Specialty dictation
Posted By: curious on 2005-09-16
In Reply to:
Just wondering how many lines within 8 hours do you "speciality" transcriptionists type? Not acute care, not SOAP notes, just the specialty accounts?
I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated.
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Specialty
I will be graduating May 2007. I was wondering what your favorite specialty to transcribe is? So far from the assignments in school I like surgery reports and internal medicine. I did not care for dermatology very much. I had to many visuals in my head of lesions and sores.
What specialty will you be doing?
Have they hired you for a specific specialty?
This is my specialty sm
email me, we'll see what you have for IM and we'll connect. You can IM me anytime and pick my brain. I have done a ton of retinal surgeries, scleral buckling procedures, pars plana vitrectomies, YAG lasers...
Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
Can be one specialty or multiple ......
xx
I was cornholed into a MT specialty
Does anyone know where I can get maybe some samples of op notes or radiology notes? I want so bad to further my career and unfortunately where I work I don't see that happening. I will be doing ER work until I die... which ER work is not bad, but I will never make any big bucks doing it unless I work for my company forever, that is if the Indian company dosen't take it all over. Thanks ya'll.
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?
Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.
I ENVY YOU!! And good luck!
Would appreciate comments from any specialty transcriptionist
who transitioned to another specialty. Also, have been doing strictly psych transcription for 10+ years but would like to branch out, does anyone have a recommendation as to which direction I should be looking and learning? I don't mind hard work and have mastered a lot of dialects, but am clueless as to what direction I should be looking to better myself in the field.  
Which specialty have you found the most difficult and why?
I find cardiology to be most challenging.
Any good cardiology links or websites?
Just started ortho specialty... Does anyone
Thanks a bunch!
If it's a woman and specialty is ENT, I've done her.
She's truly awful.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
Asthma Allergy specialty
I am working as an IC for a asthma/allergy specialist who has recently went into private practice. In the 10 months that I have worked for her she has changed the format of her PE, new patient, D/C, well all of her forms, several times. I have tried to explain to her that it is her practice and I will transcribe whatever information she feels is necessary to have in the permanent record (she does not do dictation, I transcribe from written report). Can anyone give me an example of final transcription for an asthma/allergy specialist, and possibly an example of the forms used? I would like to present these to her to compare so she can feel comfortable with what she is transcribing for the final record. I would really appreciate any help I could get with this. This is my first job and I want to keep this doctor satisified......Thanks!
What is your favorite specialty to type and why?
I only have a year and a half of transcribing under my belt, but I have had the opportunity to do a few different specialties: General practice, pain management, orthopedics, physical therapy, endocrinology, psychology and oncology. I have liked them all for different reasons. I like psychology because it is always interesting, easy and I can make good money with it. But I also like orthopedics and oncology because they are interesting and challenging for me. Just curious what others like (and dislike too!).
I think specialty work would be easiest..sm
With family practice, you could see a number of diseases from all specialties, so you need to know the terminology for all. In specialty work, you would see the same all the time. For example, if you took on an ortho doc, you'd see all ortho, so you learn the terminology for that specialty only. Once you have that down pat, you could branch out into a new one and so on, gaining experience with each.
You will have a more well-rounded experience going with family practice over specialty, but as a newbie getting own accounts, specialty would be easier, IMHO. I don't really recommend starting as a newbie at home with your own accounts, but that's just my opinion. It's a lot harder because you won't have QA - the doctor will be your QA, and they can be a lot harder to face than an online QA person. You have to take criticism well, since it will come from a doctor most times (or staff member) and some docs can be blunt and even condescending. Just being honest based on my own experience. Maybe you could try some of the small MTSOs rather than national companies, where you might only have 1-2 QA people and aren't as stringent about BOS rules, etc.
If you find a local doc willing to take a chance, go for it, but don't expect it to be any easier at first than a national or working for another person. There are pros and cons to each. It can be hard to get either job without experience, but a local doc desperate for help might be more willing to take a chance. Depends on what the MT market is like in your area. If small town, good chance finding a client. If larger town with lots of MTs available, it will be harder.
Ever come to like a specialty you used to hate, just because the dictators are so good?
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!
Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
Heck yes, go specialty! Psych will never bore you!
your production will go up. Psych is different, but at least it's a specialty so you can get good at one field instead of having to do 50 dfferent specialties.
I check jobs in my specialty out of curiosity.
Have only applied for three in a year though and those were to possibly replace a PT job I have with a better PT job. The FT job I have I am content with for now.
Be careful not to become known as applying all over the place. This is when it is a good time to get information from the Company board when you see an opening. Be sure you want to be considered before you apply. It is a small MT world with the better companies. This is my thought anyway.
Could be by specialty, but usually walk-in clinic, stand-alone
s
Reply to get a good set of specialty books
When you say specialty books by Stedman's what do you mean exactly. I have a Stedman's Medical Dictionary and a Dorlands Medical Dictionary but what other books would I need to get? Thanks so much for your help.
I can understand stumbling over an unfamilar med, or one outside of their specialty, but (sm)
I have a number of docs who routinely mispronounce drugs that they have prescribed for the majority of their patients ... they've mispronounced (and often also misspelled) the same drugs for many, many years. It just floors me.
Oncology and some specialty AIDS facilities can be TOUGH.
nm
Is Radiation/Oncology a difficult specialty? I am going to be starting..SM
on a new account doing this specialty. I was wondering if anyone has any helpful hints for this specialty. Any know of any references that would be good for me to use? Are there any websites that would be good as reference? Any help would be greatly appreciated. TIA. 
what is your account and specialty on the account?
no one is watching. tell us all about osi.
It's THEIR dictation. They want what THEY are
dictating. If they use poor grammar, etc., that's not the MT's fault!!
Many don't trust the MT to make appropriate corrections and I can certainly understand that.
dictation by doc's
you're absolute right about the hospitals doing something about how doctors dictate and it probably wouldn't take that much effort to do it, but they're not going to do it. If the dictation is wrong, the MT will get the blame regardless.
low dictation
This is several hours of time just disappearing.
? min. of dictation per day
What is considered the average amount of minutes for 7.5 hour day. I'm thinking 45 to 60 minutes???
PA dictation
You must be lucky! Our group had two PA's and they literally "outdid" each other to see who could dictate the fastest. I got used to them, of course, listening to them all the time but many times had to stop and look up a med to be sure of the dosage because I couldn't tell if they were dictating 5 mg. 50 mg. or whatever! They seem to have an "attitude" too; we had one female one who really thought she was hot stuff. If they were that good, why didn't they spend the extra time and $$ to go to med school???
RE; Dictation
Kept forever. Chart is microfilmed and kept. Regular transcription is kept for 10 years supposedly at hospital I worked for.
I just had a dictation where
he stopped dictating mid sentence in the chief complaint and I Iistened to silence for about seven minutes (maybe he fell asleep, I dunno) and then he says, "hello? hello?" and hangs up!  Gotta luv this job! 
60 min of dictation
How long should it take someone to do about 60 minutes of dictation on average.
Thanks you.
60 min of dictation?
My own personal average is about 1 hour for each 15 minutes of dictation.
Can't help with the dictation but...
 LOVE YA!
Hope that helped.
Dictation
The problem is that MTs are rarely in the workplace any longer. When I originally started in transcription years ago, we were in-house and accessible to the doctors. I would tell the the speeders to slow down. We had one ER doc who loved to look through reference books for words to use. I would tell him nicely, "If you have to look it up, spell it and save both of us the hassle." That usually worked. But now, most of the time, they have no idea who is transcribing their work and as long as it gets done, that's all they care about.
Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm
x
You never listened to the dictation to know.
No, decent dictators can form complete sentences. They don't erase every single word interlaced with ah, um, er, then sit there so long that a 15 minute dictation only has 43 lines. If a person can't complain about having a bad day to her fellow MTs without getting jumped on, what does that say about your personality? The only B**** I see here is YOU.
Same here. Give me the dictation, I do it - sm
I return the reports, give me the money. End of story.
Worrying about a friendly supervisor is pointless. Just do the work and take the money.
80-100 minutes of dictation
Can anyone tell me approximately how long 80-100 minutes of dictation takes to do with variables I know of a good or bad dictator but on average. A 60 minute microcassette tape on both sides of 120 minutes, is that something to compare this to? Thank you.
235 seconds of dictation...sm
and less than 20 lines!!!!  And he ends the dictation at 200 seconds, then proceeds to shuffle papers and say "end dictation" 50 times...come on already, END THE DICTATION! No respect! 
re:243 seconds of dictation
I actually have a picture of my cat laying on my Dorland's sound asleep...he was looking for the definition of "uhmm"
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out. Is this normal? Left lines in every report. ??? Help?
Dumb dictation
Review of systems was not obtainable from the baby, obviously, due to the baby's age of one month. Review was obtained from parents. DUH!!!!
dumb dictation
Don't you just love these..I had one with the 11 MO understanding the assessment and agrees with the treatment!
Oh, it wasn't in his dictation, it was an aside to his PA sm
I think he just had never seen that size before, nothing indecent intended.
I don't think it's the dictation itself that's the problem, it's the SM
kissing of individual arses and making 300 MTs remember which cheek you're supposed to kiss on Doc A and which on Doc B. :(
dictation funny
Mitral valve with moderate anus calcification. What was calcified? LOL
Doc asking for instructions on dictation
A wounderful young man at my church is in his 2nd year of general surgery residency. When he found out what I did for a living, he asked me if I would please help him with his dictation and give him some pointers so that he could do better on his dictation. No one had critiqued him and he wanted to be sure it was o.k. Now THAT'S a good guy. He's a good Christian, he'll be a good doctor, and I know he won't ever change. You cynical so and so's just keep your opinion to yourselves. This was so refreshing to be asked for help like this. It made my day.
No, I'm not dialing in for dictation...
...I'm in QA. They want the at-home QA team to train new MTs over the phone, call MTs regarding stats or if work is missing, call the clinics to follow up on any issues, conference calls, and call the home office with daily issues that pop up. We were told their clinic contact people and the front desk staff have too many other duties so feel QA should do this now. I'm fine with that responcibility, just found it odd that they will not reimburse us.
Perhaps it's not a big issue but as an employee I was curious if there were laws regarding these issues. And this is a new protocol they are implementing so it's not like I recently accepted the job knowing this is how it would be. The at-home QA team never had to do this before. I do realize there are pros and cons to working at home but there seems to be a fine line where an employer can take advantage of an employee
If I were an IC I would completely understand this.
How do you do dictation from a wav file?sm
How do you receive and send dictation on a wav file???? I know that may be a silly question, just wondering. Thanks!
late dictation
 Sounds like joint commission is coming to call!
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