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Serving Over 20,000 US Medical Transcriptionists

Not sure when doctors graduate their patients but

Posted By: me on 2006-01-13
In Reply to: Pediatrician - what age to stop - desertblossom

I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it. 

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Lots of doctors graduate with $200,000 in

student loans and a rural setting normally will not pay as much.  Maybe the practice is small and enough patient's don't come in, maybe lots of them done have insurance or the insurance companies don't have a set fee across the country that they will approve, but what is the norm for a particular region.  More and more larger practices are adding hospitalists so that doctors aren't having to make rounds now, but there was a need to have the office close to a hospital before.  If doctors do surgery or don't have hospitalists, being close to a hospital is important so they can get there quickly in the event of an emergency.  Some docs want to specialize and there might not be enough interest in rural areas.   I also living in a rural setting, though the doctors in our area aren't very good and I would never go to one of them.   I think there are still doctors who want to practice in a rural setting, but they just can't afford to. 


How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this.  Do they really need to see more patients?  Most of them herd them in and out like cows.
Doctors patrolling themselves? What a joke! They barely have time to see ALL their patients....

Doctors today are totally incompetent for the most part.  YOU cannot worry about it when it comes to transcribing their gawd awful reports.  THAT is between the patient and the doc.  Just knock the report out as fast as you can and make sure it's accurate and then after that, forget about it. 

The docs make the big bucks - you don't!  Let THEM worry about things that will eventually catch up with them, one of which is called the Karma bug, and that little bug ALWAYS bites those who don't deal fairly right in the butt!  And big time, too!  

How long does it take for a graduate to get a job? It all depends on the graduate!?
I did just graduate and... sm
from one of the "big 3." I got hired right away, but no matter where you go initially, the pay sucks. Only those with experience make very good money because no doctors will give a newbie a chance, hospitals won't, and the national companies know this and pay poorly. It's a catch 22, no experience=no hire, no hire=no experience. As far as having "certification," only after 2 years experience are you actually certified. If the school you checked out told you otherwise, they are just after your money.
CS graduate
Yes, that is true. I am a Career Step graduate and was hired at Spheris immediately upon passing my final exam. Spheris is an "industry partner" to CS as well as many other companies.

The course was very thorough and prepared me well for employment. Your friend made an excellent decision!
AHP MT graduate here...
It took me 5 years, but Im working 1 full-time and 1 part-time IC and making about 45,000+ and do get praised on my work... Thank you very much. LOL They never once said it was easy work and stress that working at home is not for everybody. I think some people hear what they want to hear. I could make more, but sometimes I question my career choice as it just seems too close to factory work for my taste sometimes.
You have to graduate from
a GA high school to qualify for the Hope Scholarship.  Graduates with at least a B average get tuition paid for (not room/board).  You also must maintain a B average through college in order to maintain it.
did u not graduate HS? curious...nm
What year did you graduate? nm
recent graduate

I just finished school back in Nov. of 2005. I've been looking and looking for a job online and still have had no luck. The only response I seem to get bac from anyone is that I don't have enough experience. Does anyone have any pointers on what I should I do, or how I should approach this field? Please help me!!! I don't know what to do anymore!!

recent graduate

I graduated this year from a community college which used the Career Step program in addition to some other courses.  It was all done online.  I have been working for 3 months, and have learned almost as much from working as from school so far.  The difference is that you are doing 800-1200 lines a day so you are exposed to a lot more information.  However, I don't believe I would have passed the entrance exams without everything I did pick up with the schooling. 

I would definitely encourage formal training of some sort because it is such a competitive industry.  I honestly don't think you could get hired from home, or pass an entrance exam without a good deal of training.  The 98% accuracy they are looking for on their tests is tough to hit without very strong grammar, med terminology, and AAMT/AHDI standards knowledge.  I am not making much money now, but I know within a year it will be different.  I am home and that is invaluable to me!

Good luck! 


Some people get jobs even if they don't graduate because
they can't pass their school final. I've seen some that have the poorest grammar skills I've ever seen, yet they still find someone to hire them, even though some of the MTs in India do better work.
did everyone graduate MQs "Code fo Conduct" course? -- what a crock
that's like you stealing my purse and then sending me to class on how not to steal purses....
Sue, I'm inviting YOU when I graduate from nursing school...LOL
What H.S. did you graduate from? including state - No.Hunterdon Regional NJ
Re: What H.S. did you graduate from? including state - No.Hunterdon Regional NJ
Malvern High School, Malvern, Arkansas, Class of 1971!
I remember when I learned the keyboard-in-lap trick from a new graduate . . .
I was horrified to watch this 20 year in a reclining chair with the keyboard in her lap. I learned old school, of course: Sit up straight, elbows at side, blah blah. Well, it was immediate relief when I plopped that thing in my lap.

BTW, I never did get my invention off the ground - it was going to be a transcriber recliner, especially helpful for those with circulation problems. I wanted to retrofit a recliner so that the foot pedal could fit onto the footrest. Of course, being able to see the monitor might be an issue now that I wear bifocals!
if a high school graduate was correcting my transcibed
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard!
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.

Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm

to see so they don't want to spell things out.  Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs?  So they're "frustrated" with 30 patients - well, cut your patient load!  We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names.  Just won't do it. 

By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.

Just give everybody the bum's rush because you have 30 patients.  Suppose we did the same? 

A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas!  We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment.  It is our job to transcribe the dictated reports.  If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?

Apparently mine have more than one because I have one dictator who likes to use the following phrase:  Patient was told that he might have death and loss of current life. 

Now we have to insist patients
being treated are actually examined before treatment is rendered?

Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.

Big grrrr.
If the patients were aware of that, they could
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry.  I feel so sad for the patient and their families.  I just cannot imagine being told that I only have a few months left of my life.  And the doctors sound so cold about it.  I know they are very used to it....I just know that I could never be a doctor.  I could never get used to telling someone they are going to die.
Who IS this gung-ho recent graduate of the Board Police Academy? Lordamercy! nm
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests."  SIX WEEKS!  With her being  very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong.
No thanks. Anorexic geriatrics patients don't do it for me.
Very true, but a list of patients?

An invoice by the patient?  Some clients need to do their own book keeping.  It is bad enough you have to worry about the content of the reports.  To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC.  IC's get taken advantage of.  As an IC, yes you should be charging for "everything".  If you're an employee, they can put it under "other duties as needed".  Business is business.  If it takes more time, that takes more money.  End of story.  Don't do nothing for nothing.  Your clients sure do not.  They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count?  Cut me a break.  You don't think there should be a charge for that?  You can work for free, but I certainly WILL NOT!  To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion.  Keep it to yourself if you want to work for free, most people don't!  Have a great day making nothing to do A LOT! 

I read it... does it mean US patients would have to travel - nm
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
New Doctor, some patients already typed
I got a new doctor.  They girl who had been working for him left him in a big mess, undone dictations, etc.  The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend.  Today they've told me ten patients had already been typed, how did I want to handle that?  It seems they don't want to pay me for these.  My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible.  What do you think?  I know it's a land of confusion there from what is done to what is not done.  Thanks!
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower.  That is how come so many get pregnant on the "pill."  The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...

For, say, an orthopedic surgeon, or  a family practice doctor.  Or, maybe, how many minutes of transcription on average per day. 


these are the docs that I don't think care about their patients. my opinion. nm
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).

Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.

In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.

I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.

Good luck.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
I do reports all the time where patients have asthma, COPD, emphysema, and

even cancer and continue to smoke.  In our local paper they are following a woman in her battle with cancer.  She continues to smoke, as does her husband.  They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills.  Just think how much money they've blown on cigarettes.

I've even known one man with a trach who smoked through his trach.  


I wasn't clear. I guess patients' names is what irks me the most. SM

and you know how famous they are for dictating "Krenazcyssky, Jane, that's J-A-N-E.

neat web site 'chemo angels'. Help cancer patients
My nurse said most patients make calls with their cell, no problem
Only 30 doctors?
Your line count sound great anyway! Maybe some day I will get there. I will keep working on the expander thing. But only 30 doctors? I am sure we work for the same national. I have only two accounts, but have 97 doctors! I have been meaning to ask my friend who works for the same company if she has as many. She has 4 or 5 accounts, but I don't know how many doctors. Sometimes, when I see the 'no jobs' screen, I am tempted to call and ask for another account, but I never do since I am afraid of what I will get. One of my accounts is my 'dream account' because there are few doctors, and they are WONDERFUL. The other account has about 90 doctors and I never know what I am going to get!
I used to type for a doc who said sh*t at least once in every sentence. He always told "the typist" to delete that but it was a laugh just listening to him!
You may be right that most doctors
do not read their reports, but a lot of other people do, including coders, nurses, insurance companies, attorneys, and possibly even the patients themselves.        

I work for a small MTSO, and I have been asked to work on a certain doctor.  It happened to me because I was getting his work done on time and how he wanted it done.  So, yes there are good reasons for this to happen. 


So....how do you think these doctors who
And some of them KNOW about offshoring (lots of them do), feel about people going overseas for their medical care?  How does it feel?  Not so much fun, huh?