common sense dictates you read the writing on the wall. technology has made you obsolete.

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Whoever is responsible for this current economy in my opinion has just done us in...

This is from an Indian company (if you go to their site check out their job openings, all in India)

See below: 

With the economy in the US showing ‘no’ signs of recovery and with the ‘fourth’ largest bank going bust, companies which earlier had said an emphatic ‘no’ to outsourcing, will have to rethink.

High Capital Costs

The burgeoning ‘operational’ costs a company based in the US incurs for basic back office functions such as payroll processing, accounting, distribution and other important functions adds to the high capital cost of a product or service rendered by companies there.

A new ‘strategy’

A new mind-set is the need of the hour; entrepreneurs need to harness new technologies, outsource assembly lines across the globe to offset the high labor costs  at home, this trend adopted by some of the companies a couple of years ago has turned the corners for them, ever since they started moving some of their tasks to overseas companies based in India, operational cost were reduced by one third.

Internet the ‘messiah’

The vast avenues of communication made possible by Internet has made it possible for enormous levels of information that is exchanged, unlike the pre-Internet days where communication was possible only through a telephone, a fax or a personal face-to-face meeting, now entire board room meetings can be held on the Internet regardless of the physical presence of members.

Cost ‘benefits’ of outsourcing

When a company based in the US ships a $14 to $15 an hour transcription job assignment to India where a transcriber is paid just $1 an hour, consider the cost benefits the company will receive, in comparison to the in-house service maintained by the company.

How will ‘US’ benefit from outsourcing

US companies will be able to enjoy reduced costs, and the large profits that will result can be re-invested in new ventures or expanding the existing ones, thus the outsourced new contractors can in fact create new markets for American products, and displaced US workers will have the opportunity to find newer jobs in vibrant new enterprises. The US companies will have the advantage of developing newer products with better features and thus antiquated products or services can be handled by the ‘contracted’ offshore companies.

Advantage of a different time zone of an ‘offshore’ company :

The operations of a US based company will never come to a stand-still, even after the staff has left for the day, the off-shore company based in India will take over and complete your unfinished task, thus projects get a round-the-clock attention, giving the companies an effective lead in completing projects with a quick turn-around-time. Client is therefore assured of an ‘on time’ delivery of his project, and in the bargain the company will have the benefit of maintaining the customer retention ratio.

Why choose ‘transcriptionstar.com’ as your vendor

As a transcription company we have the process expertise and an effective track record of experience and knowledge, we also are very flexible in adapting to newer technologies and since our operations are India based, where employ wages are one fifth of the their counterpart’s in US, an effective price advantage can raise profit margins of US companies to new heights.

Avert ‘Costs’ from sneaking up and corrode ‘Savings’:

medicaltranscriptionsservice.com can effectively ensure that companies outsourcing transcription requirements to us can save 40% to 50% on costs, whether it is for applications for Business Transcriptions, Media Transcriptions, Legal Transcriptions or Medical Transcriptions, we are the ‘source’  that you can ‘outsource’ and avert costs from sneaking up and corrode savings.

Advantage outsourcing from India:

With a vast reservoir of English speaking university graduates and a vibrant democracy, India can virtually ‘clone’ the operations of US companies at one fifth of the cost, and still maintain the standards of quality required by clients in the US, remember it is time to act now than wait, ‘outsourcing’ is the solution.

“A Stitch in Time saves nine”

before I posted and waited until not only after the press release but after the details came out. We were carefully briefed early on on the details of what was and wasn't okay.

My daughter is going out of her skin waiting to hear.  She loves history and current events at school, particularly the mock elections, etc.  I just think it is a wonderful opportunity to give her this early in life. I hope it makes a huge impression if she gets to go as far as the importance of exercising her right to vote, etc.

I think maybe my first month or so of doing MT I would actually try to look up stuff as I came to it.  It doesn't take long to figure out that is the WORST way to do it.

It is not already implemented at many facilities, yet at others it is; thus, the desire to implement it universally.  Below is an excerpt from Wiki regarding EMR.  This should clear things up for you.  Also, spend a few moments reading the second paragraph.  It clearly explains that EMR is an electronic medical record, and the means of achieving that final electronic state are many, some of which include templates, VR and traditional transcription.  So, tell me again, EMR automatically means a point-and-click system?

As of 2006^[update], adoption of EMRs and other health information technology, such as computer physician order entry (CPOE), has been minimal in the United States, in spite of studies showing revenue gains after implementation.^[2] Fewer than 10% of American hospitals have implemented health information technology,^[3] while a mere 16% of primary care physicians use EHRs.^[4] The vast majority of healthcare transactions in the United States still take place on paper, a system that has remained unchanged since the 1950s. The healthcare industry spends only 2% of gross revenues on information technology, which is meager compared to other information intensive industries such as finance, which spend upwards of 10%

Pricing for EMR systems is highly dependent on each practice's unique needs. Because every medical practice has distinct requirements, systems usually need to be custom tailored. This is due to the majority of EMR systems being based on templates that are initially general in scope. In many cases, these templates can then be customized in co-operation with the vendor/developer to better fit data entry based on a medical specialty, environment or other specified needs. There are also EMR systems available that do not use templates for data entry and therefore can be easily personalized by each individual user. Alternative data entry methods include concept processing, voice recognition, and transcription.

hire her if I was in that position and would fire her if she was already hired.  If she sees nothing wrong when mentioning what accounts a company has then that is a HUGE problem.  It doesn't matter if nothing negative was said, if account specifics weren't mentioned, it is just COMMON SENSE and an unwritten rule that you don't tell what accounts a certain company has. 

wondering

Yep, I knew it was advice, and I appreciate ALL points of view as it gives me perspective.  8-)  I've been reading the boards for a while now, and I realized that I'd get the good, the bad, and the ugly, and that's okay! 

However, I specifically asked for advice about how to do it rather than whether to do it, though, as I've already decided to defy the odds and give it a go. 

Enjoyed the NCLB reference, by the way! 

I have been a Transcriptionist for 18+ years, the last 12 for a large hospital. About a year ago, "they" changed the definition of a line so that it was much harder to make incentive. They said they had been figuring the line wrong and that they were now going with industry standards. They have never been very specific about how a line is counted, but we did go from a 70 to a 65 space line. We currently get paid hourly plus incentive. We are now waiting to hear if we are getting outsourced, with the possibility of working for that company, or if they will keep us themselves and just pay per line, and you can bet they will pay us as little as possible. I work in-house, and they no longer want to take into consideration downtime, even though we have to answer phones and troubleshoot for doctors!

I completely understand transcription is changing, largely due to voice recognition and other computer advances. If they said they were paying us less because of that, rather than trying to make us produce more for less pay, we would all appreciate the honesty rather than trying to make us look and feel bad. I am good at what I do, but I guess I am becoming obsolete!

Speech recognition will get better, but it will never be perfect.  There is always going to be the need for someone to type the reports of the dictators that absolutely cannot be understood by the SR software.  But that means that the only thing left to be transcribed will be the garbage.  I can't imagine 8 hours a day of nothing but garbage dictation every single working day for the rest of my career for what they're paying us.

Schools don't even encourage anyone to get into this field anymore because they don't want to have someone take a course and then be out of work in a few years when this skill goes the same direction that shorthand did several decades back.

Like someone said on the Company board, education is the key.  Don't allow yourself to be a one-trick pony and learn how to do something else while you can.

Hi fellow MTs:

Just wanting opinions.  I find some days, my fingers/brain are really "on" with transcribing, but then I have other days, where reaching my line count is a struggle.  Obviously, I'd prefer to all "on" days and I'm wondering if any of you have suggestions on being "on" more than off.

Thanks in advance and happy typing!