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but where do all the CRAPPY VR dictations

Posted By: () on 2009-06-14
In Reply to: The worst doctors are on VR where I work, all of them at the hospital - Happening all over

come from, then?
I guess, crappy dictators are EVERYWHERE !


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Many many crappy jobs for me
1. Emergency Room admissions clerk in a back-woods hospital in rural Western Pennsylvania dealing with drunks, freaks and worse on the 11-7 shift while working with a bunch of angry, nasty shrews who hated life in general and were too busy hating the rest of the staff to pitch in and actually do any work.

2. Working in medical records department of another back-woods Western Pennsylvania hospital (family owned and operated, I kid you not) where the medical records director was the 30-something girlfriend of some 90-year-old racketeering buddy of the hospital's owners and she got hired as MR department director directly from the bangle bracelet counter at the mall.

There are more but these two stick out in my mind the most.
I just think it's crappy to judge m
someone's ability to responsible by their credit report, especially in these times when you can make the same amount of money as you have been and have just the basics (no luxuries) and everything has gone up and you scrape to make ends meet.  I know many people like this now.  I've even read articles on how people are in worse credit card debt than ever because of what I just described and they're bridging the gap by having to charge x amount each month to get by.  It's very sad.  Because one's credit is poor most often isn't because of a lack of responsibility or willingness to pay, just life happening.
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.

Yep they are a crappy school. Unfortunately too

many take the course because it is cheap compared to the good schools, but it ends up costing more when they can't get a job and need further schooling/training.


Have you posted your resume on the job boards? 


Knowing about foot pedals or other equipment is no big deal, what you need to know is the terminology, good grammar, research skills  are things you need.


You can look for a mentoring program.   Some companies will pay you a minimal amount for any work you do.  There are some companies who want you to pay a monthly fee.   I don't know the names of companies, but there are companies that are not legit, so be sure and ask about them.


You could also apply to local clinics/doctor's offices, and hospitals.  You would have to work on-site, but that is the best training you can get. 


 


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.
I'm sorry that you have crappy QA. I wish I had you to edit. sm

A good QA will not do that.  Where are you working that you have such bad QA personnel?  I'm not wanting to go to that company, lol.


Hope it gets better and you get helpful mentors.


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.


I'm not currently in QA, but crappy dictators

isn't the only reason for QA.  You'd be surprised at the crappy work that some MTs do and QA corrects the errors so they bad work isn't going to the client.   Some MTs don't feel the need to proof their work, believe that is what QA is for.


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.


crappy work

Must be coincidental, I just had it out today concerning your posting.  I sent a copy of it to the owner, I got a return message to never email "her" (the owner) again from the original person I sent it to.  Hmmmm, my email with cc to the owner must of sent of sparks!  (about what is really going on).  Cherry pickers they are!


But we all want to leave our crappy nationals...
and go BACK to the office! LOL. We're TIRED of the peace and quiet!
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....
If so i bet they are a crappy MT. You have to KNOW anatomy to be good.
;P
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?
downright crappy and unfair!!! SM

MQ paid 30% less pay for ASR reports, and they took just as long to edit as they did to type sometimes, so was very frustrating.  I have heard some companies pay straight line rate difference, i.e. if you make 7 cpl typing, you'll make 4 cpl for ASR.  It is totally unfair, as like I said, it does take quite some time to edit ASR, some more/less than others.  Needless to say, I left MQ for KS, who does NOT do ASR!!!!


Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Right on, JMO. Also, when I have the ability to choose dictations SM
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.
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.


somewhat. would help if the quality of the dictation wasn't so crappy. nm
nm
Guess what? There would be no cherrypickers if there were no CRAPPY DICTATORS! nm
x
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. 
Yes some crappy India people get this work
But I think it is also a great opportunity to keep this IN the USA.
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

,,


sick of working for crappy companies?
I have been thinking about starting my own company. I have done some research and it looks like all I really need is an FTP site, handhelds (that the doc's purchase themselves), and to get accounts. If anyone is interested in doing this with me let me know...or if anyone has any other information on starting a company input would be appreciated!

Why are we working as IC's and the companies are making profits off of us? Lets cut out the middle man and make the money we deserve!!
Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT. 
I wouldn't hire you with that crappy attitude either.
nm
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.


Pretty sad when you have to settle for a crappy company because all the rest are no better.
f
How true, I have one very crappy doc that drives me nuts, just got done 10 minutes of him that is-sm
riddled with blanks.  I go through it once more, then the office mgr goes through it and fills in what I cannot get. We have an understanding that I do what I can then send it in luckily on him.  It is an all-around non-money making account....I waste my time, she wastes her time then the owner proofs it. This doctor even has horrible residents who dictate for him. If there was not so much background noise I would do a lot better but they somehow manage to find the most horrible place to do their dictation and go to town with it........surprised I still have hair left.  I told them that if we continue to do this guy (the doctor had decided to stop using the service but changed their mind recently) that I should be paid double (I get the bulk of this twit) and they should charge more to do him due to all the heck he puts us through. ------Can't wait to see what happens with that one!
Venting session = so tired of crappy MT companies...

I have just about had it!  I mean I have over 14 years experience as Transcriptionist and all I can get is crappy pay rates, which now I am okay but could be better....And I am tired of getting crappy accounts!  Whenever I ask to switch over to a different account, they tell me no.  And these companies want PERFECTION, even though noone is perfect, for peanuts!  I have seen places where they want you to work set hours even though you are an IC.  What is up with that?  Plus these places never off any good benefits, if any.  What are we supposed to do.  I am ready to go to a retail job or fast food. Somewhere where I can get out of the house, do my job and not have to worry about it all day long - not have to worry if I get an 9 hour shift worth of VERY BAD dictators.  I bet I could surprise myself at how many hamburgers I could flip in an hour because I sure am tired of seeing how much crappy doctors I can type in an hour.


Does anyone else feel this frustrated?  What happened to this profession?


She got booted because she sang a country song really crappy.
nm
Actually, it is retranscribing from scratch, because the software is so crappy. Same work, sm

less money.


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

:I


any encouraging words for a newbie with crappy line counts?
Today is my 3rd day of "real" work (not school) and I did 482 lines in 5.5 hours. That averages out to about 87 lines an hour.

How many lines per hour did you average at first? How long did it take to get faster?

I accepted an acute care position to get more experience, but now I'm wondering if I should have gone for a company offering clinic notes accounts ...

Please tell me it gets better!
If you work from a pool, it's when others are leaving you the crappy reports by skipping over the
s
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
Why would I go backwards? Simple thing is to fire the MTs whose quality is crappy. Weeded out abou
I get paid rather well, but I really should not have to do an MTs job. The point is I DON'T WANT TO TYPE!! Why would I want to be an MT and type ALLL THE TIME?
I felt crappy for 8 days..while coming off carbs..but now feel great..don't forget calories still
for those who are carb sensitive..its a godsend and a lifestyle. I really like this site: http://www.lowcarbluxury.com

there are TONS of wonderful recipes. I made the chicken cordon blue for the whole family and mock mashed taters..yummy!! Obviously not the same but I was a happy camper to have mashed again. Good luck!
Yep, a good MTSO will get rid of the crappy doctor, not the good MT...sm
unfortunately, there aren't many MTSOs out there who will confront a poor dictator and nip it in the bud to begin with.

In the old days we used to do this all the time. A doctor was put on report and told to shape up and if he didn't he would either be charged more because they had to pay an MT more to do his lousy dictation, or he was always given the option to do his own reports if he wouldn't comply.

Believe it or not, almost every physician my former company did this to straightened up their act became good dictators and found that it was actually less stressful and less time consuming for them too!!

The MTSOs just don't have the guts to do this anymore... and they should. I can make more money on good dictators with a lower line rate than crappy dictators at a higher rate, and would rather have the better dictators and lower rate than the other... it's a win-win for both the MT and MTSO because the MT is making more money per hour and the MTSO gets to pay less for her MTs and make a better profit. I can't believe the MTSOs haven't figured this one out.