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Serving Over 20,000 US Medical Transcriptionists

16 years, 1 radiology, 7 clinic, 8 acute

Posted By: P. Yano on 2005-10-04
In Reply to: how long have you all been a MT? - Snow Bunny

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10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
10+ years of clinic and acute experience.
Multiple specialties. No training needed. I haven't been able to find a job in six months. The last place I worked lost the account when the clinic outsourced to a different company with VR. So I've been babysitting to put food on the table. They're shutting off my water and heat next week. Walmart won't even hire me.
When I applied looking for acute care, Jane told me it's 70% clinic and 30% acute. nm
s
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now.  I've only done acute care for a few months but I think it is much easier.  Of course, my old clinic had every type of doctor known to man lol.
Acute vs. Clinic

I cut my teeth on acute care - real baptism by fire - and by comparison clinic would have been an easier start for me working from home, but I'm glad for the experience.  Acute is so much more technical that, if you're willing to do it on production, you should be prepared for the income hit that can come with the learning curve.  If you can go in-house to get the experience, I'd suggest that.  However, if you want to continue from home, keep knocking - with your years of clinic experience, I'm sure someone will give you an opportunity.


i currently get a mix of clinic and acute care; sm
i get all different report types (clinic, acute, and various types), different facilities, just a big mix and yep it hurts on production. i have worked for MTSO before that assigned us set report types like i did consults and discharges. i was way much more productive there than i have ever been.
acute care vs. clinic

A walk-in clinic would still be considered clinic work.  When applying at a company that classifies experience as acute care and/or clinic work, acute care is the term used to designate hospital dictation. 


Acute care clinic

The reason I called it acute care clinic, is to convey that it was not a specialty clinic.  Our patients were there for acute care, and it was a clinic.


But you are right, I am knew to the transcription world outside of what my doctor expected.  I have read at least 5 text books on MT, but all emphasize asking your employer which format is preferrable. 


I was also wondering, on these online tests,  do they want verbatim, even if it is incomplete or run on sentences, or am I to make them complete by using "and" etc.


try for a company with both clinic/acute
if you can get on a clinic account with a company, down the road you may be able to train for an acute account with that company.
Do you do acute care or clinic?
nm
i went from clinic to acute care..
with no problem.  i work for 4 big hospitals and yes, there are a lot of doctors, but they tend to dictate all at the same time so i will get a bunch of dictations from the same doc in a row.  also, sometimes it seems like i get all ortho for a day or all ds for a day or all psych for a day.  i think it all depends on who you work for.  don't be afraid, jump in.  that's the only way to start and with all those acute job openings, i don't think anyone is going to tell you that you don't have the experience. 
clinic to acute work
I so understand where you are coming from.  I did clinic work for 16+ years and could never break into the acute care but just recently someone gave me the chance.  I thought I would have a hard time but I have had no problem and made my line count within a week.  I am soooo grateful someone finally gave me the chance.  Keep trying! 
clinic to acute care?
How do you transition from clinic work to acute care work?      I have done about a year of radiology work, which is what I started out doing.  I went to in-house family practice for 3 years.  Now I do GI and clinic notes.  I have also done a pain management clinic.  I have been doing transcription for about 6 years now.  I can't test for acute care because I do not have the 2 years required.  I tried working at a hospital part-time or PRN actually.  The drive and gas plus it was a second job for me, killed me and my budget.  It was an hour drive one way. 
clinic to acute care
I'll be starting with a new MTSO in a couple of weeks and will be doing acute care ONLY.  It's been a great many years since I've transcribed acute care; have only done clinic dictation for quite some time.  Can you guys give me some pointers to help me ease in to the transition? 
clinic notes to acute care

Has anyone gone from doing clinic notes for different specialities to acute care in a hospital?  I have been a Transcriptionist for four years and lost most of my work to India.  I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital.  I never did hospital work.  This will exclude lab and X-ray reports.  I am a little scared.  Any good sites to brush up on for documents or any words of wisdom?


Thanks!!



Need to vent acute care/vs clinic

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!



I went from clinic to acute care last year...
And then went back to clinic. I hated the acute care maybe because I think I had one of the worst accounts ever! Terrible dictators. It was such a big change. I didn't like it and I went back to clinic. You can do it and you could adjust in time but to be honest I wasn't making nowhere near enough money to bother with it. If the money was right it would be worth it but for not much money it wasn't worth it for me.
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
Acute care vs. Clinic reports-

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


radiology from acute

Hi.  I did acute and everything else for 20 plus years, and after my last loss of job to voice recognition, I got a local job near me that was radiology.  I had done radiology but not the CTs, MRIs, and everything else like the procedures.  Radiology is good, but there's one problem the jobs are scarce and there are so many rad MTs trying to get the job that it is hard.  The other problem I am finding, is that after losing this radiology job to voice recognition, (2nd time losing to this), I have been doing the radiology for 3 years now, the most thing out there is hospital, acute care, I am finding it so hard to get back into that and make any money.  I am so used to radiology now.  So if you are making good money on acute now, I would stick with it, and just do radiology as a side or something unless you have such a good offer that you can't pass it up.   That's just my opinion. 


Only 7 or 8 cpl for clinic and acute unless they've changed recently. nm
s
Acute Care or Clinic????? Which is easier? Where can I make more
I have been transcribing clinic reports for the past 3-1/2 years (not for the same clinic).  My company does have some acute care accounts and occasionally asks for someone to switch.  I was just curious if anyone had any opinions on which is easier.  I mean where can I be faster and a better lph.. clinic or acute care?  TIA
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
Acute care position with clinic experience???
Can anyone help or advise me? I have 3 years of clinic experience, but I would like to break in to acute care. It seems like I run into the same brick wall that I ran into with no experience.  Does anyone have any leads or advice as to acquiring acute care employment with clinic experience only? What do I need to do? Thanks.
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
own accounts, IC, employee with benefits, acute or clinic?
nm
Difference in Acute Care vs. Clinic reports

Being new to MT full time and coming from a hospital setting (specialty clinics) for most of my career.....How does acute care transcription differ from "speciality"clinics (i.e. ortho, GI, oncology, etc.) when applying for jobs?   Acute care is the same as emergency medicine right?


Aside from the differing terms, doesn't the basics of format apply to all H&Ps, clinic notes, etc. when transcribing notes regardless of specialty?  Therefore, even if you have mostly specialty 'experience' wouldn't you still be qualified to do acute care?  Just wondering....


difference in Acute Care vs Clinic Reports
I thought so.  Thanks!
ACUTE CARE-RADIOLOGY

I have noticed a couple of companies are asking for Rad transcriptionists but they want you to have acute care experience.  Why?


I went from Radiology to acute care
back in the 80s, but I was lucky to do it in office, spent a lot of time with my nose the reference books and the PDR. It can be done and is a good idea since it seems most radiology is going to VR. I guess powerscribe is pretty good.
Radiology to acute care
I went from radiology to acute care. It took a lot of work, but it can be done. I got a radiology job in house at a hospital as my first MT job and when an opening came up in acute care a year later, I was given a chance. Might try to get your foot in the door at a facility in radiology and go from there. Hang in there. It can be done!
Acute Care vs Radiology...
What do you think? A newbie here trying to test, either for acute care or radiology. Which one should I go for? I've done cancer for about a month now, but I was just wondering!
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Thanks!
Has anyone gone from acute care to radiology
I was wondering how much of a learning curve there is to make the leap from acute care to radiology. I have never done any radiology transcription other than when results of rad reports are read, or doc does a quick read of chest x-ray, etc.


If you have done both radiology and acute care

which account do you think you made more money transcribing??  tia


variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
varies: clinic/acute, employee/IC, own accounts/pool.
nm
depends; clinic/acute, IC/employee, pool/own accounts....
nm
Acute care versus radiology (sm)
I am currently working for a national doing acute care, but I am considering taking a job with a local hospital (working from home) doing just radiology basically for the better schedule and better benefits.  I am wondering if it would get really boring just doing radiology all day.  Has anyone switched from acute care to radiology?  Any opinions?
Acute care/radiology transcription
I have asked this question before but have never really gotten a response.  On one account (hospital), I type their basic 4 and all their radiology.  I get paid the same rate for both.  Radiology is about 1/3 or more of the work I do for this hospital.  Should I ask for more for radiology?  It just seems like from what I read here, if I got paid what some of you are saying you get paid for radiology, I would get paid about three times what I am currently getting for radiology.
No, acute care is paid more than radiology. sm
Radiology is paid at a lesser rate in most all hospitals in my neck of the woods - Northeast!


Opinion question... Radiology/Acute care, sm

I currently type on an acute care account (pd by the line).  We have an MD who consistently dictates his radiology reports on the acute care line.  I have been told to just go ahead and type them.  Am I loosing money in doing this?  Is radiology paid more than acute care? 


Thanks for your help!


I type radiology, but have done some clinic work
I briefly tried acute care, but felt that was a little too hard to do working from home. I have done some clinic work, which worked out fine. The hardest part of that was learning lab values, specific tests, etc. I feel your pain, as it is very difficult to transition. I've done cardiology, internal medicine, and nephrology clinic notes and have done well with them. Things like wound care can get a little tricky because of all of the terminology with bandages, sutures, etc. My advice would be to get some reference books and maybe try to find a part time job, where your livelihood would not depend on the account, and give it a try! With this job, you won't know if you can do it until you try! I know it's hard with the national companies. They don't like to take time to help you learn. I learned my clinic stuff from local doctor's offices, where they gave me sample reports and I could take as much time as I needed to look stuff up. I wish you luck!
Is it harder to reach your daily line count on acute care or clinic?
nm
I've never seen mixed acute care & clinic at the same time. That's a production killer for sur
s
Right. Can't compare the two. Just like you can't compare clinic and doc office work to acute
.
Oh, my. 30 years doing acute care. sm
I started VERY young!!
27 years, all in acute care. NM
x
30 years, doing it all (acute care now)
x
Been doing acute care for 7 years now,
and I was taught to do all of what you QA said you should be doing. The only exception is the spelling out of the abbreviation (GERD). Then I think that depends on how your hospital wants it done - verbatim; spelled out; first time said spell out, then abbreviate after that, if the doctor abbreviates. But I think all of the other times you listed are according to AAMT guidelines.
I have done acute care for 25+ years and
ERs were not considered part of what I did. ER had their own transcriptionists. I personally think ERs fairly simple compared to acute.