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Serving Over 20,000 US Medical Transcriptionists

I've been there and know how you feel...sm

Posted By: slh on 2008-05-22
In Reply to: Advice I need it bad! - ProudNewbie

First of all, do you have a text expander?  This really helps out a lot.  Also, if you are able to, keep a sample of all of the different reports by all the docs that you have typed handy.  I'm allowed to print off reports (crossing out the name and other personal information with a black marker of course) and keep them in a 3-ring binder for easy reference.  It really helps to look back at a sample of an H&P or discharge summary, especially for docs that dicatate the same thing all the time.  Your text Expander will also come in handy for things like that too - physical exams and op notes that are always dictated the same.  I know it can be frustrating, but practice makes perfect.  The more you type, the better you will become!  Hang in there!


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Linked the website. They've never responded the few times I've tried. nm
,
so you've been MT'ing for 6 months and I've been at it for 25 years but I don't know
what I'm talking about...that's a good one. The purpose of this board is for experienced MT's to give information to new MT's. One of the developments in this field is its recent downturn. We have a responsibility to be upfront with what we see, know and any conclusions we might draw. With less than 1 year of experience in the field, I hardly think you're in a position to give an educated answer regarding things like job markets, global influences and technological challenges. But then again, people like to only listen to things they like to hear...so have at it!
I've never heard of that school, and I've
been doing this for nearly 20 years. Maybe they have in Canada, but in case you work for a company in the US, you might want to consider M-Tec and Andrews. They are on-line and their students get jobs when they graduate because they are in demand. Again, not sure how much it will complicate getting work since you live in Canada, but I think you should at least compare the programs closely.
Sorry if that's the way you feel.
I am a very polite person.
I feel the need..sm

to once again bring up some important information.  To work as an MT you should have a medical spellcheck, books, wave player, foot pedal....the basics.  If someone is hiring, they do not want to wait while you obtain these things, you should have the basics.  If they require special equipment, they will state this and also if it is provided or if you need to provide it.


Testing...SPELLCHECK, LOOK UP TERMS...sooooo important.  The number of made-up terms and misspelled English terms is running high these days.  If you are testing for a position, you want to have looked up every single word in that report if that is what is needed for you to understand what the report is about.  Never guess on a test.  Leave a blank and a sounds like spelling to show you do not guess but were unable to document an answer.   However, there should not be more than one or two in any test...odds are you were meant to demonstrate the ability to verify and find terms and comprehend the context of the report enough to be able to locate the correct terms.


It is hard getting started, do yourself a favor and be sure you have put your best foot forward.  Spellcheck your resume.  Take extra care on tests.  Triple check everything that you submit as representing you as an MT.


know how you feel
Hi I went to that school to and there course does not prepare you for the tests that well. When you do take some tests you will see! I am thinking about going back to school to learn more...There course was to easy....and transcription is not. I hope you have some luck! try any company even if they require experience, look at the web site MTDaily it might help if you have not looked there yet.
I know how you feel
Don't give up. Read, listen and type - you'll get it. Like my husband's friend would say, you can't learn to fish by reading alone, you have to go out and fish. Just keep on.
Why do you feel that way?
Why do you feel that you should have chosen M-Tec over career step?
Well, thanks everyone. I feel much better

I need to have more patience.  I won't be afraid to call when (if) the time comes.  Thanks also to the poster who described more indepth what overhiring is.  That's a good thing for me to keep in mind, regardless of where or when I apply for jobs.


Thanks again everyone!  You are all great!


I know exactly how you feel!
Guess what we attend the same school and I'm just two lessons away from graduating, and i been trying to get my feet in the door but ain't nobody opening the door for me.But I have faith and my grades are good and I know all that grammer and punctuation stuff. I believe in the Lord and with him all things are possible. However, there is some negativity floating around here, but hey that is with any job and any where you go you gonna have to deal with it whether you at home or outside. I have been testing for about a month now. I have people turn me down and tell me to try again and some just don't respond, but I don't let that stop me because the shape that the world is in today in the end everybody gonna need a transcriptionist. So keep your head up and best of luck to you
I understand how you feel.
I have asked questions and have received responses that made me feel like I was annoying someone. It can be very discouraging when someone makes you feel imcompetent for asking questions. Good luck!
Feel so dumb - HELP!
If you're transcribing a report about someone with sinusitis, and the doctor says the ___ are red and swollen (and it doesn't sound like nostrils or nares or membranes) what could it be?  And in the PLAN if he says ___ fluids, rest, and follow up within 7 to 10 days....what could he be saying.  It almost sounds like "Push fluids."  Can anyone help?  Thanks!
If this makes you feel any better......
On my first day, regardless of college course I had passed, it all sounded Greek to me. Learning in class and actually sitting there real time is a lot different. It helped to know that the medical records director, who was a RRT as well, hated transcription and ran as far from it as she could. Made me feel better to know that at least I was hanging in there doing it.
Now I feel badly...
I apologize for my previous little tirade. I think maybe I was out of line in my response to the person who thought we might be doing work out of India. We really are not. I do think that a lot of people on medical transcription boards are a little too negative, and I don't want to become one of them. For all you newbies, transcription really is a great job. I have been at it for 16 years now and absolutely love the freedom it allows me to raise my family and make a decent living. The only problem is that it is hard to get started, which is where the idea of the internships began. Obviously, we would be getting something out of it, but I feel like we are offering probably more than we would be getting. My suggestion for all the newbies is to work extremely hard at it for about a year and then the rewards will be great. Have a good day. Blessings to all, especially the person I trashed. Jen
I understand how you feel susan
I am also a RN in Montana and I starting school though MTec. I a very excited about this career change. Hospital nursing was why to stressful for me. It seemed like when I finally felt comfortable caring for the amount of patient I had they would increase the patient load and increase the paper work. I never felt finished everyday with I returned home from work I would think about things I forgot to do or didn't have time to do them. I was very frustrating from me. I just just recently took an office job at little non profit company. I love the job and the patients, I took a $7.00 per hour pay cut to work there, it was totaly worth it. Althought I would really like to work from home and leave the politics at the office. I plan on working part time to gain enough experience, to make enough money to be able to leave my current position.
I feel bad for the newbies, I remember how it was too
I started about 12 years ago, I was lucky because my school helped me find a job (all tapes, talk about bad quality) and the MT office was a little nook in the corner of an ER.  The docs were always stressed out and I could not understand much but did the best I could.  I remember fearing being fired just about everyday because it was so hard.  I didn't get the hang of this job until over a year into it, and when I went home, it started all over again, because I didn't have a second ear.  When I first went home for MQ a year and a half out of school, my then fiance was so happy to have me home he came up to give me a loving hug, and I actually shoved him I was so frustrated with work.  I later apologized, but the stress level is crazy when you are new, you don't have a grasp on the medical terminology, no one to ask questions in person, on top of the crazy accents.
I'm working, why would I need to make myself feel better?
I'm sure if they wanted them to know, they would have told them. I think you know we don't give out names here!!

Facts are facts! Good job cheering them on though!
well, tell that the MT that just lost her job. I'm sure she'll feel better.
x
No, I did not feel as prepared as I could have been. See message.
I have been working as an MT for a little over 4 years. I am a CS graduate, and if I had it to do over, I'd choose Andrews School or M-TEC.

Almost all of the books you receive from CS are written by the lady who started the school. The other 2 schools use real reference books that contain a LOT more. That's one reason the other 2 cost more. Since graduating, I have purchased quite a few of the textbooks used by Andrews and M-TEC, and have improved my education significantly.

Also, the other 2 schools have real instructors who go over your work and point out errors, and help you along. At CS, your work is "automatically compared" against the same report done at some unknown time and place by some unknown MT, who may or may not have done it correctly. All you get is a comparison between the two, it only shows the differences, like holding two pieces of paper up to the light to see if everything matches. Whenever there are differences, it's up to YOU to figure out which one is correct. The only time a real person actually looks over your work is when you take your final exam (which over 50% of students fail the first time they take it, and that statement comes directly from CS itself, not from me).

Yes, I did get a work-at-home job after graduating from CS. But I feel my first year of work was a lot harder, I spent a lot more time looking things up, there were a lot of things I would have learned at Andrews or M-Tec that I didn't learn at CS.
Why do people feel they can scam their way into this field?
With inferior educations for cheap and now wanting to lie to get jobs? Whatever happened to working for what you earn and telling the truth? :-(
I also feel the money is slowly slipping away -
I started off being paid on a gross line and making 60K a year. Those accounts dried up. I now struggle to make 25K and I am a fast, accurate MT. I do enjoy the work, but enjoyment does not pay the bills.
I honestly do feel for any new MT entering this profession. SM
Pay has gone down considerably in this industry. I believe this is a combination of large transcription companies who focus on large quantities because they have to in order to keep their client base and stay in business. A huge factor, in my opinion, is the ever increasing number of overseas transcriptionists who work at a much lower wage than we do (of course, their cost of living is lower), and the alliance they have with many of the Indian owned transcription services who operate out of this country (well, at least they have an 800 toll free number and use a U.S. adress, when in fact, they are operating out of India and not paying taxes like American businesses). I have 26 years experience in this profession and make probably 15% less money than I did over ten years ago. There are many highly experienced MTs who are having a hard time with a company fit during the past few years, because everyone seems to be sacrificing quality for quantity.

Keep searching and some company will let you get your foot in the door. One of the largest U.S. transcription companies (I won't mention the name, but most know who I am referring to) are likely losing veteran MTs by the dozens as we speak due to the recent negative changes. I believe this will make the job market even tougher for the new MT. There are many experienced in the profession who will be and probably are "shooting out" resumes as we speak.

My advice to you, as we were all new once, is to get your foot in the door of a local clinic or hospital, put your time in (at least 2-5 years) and learn as many specialties as possible. The hands on training and staff that you will have at your disposal in the medical records department will be invaluable and crucial to your future in this profession. Working from home as a new MT has many, many disadvantages, mainly the low pay and high rate of competition out there. With production pay, you will find yourself making less than minimum wage quite often. It is sad that many schools don't bother to inform you. Good luck and stay persistent. Something will come your way.
You're quite welcome. Feel free to e-mail me in the future :o)

Oops--- meant to add...explain your concerns & go with the one you feel most comfortable with.
x
Unless you can work in-house somewhere, I feel the at-home MT who can make good money is a
s
I've also done both
As an LPN of 16 years years and an MT of two years, I can attest to the fact that the pay is better in nursing, but the stress is FAR greater. Yes, there is a huge demand for nurses alright. You will be doing much more than your own share of work. Support and back up is often not available (though not admitted to by administration), you often will not be able to care for patients as you were taught and know they should be cared for, your body will ache everyday (provided you don't get an actual physical injury that will always be your fault for "lack of technique") and your feet will scream in agony from being on them day after day all day frequently for 12 and 16 hour shifts. You may find yourself forced to work over a second shift because your relief person simply doesn't show up, don't expect your daycare or babysitter to be understanding of that - it won't be "their problem" but you can't leave your patients without coverage, which means you will be stuck.

Most patients are decent, just ill, in pain, therapy or basically maintenance. Other patients are going to spit on you, kick, hit, pinch, scratch, gouge their nails into you, bite, scream, yell, curse, throw things at you (food, medications, equipment, feces, whatever they can get their hands on). Then there's the unintentonal things too, such as sneezing or coughing in your face, vomiting on you or passing gas.

Administration always talks about how nursing is a 24/7 job, that what one nurse can't get done in her/his shift, the next one can pick up. That's bull! If you miss something or don't miraculously get it done, they are all over you like white on rice and writing you up one wall and down the other! It is not legal to have to work through your lunch and breaks, but you will eventually. Don't think you won't! You will also find yourself clocking out and going back to finish whatever you need to for your shift. You can't even report staff or administrative abuses to authorities because of HIPAA and confidentiality clauses, there is no protective whistle-blower clause in nursing. That's a good way to get yourself fired and blackballed, then you can't work anywhere in the same area.

Most doctors are okay, others are pure asses. If you want to be a nurse, do yourself a favor and only be an RN. That way you will get paid much better and have at least two levels below you to delegate to - the LPN and CNA.

When I went into nursing, I considered it an honor, the most noble thing I could do for God and my fellow man. I have since found it to be the most brutal profession of my life. Short of professional boxing, I don't really know what would be worse. You will be thrown around as a nurse some time or another and jerked around by DONs and others in supervisory or administrative roles even more frequently. When I got my last beating, all I did was start walking down a hall in response to a staff member calling my name. I went to assist her, didn't know what I was walking into till I was up against a wall getting my head punched by a 6' schizophrenic man. And, of course since he was a patient, he couldn't be blamed or "responsible" for his actions" and I couldn't do anything aobut it but feel the pain.

And as if that isn't enough, there are many people with dangerous, negative attitudes that won't life a finger to help anyone that they are not forced to do (as if that wasn't what they are paid to do in the first place!). Some people are just mean and nasty to work with. You probably get that anywhere, but you WILL get it in nursing - especially nursing homes.

Speaking only for myself, I find taking the pay cut and working behind the scenes from my own home to be safer and much more satisfying. I would never have thought that 16 years ago. No one could have convinced me that anything I've just said here was true, now I've lived it. Maybe MTSOs are not the most caring souls out there for MTs, but healthcare administratrators and DONs are not either. Nurses are in huge demand because the support and working conditions are horrifying. The older the nurse gets, the less resilient. There may be some great nurse positions out there, but I never found any that lasted. That usually changed with the next DON that came along.

Good luck to you in whatever you choose. If you choose nursing, I hope you have a better life experience than I have had. As far as MT goes, it is an evolving field. VR cannot do the job alone, someone needs to go over each one. I wish you peace and happiness.
You've never taken
a class on making friends and influencing people, have you? Ha! Usually it works best not to insult the natives and then ask for the favor of information. Fortunately I have a sense of humor.

Since you have never made a lot of money anyway, the pay isn't going to bother you, right? If you are motivated you can certainly make more than $16,000. I would not have recommended CS as the best place to take off from, but it may be enough for you since you are good at English.

However, are certainly careers in the medical field that pay much higher if you could go to school for 2+ years. Most of them have a more certain future than this one.

But if you want to try this one, have a go. Nobody will stop you, and I'm sure you'll be able to find decent work, at least for a while.
Yes you do, around $400. It's a little less if you've already been
s
I've got a JOB!

I don't know how much the start out pay is, when we get paid, or any of the details, but I am so excited I can't hardly see straight.  I passed a test.  All of my effort has paid off.  All I can say to all of my other fellow newbies, is that it takes a while, but don't give up.  Someone, somewhere, will give you a chance.  I'm so happy, and life seems a little less bleak.  Thanks for everyone's advice, and support.  Without you guys, I would have given up, and went back to flipping burgers.


I've done a little GT... *sm*

 


It's not easy. I have found that medical transcription is straightforward and somewhat predictable, GT is usually not. It is particularly difficult if you have multiple speakers. I would take MT any day of the week. BUT if it is something you are interested in, then you should try it. There are a lot of forums where you can pick up overflow or you can test with some GT companies.


 


I've
run out of small companies to apply for.
1look.com is the best I've seen. nm
xxxsxxx
I've never heard of them, but you should really
ask on the company board. 
I've had that problem before, too.
I'd sit there all day waiting for work that didn't come in until I was ready to quit for the day, then the MTSO got mad at me for not sticking to 24-hour turnaround time. I never agreed to work all night for her. I told her the schedule I was available. I'm sorry, but I don't work at home to sit on my backside doing nothing all day while the kids are at school and ignore them all evening to work.

Then working for the nationals is a whole 'nother ball of wax. You have to hit certain line counts per day, they don't pay as much as the small MTSO's, you have to stick to your schedule with little flexibility. Many of them make you rent their computer from them.

I wish I could find something in the middle, but it would probably be a combination of the worst of both! LOL
I've already gotten applications at several DCs
she is 10 times more stubborn than I am and I think we are trying to see who will blink first. I've had more rest today so I feel better...she ended staying home because she was exhausted. She knows I am her best support network and the feature I'm hinting at now is the child's lack of ability to connect to other children of the same age, which is what happens when there are no peers around.

Daycare would have to come out of my pocket and I would have to work an extra day a week to afford that, which I would do if I could get her to agree to it, even if just for a morning program. I have to tread lightly and steer things in a subtle manner to achieve small successes.

She has the other GM scared that if a mistake is made, the child won't get to keep visiting, but who is she kidding when she wants her weekends free...she just hasn't grown up yet.

I was seriously considering seeking legal counsel to try to get custody this weekend as she had a hissy fit worthy of a 4 yo in front of the child. Still could be an option. Please parents! It's never to young to talk to your kids about birth control!! :)
I've also done quite a few reports
But haven't stopped to count them (at least until now LOL). I know in my last lesson there were 7-8 I did, plus partial reports to reinforce terminology, etc. The current lesson I think has that same amount, I preparing for the mail-in test now (yes, it can be e-mailed, I just prefer mail for some archaic reason). I'm just now in lesson 3 of course 3, so I'm right about halfway through I think.
I've put in what he says both ways
I would start again from the original and unless he was saying EXACTLY what he said before, which usually isn't the case, I start the paragraph afresh with the new stuff and mark for QA. I leave it up to the doctor to decide which version he wants.
I've gotta ask...
How could you not know you were typing with the caps on? Were you looking at your fingers instead of the screen? Do you always do that?
I've done lots of looking
and have never seen a work from home opportunity that doesn't require a few years' experience.
I've been at this for 6 months...
I'm an IC getting paid per MB of dictation, but it averages around 6 cpl. I've been trying to decide if I should stick it out until I can put 1 year of experience on my resume or get out of there. The problem I've seen is that none of the companies are paying newbies worth a toot. Right now, I have a dream of a dictator. I'm the sole MT on this account through a national. Is your work easy at least, to counter the lower pay? That's what I keep telling myself when I'm tempted to run for the hills. You never know what you'll get with another company. The work may be awful.
I've done both and all I can say is to think long and
hard before you choose either one. Neither job is all it's cracked up to be once you get to the "real world" of work.
Seems a bit late to ask if you've already
plunked your money down. And it sounds like you will only accept the answer you are looking for, so good luck.
I've had that happen
I've tried a few accounts and currently (unfortunately) am pretty much stuck entirely on voice recognition on escription (equates to low pay). As a newbie, you've got to get work and cut your teeth somewhere. With each account I've had, even on platforms other than escription, work tends to run low and out at times and there is a learning curve when starting new accounts between the MTSO, account specs and dictators. Often, the new account won't even start up when it is schedule to.

Just persevere and keep the faith. As long as you are working and getting your "newbie time" in, you are doing well. Many grads and new MTs don't even find work.
I can sympathize, however, after you've
been doing this for 25 years, then you can TRULY state you are tired.
Got trained, got a job, and now I've got...
...pedal edema from sitting at the computer so much!!! (I am, however, proud and happy that I actually know what pedal edema is--thank you transcription training program!)   Has anyone else had this problem?? I know I need to get up and walk around periodically, but as a newbie my line counts are so low  that I feel like I need to type all the time.  Does anyone have any suggestions on what I can do while sitting--is there some kind of leg stretching or foot rotation that helps?  Thanks in advance for any advice.
I disagree. I've been in a
position of hiring and training MTs and I've worked with several Career Step grads.  Some were very good and some not so good.  I really think the bottom line is the actual MT.  They will get out of any program what they they put into it regardless of the money they spend.  I've worked with Career Step graduates who had absolutely no grammar skill whatsoever and were still communicating like a teenager on IM, but they heard that Career Step gets them the job.  It may get them in the door, but staying afloat in this business is a whole different story.
Ok thanks.. I think I've come to a decision...
I'm either going to go to M-Tec or Andrews. I've done more research and I have concluded that these two schools are the best from reading many comments and reviews. Now the problem is deciding which one I should choose. They both seem to be equally good. Any help here?
Look I've been at this for 20 years

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! 



I've always mentored someone along the way. Have 2 now that I'm working with. Can't take on
,
I've mentored several people and only 1 could cut it

It really takes a lot to be a mentor one-on-one with someone entering this field.  My experience has been that there is an attitude of entitlement (not that I'm saying this about YOU personally, your mileage may vary).  It's as though I am supposed to overlook the lack of pervserverance to research words because I'm there as the buffer to fall back on....like just don't worry about, Milton will pick up the slack so I can just get a higher line count. 


Once I actually offered to mentor on the condition of being paid for my efforts and I was accused of being a scheister just into it for the money.  The deal was that I would mentor the person until I could help them get a job and after two months of being gainfully employed (all the time answering questions), my pay would be equal to 2 weeks pay of the person I mentored.  Now, I'm investing all this time and effort into the situation for potentially months on end and then I'm accused of being into it for a couple hundred dollars??  I make that in a day of transcribing so that got me out of being interested in mentoring.


I had no mentor, I had no QA feedback, I worked from home, didn't have the electronic resources that are available today, worked mostly 12 hour days usually 6 to 7 days a week and I made very little my first year but doubled my income every year for 4 years until I hit a plataeu and now pay is going down for reasons beyond my control. 


If you don't have the dedication to making yourself a success, you may find a mentor who gives up on you and you'll be feeling as though you are a victim.  Don't count on a mentor.  Count on yourself.  Best of luck.


 


you've studied well, perhaps, but by no means
your school doesn't even offer pharmacology? lol

now, i'm not discrediting your grades, study efforts, etc., but be careful throwing around boasts of I've mastered it when you haven't even begun doing the work.

i've done this work over 25 years. i know exactly what it takes. lol