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Serving Over 20,000 US Medical Transcriptionists

They'll NEVER learn the stuff I'm correcting

Posted By: see msg on 2007-08-12
In Reply to: So you are in favor of training them to take your job? - nm

I've had to do editing of offshored work at two different places now and you see the same mistakes over and over and over. I have started to think that (a) if companies ever get rid of their US QA people they will quickly lose accounts to the non-offshoring companies and/or (b) they will get sick of paying people to edit all the time and stop the offshoring.

One can always hope.

And no, I'm not quitting my job either. I agree with it in principle, and I feel bad sometimes for not doing it "on principle" but the reality of my getting a good paycheck prevails. Alas, my children must have their school supplies and shoes.


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How can we learn this neat stuff if it's not in the help menu? We have to wait till
x
oops-If it DOES work or doesn't.he'll learn-NM
.
you'll be surprised at some of the stuff
you'll be entering.  I did 3 summer interns for the dept of correction and one summer I had to enter all the data for actually the state employees and run n.c.i.c. checks on them and all the alias names they gave.  I was very surprised to find out that if an employee for the dept of correction had been convicted of a felony it was no big deal as long as they stated it on their application.  I know that's discrimination but I would have thought that considering the department it was that it would have been a big no-no.  that was back in the day that I assumed that law enforcement should live by higher moral standards than the everyday people
At least 6 mos! You'll be learning and looking stuff up every day, all day, before you
s
Just say it's not going to work out, quit, and send the stuff back. Not like you'll be using t
s
Testing - thanks for correcting me, yes. nm

good job
Thanks for correcting me - hidro -
,,,
Correcting commands in Dragon

Good Morning Ladies and Gents:


I am a reasonably expert user of Dragon, having used it for about four years. I recently bought a new computer, and put Dragon 7.30 on it. I got the new XP 64 bit. Wow, what a dream for the Dragon.


However, while I had no problem with this with my previous computer, with this one it will not follow the command "new line" when I want the cursur to drop down to the beginning of the next line.


It keeps typing the word "united." It will however follow the command "new paragraph." When I ask it to correct "united," it gives me options, none of which are the one I want.


I would appreciate any help.


Thanks,


John


depends how often you're correcting
If it is only a word once in a while that your are back spacing and correcting, that's one thing, but if you are constantly going back and correcting as you go you are losing a lot of productivity.  I try to put words I constantly misspell or mistype (like "adn" for and) in my Expander so there's not much correction.
As an IC MT, how much should I charge for correcting their mistakes?

This happens often lately, due to being new at dictation.  I never charge when it is my mistake, but lately I am wasting an hour a day making corrections to their previous reports.  Should I charge by the time it takes to make the corrections and also to reprint the report? What is the norm?


 


Thanks again!    


Correcting Dictator's Grammar

I transcribe for one professional that says statements such as: "She DID SEEM in agreement". "She DID START to cry" and "The mother DID COME BACK to the office"  My supervisor told me she doesn't care for how this sounds either and that we just need to go ahead and type it as is.  Of course I am going to abide by what my supervisor says.  Is it just "cut and dry" when transcribing to type EXACTLY what is being said? - - - I also type for another professional with a PhD who will dictate and use certain words out of context, but I know what he means to say.  Do we just TACTFULLY address individual issues like this when they arise with those who are dictating?


doing VR you get paid for reading and correcting
the mistakes, line per line, line per line.....to the end of the document.
What is there not to understand or do you think that reading and correcting mistakes is not work?
I wasn't correcting grammer - I never heard of this before. nm
x
Who's laughing? I'm just shocked that you take offense to the person who is correcting
YOUR mistakes, rather than the morons who are making these ridiculous errors, making the MT profession look silly.  These mistakes should not have been made.  I'm embarrassed for you my dear, not laughing at you. 
As long as you're correcting people, think about "English."
x
Stop correcting. You're not the grammar police. (NM)
Goldbird
if a high school graduate was correcting my transcibed
nm
Thank you - that is what I have, but wanted to make sure as the doctor is correcting a previous repo
nm
anyone altering/correcting a report is required to attach their initials after the original transcri
:
I think I smell either VR on the easy stuff, or offshoring of the easy stuff.
d
It'll be the most expensive magazine subscription you'll ever get! No point in joining. nm
s
I'll go! I'll go!! I won't take hormones and will be ready to defend your honor :) n/m
.
No. It'll be the most expensive magazine subscription you'll ever get, and it's unnecessary
s
You'll get used to it. It is keeping the right leg propped up at the same time that'll be the
When I broke my ankle, I was just grateful it wasn't the hands. Without our hands we'd be totally screwed.

I broke my right ankle slipping on ice and was lucky to have gloves on because the palm of the glove was totally torn up and my hand was okay.

Good luck and be sure to do your exercises when it is time.
It'll happen. You'll find your fit.
You might have to kiss a few frogs first, though.
Oh she'll spice it up alright, she'll be
placing hidden cameras in the other ladies' dressing rooms! LOL!
continue your goal; he'll/they'll get used to it/over it
nm
I'll vent and I'll sign my name sm
I have two IC contracts right now. I recently went back to a job I had quit earlier in the year to work for the other company I am still working for.

The newer job has 80% ESLs. I transcribe OP notes primarily and I can fill in other work types as the opportunity arises. I am frustrated with this particular situation. After 6 months, I am making less money and working longer hours. I am past the learning curve and I should be doing better, at least in the number of hours I am spending doing the job. We have run out of work for 24 hrs at a time at least 5 or 6 times since December 1, and in November it was more than that. I have a friend who worked for this company as well and she was having similar difficulties. The only thing that we can figure is that they are shorting us line count some way, because after 6 months at it, it should be easier/faster/more money, but it is less and less every single pay period. It is not a nice thing to accuse a company of doing, but it SEEMS that way to us. I am fed up with being expected to type every single OP note that comes in 24/7 and meeting the 6 hr TAT for them on weekends, evenings, holidays, wee hours of the morning...

I took back a job I held for 2-1/2 yrs. The team leader has changed and this gal thinks that I should be on call 24/7 for whenever she has work. I might have some at 7 a.m., or perhaps not until 6 p.m. or later. I can't plan my personal life and between these two IC situations, I find that I am not eating on a daily basis, not showering on a daily basis and not sleeping more than 3 or 4 hours at a time. I have lost weight and I don't feel very well. I woke up today with a rip roaring head cold (my first in nearly 8 yrs) and it has already moved to bronchitis and I am expecting pneumonia by the weekend because I develop it very easily. I already have deep pain in my back.

Yes, I should call in sick tomorrow, but I really can't take the fallout. The job I took back I am covering for another gal who wanted vacation over the holidays and if I have to call in sick, the team leader will call me and pitch a fit about how this is my responsibility. It IS my responsibility, I did say I would do it, and I will do it, despite being quite ill. In the past, when I worked for this company, they would not allow me to call in sick for a "cold" without a doctor's note. I worked through many illnesses with them and only called in sick when I developed West Nile Fever and while I was sick for over a month, I only called for my last 12 reports one day when I could no longer see the computer screen because my head hurt.

The problem is that yes, many MTs lack work ethic. They don't take their responsibility seriously. This is not a work as you please career, not even for an IC. I can see the MTSO's point of view, I truly can. Like finding experienced, reliable and capable MTs, for the MTs who are these things, finding a company will treat you like a human being is equally difficult. I sit here, feeling lousy and like I am an utter slave labor with no consideration whatsoever. I know that my work needs to be done, but when I am this sick it is better that someone else do it for the sake of the work, for accuracy and for speed of getting it out. I know that I am needed, but to be the MT these companies need me to be, I also need to look after my own health.

I will also mention that when I have asked for vacation, I have been approved for the time, but the MTSO queues up my work and calls me then I am not on the system getting it done. I have told them I had been approved for time off, but the MTSO didn't schedule anyone to cover for me and I am told to get on work, vacation or no, if I want to keep my job.

Thus, I work 24/7/365 and have for years. I work sick, I work when I am in pain (I have an AI disorder), I work exhausted from staying up all night covering for others who are allowed to call in sick and have vacations when I can't have either. I work having no health insurance and not being able to afford the $125 a month to buy some with a high copay so I can see a doctor. I work without breaks for breakfast, lunch or dinner and I sometimes come close to having an accident because if I leave my desk to go to the little girls' room I get nasty calls about where I am at and what I am doing.

Many MTs are mistreated, and I am one of them.
Tell him you'll give him your macros if he'll give you his Lexus, his ski cabin, and (nm)
;p
learn something new every day - thanks
See - learn something new every day. Thanks. I just knew about some laws passed locally last year on a city/county basis.
Did you learn
on the job, or were you taught by a friend, or self-taught?

Most of those tests nowadays are geared toward grads of official MT programs.
Learn something new every day don't
you.   A consult is similar in format to an H&P, but 2 different things - for example, an elderly patient with diabetes breaks a hip and needs surgery.   Most likely they are admitted to ortho, but need an endocrine of internal medicine consult to determine if diabetes is stable enough for surgery and no other medical problems that might be a contraindication to surgery, or need treatment prior to surgery. 
You will never learn to do them...
unless you tackle them head on. You do what you can with the report, and you do what you can with the next report. You cannot avoid difficult dictations. If you don't learn to do them, you will never make any money and will probably get into trouble for abandoning too many reports.
Why would anyone want to learn it???
nm
Learn something new every day...sm

Outlook and outlook express are two different things I guess.  I never knew this, but that's what I am being told.  Outlook has a calendar option but outlook express does not.  Very interesting indeed.  Let me know if you all hear anything different from this. 


Thanks for all your help.  I have decided to try the yahoo calendar for free and see how that works.  So far, it's perfect!  Thanks for the info everyone! 


thats it! You have to learn the sm
hard way to understand. For my own personal experience, I have gone through a horrible illness and I know more than ever the importance of medical records that are perfect. I have seen some really bad stuff out there in medical records, my own included that not only is a disgrace but downright dangerous! I have always done my job with the idea that there is a patient behind all of this and they deserve the best we can give them. With all the ruckus about the state of our health care system these days, why would any MT not understand that this is not about us and lines typed and cpl etc. ITS ABOUT THE PATIENTS!!!!!!!!! you are right, the money comes later. Its a career long learning experience, one that I hope never ends on the learning part. Sounds to me like you have also been through enough life to understand all of this. The younger ones won't get it until they have been at this for many years. The only problem is, with some of the attitudes of "I won't do this and I won't do that" they won't be in the business years from now!
Learn from history

and think very carefully about this person and his sob story. Boo hoo! 


His child is cruel toward animals, chances are this child is being mistreated in some way by someone. This is a red flag that something in not right in this child's life regarding the adults. Children are NOT naturally violent--it is learned behavior.


Be friendly, but takes things very, very slow and think of the safety of yourself, your children, and your pet (s). Better safe than sorry.


newbie trying to learn

I have recently finished an online medical transcription course.  I have been reading the posting on this website and I'm very intrigued by some of the information.   Not to sound stupid, but what are word expanders, auto correct, and shorthand?  I have macros on my computer, but I never used them.  I am trying to find my first medical transcription job, but it is very difficult as a newbie.  I would love to be a productive, accurate medical transcriptionist, but it seems that no one wants to give the newbies a chance.  Any thoughts of how to get started?  thanks!


It is your job to learn the ESLs and if you can't/won't then you need to
find a new job because you are in the wrong one.
However, once you learn it, it's great!
I averaged $21-23 an hour doing radiology, about $15-17 doing acute care. If I were to go back into transcription, it would be doing radiology.
Thanks, i'd be interested to learn more

welcome; love IT and sure you will too when you learn it. nm
;
It depends on what you need to learn. Sm
Right now I have a gal starting Sep. 1 who has absolutely no med. training whatsoever so we are starting from scratch. She is paying for textbooks, cd's, materials, etc. I am having her pay as she goes along. I am not making any profit on any materials, but when she gets to the transcription part, I will have to start charging minimally for my time. Not sure yet how to go about that.

The second gal has some formal training and needs dictation practice and I am actually in the process of working with a company getting copies of microcasette tapes with approximately 800 minutes of dictation on them and will give those to my students.

I have a few accts. myself so when my students show that they are ready to tackle digital dictation, I may consider "hiring" them in the future. Right now, our goal is to get them trained and ready with my help, and to be able to pass a co. test.

I don't know where that box is to place my email address is and I don't want to post it in this spot. I will try to get my email available for anyone seriously considering getting into the field and being trained with an experienced MT who is willing to mentor them along the way to meeting their career goals.
It was very frustrating to learn but

after 3 months, I have grown to like it.... well maybe I have grown not to dislike it so much.  I would still rather work in MS Word.  It is NOT the best platform out there to be certain.  The spell check is awful and I copy everything into a Word document to double check.  You cannot copy back into Emdat though.  If there are any changes to make you must type them.  For some reason if you copy from Word, although it looks okay to you, on the physician's end it is wrong.


It is nice not to have to worry about the line count.  It is VERY nice not to have to save each patient separately.  It is nice to have the patients name available (although that is not always the case).  Overall, I give it a C. 


Hope this helped.


I had to learn the same program sm
Whether it is worth it - is only a question you can answer.

Personally, the platform is so easy; however, I do not get the high line counts I am used to even with their expander. I am so used to working in a Word-based platform with over 5000 auto-correct entries. For me, the transition was not worth it. I could only average 240 lines per hour compared to my usual 350 - 400 lph.

You have to realize, every one is different with different needs and wants.

The packet of policies you mention really is no big deal. Just print them out and read them over and within a week you won't even look at them again. Starting any job is overwhelming at first, but then it becomes routine.

I would suggest you give it a shot. You have nothing to lose and everything to gain.

As for the ESL account, I have no idea which one that would be - mine is a good mix of all.
Thank you! Learn something new everyday!
.
I like it. Once you learn it, it is easy.
x
Is this so you dont have to LEARN which is which?
If so, no, theres no way.

If you need a shortcut, just put the nongenerics in your Expander as capped. Put your others in like ddiphenhydramine and it will catch on spellcheck and you will know it is generic.
Yes. Use MT while you learn something else. It's never too late. nm
x
Was very difficult to learn and there are
still some things I cannot get the hang of. But, it is the only Expander I am permitted to use so had to bite the bullet after resisting for a few months. Takes about three months go use it effectively. Try using it for a few hours every day. When you get frustrated, close it and type everything out. On short-fuse days, skip it altogether. Over a few months, with this method, you will begin to develop speed and each new problem will be solved one by one so your line count will not get suffer greatly. Using IT requires doing a massive amount of reading initially. But, I have to say, I love it now (and am still learning how to use it six months into using it).
That rate is better than most. You do learn

the ESLs.  You just have to "train" your ears.  I remember my first day on my current account.  I had all ESLs and I had so many blanks and was so stressed, but now I would rather do these ESLs than some of my American docs.  I still have times when I will have a blank with these docs but it is rare.    When you get corrections back print them and keep a file for future reference and if you can relisten to the report once you get corrections and see if you can hear what they are saying this time.