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Right on, JMO. Also, when I have the ability to choose dictations SM

Posted By: MissIndigo on 2008-04-16
In Reply to: Unless you have a job where you can pick - Just My Opinion

from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.


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Ask them to give you the ability to choose your work from the queue SM
They may refuse; but assuming you do have to sign off (I don't remember any more), you can explain that it takes too long. All they can do is refuse. Another--big--benefit is that you can choose several jobs in a row for a dictator or specialty you're having trouble with and learn in a day what can take months to learn coming through in dribbles.
from each according to his ability, to each according to his need?
The communist manifesto
the ability to procreate does not mean someone is not gay.
x
Ability to get job is what matters most
Yes,Andrews and M-Tec are more expensive than a CC, but if you want to work from home, the companies that are looking to hire you don't know if your CC program is adequate. Some are, some aren't, and there are lots of them around the country. The companies know that if you successfully completed Andrews or M-TEC, you are likely to succeed. There are so many posts on these boards from newbies who can't find jobs, yet M-TEC and Andrews grads get hired. I was hired fresh out of school by a large national, worked there 3 years, and was just hired by a smaller MTSO. Getting both jobs was a breeze. I have never had to test for a job. Both companies told me they hired me because I am an M-TEC grad, and they did not feel testing was necessary.
I work on Winscribe. There is the ability to
see which MTs are on Winscribe when you go into it. They also can see how many minutes it took to transcribe a report. They probably do averages. I do not know who you work for but I tend to follow the eight hour shift with two breaks and a lunch. It is easy for me since I came out of a hospital setting where I had to work that way.
I do have a recommendation. The Phillips comes with the ability

to download twice and I would make sure I set that up.  Download to the file that will be coming to you.  Then use the backup download to a file that is totally separate.  I call it backupvoicefiles.  I have found files in the backupvoicefiles that for some reason didn't come to me in the regular file. They would have been lost if I didn't know to check this. Phillips has no explanation for why this happens. I have been most happy with the Phillips equipment especially since I figured this part out. When the girls are looking for work that he claims that dictates and I have not transcribed, I know the approximate numbers to check and have them go into the backupvoicefile folder and check to see if it is there.


Good luck.  My doctors love the Phillips better than they did the Olympus and much fewer problems.


Must have been my ability to overlook. Now that it's pointed out,
I did scroll back down and see a bit. Guess I'll go back to overlooking them again, life's easier that way.
He's trying to take away my ability to give myself raises
He doesn't want to pay me for my templates, my macros. He's taking AWAY money from me. He wants to change my "line count" to key strokes, so he doesn't have to pay me for a few paragraphs when it only takes me a few Keystrokes to put the macro in. It's like he thinks I'm cheating him! Isn't that industry standard?? Also I don't have the ability to "raise my production" what I get is what I do, every day I finish all the work.
The problem I'm having is what I make with them won't cover my living expenses any longer. That's why I asked for the raise. I mean I know as an IC i don't "ask". They said no, and guess what I have to stick around until I find something else. I won't find something better I'm sure, so I have to change careers. I'm having a very hard time dealing with this. Maybe cause I'm young and I don't feel like I know what I want to do. I wanted to be able to stay at home and raise a family, and now that dream is shot.
I'm just very upset you know, just ranting a little :)
I admire your ability to forgive and hopefully this will all blow over - however, that being said,

please make sure that Animal Control did not list this as an "incident" so that it may not be used against your dog in the future, even if no charges were filed.  A lot of states have a strict "no bite or 3 bite" policy and would not want this to count against your dog later in life.  My brother-in-law's dog bit a child when it got tangled up in her bicycle wheels (granted she should not have been that close to the child in the first place), so we've learned to be very careful about our animals. 


What if you post messages under a different SN (AOL gives you ability to create several).
I remember posting a response. Received an e-mail began which began with "Hi" and my name. This was rather unsettling as you can imagine.
My 10 yo dog has lost ability to use hind legs

She was put under anesthesia to have a large mass removed from her chest.  What I thought might be a malignant lump turned out to be lipoma.  She had hip dysplasia all her life and was arthritic but never thought she would lose use of hind legs.  Surgery was today.  Picked her up at 5:00 and now, 4 hours later, I am truly concerned.  She is a weinaraner.  I am to give her 10 mg of prednisone daily.


Geesh, I wondered why the vet didn't bring the dog with her when she talked to me.  And when we discussed surgery, I mentioend that anesthesia was hard on senior dogs (it was hard on me and I am healthy adult). 


Just wondering here if she will recover.  Maybe smeone here knows something about this.  Thank you


What someone else is silly enough to pay you, has no bearing on your ability or character.
:+
I think tier level should be based on the ability
to transcribe jobs assigned to the particular tier. My first job as an MT (I worked in house) required that I do all work types including OP reports. We, of course, did not have tier levels assigned; we were paid hourly. But, we were required to do all work types.
I think any transcription service can well assess an MTs ability
requires so many test files to be transcribed is taking advantage of applicants.
Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.

Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed.  Is there somewhere you can purchase practice dictation tapes, or digital downloads?  I would prefer digital downloads of voice files if there is such a thing.  Just wondering.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
STAT dictations

Re:  Stat dictations.  Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in?  This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis.  If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?


 


Ginny


Downloading dictations (sm)

If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue.  When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.


Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'

When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.


but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
We have the ability to see each others # of reports and # of lines. We are to report to super
visor when one person has done 150 exams a day but only has a minimum of lines typed. In radiology, it tends to average out. They are watching it for morale's sake as well as they figure if the MT who jumps jobs is probably cheating elsewhere in the job or her/his life. Too many ethical ones these days to settle for a cherrypickers.
It depends on your skill level, your speed, your ability to do the
nm
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence.  Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
Where to find some Sample Dictations?

Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports.  Need to test job applicants.  Happy Holidays!


Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Things that dry you looney during dictations, for example.

I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."


I thought the you know, you know, you know would not come through on here.


Mine isn't working either. Wonder if they've taken that ability away or archived stuff so we
s
When I worked on site, we would judge docs by ability to dictate ...
As it turned out, our assessments were usually correct as to who the best/worst doctors were by the way they dictated. It was not necessarily just that they pronounced words correctly. It had more to do with general sloppiness and lack of attention to detail.
In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again,  I figured out the settings, and how to recover the files marked done.  Question though on saving the actual dictation.  My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for?  Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand.  Anything I might be missing? Tips or ideas in using the program. 
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks.
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe

,,


Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT. 
I think doctors in general just don't care about their dictations... sm

I know there are some who are really great and are careful or even just considerate.  But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end.  Maybe I'm a bit bitter, but at this point that's how it feels.


 


Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.


One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm

:I


wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
So many to choose from...
I like Triscuits with with cheddar cheese, lean summer sausage, and jalapenos, or Triscuits with mozzarella and hot salsa. Other than that, fruit, nuts, popcorn, veggies.
who to choose???

Any info on Precyse Solutions...Silent Type....Breitner ????


Need to give decisions by Friday...help!


ok believe what YOU choose to believe....sm

And empty, not-yet-used concentration camps do not physically exist in the USA, yes?  And your president has told no lies in 6 years, yes? 


SHEEP I tell you...........BAAAAAAAA.......


Which would YOU choose?

Hi, MT's!


I'm trying to make a decision about my job, and thought maybe your input would help me put it into perspective.   I'm thinking about changing my MT job.  I have gone over a long list of the pros & cons, and still am up in the air about it, and hope to make the most informed decision possible.  Here's the situation:


I have transcribed since 1975.  I have been at my current job for roughly 29 years.  Still, I am a long, long way from retirement, if ever.  Most likely the earliest that could happen is 2025, but I'll believe it when and if it happens!   I have always worked in-house, initially for services, then for a hospital, and for the last 29 I've been at a multispecialty clinic.  20 or more years ago or more, it was a decent place to work, but that has all changed and now it's very stressful.  We get blamed for every mistake the doctors make, management communicates with us very little, and what they pay us has not even begun to keep up with the cost of living.   Still, on the plus side, my commute isn't too bad, I enjoy the variety of specialties to type, and I have the most seniority.  Although our pay isn't so great, we do have paid time off and fairly decent healthcare, though it must be at our own clinic.  We have a 401K retirement savings account through work.  Our pay is by the hour, with no overtime offered, so we have no opportunities to increase our earnings.  I've been saving to buy a condo, but at this rate it's always out of reach.


I have had my eye on a national service lately that seems to be much better than most of what you see offering jobs out there.  I have a couple friends who work at home for this service, and they recommend it very highly.  The service pays on production, and when I tally my daily work that I'm currently doing and convert it to the service's way of paying the best I can, it at least SEEMS like I could make a lot more money.  The service also has a 401K, health insurance, and paid time off.  The hours are very flexible, which for me is a huge plus.  As long as you do a set minimum amount of lines per pay period, it's all good as far as they're concerned.


Lately I've been so stressed and unhappy in my current job situation that I'm almost ready to take a cut in pay, if that's what it takes, to be able to work at home, where I can control my environment (heat, air-conditioning, light brightness, office ergonomics, etc.)  Working at home for a national would also free me up to be able to move to a less expensive area.  That would help if the pay WAS less, but if the pay was equal to or more than I'm making now, then I could be socking a lot more of it away towards a down payment on a first home.  And if I finally did get to buy that home, being able to take short, "meaningful" breaks from typing (instead of pigging out at the candy-machine) would make it possible to take care of that home, as well. 


As it stands now, my list of "pros" for taking the at-home job is quite a bit longer than the "cons".  And just the opposite for my current job.  My biggest concern is the longevity of either position.  I am reasonably sure that bit by bit, MT work in the US is going to diminish.  The question is, which one is likely to fold first?  Our clinic already sends extra work out to a service, rather than pay us overtime to do it.  Over the years our MT Dept. has shrunk considerably.  The more it shrinks, the more work gets sent out.  Although we are told otherwise, my gut feeling tells me that it will continue in this manner until the department is eventually closed, and all the work gets sent out.


But, when I read all the message boards here, and people working for MT services talk about how much of their company's work is being sent to India, or being partially transcribed with VR, I have to wonder how much longer "live" MTs are going to be around in the service venue, as well.  And I don't think being an Editor wouldn't be an option for me, either.  Not only would I be bored to tears, but instead of paying more than MT, which it should be, it appears to pay quite a bit less. 


So, if you knew you weren't going to be retiring in the next 5-10 years, and you wanted to continue being an MT (it's the only thing I know how to do), do you think there is more security in staying with a long-term employer that not only very callous towards its employees, but is slowly but surely whittling away at their transcription department?  Or would you take the "unknown road", and go with what is currently a very viable and successful national company that would let you work at home, but may already be offshoring extra work?  (I haven't been able to find out if they actually do or not.)  I don't relish the idea of having to "start over" as a new employee, but the idea of having less stress and more freedom also appeals to me quite a bit. 


If you were in my shoes, how would you base your decision? 


Thanks in advance for any ideas you can throw my way!



 


 


Which would YOU choose?
First of all, I think you've answered your own question as to whether or not to stay or leave the company you're with. The Pro's outweigh the Con's. If I were you, the first thing I would do is make sure my 401K was transferrable to my personal account. Many places shut their doors, and with them go the employess 401K's due to a tiny clause that wasn't even brought up. Next, stressful working conditions will eventually cost you your health. I know, been there done that. We're creaturs of habit and have a tendency to stay with what we know and venturing into the "unknown" is always scary. But life is about chances. You don't want to say your "coulda, shoulda, woulda's" down the road once they completely close your MT Department. Yes, many jobs are going to India, Pakistan and Bangledesh, however, if we speak up, call our state reps, write letters and contact Congress letting them know that even THEIR identities maybe be stolen through outsourcing personal medical records then they'll do something about it! The "brass ring" only comes around once or twice in our lifetimes, if I were you, I'd go for it!
which would you choose?

Job A at 9.5 cpl but awful dictators, bad sound quality, speed talkers, cell talkers, ESLs about 90% of the time, blanks in 50% of reports. 


Company B:  7.75 cpl easy, long dictations, averaging 9 minutes, 90% English speaking, coherent, slow, pronouncing words, no blanks left all day.


I would choose
Job A, because of the challenge.  I would get bored with Job B.
If you choose A, can I have B? nm
nm
Which would you choose. SM

I work at home full-time as an Editor making $15 an hour.  I've been offered a position as a pathology Transcriptionist working in the office for a local pathology group.  They've offered me $16 per hour with a review in 90 days and a raise to $17 at that time.  It's about a 30 minute commute one way to the office.


Which would you choose?