.  Pray tell, how do you plan to ensure patient confidentiality in the jungle? 
I would! This profession is all but dead
If we were men, I seriously doubt our profession
that is why the profession is swirling sm
around the toilet bowl because no one will stand up and tell the truth about these companies AND the ones who do stand up and tell the truth get blasted. Hey, if no one wants to list and wants to sit back and watch it happen without a fight, then don't gripe when its over!
The nosedive this profession took was because
meaningless little spats and email wars between MTs.
Or you could choose to look for a different profession, sm
where you are not so demoralized that you feel (jokingly or not) that you are a victim.
Do you really think that this profession requires MORE than others? sm
Come on, nurses, teachers, most other *professions* have to keep CEs updated, etc. Wages are stagnant in *most* fields right now, not just this one.

If you feel like a victim, find something that makes you happier and feel empowered. That's not anything but truth.
A disgrace to the profession???
Years and years ago before I had much experience I took a job for 6.5 cpl.  I had no choice.  However, it was an easy clinic account that I could do 1800-2000 lines a day.  I only worked 30 hours a week so the $16 - $18 an hour was not bad back then.  The same would be true today for a newbie.  It may be the only thing they can get until they gain more actual working experience.  Kidding right? - Do you remember being a newbie?  They are a disgrace to the profession?  Could it be perhaps that you are the MT who keeps going from board to board, posting under different aliases, and just dogging anyone's post that you can.  What kind of witch hunt are you on?  YOU are calling someone a disgrace to the profession?   
how about listening to an entire conversation -
either on the telephone or to someone else in the room, you have to listen to make sure he doesn't remember to start back on his note.  I even heard a conversation about myself when I was in a hospital setting. They haven't a clue what is recording.
You need to read the entire thread
then you would know that I only drew the difference in what I made and what my weekly unemployment amount was - and applied for other jobs - offered a lot of IC work, but I already had that.
For the entire 8 weeks you've been there?!

Speaking strictly for weekends, she's probably not working, and has forwarded her calls to the help desk, where they could put you in touch with the weekend supervisors, if need be.  But I truly doubt she's ignored you the whole time you've worked there.  She's simply not like that.  She has answered every email I've ever sent her, and always answers her phone during her normal weekday.  My supe has an usual name that starts with D, same as yours, right?

I still have never run out of work the entire 1.5 yrs I have worked sm
there (with the exception of the holidays), and every single time I have asked to be put on another (additional) account, they have happily done so.
You don't have to read the entire board there
certain company.  There's no reason for you to be rude, she or he is just trying to help!  I'm one of those MTs that is fed up with the B.S. being fed to us by these we strictly hire U.S. MTs only companies. 
Here is what I received - the entire ad, not edited.


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Doesn't scare me. Most of the entire MT
The ones who should be worried are the ones who've been screwing MTs for the past decade or so.
Of course its my career - has been my entire life
That's what makes no sense about this rant above me. She recounts 30 years of her life as an MT and how horrible its been, all the failings, and how it has ruined her life since nearly day #1.  Per her own words, she blames everything, from her blood pressure to her endometriosis, blames her divorce, missing out on her son, blames everything on MTing, yet she has done it for 30 years and now is back at it again.  She claims over and over to have failed at literally every aspect in her life she felt worth mentioning, blaming it all on MTing, yet here she is an MT. What part of that makes sense to you? We're to feel sorry for her??  I've been in this business 30 years and have been a success. I've had a zillion trials and hardships and battles, but my career is a success, or I would have gotten the heck out of it when it became a disaster. If that doesn't make sense to you, which obviously it doesn't, then there is no reason or sanity with which you can be approached.  Substitute MTing for any career - if you are failing at it, and you've lost everything in life due to that career, why are you still doing it?  That's a big question, because the blame is not on the career, its on the person.  Nobody else to blame but yourself. Period.
In a nutshell, that's what's wrong with our entire
economy! 'Way too many chiefs, and not enough Indians'. ('Native-Americans', I guess I should say, NOT the eastern variety!)

Too many people in management, and not enough people who actually do the work. Just like AIG, which is currently paying bonuses to its less-than-useless CEOs for doing absolutely NOTHING, you know the MT companies are giving raises and bonuses to the managers, recruiters, executives, etc., all the while trying to justify offering the MTs that actually produce the finished product in the service that they sell, lower and lower wages, which are not only ridiculous, they're no longer enough to live on.

The hospital I used to work at was the same - it was all about their image, and the fluff, and they achieved that fluff by grinding their workers into the dirt.
You misread. The entire MT industry is a
out of hundreds of thousands. Most people that get hired for job get put to work as soon as possible. The MT industry 'hires' people, then twiddles around with them for weeks. The MT is always the very last one in the pecking order, even though they are the ones who actually do the work that the MTSO gets paid for.
I had not worked the entire hour.....
I said I had made for a half hour 17, actually it was 17.84 - that was a total of 446 lines, count it yourself. That was NOT a full HOUR. Guess not smarmy after all, hehe
Well, my entire post didn't take
Anyway, the entire report would be free of most formatting.
Yes, please read the entire thread
Several of us have directly emailed our liaisons and D, and have had absolutely no response.

Considering the fact more than one account has been without any appreciable work for over a month, I don't believe the speculation is all that 'wild.'
It's like an entire industry run by a bunch of
With a little luck, and some back-at-ya kharma thrown in for good measure, maybe one day some of the MTSO CEOs will be Bernie's new 'neighbors'.
VR, Transcend, MT profession, etc. Long msg

Difficult as it will be, it's time we, as a profession, unite and put our collective foot down on this crap.  We are quickly running out of time to be able to do anything about this stuff, and this may, in fact, be our last shot at making a difference.  Therefore, my suggestion for those being replaced by a technology that still can't even do the work without our help is to immediately look for work with other companies that are not yet going to strictly editing positions through VR, and do it quickly and as a mass exit.  Any company experiencing a mass exit like that I don't think can survive it.  There are a lot of companies looking for good, experienced transcriptionists, so the time is right for making an immediate move.  Such a move will send the message that giving our work away is synonymous with losing accounts.  By watching the aftershock of such a response from the MTs, other companies will hopefully think twice about following the same path.

The point is, if we don't strike a plan and do something, and quick, we are all going to be looking for another line of work anyway. My position is, if the doctors want to use VR, then get it right. If I am going to have to hang back in the wings and fix it for them for less pay and longer hours, then my answer to that is, no thanks; do it yourself. The point is, of course, at least for right now, they can't do it themselves and don't have the time to do it even if they could. This is the best opportunity any of us will have to make a stand (and a statement) while keeping the pain we individually experience as a result at a minimum. Test for another company and move on as quickly as you can. If a company engaging in this cut-throat activity gives no notice (as the posts suggest happened in the case with Transcend concerning wage and work cuts), then don't feel obligated to give any notice that you are leaving.  If you are working for a company that is considering such a move in the future and has stated as much, then make plans to move on right now, and when you have secured another position, let them know you are leaving and why.

You can't wait on this. Don't give them time to figure anything out. Just leave them high and dry the way they eventually intend to do you (us). They're doing what they are doing because they want to be richer. You'll be doing what you do because you need to survive and put food on the table. BIG DIFFERENCE!!

The results will be that the other companies that are looking for good help will get all that they need, which will make their accounts happier because TAT is being met like never before.  In turn, the companies that experience such a mass exit will have their accounts looking around for a new home because of the backlog that develops, and that in turn will cost them money rather than such a move having made them money as originally thought. And, where do you suppose those fleeing accounts will have to go? To companies that are well staffed because they don't take their MTs for granted. This will give such companies a big boost economically, which will be yet further incentive to maintain a happy work force and not be willing to cut the throats of their work force when it comes to work availability. 

This will not prevent VR from continuing to progress and develop, but it will stop the tide that is beginning to take shape and perhaps even shift it once the doctors and the companies realize that, if they are going to use it, they are on their own because we will not help them put us out of work. The technology is still not to the point where it can stand on its own yet, so those that would see MTs out of work will have to rethink their position for the time being, and that in turn will give our profession more time to find a way to organize and make a permanent stand for the benefit of our own self-preservation as an industry. They're slowly pulling the rug out from under us, and we are just standing here letting them do it because we don't see how there is anything we can do about it. But there is something we can do.  We just have to buck up and do it.

Don't tell me this is idealistic either. That's all I have heard from fellow MTs when it comes to making any kind of a stand. It's only idealistic because you aren't willing to do what it takes to change it. If we stand together and refuse to go along with this, these companies will have to rethink their position. If we wait until they are in a position to survive without us, then they will do just that. Either way, we're all going to be out of a profession anyway, so why not make a stand right now while there's a chance it could make a difference, especially when there is still work to be had in this field with other companies that have not yet sold us out.

Well if you've seen the profession erode so much,
That's one of the biggest eroders!  And you act as thought the AAMT only does what its membership wants.  Bull hoggy!!  It does whatever it darn well feels like doing--whatever will line its pockets!
I have 10 years in this profession and have a different viewpoint
I started out with a small MTSO doing clinic only and got bored after 5 years so struck out on my own after waiting out a hostile takeover by that big bully company and the clinic going back to original group.  I then learned just how unstable this business can be.  In the next 3 years had my own hospital accounts and worked for about 4 nationals - had very good experiences.  I then QA'd for a very stable company who decided to get out of the MT business and sold their accounts to a company who had their own editors.  For 4 months I looked for a stable company, I tested and interviewed and made comparisons. You would not in your wildest imagination believe what is out there - I kid you not.  I will not go into all the horrible details - you can either believe me or not.  But some of the posters have real valid points here and I for one appreciate their comments.  I take the good with the bad - realizing there are some sour grapes but that is to be expected.  All and all I think there is a pretty good and caring support system here and I appreciate it very much! :)  
There are single Moms in every profession.
You can't expect to work for a company holding the cards, and them pay you all of what they make when you want to be at home and it is not your account.  It belongs to the company paying you.  There's always the pavement to pound if you think you deserve the big bucks.  Can't have it both ways.  I don't think anything is just handed to anyone.  If the electric is going to be turned off, then there are programs out there to help.  I think if you fall within a certain salary range, you would qualify for assistance especially being a single Mom or Dad. 
work ethics -- not just this profession
you will find there are those kind of people in any given profession.  Also you never know one's background and you cannot compare apples to oranges.  Providing wisdom for someone is far better and more professional and makes you the bigger person. 
this is where expierience in the profession kicks in. nm
I do accept ESL as part of the profession
I transcribed for them all the time.  Some of them are great.  What I asked was, is it fair to use an ESL like this particular one as part of the testing process, poor audio and all.  Maybe it is.  Maybe it represents the dictators they have on the account they are hiring for.  If so, no thank you.  While I do not mind turning out quality medical reports to the best of my ability, no - I am not doing it for free.  As much as I love the MT business, I am still here for a paycheck so yes, production and cpl does matter to the point that I would not want this particular ESL as my full time job.  Looking out for number one.