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when I worked in house learning MT the first shifters were just like the mean folks here

Posted By: maybe they had no social skills to begin with? n/ on 2005-08-20
In Reply to: I think that although it's great that we can work at home - that some of us lose our social skills

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in-house hospital is the best learning experience. sm
and is accepted with anyone. at least a year or more. there nothing like having someone right there at hand first time out.

good luck, you'll do fine.
It was the same when I worked in-house

Slow at the beginning of the summer. After the Fourth of July, people started coming in for elective surgery and things like that and work picked up.


It used to be really slow at Christmas, but with high deductibles on most insurance policies, December was fast becoming the busiest month of the year when I left.


ask yourself what you did when you worked outside the house. NM
.
When I worked in-house

at several different hospitals, we would bring a problem dictator to the attention of the supervisor, who then would present it to the HIM manager.  Most of the time the problem dictators got better after a discussion with the manager.  If it costs the hospitals EXTRA money, believe me they will take corrective action.  Money talks!


Sometimes, there are very legitimate reasons for corrections, as we all know, and I don't think Frustrated was upset about the legitimate ones.   There is a lot more of this careless dictator crap going on at teaching hospitals, but at least they have an excuse, they are new to dictating and usually feel quite bad for making so many corrections.  If they realize this and make an effort to be more careful, I don't have a problem with them, but there's just no excuse for the long-time dictators who carelessly make the MTs jobs more difficult.


While a certain amount of addendums or mind changing does happen, an "abuser" should always be brought to the attention of management.  No one knows about these dictators unless an MT brings it to the attention of those in charge.  Frustrated has a right to complain!  I feel her pain!


I had a dictator (on an account at an MT service) who made 10 different corrections to her reports on a regular basis & I am not exaggerating.  I had been instructed to join them altogether (in a time-consuming fashion) and fed up finally, I flagged them ALL separately for QA.  The transcription manager gave me a hard time about it, but I fought back.  However, when I talked to QA, she told me I did the right thing and that the hospital was having a "discussion" with that particular dictator as there was NUMEROUS complaints.  Dictator cleaned up her act a bit after that & I didn't have much more trouble with her.


Whe I worked in house, we use to have sm
that problem all the time. HR would interview folks and let really GOOD folks go because they didn't know what they were doing. We werent' really interested in typing speed, we just wanted to know about their MT skills. They use to let some really good folks get away. Also where I worked, if HR said you couldn't hire them, I don't care how good they were or how much experience they had, we couldnt hire them.

It has been going on forever that the people in charge are not even MTs!

Where I work now, the supervisors, recruiters, etc are all MTs themselves, so we speak the same language! I think its like that on alot of other jobs, the bosses don't even know the jobs.

As far as referring a friend, everything has gone to computers and there is no "personal touch" anymore either! Very sad.
Yuppers. When I worked in-house in an ER, you
would NOT believe the stuff we saw. Hamsters were common, though gerbils were preferred due to their tail. At the doctor's loung in the ER, the docs kept a list of the top 10 most outrageous cases. They wouldn't go into detail - just post a list of top 10 weird things, no names, just 1. Hamster. 2. Harmonica. 3. Pea., etc. Hamsters/gerbils were always up there, and a baked potato wrapped in foil held the #1 slot for a long time. Mother and fiancee came in with the guy, and none offered a word of explanation or an ounce of embarassment. The guy just needed help with a baked potato. That stayed at #1 for a while til I left. I can only imagine what the list says now...
I worked in house for 2 years

and when I went on Maternity leave they set me up from home.  I started working for a national in January.  My other at home position went VR and they brought all the jobs back in house. I couldn't go back into the office as I have two little ones and the cost of daycare is outrageous.  What's the sense of working then?


Hi Janna..when I worked in-house SM

We got paid hourly plus incentive pay.  Anything over 1100 lines a day was paid an incentive rate of 5 cents per line (plus your normal hourly wage).


So, if I typed 2000 lines in an 8-hour shift I would make:


$16.50 x 8 hours = $132


900 lines (1100 to 2000 lines) x 0.05 cpl = $45


Total for the day = 132 + 45 = $177.


We had a maximum of $1000 a month that we were allowed to earn in incentive pay.


Hope this helps you!


Chickadee


When I worked in house and used Meditech sm
only the person with administrative access, the lead MT or the supervisor could do that. They had access to all functions in corrections, the MT did not. Could be different where you work.
Any second shifters out there? I was just wondering cause... SM

I'm a second shifter and I like to get on this board to break the monotony.  It's so quiet in the evenings when you're the only one working and the kids are in bed!


I love second shift tho!  I've worked second most of career.  I'm not what you would call a morning person! 


I've worked in-house and at home ....
I find that even when you're in-house, with the nature of the job, there's no time for chit-chat.  When I worked in-house we had production minimums and there was incentive to earn if you produced, so who has time to talk?  I'm with you.  I'm happy being here in my comfy clothing without all that aggravation.  Let is snow, I don't have to drive in it!
Never worked in my house RadGuy w/5 brothers

I still crack up at the time my dad came home from work to find my 2 eldest brothers room a shambles with clothes strewn all over the place.  Being a senior and junior in high school their clothes WERE prize possesions..until that day when they got pitched out the window into the backyard full of mud from all the spring rain. 


Now that one worked as they never ever let a pair of shorts even touch anything but their dirty clothes basket.  Now, I'm using the same standard on my boys and just the uncles telling that story keeps them in line


in-house great idea & worked
When I was working in-house our hospital imposed for $50 fine on the docs for EACH delinquent chart. You can bet that got them to dictate on time. I think more hospitals should follow that example. it is better for everyone involved but mostly for the patient, who has info on their chart needed for continuing care.
I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
Same situation here. When worked in-house or for physicians offices,

never as much as a single episode of no work available.  Much to my dismay, I have found out that MTing from home for a nation is so unpredictable, in so far as what your paycheck is going to be every week or 2.  They all say "there is plenty of work," which is probably factual.  However, the nationals are primarily interested in pleasing the client with their promised swift turn-around-times.  What they forget is that if it weren't for the MTs, there would be no turn-around-time whatsoever.  It's really very discouraging and quite unfair.  Most people try to adhere to their monthly budget, which is impossible when one never knows how much they are going to make from one week to the next. We ARE the providers, not peeons, and resent being treated as such.   


 


And I disagree with that. I've worked home and in-house,
Everyone is different and some people don't rely on jobs to provide social interaction. When it comes to my job, I prefer being at home working independently without a lot of interruptions and enjoy the freedom of working from home. If I were stuck in an office with rigid hours, then I'd be resentful. Personally, I loathe being stuck in an office full of catty backstabbers and love the solitude of home. When I want to socialize, I call one of my friends.

You also have to be able to let QA remarks roll off your back a little, but that only works if you don't have the threat of being docked or terminated as a result of those QA remarks. Find an MTSO that doesn't hold those things over your head (yes, they do exist).

I do think the key IS where you work, but not home versus office - it's finding a company that values MTs, not sees them as mere production machines. They are few and far between, but they're out there. I lived through my share of bad apples in this biz before finding the good ones, so I speak from experience.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
Always looking and learning
What is a marker, is it product specific or would shorthand have it? Sounds great
learning op
Try this book: Stedman's Medical Transcription Skillbuilders: Creating Surgical Reports. (also comes with 2 cds)
Learning radiology.....sm
You should definitely give it a try, but "only" if you let them know up front that you haven't done radiology.  You can say that you feel you have enough experience to adapt to it and hope they'll give you the chance.  After all, the more specialties you have under your belt, the better your chances are of staying in this field.  But I would not take the job without being honest.  The transition is not all that difficult, but it will take some time.  And besides, you always have your former skills to rely on if it doesn't work out.  Good luck.
Yes, I'll be learning DQS...
I have wireless internet so I can't imagine why I would need a modem. I'm hoping that's something that's just in the manual for people that are still on dial up.

The lady I talked to made it sound like I had to rent the computer, although she quoted a fee of $25 a month. Is it not something I have to rent? Honestly, I don't mind it for right now just because my computer has been doing some crazy things, but when DH gets my computer upgraded I'd much prefer to just use my own computer. I'd rather not use all the other stuff if I don't have to.

Is DQS hard to learn? My training is Thursday and Friday so I assume I'll learn it then but I'm also not the best at remembering every single detail right away. I just want to get through this. I'm excited because they're letting me do acute-care work even though I tested for clinic work. I've been wanting acute-care experience and am thankful to be getting it. I just feel so overwhelmed with these three huge boxes sitting in my living room when I was only expecting one. The enormous DQS manual is also adding to the anxiety.

Thanks again.

Carole
Learning to read...

Yes, that problem brings you right back to the lack of early stimulation, schooling success, etc.  You can offer the world, but just like the "horse to water", you can only do so much in getting people to accept education and work hard at it to be successful.  It is NOT a solution to have people work at McDonalds, and unless they are literate, other options are just not going to work.  I would guess that all states have vocational training in community colleges that provide tuition assistance, scholarships, and financial aid for those in need, but again, the ambition and dedication to finish something like that needs to come from the individual.  Also, chasing down dead beat "fathers" is fine, but maybe young girls/women need to be smarter about taking reproductive chances.  Nobody died not having sex.  Perhaps more education in that arena is something the government could do.  But again, you can only lead a horse to water, and people ultimately have to be responsible.  We need to stop sugar coating the facts in our society in fear of offending somebody.  The facts are that blacks are disproportionately more impoverished in America, but they also have babies at a 70% out-of-wedlock birth rate, and that is a problem.


Could not do without it. Small learning sm
curve, but worth it.
Looking to start learning soon
Hi all,

I found this board doing a Google on a company I hope to join soon. They will train me to work for them. I am excited to be able to finally get into this business.

I stared taking a course twice, but have been battling Diabetes. It was hard to find the motivation and keep the momentum going. Now my Diabetes (type 2) is better under control. I am also tired of working for someone else outside my home.

I have been looking at doing transcription work for 3-4 years now. I have researched positions I can take once I get some experience, and I don't mind trying to hustle up my own accounts.

I am posting here to keep my dream in front of me and keep me looking towards my own business. I plan to join AAMT and my local chapter once I get working. I am so excited!

Thanks for the information your board posted while I was researching the company to make sure it wasn't a scam. I am satisfied it is not and can't wait to start learning!javascript:editor_insertHTML('text',''); Thank you all!
Thank GWB for that. It is all about the testing, not the learning.
x
Learning MSWord - need help

Finally have given in and am switching from WP to MSWord. I work from home. If anyone has any encouraging words about MSWord, I certainly would like to hear them. So far, I am going crazy, i.e., I have put in "gray boxes" but when I enter my autocorrect short cut for the "shell", my cursor goes to the bottom of the page and I have to page up 2-3 times. I am missing something?


Any help would be so very much appreciated


Thank you.... bw...


learning word
There is a really good web site called MTwerks.  They also give really good tech support and have a news letter with helpful tips.
Learning the English would be
a big help!  They come here to make money and should learn the language.  Benny Hinn does a great job with the English language when he's asking for money!  so apparently it is doable.
Yes, but I have to use the mouse. But....am learning (sm)
more shortcut keys as I type!! Thanks!
I switched but still learning,too

I used SH for a year. To me, it was like AutoCorrect, which I used to love, but IT does so much more. I've been using IT for about a year. There are so many things you can do with it that you can't do with SH.


As the other poster said, check out the productivity website and you will fiind zillions of ideas.


Some have a different learning curve than others

I had an in-house job for 3 years, hired in off the street, no experience.  Three months later, another girl hired in, same situation.  Paid hourly, no ESL, and we had the opportunity to talk to the doctors in person about any issue.


By the time I left, I was the highest producer in the office.  She was still struggling with the simplest words and phrases, still asking the same questions she asked the week she hired in, still needing help from somebody else all day long. She would cry from frustration because she couldn't get her act together.  Other people that hired in after her got the hang of it much faster and were soon helping her too.  I asked management on many occasions why they just didn't show her the door, and they said I was being harsh and that some people just couldn't learn as fast as others.  I wonder why she didn't just go find a different kind of job instead of hanging around driving herself and everyone else nuts.


learning another language
It isn't that I wouldn't like to learn another language if I had the time. I would. It would be neat to be able to speak another language, but I don't. And it makes me fustrated when immigrants come here and expect me to know their language when they are the ones who came here. They should know proper English. Or just decent English. If I moved to South America I would not expect them to understand me. I would take it upon myself that if I wanted to communicate I need to learn good Spanish. And if I had a job where I did something such as dictating, I would make sure I knew decent English and tried to make myself understandable. Some ESLs act like they don't care if you can understand them or not. There ARE some who try though.
learning steno, et al.
Hi mt,

I looked into closed captioning many years ago here in San Diego, but it was not as good as it sounded with many problems both internally and externly, hard to explain in this forum, but I didn't want to get involved in that mess.

I started court reporting school way back in 1988 when we still had saber tooth tigers running around. I started the program at San Diego's City College. The first semester was learning theory which taught the steno language and the keyboard. We used the old manual machines, which are still available for students. The second semester and thereafter was all about the dreaded speed-building classes. We finished the first semester at 60 words a minute. Speed-building is a very personal matter. It can take years and years or less time, depending on the person. It took me 2 more years to reach 225 words per minute which qualified me to take the California state board test for licensure. I passed the academic portion the first time but not the machine portion. So I took it another 6 times, never passed that damned thing! Nerves got the best of me each and every time, so I could not go into the court reporting field (something I don't regret in hindsight). Instead I opted to enter our wonderful field of MTing.

I'm using my machine to write this message. I really like using the machine a lot. Each stroke produces either one word several words or phrases or parts of words that have many syllables. It all depends on how you have your dictionary defined.

Today's steno machines are electronic and computerized allowing us to interface with any word processing program.

I hope more people learn this skill and start using it for medical reports so we can get rid of this rotten ASR chap which has reduced my income way more than I can live with. I need a firm that will appreciate my skill and recognize its value in this field.

BTW, it would only take about 10 months to a year to become proficient enough on the machine to start using it for MTing, maybe even less time depending on the person. I didn't work during 3 years of my early training as I had financial help at the time (which I had to pay back, of course, $30,000 - it's paid back now).

Dave
It's like learning MT all over again. It takes
nm
There's a learning curve

In time it all gets better.  Usually.  Some people aren't cut out to be MTs, for them it never gets better.  I felt the way you do when I started out in-house (no former training).  But I was stubborn, and I learned, and knew I was getting better.  Then I started working at home - BIG learning curve, had no idea my hospital job was so easy!  But I was stubborn, and I learned and improved.  Next job - more learning.  New accounts with constantly changing specifics - keep learning.  In this job, you learn every day - a new phrase, a new production tip, the fact that you've been spelling something wrong, etc.


Just take a deep breath and realize they are trying to help you.  Thank them for every correction, because its what they need you to do.  Make a lot of notes.  And you can and will improve, if you're stubborn enough to make your investment pay.


coding learning
Both Andrews and M-Tec have coding courses. I had a discussion with Redpen about the possibilities and she thinks it will be at home eventually.
MT, are you just now learning about her needing a
Xanax?
I have been an MT for 10 years and am still learning...
you really do learn something new every day...just hang in there and you will do fine...
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
Learning the hard way and my story (sm)
I didn't read all the posts below me, but I must agree with not quitting one job before landing and being even comfortable with the next.

I worked for a national and was VERY happy with everything except I had no benefits. So I sought another job and was offered one for significantly less per line, but I had benefits, mainly insurance which was a trade-off I was willing to accept.

Keep in mind, my current national offered basically no benefits for employees.

My new employer was enthusiastic about me coming aboard. I told him/her that the ONLY reason I was leaving my national was FOR the benefits and nothing else. I was happy with accounts, pay, personnel, etc. where I was.

Now, also keep in mind that I did NOT resign from my first position.

I spent the next weekend working for the new employer and making macros, etc. plus doing work for my national.

Tuesday morning I get a packet welcoming me to my national... the national I already worked for... what? Turns out my national bought out the company I had applied to, the one with the benefits, which meant that had I resigned, I would have been working for over 2 cents a line less and NO benefits still.

Talk about ethics? The "new" employer knew my situation, knew she/he was selling or had already sold his/her company to the national, but STILL let me apply and hire me, knowing I would be screwed big time. I was totally up front with him/her about WHY I was changing jobs. This devastated me to no end, but I was thankful that I had not quit my first job and I am still there (still shell shocked I guess LOL).

You just can't trust anyone.

I thought about learning it as well, but I didn't.

You can actually reset your computer from qwerty to dvorak, then just change out the key locations on the keyboard instead of buying a new keyboard.  I just really don't feel like relearning anything right now.  The fastest typist in the world uses the dvorak keyboard, according to the Guinness Book of World Records. 


I'm learning scoping, and its quite interesting, instead of CR -- nm
xx
Correct and I believe 1 or 2 more years learning
from their signing physician in house. 
At least 6 mos! You'll be learning and looking stuff up every day, all day, before you
s
Virtual Learning Center MT Course

Has anyone done this?  It looks good....but I need to know before I spend the money. 


Thanks.


I'm learning radiology now after 19 years
in acute care.  So far it's pretty easy.  The phrases are familiar from the radiologic studies sections of consults, H&Ps and discharges.  The internet makes short work of finding any new terminology.  What is throwing me, though, is the sound quality.  It's all pretty muffled.  I don't know if that is typical of radiology or not.  I thought maybe the proximity of the dictation equipment to the radiology equipment is causing it, but maybe they just have old phones.  Any radiology MT care to comment on sound quality?
I agree. I'm learning a lot more with the variety
than I would have otherwise, which makes me feel more comfortable should I ever move to just one specialty. Of course you find some specialties you like and some you don't, but you're still gaining the knowledge. Just hang in there.
Medical transcription is like learning a sm
foreign language. It takes years and years to become fluent and able to transcribe whatever comes through your queue. Also required are excellent spelling, grammar and punctuation skills as well as computer skills.

Nowadays, the majority of dictators have thick foreign accents which make it difficult for even the most experienced MTs. It has become a situation of translate and transcribe!! You really need to know your stuff.


That is exactly what it is. They overload these accounts, you keep learning new
ones as backups only to find that they then get overloaded and then you sit there and wait for work making probably minimum wage.  Well, just keep two PT jobs and then when one runs out go to the other and let it go.  The  whole thing is not about the MT or what they make or how much time they spend playing the game.  After awhile, you just say I will cover myself.