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What program is not teaching the difference between acute care and clinic work?

Posted By: Just Curious on 2008-01-26
In Reply to:

I have seen quite a few questions about this lately and was just wondering.


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what is the difference between clinic and acute care reports?

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Would the open positions be for acute care or clinic? FT or PT? Thx! nm
s
Has anyone used the AIM program for learning acute care? Can
s
clinic versus acute
acute care consists of patient care in the hospital from the time they are admitted until they are discharged (emergency room, history/physical, consultations, progress notes, lab/imaging data, transfers, and discharges are the most common). clinic notes are office visits (sometimes include consultations and maybe lab/imaging data). these are usually shorter dictations than the acute care.
Is this acute care?
My first MT job was as a secretary/transcriptionist at a doctor's office. I don't know how many lines I typed back in those days, but I remember training on acute care at the next job. I probably typed 400 lines my first day, but my mentor pushed me to keep making progress. If you are doing acute care, maybe they can start you on one particular work type to help you get your rhythm going, but they will be doing you a big favor if they agree to it. The other MTs will probably complain if they notice it. Maybe there is a particular work type nobody likes, like sleep studies, EEGs, EKGs, etc. At least it would give you a break from all the drug names, and the shorter reports don't seem so daunting to some newbies.
Acute care
  Sorry this question is so basic, but in classifides, what exactly does Acute Care experience mean?
Acute care is also known as the Big 4, which is
H&Ps
Consults,
OP notes,
Discharge summaries.

Sometimes ads will say acute care without OP notes, other times it will say heavy OP notes, other times just a mix. Acute care is extremely varied, covering dozens of specialties and hundreds of different dictators. Clinic work is usually easier just because there is more repetition of dictators and usually fewer specialties to learn. Besides these types there is radiology, pathology, and now and then you may see ER notes.



Acute Care?
I read a lot about "acute care". What exactly is this and why is so desired as a job?

Since I am still researching this career I'd like to know some of the basic job possibilities.

What is meant by the "Basic 4"?

Thanks to all!
Acute Care

I am a new Transcriptionist and have been looking for a company that will hire me right out of school.  I see alot of postings for ACUTE CARE.  What exactly is acute care, and why are there so many postings for it?


Thanks!


Acute care...

All right...I'm gonna do it, ask a very dumb question.  What kind of transcribing is "acute care"?  Is that by any chance transcribing for an emergency room at a hospital?  I see it all the time and have never really known what it applies to.


Acute care
Acute care is the basic 4; History and Physicals, Consultations, Discharge Summaries, Operative Reports, and usually Emergency Room reports thrown in the mix. Acute care is hospital work as opposed to clinic work where you type only office visits. Much more knowledge and experience needed to do Acute care.
ACUTE Care versus other.

What defines someone to be an acute care MT as to a multi-specialty MT.  What is the difference?  Sorry if this is a dumb question..


Thanks!


 


is it acute care or one specialty sm
progress notes? Progress notes are progress notes.
Not acute care but psychiatry
It is not acute care but psychiatry filse
Acute care understanding
What exactly is Acute Care??
Acute care is usually gonna be
your basic 4 worktypes. H&P's, Operative Reports, Consultations, and Discharge Summaries. Normally what you would transcribe in a hospital setting or working for a national that does transcription for a hospital.
What does acute care involve?
I have only typed clinic notes for an orthopedic surgeon. I have noticed that there are a lot of jobs for acute care and was just wondering.
What does acute care involve?
Basically, specialities you would encounter in a hospital setting, including surgical, procedures (i.e., cardiac catheterization, GI, GU, EEG, etc.), endocrine, neurology, hematology/oncology, internal medicine, etc. To name a few report types, discharge summaries, clinic notes, history & physical examinations, psychiatry, etc.
I started at 6.5 cpl for acute care.
I had 3 offers (2 of them before I even received my final exam scores):  One for 6 cpl no spaces, one for 5.5 cpl for straight transcription and 2.5 cpl for VR editing, and 6.5 cpl for acute care.  I took the 6.5 cpl since it was the highest cpl, but found that the account was awful.  It was mostly ESLs (probably more than 90%).  I could work a whole 8-hour shift without a single EFL (English as a first language) and most of the docs were new residents that had no idea how to dictate a report.  It was awful.  I had times where I could get 200-220 lph so I knew I could do the lines with decent doctors, but most days all I had were ESL residents and my average was more like 120 lph, so I didn't even make minimum wage.  I worked there for 6 months just to get the acute care experience and then began hunting for a better job.  I now work for a clinic that pays me 13.5 cpl and also for an MTSO that pays 7 cpl, but it took me several months of testing and turning down offers as I was not going to work for less than 7 cpl and did not want to work weekends. 
6.5 cpl for acute care and then to 7.5 within 6 months - NM
xx
What is considered acute care?
I know it is definately a newbie question, but what exactly is considered acute care versus clinical?  Can you give me some examples?  Thanks!!!
Acute care would be a history and physical or
A clinical report would be what a physician dictates from his office when he sees patients.  Sometimes, it gets sketchy with outpatient surgery clinics.  Acute care is usually work dictated from a hospital setting and clinical work is dictated from a physician's office, which could be a cardiologist, urologist, etc. 
Acute care is also called basic 4, which is

H&Ps, discharges, Ops, and consults.  Clinic can vary from a doctor's office to an in-hospital clinic.  The in-hospital clinic might be a little more technical than an office and the format may/may not be similar. 


In my experience clinical is not a lot of medical terminology and the drugs tend to be the same ones over and over again.  I liked doing clinic work in that I knew what sickness was going around and what the recommended course of treatment was.  With clinical dictation you also tend to have the same doctors every time so you get to know them and can make lots of normals, which will have you producing more lines.  It can get boring though to have the same person over and over. 


The line rate is usually higher for acute care too. 


 


I did 10 years ago and have worked at home doing acute care ever since! sm
They prepare you for the real world of working from home.  It is worth every penny! 
try to stick to ACUTE care. You don't want to find yourself 'stuck' in one area.

Acute care is considered hospital transcription - discharges, history/physicals, consults, and op
s
If you do clinic work, I'm sure you
could find ophthalmology, but if you need a dependable income I'd suggest you not be that rigid.

One characteristic of most good MTs is that they like learning new things. There used to be a lot of money in repetitive reports, but less so now with VR and EMR technology, and foreign countries doing the work for lower pay, there isn't as much of that anymore.
clinic work
Spheris hires Career Step grads but only at 0.055, (at least you'll be home) and probably won't make more than 150 lines an hour, so you'll start out there making about $8.25/hour, they're clinic platform is easy, they have flexible hours, supervisors and QA people are good, they pay on time.
Time zone difference & work load are what I ask about first as I'm on the east coast. Get up too
s
my work/child care issue
I was having the same issue. I was having my 3-year-old daughter go to my sister's to save money and one morning, she refused to get out of the van. What I did was change my hours from 4-8 AM and 2-6 PM. These hours work perfect for me. She gets up around 7 and I will take 10 minutes to get her breakfast. She knows that when I am done working, I will get her dressed, etc. My line count DOUBLED when I changed to this. She is getting so much more attention from me, my house isn't trashed and if I go to bed at 9, i get 7 hours of sleep. Getting up that early stinks, but it is working absolutely perfect in every other aspect. My son and husband get home around 3 and 3:30, so she only has to occupy herself or watch cartoons for about 1-2 hours.

I'm sure you will find something that will work for you and your family.
Newly graduated MT - is it possible to find part-time acute work?

I was wondering if anyone has had any success finding part-time, IC, acute work as a new MT?


Most of the larger national teaching hospitals...

with residents (on 6-week rotation), PAs and RNs and ESL docs are already using VR for at least the last 4 years.  Don't delude yourself.  About 80% of my work was VR for multiple national accts...The only straight transcription I got recently was the worst of the ESLs or mumble-mouth English speaking docs... I've done acute care, basic 4s (op notes, consults, H&Ps, ERs) procedure notes, multiple specialities, rare clinic notes for one company for 14 years. 


It would be nice to work for one small docs ofc with a coupla docs in it and do just clinic notes again...Those were the days!  Cat


59 hours doesn't come close to teaching
you even the basics.  You could apply to do only ophthalmology.  Typing speed isn't that important, but 95% accuracy isn't good enough for most companies.  It might be enough to pass their test, but QA usually requires 98+%.  You might want to look into a menitoring program.
Multispecialty Clinic
Your experience sounds more like multispecialty clinic work than acute care and you would probably be much more comfortable with clinic work at this time.  Unfamiliarity with acute care will definitely slow you down, which will ultimately cut into your paycheck.  You might not have a problem doing work for a small hospital with limited procedures and limited specialties, but any larger hospital or teaching hospital is probably well beyond your skill level right now.
So it's better to start out in the clinic
area rather than the hospital setting? How do you find clinics who are hiring? I look in the paper and I don't see any.
No, I believe they mean they do many clinic specialties when they say that. (nm)
(nm)
Need a Job! Experience in clinic and radiology

I am a new medical transcriptionist, I have some minimal experience, I have over $500 into books from stedman and also $300 in computer software! I have every single thing needed except the job! Please I need someone willing to work with me, and someone to understand that I am looking for something LONG TERM! I have experience with radiology and clinic specially. But also a dabble of others as well.


Please contact me via email. I will send you my resume. Blessings, Marilyn


RE: Need a Job! Experience in clinic and radiology
Look on the job board for OSi who posted today looking for cardiology transcriptionists.
Is Multispecialty Clinic paid the same?

Or is it less? I've done H&P, Consultation, and Discharge Summaries. Just no Op notes.


Thanks for  you help.


Apply for clinic positions & then ask if any GE/GI is available. Otherwise, you get hit with a
s
my multispeciality clinic has 28 specialties
GI, GU, cardio, ortho, derm, ENT, surgery, endocrine, plastics, audio, ophtho, podiatry, physical therapy, OB-GYN, internal medicine, pulmonary, sleep center, oncology, infectious disease, pediatrics, urology, nephrology, allergy, rheumatology. Those are all the different specialties you can learn in clinic.
There is a difference (sm)
between imparting wisdom and spreading doom and gloom. A huge, huge difference. Yes, our field is changing. Just as EVERY OTHER FIELD IN THE BUSINESS WORLD.

I hate to tell you but there really have not been "American" jobs in my lifetime. Read any label and you will see "Made in China" or "Hecho en Mexico". That is not to say that ALL work will be farmed out to foreign countries.

This "end of the world" rhetoric gets old and I for one am standing up and saying, stop the panic and the drama. Because, quite honestly, the drama and the panic that is perpetuated on these forums does more damage to morale among MT's than the actual outsourcing does.
What is the difference.....
between acute care and clinic notes? The reason I am asking is because I applied at a local hospital and they had in the position section an opening for acute care.
There is a difference between

What's the difference
Thanks for the encouragement. Can you tell me what the difference is between an Expander and adding entries to the auto-correct? I've already been looking at a few different Expanders and from what I can tell the only difference is the ability to switch between different "dictionaries". Is there anything else?
What is the difference between

Hi,


What is the difference between a diploma and a ceritificate?  Appreciate your help.


Thanks,


Barb


The newbies working on clinic accounts for me..... s.m.
leave one blank every other report or so. Usually it's due to some random phrase they're not used to hearing. It's rarely an actual medical term.
difference not differnece
this is getting to be hilarious. ;) we all make mistakes so pls. give each other a break.
Can someone tell me the difference between M-TEC and CareerStep?
I'm trying to decide on which school. I hope to work at home and I do have a job lined up after I get training.

M-TEC looks so complete (their Premier program), but of course more expensive and longer than CareerStep. Does M-Tec offer open enrollment and working at your own pace? Do they have scheduled classes you must sign on for at a certain time? Are their classes a work at your own pace type?

I know that CareerStep has open enrollment and allows you to work at your own pace. It also doesn't have classes at specific times which is something I need since I have 7 children and I homeschool 5 of them. I just cannot stop everything in the middle of the day to do a class. Also, CareerStep is more affordable. I'd be able to afford to get another computer (my kids use this one for school much of the time and it would be too difficult to use it for schooling) and still pay for the program and the extras.

Anyway, I'd like your experienced input if possible. Thanks for your time.


It isn't going to make much difference either way because
you're not producing a lot of minutes, a lot of lines, or a lot of pages. 
The difference in education might

Have you compared how many hours of transcription training you had in college/school with Andrews and M-TEC?  Were your instructors CMTs with many years of experience?  Did your curriculum include anatomy, diseases, pharmacology?  I assume it included medical terminology.  Maybe if people were to compare the curriculums (or if you prefer, curricula) they would understand why M-Tec and Andrews have such a good reputation.  When you graduate from those top two schools, you are very well prepared to work, and that is what many companies have come to realize.


Right now is a difficult time to find employment because many companies are running low on work due to the holidays.  Have you inquired about internships locally?  Doesn't your college/school offer any help with finding a job?


Was your goal always to be an MT? If so, why obtain an associate degree?  If you have come to realize that you want to be an MT, then maybe you would be better off investing into Andrews or M-TEC.


Have you passed any tests/all tests?  Many companies have a direct link on their websites for the testing.  I would assume if you aced a test they would be willing to talk to you.  How many resumes have you sent out?  I believe it will be harder for you to get your foot in the door somewhere, but if you really want this, you will find a way.


Good luck!