All I can tell you is I have been watching this issue very closely for the past 5 years...

and have seen a definite trend afoot. Let me say I have over 20 years experience in health care and MT. I also own a transcription service. I spend a lot of time networking with other people in this field. This is what I see.

1) Nearly all the major transcription services have gone to Voice Recognition platforms.(See Company Board) When they did this, they chopped the wages in half, with the idea that you should be able to produce twice as much edited work as transcribed work. However, this penalizes the fast experienced transcriptionist. It was nothing to be able to make $30-$40 an hour if you were good. As an editor, you make approximately $12. It is very difficult to increase production as an Editor - there are just not many tricks.  In addition, they also have gone offshore, nearly 100% of the big companies. We are not talking small change here. We are talking about a major shift.

2) A significant number of medical offices are switching to electronic medical record systems (EMR) which often have a computerized charting component that would replace medical transcription. We definitely are seeing FREQUENT posts about people losing accounts to EMR.

3) Every year, the physicians coming out of medical school are more and more comfortable with technology.  They live and breath with their laptops. They pay their bills on-line, they get their music on line, they find houses, cars and dates on line. They can type faster than I can. They will certainly be even less resistant to technology.

4) The AAMT which could have been the unified voice among MT's to deal with these challenges, has sold out for getting more members overseas - an untapped market to buy books, training, and equipment. $Cha-Ching$! And they ditched us.

So, say you have 150,000 jobs in an industry and 1/3 are lost to off shore and 1/3 are lost to voice recognition and EMR. What kind of competition do you think is going to be left among the remaining 1/3?   Do you think you, as a newbie, are going to be able to compete? Do you think wages are going to go UP if there are more than enough transcriptionists, all competing for the same job?

So you can be scared and upset and deny it's happening...or you can adapt...Me? I enrolled in nursing school. When MT collapses, which I believe it is on the verge of, I will be ready.

• the future of medical transcription - k8990
  • Thanks everyone for answering! - k8990
  • K8990 - rochelle
    • Or if you're interested in investing 2 years to break into a field that won't be around... - by all means go for it
  • All I can tell you is I have been watching this issue very closely for the past 5 years... - US MT
    • Future - Jan
    • As a new MT, - I appreciate your candor. - nm
    • seen and felt the changes as well - You are right on the money!
      • I enjoy MT, but I see the writing on the wall. I have started another at-home business....(sm) - Phasing Out MT....
  • Well, it really IS kind of up in the air, but even if MTs - get phased out, that'll take many years. - nm

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

You say, "In-house jobs are being outsourced rapidly" and then draw the conclusion that there must be a demand for more MT's?  Where do you think those jobs are being outsourced? It ain't Kokomo, it's New Delhi, etc. It used to be new MT's COULD get a job, back in the old days when the market wasn't imploding.  But even then, you really needed to work in house before you could work from home. It ain't as easy as it seems, especially with ESL's.

Look I'm sorry you got misled about the field. But flogging a dead horse isn't going to help.

unfold and I am more than a little miffed.  I spent a lot of heard earned money and a lot of time to go to school and get educated to be an MT.  I worked and studied my butt of and learned as much as I could so that I would have the best shot at landing a good job with a good skill set.  And that is exactly what I did.  I have not been an MT for very long.  A little less than a month actually.  I got a job working from home making a good line rate, and I'm proud of myself.

I will admit that I have had times that I have had difficulty understanding what a doctor is saying.  We all know they can be mush-mouths.  But I listen, and I slow down the dictation and I listen again...and 99% of the time I get it.  I utilize reference materials that I have and I also use the internet quite a lot to help me.  I am amazed at what Google and yahoo can do sometimes when you put in a s/l word.  I have only asked for help with a word one time on this board and that was because I had exhausted every resource that I had, and I was spent.

So, I am angry that when I may interact with someone on this board and tell them that I am a newbie, they will associate me with someone with the utter lack of couth as NewbieMT.  Never in a million years would I dream of posting an ENTIRE report in a public forum, even with the confidential information removed.  Never would I in one breath bash my employer and publicly state that I was looking for another job (after naming said employer); and in the next breath recommend them to others as a job possibility.

I am just apalled.  I can only hope that those of you with experience will not categorize all of us "newbies" in the same category as Newbie MT.

Thanks, just had to get that off my chest.

Have any of you been feeling the economic pinch.  High gas costs, cost of food rising, dropping real estate values, credit cards being used more and the balance getting higher, spouse out of work, etc etc.

This is the trend and not the end or these events.  IMO, we will see more of this rather than less.  Thank goodness healthcare is pretty immune.  I feel very safe.

Tuition costs will come down because they have to.  Who can afford $3000 to $4000 for an education now?  Not many people.  Who can afford $2000 for an education with no job guarantee???

I'll say it again, you must get a job guarantee if you are a prospective student.  Staffing school, partner alliance, MT Company that operates a school.  Those will become the favorites out of necessity.  My old college major was business.  Look for changes.

I have new headphones too so I don't think it's a headphone issue here.  Unfortunately, the tape quality is so poor I don't think hearing from both sides will make much of a difference - at least for me anyway.  I just deal with it.  :)

lived overseas.  Many ads say no offshore MTs, but I don't know how they feel about an American that was overseas and if that would an issue for you or not. 

Okay, it is time to let the cat out of the bag on how you are going to be successful as a Transcriptionist out of school.

The first thing I am seeing is that these schools promise that you will be working from home making in upwards of $40,000 a year. Forget about that. You are new to this. If you come out of school working on a production basis you may very well fall flat on your face and make $3 an hour by the end of the day. I was a transcriptionist for almost 5 years working for a hospital and I decided I could make more working on a production basis.......I failed miserably my first year.

First off, get experience under your belt and make an hourly rate in the meantime. How did I do this? Well, I started out getting a job in a hospital, any job I could get. I started out in billing, even though I wanted transcription. I watched and waited for openings, when finally someone in the psychiatric unit called me (I made friends with everyone, the key to getting calls like this one) and said they were losing their transcriptionist and I should apply. I applied and got my first transcription job, making an hourly rate. Had I not gotten pregnant with twins I would probably still be there.

After babies were born, went back part time in the evenings. This time since I had experience and another local hospital was willing to hire me in the radiology department. Again, hourly. I watched and waited once again (I hated radiology transcription). I got to know who was in charge in the transcription department. I sent her a fax asking her if she needed any part time help (back then there was no work related email). She said, yes, I could work part time (I now had "experience"). The part time went to full time with benefits. However, I got bored and decided to work for, of all companies, Medquist. I thought with my speed I would be making at least $20 an hour.....hahahahahahahahaha, what a joke. I was lucky to make $8 an hour with them. After about a year of struggling I finally got my foot back in the door of a hospital in another state. I had to commute to the hospital every day during training, it was awful, however, now I again work from home, have the ability to make about $20 or more per hour, I own my own home, own a half decent car, I am divorced and don't take any child support from my ex, instead we share in the custody 50/50.

The moral of my story........

Get your foot in the door. Look for jobs that are front desk, secretarial, whatever. Once you are in there and they realize how great you are you can go wherever you want. My first transcription job in the psychiatric unit also involved secretarial duties, so not just straight transcription. I highly recommend getting into a hospital. The bennies are the best and lots of hospital transcriptionists are working from home with full hospital benefits. If you can't get into a hospital, get into anywhere where you can do some sort of typing/transcription, that way you have your first reference/experience when you apply to a company that is strictly work from home. Everyone wants experience, they just don't want to be the ones to give it to you. 

I am so tired of seeing these schools and companies swindle people.

If you are looking into training, I highly recommend your local community college. You will probably take some credit college courses that will be able to be used should you decide to do something else. My local community college has a course for under $3000 and there are college credit courses that are able to be used towards another degree.

I did my training as a medical assistant, transcription was only part of the course. However, now I am so bored with transcription that I am going back to school to be a nurse.

I hope this helps someone out there. Good luck to you all!

in this business.  One lost an account to EMR and the other lost a good portion of an account to "writing in charts" which is a clue that particular account is going EMR most likely in the near future and trying to save money to purchase it...  It is very expensive for the doctors (more than our pay).  My PCP uses it and he said it is very costly but he is still using it. 

Now those MTs that lost accounts are working for nationals and averaging between 6 and 8 dollars an hour because they are being thrown horrible dictators and platforms that aren't up to par. 

Everyone in this business is struggling and thankful for what they have and afraid to ask for a raise.  I have 2 of my own accounts that I haven't had a raise in 10 years because I know someone will underbid me in a New York minute if I were to raise my rates. 

I just like what I do and like the flexibility, but if I were to spend $4,000.00 it would definitely not be to become an MT, not by today's standards anyway. 

How are newbies supposed to get experience?

Does anyone know of companies who hire newbies?

had a better chance at getting a job.  If you only want to hear the good stuff you aren't going to learn anything.  I feel for you, I really do, but if you had investigated before taking your course you would have been better informed.  I don't care how much anatomy and terminology you had and I don't care if you made 100% on every test, you still have not experienced real transcription.  There was one newbie MT that had a cerficiate stating she had a completed a course and she insisted she was a certified MT, which she was not.

I'm self-taught, got into the business quite by accident, but I have also seen at it for 20+ years and things were much different then.

I know you're frustrated but we're trying to educate you and you aren't open to hearing anything that isn't positive. 

My husband and I file a joint return, and my social security number was what I used in lieu of a federal tax ID#. 

your offer is more than fair.  with all the new MT's on this forum saying they can't get a job, this is a fabulous offer. 

my hat is off to you for taking the time to train, and pay 7 cents a line.  I started out at minimum wage 17 years ago...just grateful for the opportunity.

It really isn't something you just go to school for a while, and then go and grab a part-time position and think it's going to make you some cash.  I have always encouraged others who wanted to enter this field, but I can tell you that after 20 years, I am only being offered 7-8 cpl and the accounts I can get on my own are few and far between with the VR, EMR, and large national MT companies taking all of the clients at low rates and offering spit shined reports and fancy platforms for easy access.

Your best bet is to go ahead and choose the closest flower shop and work the register.  It will be much easier on your heart, soul, and sanity!  Trust Me!

I'm only 38 and I'm so burned out I could scream and throw my headphones.  I make 45K a year, but I work long hours and put up with a lot of crap from the offices I service as they know they can find someone cheaper in a heartbeat.  I've had no raise in 10 years.  I worked on-site for 17 years at 13 dollars an hour with benefits only to find out I would be training my replacement (C-Bay).  I gave 2 weeks' notice and here I sit. 

My rt hand throbs, my back aches, and my stress level is high.  If you really think after hearing this that it sounds like a good idea to go to school and become an MT, then have at it, but it will have you in a tail spin and wishing you never did.

My sis-in-law thought she'd be on easy street!  Well guess what?  Two years later, and she's not an MT but has the education.  She gave up because it was too hard! 

I wish you all of the luck in the world, but keep you day job and keep your money in your pocket that you'll pay for the education because we're being sold down the river and fast without a paddle or life jacket!