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RE: Teaching hospitals & residents...

Posted By: ????? on 2005-08-10
In Reply to: Teaching hospitals & residents... - kyradmt

Teaching hospitals.


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Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
Another thing about teaching hospitals
is that you will see things there that you might not see at your 90-bed facilities.

These hospitals do everything and if I were you, I would just wait and see. I think you will find that the experience alone will be invaluable to you.

I know MTs who have been MTs forever that have never had the experience of a teaching hospital and are limited in the surgeries that they have transcribed.

Congratulations on your new job.
Ditto :). Teaching hospitals are great experience if you can be patient. nm
nm
LOVE teaching hospitals and long-winded reports. Less ADT time which I'm not paid for.
Hate filling in ADT screens w/ searches just to do a one minute report.
Yeah, but hospitals are already largely using VR in hospitals. (nm)
(nm)
Regarding new residents...sm
This post peaked my interested, how would you obtain a new residents list? I am a five year MT working at home. Thank you for any information. Dobin
Residents
Just have to scream for a minute...Arrrrrrrrrrg...Ok a little better.  Have been working on a simple H&H being dictated by an American resident, 2 year, that is almost at 800+ simply because she cannot dictate, does not know how to pronounce meds, has trouble with medical terms, ad nauseum......I've worked in med schools and around residents nearly all my working life, but this crop we have now are at least to me the dumbest I've ever run across.  We have a good split of ELS and Americans.  Don't know which is worse.  Oh well, more fun to come when a new group comes in around the first of July.  Can't wait.  Just had to get that off my chest.  Would love to hear others comments.
Need help from Cleveland residents
I'm planning an overnight trip to the Cleveland Zoo with my 6-year-old daughter.  We'll go to the zoo on Tuesday because I'm told Monday is way too crowded, but what can we do Monday and where should we stay?  Someone from the zoo suggested the Lake Erie Science Center, the Natural history museum, the Science Center (different from the Lake Erie Science Center???), or the Botanical Gardens.  A fun hotel would be nice too.  Thanks a bunch.
Change of residents
They always change in July, so you get a "new batch".  They start off being long-winded because they want to look like they are doing a good job and covering everything.  However, as the year progresses, they get tired of doing it, so their reports get shorter and shorter.  I just wish they were English-speaking but unfortunately the majority of them are Indians, Arabs, etc., who "no habla Ingles".  I think our job title needs to be changed to "medical translator". 
Same thing goes for residents of
Florida, Mississippi, Alabama, Carolinas, etc., who get hurricanes. They should get nothing because they chose to live where they are.
Everyone enjoying their new residents?
I LOVE mine - they are sooo polite and articulate. One even said "Transcriptionist I am so sorry to impose on you but I need to make a correction." Boy will that change once they get over being "new" and then they will join the rest of the foul mumblers and slurrers, but at the moment I'm LOVIN' it!
Have you ever noticed that residents/NP etc.
do not know the definition of the word "briefly."  Some of the longest reports I do start the first paragraph with "Briefly, the patient is ..........." and then they ramble on for 10 or so minutes. 
I do a lot of psych and I have residents that
go on and on.  Many different headings, nonrepetitive, very hard to make lines.  I have one ESL doc who does long dictations, but 90% of it is spent flipping pages, so very few lines for the dictation.  I use an Expander and based on 65 characters and I'd be hard pressed to do 1500 lines a day. 
MA passed law stating all residents MUST
or they will be fined $1,000 per year.  Poverty level up to 4 times poverty level (for family of four) you will receive free or subsidized care.  All other residents must either have health insurance through their employer or individual policy.  My question is, what if you just cannot afford it????  There are many reasons some above poverty level cannot afford coverage, such as family history.  This law stinks.  I'm sure there was heavy insurance company lobbying on this one.  Once again the little guy gets .
On my account the residents and students are better than

Line Rates for Michigan residents
For all of you who live in Michigan what is the line rate you are paid?  I want to get an average of the industry here is Michigan.
TransTech does this group, too. Awful foreign residents! nm
s
Unproductive work types continually, for me, DS with ESLs and residents. nm
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Thats why im getting into the teaching GIG
I FEEL YOUR PAIN.......
I am not currently teaching.

Perhaps I will teach again someday, but as I stated, I am now at home with my children and would like to do something at home.  The grass is always greener on the other side.  Teaching can be great, but it can also be horribly exhausting and emotionally draining.  Also, the schedule is inflexible to the extreme, and I am just not ready to jump back into that right now. 


I appreciate any advice about how to get back into transcription, as that is what I have decided to do. 


 


RE: Teaching Hospital
I am the transcription supervisor at a teaching hospital and the residents are so long, especially family practice docs. They can go on and on and they are foreign, all of them. This makes it especially hard, but that is all we get. The Americans are going into specialty services such as Surgery, GYN, etc..
Teaching hospital

I'm on a teaching hospital account it is THE most interesting, challenging work I have ever had.  Maybe ask if you can be on a different account?  


I'd say stick with teaching.
This is not an industry I'd recommend anyone to enter anew for so many reasons:

1. Inconsistent pay and work available.

2. No respect from employers who lie to us and treat us like second class citizens. Slavery went out in the Lincoln administration, people.

3. No respect from people whom I tell what I do for a living.

4. No future in this job. Voice recognition and outsourcing are putting it in the same category of obsolete occupations as the blacksmith.

Be glad you have a career to fall back on in case the MT one doesn't pan out, but I sure wouldn't put any money into learning how to do something that's going to cease to exist in the next decade.
Former MTs Teaching English
I heard that too. its in the newpaper last week, they will be looking for teacher. Man, this board is really updated.
Is it possible that teaching can be outsourced?
the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.
Just 1 in 12 yrs. 1 other was teaching hosp, I was
one department's Transcriptionist for 2 years.
Going into QA, getting a supervisor job or MT teaching job... SM

is easier said than done.  A lot of times, transcription supervisors at a hospital are required to be an RHIT, in the old days it was an ART.  Took me forever to break into QA.  A lot of companies hire you as an MT and tell you they promote from within.  And teaching jobs are even tougher to find, they are few and far between.


You best bet, if you choose to stay in the MT business, is to strike out on your own.  Start your own online school and charge MTs $1200 or more a pop.  Or start your own MT business, but it's hard to do that with the monster services out there buying up every little guy they can sink their claws into.


I've decided coding is the best avenue for me and that's what I've been studying on my own, but it's taking forever because their so much to absorb, not to mention up to date books are MUST in coding and the books are $100 (ICD-9-CM and CPT) and that doesn't include HCPCS book.  And if you don't buy the new books every year, you can't pass the test.  So I'm trying to do it on my own without paying another school for another education that might end up outsourced overseas anyway.


 


You said have experience in teaching
transcription and medical terms but have you actually done the transcription yourself, not just the teaching part?
IMO, BOS made as teaching aid for when they
x
Why work for a co who is teaching sm
people in Barbados how to do MT so they can compete with us too?  No thanks.
Whatever they're teaching them
So far as I know the term "basic four" didn't come along until the advent of MTSOs.  I think it is far more important that students learn how to actually DO history/physicals, ops, discharge summaries and consults than to know that they are sometimes called "basic four" or they might be labeled as "acute care" which is the same thing.  I have personally never been asked if I could do "basic four"  or "acute care" in an interview.  They have always asked me what experience I have.    My standard answer, "send it to me and I can do it," whereupon I expound as appropriate regarding my experience and answer questions as asked.  Again, I have never been asked anything about "basic four."
How funny; I'm going from transcription to teaching soon!
I already have my teaching certificate, just need to get out there and teach.  Been doing MT for about 10 years now, so I can stay home with my kids.  It's been nice, but I really need the retirement and other bennies that teaching will provide. 
Teaching MT at an unethical school....sm

It was a private school that once students enrolled for any programs they would basically lie to them and never would fail anyone.  If a student failed a test the instructors were told to give them the same test again, after reviewing the test questions and answers prior to giving them the 2nd test.  Honest to goodness 1st graders have it harder than that!  The icing on the cake was when I told my students the reality of what to expect for pay scales after graduation.  The school had enrolled everyone with the "you'll be making $60-80k after graduation" crap.  I lasted exactly 2 weeks there before I quit over their unethical behavior. 


Depends on which grade you will be teaching, but
z
This has jumped from "mentoring" to teaching....sm
Starting a school would be the last thing I would want to do.  I have thought about simple "mentoring," not all the other hassels.  I think the original poster means that also but maybe as an employee.  I would want to do it on my own just for a few people at a time.  As I said before....not big bucks.....
I think teaching pre-teens how to do laundry

I think 10-12 year olds can help do some laundry - it helps them develop a work ethic and shows them that if they go out on their own, what they will have to do....well, the ones who don't continually bring their laundry back to their mothers.  *LOL*  AND they love eaning $$$ - it's a great way, instead of *tossing* allowances at them.....chores/laundry/etc. = few dollars in their little pockets *S*


It's all about deals and contracts w/kids I think....and I'm a pro...on the subject, as I have some....*lol*


Your exactly correct, schools are teaching (sm)
My 8th grader has to do 1 space after periods in all typed reports for school, that is what they teach for formatting typed documents now.

Also, I am in nursing school and we follow APA format, which also specifies 1 space after a period.

2 is definitely not the way things will be soon, so hold onto it if you can for now.

I still do 2 spaces for work because I get paid for spaces and those spaces do add up to $$.
I would advise you to continue teaching! nm
x
teaching dictators to dictate better
Exactly! But where is the motivation for them to do so? Yes, if you point out to them that they could be spending less time dictating and more efficiently whereby freeing them up to do patient care, maybe they'd listen. Certainly, if it hit them in the pocket there would be motivation to improve. For instance, if really, really, notoriously bad dictators were charged higher rates there would be big incentive to get/teach the providers how to use the equipment and how to dictate better. Money is a strong motivator!

I think about how there is going to be greater and greater emphasis on reducing costs of providing medical care. There's a huge opportunity for clinics/doctors/hospitals to improve and become much more efficient with transcribing. And who better to train them than us!!
I have one now where we CAP, bold and underline them (teaching hospital) -
and on one I used to only capa and bold. Everyone is different.
tsk, tsk, tsk..teaching your children to lie and cheat..nice..NOT


275-310 lph - one account-large teaching hospital
xx
Hmm. My account (huge teaching hospital) has it, and
I still think the healthcare game is in for a huge shakeup in the not-too-distant future. Quality and confidentiality of medical records will be part of the picture when it finally all gets examined under the new government's microscope. And I don't think they're going to like what they see one bit. If the general population finds out how shoddy their records (and affected health care) are, you better believe some U-no-wat is gonna hit the fan.
I guess teaching took away your sense of humor
That WAS advice. The MT industry STINKS right now.
I wonder if CS is ALSO teaching Coding to India & other countries?
I know they teach MT to India and other countries, the latest one being Jamaica.

Yet they still take money from US students, even though they are training overseas to help them take more jobs away.
Philadelphia - $25 per hour at a large teaching hospital. nm
x
The MTSO should be compensating you if you're teaching people!
And if they won't, then I'd politely refer their questions to the MTSO. And the email request is perfectly reasonable, IMO.

It's been my experience as a lead MT and trainer over the years that some people just would rather have somebody give them fish rather than learn to do it themselves. When I got that "vibe" from somebody I promptly handed them their fishing pole and bait and refused to give them any more fish, if you know what I mean!
I was teaching, and Katrina hit, and I decided I needed a job that could move with me if need be.
I have a friend who was an MT (actually, she and 2 of her sisters are MTs). When I asked her what she did, it was like a light going off in my mind--it sounded really interesting, since I loved typing and grammar and had good ears (I thought). When Katrina hit, I took time during our enforced semester off to take an online course, loved it, and began working as an MT. I discovered quickly that having good musical ears is not the same thing as having good MT ears!

What I love about MT work is that it is so interesting. I get to learn every day without having to actually be there to see/smell/hear. I am fascinated by the human machine and enjoy learning about it in detail.

Eventually, I'd like to move into a mentoring/teaching position with young or new MTs, but I need more years of experience before that happens. I totally admire those of you who have been doing this for a long time-- you guys have amazing ears and I'm always impressed by the knowledge you have picked up by working! That's what I aspire to, as well.

I worked in a teaching/major trauma hospital
when I was doing radiology and we had scads of standards.
Depends upon size of hospital. If it's a large teaching
nm
They are teaching you to always put the period inside quotes now. I just took a college English
It still looks wrong to me that way, but that's how they're doing it.