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Dictators/Docs should be rated on their dictation skills!

Posted By: happymt on 2009-05-08
In Reply to: I totally agree with above poster...sm - tired mt

I get so tired of hearing how hard everyone thinks it's up to the MT to keep trying to decipher poor dictation--that the CMT credential would actually help with that! I have a feeling most MTs probably wouldn't do better/worse if the had the CMT credential. I'm convinced most of us do just fine without a CMT credential if you could just understand many of the darned docs with their poor dictation techniques. How about if they were rated based on their dictation competency! Would it help if we could classify the ones that dictate with speeds like a runaway train, their poor sentence structure, ESL language incompetencies, slurring, mumbling, chewing, etc., so even a marginally competent MT could get the a document transcribed. That's where they should put the onus of responsibility for getting better quality work. My thoughts.


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Beginner given most difficult dictators out of 300 docs who don't know that ESL
I agree that one needs ESL dictators, but most the most difficult dictators in the beginning.
Many dictators are under the illusion that the dictation sm
is voice activated. They don't realize that their breathing, page turning, or other background noises will keep the system recording. They're too lost in thought to think of anything but what they have to say.

This is when I do my nails, flip through a mag, give the closest pet a hug, or eat something. Beats getting frustrated!


if the docs dictated in an orderly fashion, clear dictation, enunciated
every word, spelled patient's names they couldn't begin to pronounce but try anyway, but then if they did all that VR or a monkey would have all our jobs because then "anyone" who could type could do our jobs.  
Is the dictation quality good, are the dictators good, are you
a newbie and you still have to look up lots of words ....   The very first day I typed, with absolutely no education way back when, when you didn't have to have a degree/certificate or previous experience, I typed 665 lines.  This was without an expander and I was not a fast typist.   I can do 1000 lines in about 4 hours now on average. 
To say it the least most G-rated - HOT!
nm
Yes, I have the top rated one from
It's a white canister. I got this one to replace the previous generation of the same model which lasted about 12 years; can't beat it for the price IMO. Cleans great,has goot attachments and now has an expandable wand.
Isn't that like x-rated stuff?

My x-rated emails were innocent on my part
I am larger size lady and went on the internet looking for plus size clothing sites. Well, the internet had a mind of its own and went to plus size ladies. I got all kind of stuff sent to me. Hey, I am a married lady and only looking for clothing, not a date.
Has anyeone else had a problem receiving x-rated emails? sm
It started a few weeks ago, and they come in with the name on the email as my husband's name, but it's my own email address. They are usually lewd subject lines, talking about male size, and crap like that. I accidently opened one and they all have to do with drugs like Viagra and Cialis. They had a website to link to to get off their emailing list, but I can tell that they have somehow just glommed onto my system.

Has this happened to anyone else? Is it a virus or something? Any ideas on how to get rid of it? It's not like I can block my own email address or my husband's from coming into my email box, which is exactly how they're sending them, like they're coming from myself!


Any ideas, please? I've been deleting something like 25 emails a day from these, and I'm getting ill just having to read the subject line that pops in with each one.


Many thanks, in advance, if anyone has any info on this scam.
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 


people skills
I beg to differ. I agree with the OP - your post was rude and condescending. I see no evidence of people skills in anything you wrote or in the "tone" of your post.

Also, your reply had nothing to do with her post. She was sharing good news about a hiring phase going on right now. Too bad you are so miserable that you cannot even recognize when one human being is sharing good news with others.

From what I have seen and experienced with MTSOs in the last 2 years (28 years in this business), there are many owners, managers and supervisors with no clue about how to deal with their employees.

SO, maybe you are the one who needs to find another business.
Looking to upgrade skills, though sm

just for personal reasons, as I'm still working, etc.  I see Medword has a 9 specialty CD set for $269, and of course there is the SUM Advanced package but that's $840.  My goal is to be more employable by just broadening my skills as I've only been doing ER and clinic for years (going on 10); however, I'm certainly not made of money!  ;)  Do you think the Medword one would be okay or a waste of money?  I've heard great things about the SUM program but do you think it's really necessary?


Thanks for your thoughts!


I hope your MT skills



This is where your skills really come into play.
It will drive you mad if you let it.  Sometimes even the doctor is unfamiliar with the med especially specialists.  I have found that on an occasional basis. 
$$ should have nothing to do with your skills and conscientiousness. (sm)
you sound like one of the ones who is relatively new to the field (within the last 10 years) who pumps out reports, doesn't spell correctly, and doesn't like being corrected.  Am I right?
Gap in spelling skills, too.
I have noted that misspelled words are everywhere; spelling skills are apparently no longer valued (and I'm talking people with advanced degrees with atrocious spelling and grammar).  I need to go to the dentist and get some teeth fixed from clenching my jaws so tightly whenever a doctor says things like "he itched himself".
not too sure of skills, need advice

Just wondering if any of you have experienced a lot of "knocks" starting out in transcription.  I took an at-home course in 98 and finally got hired in 2000 and trained in office for 8 months.  I worked at home for about 3 months then my husband divorced me.  I continued to work in the medical field for the next 4 years, doing work in a hospital that included med term and typing with 98% accuracy or actual transcription.  My problem is when I find a job my feedback is that I am leaving little words out, or not paying close enought attention to detail.  What can I do to improve this?  the only thing I can think of is just keep practicing but I can't keep an actual transcripton job long enough!  What do I do? 


Looking to strengthen skills...
I have been in the field for 7 years with the same account (IM and Family Practice.)  Looking to strengthen my skills.  The areas I feel I need improvement in are grammer, proofing (something I have done very little of), and a stronger understanding of terminology.  If you have any advice on where to go from here.  I do not need a full transcription course, but does anyone offer a "refresher" and/or practice dictation in different specialties.  Thanks so much!!   
What if you were an LPN with not so hot typing skills?
Would that duty still be required of you?  Sounds like you are not that busy as an LPN.  Small office?  This was not in your original job description?  I would ask about a pay increase along with the duty increase.
thanks...just knowing there are others, same age bracket, skills, etc...does help...
like you, I LOVE this job, and actually chose it - not the other way around. Fortunately, it has not cost me anything, really, like the other poster mentioned; but I too am scared.

It is always upsetting when you life changes because of things out of your control...at our age, we are from the times when people had one job until they retired. I know that is history, but man, this way is ridiculous. Flying from job to job, no continuity, no structure. What good can come of this anyway.

like the other poster mentioned, who cares about us anyway, really. the rich only care about getting richer, and that crap about giving the tax cuts to the rich and they will 'share it' - what a bunch of fools we have been.

thanks for sharing!
Advice on expanding my skills..

If I  want to specialize in Orthopedic or Cardiology or some other specialty, what is the best way to do this?  I currently only do ER.


Would I  have to enroll in an on-line school or can I just use practice tapes? 


Any advice is appreciated!!


Need fast skills update
Need books/tapes to upgrade skills to do acute care work. Any advice on materials I can purchase. Going back to school is not an option right now.
Test your typing skills
http://www.arcadespot.net/play-1126.html
If your DD has previous skills she can post
resume on the on-line sites like monster.com.   There are few jobs that are legit.  If they require $$ upfront you can bet they are a scam. 
A board to discuss how MT skills can
be transitioned into another line of work couldn't hurt. No matter how secure any job or profession appears to be, the situation can change at any time. That is the reality of the workplace with mergers, technology, etc.

One of the the worst career management errors is to become complacent. I can look back on seventeen years in this profession. It has changed, and not to our advantage. I can't predict the future, but it would be naive not to at least consider other options.
Just good parenting skills -nm
m
If you are confident of your skills, testing
x
The people who hate QA are the ones with bad skills and cannot type for nothing!
Maybe these people should learn how to bring their scores up instead of thinking their mistakes are right!
Maybe if you spend more time honing your skills and
x
She fears because of her own lack of transcription skills, sm
not because the ESL doctors do not give good patient care.  If you are not up to the job of transcribing the reports, then you should not try to do it.  But do not blame poor patient care on the ESL doctors.
Good research skills the best skill an MT
x
Your account is too easy for your skills would be my thought.
For instance, you are making very good money easily while other MTs may be on a more difficult account and making less. You may one day be looked at as a person to move into another more challenging account to keep you in the curve of pay for MTs. That would be fair, actually, when you think about it.
failed skills test for national sm

Hi all.  I have been an MT for 10 years and took a skills test for a national and FAILED. 


Oh my goodness, talk about a slap in the face!  All I know is they require 90% accuracy and apparently I failed that. 


It has me questioning my skills at this point.  PLEASE tell me others of you have had this problem!


 


Thanks


low level, low income, low education, low coping skills.
birds of a feather flock together FOR THE MOST PART.  why don't rich people move to trailer parks?  the mentality.  why do low income people stay low income?  no education.  why no education?  no forward thinking as to why some people can make money and others don't.  sorry if you don't like it, but stats don't lie.  do a google search.  there are certain neighborhoods that have income levels, education levels, crime rates.  these low income housing units, trailer park, section 8, apartments that do not require credit checks have higher crime rates, lower education levels and lower incomes.  google will answer all your questions regarding stats.  why do you think some neighborhoods are more valuable than others?  where i live the same house could be in one neighborhood and be more valuable than a house sitting in another neighborhood that is zoned for trailer parks.  why is that?  go figure.
Absolutely! Wonderful hobby and your skills will only improve.
I started knitting, quit for a year when I got discouraged because I couldn't fix my mistakes easily, then went back, determined to learn the craft. For me, what was wonderful was when I automatically could recognize what was right and wrong, and fix it easily. Now, I have more yarn than I could ever use, and more projects started than I'll ever finish. It's a lifetime hobby. There'll never be enough yarn.
I started MT to gain skills to eventually work....sm

outside my home. I was working another small business from home too and had been home for 13 years total. My MT skills got me a job as a secretary for the Army. My first position didn't pay a lot, but it was still about $3.50 more an hour than I could find anywhere else locally. In August 2006, with promotions etc., I will have had total increases in salary of 45% in two years. My next move is to start taking some college courses (which my employer will pay for) and applying for positions with a more defined career field. Having a hard time figuring out which field, as I have a lot of options/opportunity.


Working from home served a huge purpose, but since DH is also self-employed, my current job adds a lot of security to our family in terms of health/life insurance, retirement, paid vacations, etc. I added up the cost of all my paid benefits vs. paying out of pocket as an independent contractor, and they were worth another 35 - 40% of my salary, which will increase once I start taking college classes.


If you are not looking in the medical field, gear your resume towards your other skills. MTs have a myriad of skills (research, computer, organizational, listening, following instructions, bookkeeping). If you are an independent contractor, you are more than an MT, you are a small business owner, which puts a host of additional skills on your plate. Get creative and look at some on-line resumes in different fields, you will probably be surprised how many skills you have. 


When I decided to look for a job, I researched all the highest paying companies/opportunities within the distance I was willing to travel and only applied to those companies. It took about a year and a few interviews, but I eventually got exactly what I was looking for. I still get calls from some of the places I interviewed/applied offering jobs.  


I think one reason MTs find it hard to have diverse skills (s/m)
is that for all these years we have been pigeonholed into just one specialty - typing medical reports. When I started MT at my organization, we had a variety of duties. Now we just sit and type. Interestingly, the few who got promotions within or out of the MT department were the ones who weren't too smart, and not very good MTs. The good MTs were kept where they were needed - doing transcription work only. And the smart ones are considered a threat to management, so they have no hope of ever advancing.

I've been to night school to try to broaden my computer skills, and the community college system is totally not on the cutting edge. Everytime I learned something useful, it became obsolete before we could ever implment it in our workplace.

I've looked into changing fields, and one of the big stumbling blocks is all the prerequisites for just about any field of study. Many of them involve the math & science classes I was steered away from due to my gender. (This was the 60s, remember... it was still legal to discriminate back then.) I looked into training as a veterinary technician, and working full-time and going to night school, getting all the classes in that I missed in high school was going to eat up about 4-5 years. It would probably take even longer to get into the vet-tech program. By the time I graduated, I would probably be in my early 70's. What veterinary hospital is going to want to hire a 70 year old newbie who will either retire or die before she's even learned the ropes at the new job?

Meanwhile, what ticks me off is that MT's are expected to have a very broad knowledge of English, medical terminology and computers, and be whiz-bang typists as well. And yet the same people that want speed, accuracy and experience, don't want to pay squat for it.
With your people skills, you'll stay unemployed. nm
x
Sounds like a great way to use the skills you already have, but you have a real career with a future
x
Would state you are a fast learner with good computer skills
and able to pick up things quickly once you are shown. Good luck!!
Valuable post, thanks. MT plus Skills Upgrade minus Complaining = Dollars. NM
x
Yeah, we have no skills or intelligence whatsoever. We just fill in blanks! Geez! A monkey can le

Is that all you do, type?  It's not all I do either.  I have to know what I'm talking about, apparently you don't because you can just leave blanks!


My people skills are just fine. I just want to hire people who want to work.
I've not been ugly, I've asked questions, legitimate ones.  Please tell me what is wrong with that.  This site is not just for MTs, it is for QA Editors, Supervisors, Service Owners, there's even sections for Billers, Coders, and Nurses.   
how are they going to get used to all the dictators

if your source says they cherry pick and only do American dictators?   Sounds like never.  But you knew that. 


 


PS:  Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?  


Dictators who keep....

I'm having a bad day with dictators and got this in my

email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.



http://www.thesmokinggun.com/archive/0916051disk1.html


I have had dictators like that!

when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime