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who is going to clean up the bad ESLs' VR reports? I ..sm

Posted By: lara on 2009-09-28
In Reply to: It is very possible to get huge lines on VR - VR here

Is this a way to weed out too badly dictating ESLs doctors from VR?

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I have years of experience with ExText and ESLs. These reports had holes in them, the docs were so
I really think MDI could clean up a lot of
problems if they would communicate with the remote MTs.   We had weekly conference calls for 2 or 3 months, then 1 for 1 month and then none.  If I did not know MTs on other accounts, I would think there was nothing put out in communication, but several of my friends get little things like notes where they might need additional help or other little things going on in the company. I have had 1 e-mail in last 6 months stating where they needed additional help.  Why?  Because I have a team leader who thinks she is going to control everyone and her idea of controlling is to limit the amount of work you are allowed to do.   This team leader idea was the worst idea they ever had when you have a team leader like this one!!!!!!!! 
I used to clean the grill at BK...
Your post brought back gruesome memories! I also manned the fry station - quite fun during those hot summer months. Hmm...come to think of it - MT doesn't seem quite so bad now that I think about it.... 
You and me both. I basically just clean up
for brand spanking new MTs at one-third of their line rate.  Depressing.  But am making a little money while looking for other jobs.
Thanks. Yes I heard from others many ESLs and many very difficult ESLs. nm
Then email that too! I want a clean board and I think Adm does too!
And I'm sure even the janitors who clean their buildings -sm
But when was the last time you got a C.O.L. raise, or a merit raise, for that matter? Here in the western U.S. a gallon of gas is now $4.00 in some places, a box of cereal (which once you open it, is in reality HALF a box of cereal!) costs $5.00, rents are high, etc., and MTs still make about 7-8 cents a line - if that.
It only takes a second to clean my toilet. Want to
Well the invite to come clean my toilet for free still
where they 35 comparable reports - or 35 short and 35 long reports? nm
Paid 50% of already deflated MT wage to clean up somebody else's mess...nm
Starbucks coffee is burnt, you clean the tables, you serve yourself
Good thing it did end up here. Post about squecky clean posts has already been
When I read "that breed", I thought she meant "Arabians". Don't try to clean it up.
You know exactly what she meant. It was obvious.
Typing ER reports and radiologogy reports
are completely different with regards to pay. For typing regular reports, that is a very fine line rate. For typing radiology reports, it would be horrid.
A majority of at-home MT is overflow work with in-house getting the bulk of the work. If they clean
They require that you work in house until your have clean QA for 3 paydays then you can work
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