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expect a 1 to 4 ratio of dictation minutes to transcription time

Posted By: for new MT and regardless of experience on 2006-03-18
In Reply to: How much? - Paul Anthony

do you really expect low level QA when someone's life may hang in the balance? I could go on but.....


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10,000+ dictation minutes in 6 months.
I went to Career Step so that is all I can compare it to. According to the eSmartMed site, Career Step has 1320 dictated minutes to transcribe (not sure if that is accurate as it has been so long since I went through the program, but it is probably close). It took me 7 months to get through Career Step doing those 1320 minutes, so I don't see how it is possible for a student to do 10,000+ in 6 months. If I had had to 10,000+, it would have taken me years to complete the course, not months.
Ratio
Average time ratio is 3 minutes to transcribe every 1 minute of dictation for an experienced MT.  There are multiple factors to consider such as the dictators rate of speech, accent if any, the MT's familiarity with the dictator, etc. 
I would not take less than $48 as 60 minutes is est. at 600 lines - sm
$48 would be .08 a line. Granted he is giving you 48 hours to do it, and it will take anywhere from 3-6 hours to do depending on degree of difficulty, if you have to look up addresses, Dr. spelling, etc. All that SLOWS you WAY DOWN. $40 is only .066 a line IF it comes out to 600 lines, granted if it is less than that you make more $$$, but if more than 600 lines (say he is a fast talker) then you will get reamed. I'd get a sample first before you agree to anything. Good luck.
You expect me to sit there and let someone
You are sorely mistaken. I posted here to find some sort of decent answers, which a few were kind enough to post above without being rude (imagine that!) but I most certainly will not be posting here anymore. Seems like most of you only seem to want to argue or bring people down trying to come into this field. Sad.
If you are lucky you can expect 6 cpl. nm
 
Honey, if you expect to be PAID to do this job, you still
There is no way to confuse H&P with HNP.

Expect a Sharp Upturn for EMR Systems
Hello, I understand the Commission on Systemic Interoperability has finished the first draft of the criteria, and that it will be completed by June of this year. Once these are published, many more hospitals will feel ready to shop for/implement their EMR software. Right now there are more hospitals going to EMR than clinics (I think), because larger systems get put in place first. However, clinics will follow and will be incented by the networks they belong to, to install the same or compatible EMR systems, by those hospitals/networks providing some of the startup costs for the systems.

See
http://www.os.dhhs.gov/healthit/comsystinter.html for commission overview.

I could post more links if there is interest.
I think you can expect to get 5 to 7 cents per 65-character line as a newbie. I started at 7 cpl as
nm
This is what I have talked about time and time
and time again and somehow the MTs get completely out of joint by just my saying it. I could not believe this "newbie" said she could not leave her home, she had to work from home. I did not get to start working from my home until 1993, hello!! This has not always been a stay at home job and then we did NOT ASK to go home, we were sent home because the hospital needed our space. We never demanded a job at home. Apparently you sound like really don’t want a job at all. If I were employing someone, I would certain run very fast away from you. The first little nosebleed from a child, you would stay off from work for 2 or 3 weeks. This again, folks, is why our profession looks really bad. These posts and yet people are highly inflamed when I call it to their attention. Same story, again and again on these posts. I cant work, junior is bothering me, gotta do the housework. Wake up, everyone! Do not ever expect to gain any respect for the job you do when you have someone like this tearing it down as just a reason to stay at home, oh yeh and I guess I might throw in a little work on the side. Enough said!!!!
dictation
Approximately how many hours of transcription would it take if you have one hour of dictation and can type about 80 wpm.  Thanks.
dictation help

What if the MD is dictating, you are a 1/4 of the way through, he is interrupted by a colleague, then comes back starting with the beginning again (prepped & draped, etc)then seems to go in a totally different direction and subject then where he left off?  Do you continue to type what he is saying, even though it makes no sense to the first part of the report? Do you make a note of it for the editor?  Any thoughts would be appreciated. Thanks, VERY NEW MT...


Help with dictation please

Hello,


I'm stumped on a sentence in a discharge summary I am working on. As part of the Laboratory Data section, the doctor says:


Chest x-ray showed no TECUTE PROCESSED. Well, at least it sounds like tecute processed but that obviously doesn't make sense! Any ideas?


Dictation tapes
Where can someone get dictation tapes for practicing? I am already set up at home and would like to keep practicing until I get a job. I would not like to invest alot of money into these tapes.
Dictation tapes
Thanks
Difficult dictation.....

I was hoping that someone could give me some advise for difficult doctors that dictate with a very strong acient!! I need help!! Any advise would be great!


 


Thank you!


Try speeding up the dictation just a bit. sm.
Seriously, speeding it up just a little sometimes smooths it out. I got this tip from an MT with over 20 years experience. I wouldn't do it the first time through, but when you're listening again, try it.
Dictation volume

Hi all, I was just wondering if anyone else was having problems with the level of dictation available to transcribe. I work for Eagle's Landing and I'm finding that the dictation is very sporadic. When I first started it wasn't that way but ever since Hurricane Katrina the dictation has been low. Right after Hurricane Katrina there would be days with no dictation because the docs were gone to New Orleans to help out. Now the doctors are back but there is still the same problem. I am actually going to be set up on a second account so that should help me but I'm not sure when they are going to do that for me. I've heard that we are getting several new clients soon so maybe that will help. What I've started doing basically is actually keeping up with the amount of work per hour (low, medium, high volume, comp issues, etc)on an excel spreadsheet for each day of the week, I'm going to continue doing that for each week of the month, so eventually I will have several months I can look over and see if this is a chronic problem or an acute problem. I'm really hoping that this is just a temporary slow period of time. I think my frustration has also been compounded by the fact that I've had computer problems myself, the system at Eagle's Landing goes down sometimes for maintanence, and just being a new MT.


I really do plan to stick it out but I don't believe that the service would be honest with me if this is a problem that is going to be ongoing so I feel I need to keep my own records. Right now I'm living at home with my mom but eventually, in a year or so, I want to be able to move out and support myself so I need to see if this job has some stability. I understand there will be less stability than other jobs because that is how this industry is but I need enough stability to know that I can support myself atleast. As I said before in one of my earlier posts, I only started 3 months ago,(back in July) so I definitely know that the early frustrations just take time and experience to work through so I do plan on sticking it out. I guess my concern with lack of dictation is that it is something I cannot control, my speed is something I can control, I can work really hard and get better at that, but this is something I cannot. The problems with the sporadic dictation I would say have been going on since the middle of August, it does not seem like very long but it seems like forever when I'm trying to build up my speed and when I'm new at this. Anyway, I would appreciate some feedback on this from new MTs and more experienced MTs. Oh, also another thing I've noticed just from reading this message board and others is that a lot of MTs keep up with their line counts on a spread sheet. What I tend to do is watch my production based on the number of minutes I type. Should I be looking more at line count than minutes and also keeping track of that more closely? I have noticed that I do not follow my life count as diligently as others. And finally I want to thank everyone for the input I've already gotten from this board, it has been very helpful to me, and I have definitely taken the advice to heart and used it.


You don't record the dictation (see msg)
with the c-phone you dial in, and plug a foot pedal and headset into the phone itself and transcribe that way rather than hearing through your computer speakers. (I assume voicewriter is similar)
Practice Dictation

I'm looking for free practice dictation in oncology/hematology. I'm coming up with nothing on Google. Can anyone point me in the right direction? I've got a job lined up, but I need more practice before I start. TIA for help!


Practice Dictation
I am starting the practice dictation portion of my training. The first examples were someone from the school that I chose doing the dictation and then I moved on to actual doctor reports.
My question: How common is it for doctors to talk like they have a mouthful of marbles? The first one was awful and there was no way I could decipher what he was saying. I had my husband listen to it and he looked at me like WTH?
The practice is on CD ... does that make any difference? Are the files that are received better in clarity?
This is really disheartening. I feel lost and am beginning to wonder if I can even do this.
I loaded the first 20 practice files and about half are understandable. The rest is a just a garbled mess.
Any input is sincerely appreciated.
Unfamiliar and foreign dictation (sm)
I'm sorry you had that experience! It's frustrating, but it's part and parcel of MT.

Everything "new" you encounter in MT will sound ghastly until you've gotten over the initial shock of it. Whether it's a new dictator, a new specialty, or a new accent, it will sound impossible. The trick to dealing with it lies in controlling your anxiety and frustration long enough that you can become used to it. This sounds easier than it is.

If it's a specialty you haven't done before, you need to get some training materials and work on them. That will give you the fundamentals you need, so that you can make some headway.

Learning to understand different accents is much like learning different languages. What sounds thick as mud to you at first will become clear as you learn the pronunciations typical of those speakers.

If you're encountering work that is "new" to you because it's an unfamiliar specialty AND a new and unfamiliar dictator with a different accent, you have a double or triple problem.

If you can't do a variety of clinical specialties and accents, you will have trouble until you build up your skills. You might consider doing the SUM program materials. They have a variety of specialties and include different accents.

Another thing you can do with the accents is to get samples of that dictator's reports from the service. They say the same things all the time, as you know. By comparing what you hear with the samples, you can figure out what they're saying and how they say it.




C-Phone/Dial-in Dictation?
Can someone explain to me how a C-phone works.  Currently, I am working for a company that uses the WinScribe dictation platform via the internet.  Prior to this, I had only transcribed via microcassette tapes.  I look forward to an answer as I am clueless about this.  Phyllis
Format/Dictation Issues
Hey there, everybody! I'm currently training to be an MT through an online school and I'm having some trouble in specific areas.

First, Everything I'm studying and learning keeps telling me to type verbatim what I hear so I do that and then receive points off of my submitted assignments for not "editing for grammar." However, when I do decide to edit for grammar, I get points off for not typing what I hear verbatim. Are there any tips I can get on doing this? When do I know to edit for grammar?

Second, formats! I have a ton of reference books but I'm still having a little trouble knowing which formats to use. My current assignment I'm working on is a discharge summary but it doesn't really match the examples I have. How do I know which one to use so I meet the standards of my school and pass the assignments?

Third, I'm having some trouble with dictation quality. What would be suggested for the really fuzzy dictations that sometimes mumble words?

Thanks :)
Does anyone know how much actual dictation Gatlin offers? (sm)
It appears to be only a very small amount.

Anyone know for sure?
To clarify, the dictation is likely recorded at a hospital...
and all the C-phone or Lanier does is access that system. Any hospital that uses a Dictaphone system can be accessed by a c-phone. Seems to me there are some electronic units on the market that can be either Lanier-compatible or C-phone compatible though you would have to ask around about that. Yes, their only purpose is to access dictation that is stored somewhere else...though you could use the C-phone as a regular phone, if you wanted :>)    So there are two types of data format nowadays, .wav files (or .dss files) which the file can be transferred via internet and dictaphone/Lanier format which the file has to go through a phone line. And perhaps a few microcasettes are still kicking around.  Any other old-timers have anything to add?
I have been paid by the dictation minute, I prefer it ...
for the reasons you mentioned. On a couple of occasions, the recording "continued" for about 15 to 20 minutes after the dictation was done, and because I had to continue to listen, I got PAID for those minutes!
A specialty usually refers to the type of dictation
For example, cardiology, neurology, GI, hem/onc.....  I have seen where some MTs just transcribe ER or just OPs, so I guess that application you filled out is strictly acute care and are looking for actually your preference amongst those particular choices. 
Method of sending/receiving dictation: DEP

What does DEP stand for?


Thanks


But that 1 hour of dictation could take you 3-8 hrs to do depending on clarity, the setup, etc. nm
s
Mostly inpatient hospital dictation - H&P, DS, Consults, Ops, some include ER
and progress notes. Acute care is usually inpatient dictation from hospitals.

Hope this helps.
Like someone else said, if you're trained only on "Ben Stein" dictation
you are in for a rude awakening when you get in the real MT world. Yes, you do have to be able to do a reasonably good job transcribing crap. What world do you live in, where all the dictators are slow, clear, precise, dictating in quiet places with no background noise, no accents, etc?
you have to call the hospital/clinic line to connect with the dictation machine on their end
so you get a dial tone, that means it is working. Next you dial the number of the dictation system, and it says something like "welcome to bla-bla hospital. Please enter your user ID followed by the pound sign." Then you enter your ID and it starts giving you work in your queue or asks for job type or whatever.
That simple, easy, clear dictation practice is what the crappy schools use.
Then the person graduates, thinks they know what they're doing, and are totally shocked when they start trying to do REAL MT work. One of many reasons these cheap, crappy, found-out-about-it-on-a-matchbook-cover schools AREN'T recommended.
Hearing actual dictation files versus professionally read ones was a major plus
s
I do believe its time....

Peggy


Thanks for the push.


I was sitting in the auto shop today, contemplating how I can afford to put the money down when I have all of these expenses this week:  $100 tune up and oil change today, plus $600 for new tires for hubby, guestimate (my own) of $400-800 for 150,000 MI maintenance and fixing of a leaky tranny on my 93 volvo tomorrow, when I realized I CANNOT afford to wait. 


My kids' school is not going to waive my tuition because I haven't gotten off of my butt to go to school and get a job.  My car is not going to miraculously run forever on routine oil changes and tire rotations.  Life is going to get more expensive and I am going to have to work at some point.  Why not do it in a field I love (medicine) in a job that will give me the flexibility I need to work 5am-630, then 830-230, or something like that?  Its either that or work 8-5 as an admin med assistant/receptionist for $8.50/hr and deal with all of the fun stuff that goes along with that.  OR, even worse, work at Starbucks or Walmart because they are the only places that I can work "mommy" hours (ugh hate the term). 


Plus, it seems there are a lot of MTs who have 4 year degrees so I don't think I will feel like my education was wasted because there are plenty of other MTs out there who have the same level or more and love their work as an MT.  But I digress.


This time next year, I can be starting a job as an MT for a national company, but only if I start.


Time to go finish the paperwork and clean the house.


So much to do, so little time

I think I must have posted on the wrong board earlier...I got 55 views, but no responses to the following message..if anyone can help with info, I'd really appreciate it.  I'm sure I had too many questions, but any answers will do just fine. Thx


*************************************************************************************************


Hello,


I am really hoping to get some detailed information about anyone's RECENT experience with TASK as a transcriptionist.  Are you working steadily?  How long does it take to get on board with them -- I returned the contract to them recently with no results yet.  Just a little concerned.  Also, I only found posts here on them from 2003 and 2004 which didn't sound great...how are they handling the growth spurt now? Have the checks been submitted in a more timely manner?  Sorry about all of the questions, but I really want to start working on a full-time basis and want to know who/what companies to contact that will get me started and paid as soon as possible.  Thanks for any help everyone!


Q & A time

Hi all!


Does anyone know anything about Allstate Transcription and the mentoring program through AIM? They are telling me that I would have to take this mentor program and that it would be $99. I am newbie and wanted to see if this is legit or just someone trying to scam me outta $$$$$.....are you hired on there after the mentor program? Someone please.....give me an A!!!


Thanks, Sher


not all the time

Thanks, Keri, for sharing your experience.  The unsettling thing is that I *do* find myself missing the occasional word--not all the time, but enough to make me feel that I need to be re-listening to the file.  I am always surprised when I've missed a word because I am listening so carefully.  Sometimes I feel like a dog with its head tilted, waiting for the crunch of the family car's wheels in the driveway!  Any advice on how to be a better listener??


Doing MT Part Time

I work 8 hours per day, 4 days per week, at my job outside my home.  I'm doing transcription on Fridays and what I can fit in on Saturdays and Sundays.  I'm an IC.  I love doing the work, but you really have to discipline yourself to sit there in that chair and do it.  It's very easy to get up and wonder off or take off somewhere and say "oh I'll finish this later.  Before you know it the weekend is gone and you have to hustle to get it done.  Luckily the company I'm working for has a QA person that is the greatest and she knows my schedule and time limit and sends me work accordingly. 


The company I worked for before would send me work all during the week, and I was busting it trying to do that and work during the day too.  It was tough.  Best of luck to you.


She's been trying for some time to find
someone to tell her she can take the $1.95 MT course, then get a job making big bucks working only when she wants. She's been told the truth, she just doesn't want to hear it. And I don't care what you think of me, Carol.
I don't have to time or patience...
for people like her! MAYBE she needs to find a new career!
I have a FT job (not MT) and do MT part-time.
It's worked for me for over three years. I drop off the previous day's work and pick up my new work on my way home from my FT job. They want a 24-hr TAT, so that works out all right. Of course, it wouldn't work with a shorter TAT. It can work if the logistics are acceptable. The fact that I can do the MT work at home makes it easy to fit in with the rest of my life. If you're organized, it can be done.
Get another part-time to go with this one if
it is full-time. Don't wait for the work to come in. Do you have set hours or can you work when you want. I mean are you employee or self-employed independent contractor?

If you are an employee, you could get unemployment or partial but I doubt that you are an employee.

Do something soon. Don't sit and wait till there is no work.

There are typical times when there is not enough work but I don't think this is particularly one of them.

time with hubby
On the weekends..lol. He usually leaves me alone during the week, and he knows if I don't get my work done that I need to do, I'm not in a good mood anyway.
This was the same time I worked for her (sm)
I didn't work very long with her because I couldn't ever log into the site. She said there was "system failure"... right, a system failure for a week. What it sounded like to me was she didn't pay the fee for the website, just my opinion of course.

I never received my foot pedal either. I repeatedly asked her what the hold up was and she either told me she would check on it or just not reply to my emails. Finally, after I stopped working for her, she told me that she had a receipt where FedEx tried to deliver the foot pedal and no one was home. This I know to be false, the FedEx driver for my area is a personal friend and knows what to do with our packages if no one is home. I receive packages fairly often and this has been the only one I have ever had problems with. She told me when she "sold" the foot pedal she would send me the money for it. I won't hold my breath waiting for it.
As for the paycheck, same thing. I never received it. She said she would check and see if it had been cashed and if not, reissue one. This was at the end of July and I have still to receive anything from her.
As for what is going with her now, all I can say is she got what she deserved. The only thing that bothers me is the number of people that she scammed.
Time to complete
I keep careful track of my study hours with a timer. I have spent 790 hours studying so far. I am in Month 12 midway into Week 49. There are 77 weeks in the course. According to my quick calculations, it would take me 61.5 weeks to complete the course if I studied 20 hours/week, 49 weeks @ 25 hours/week, 41 weeks @ 30 hours/week, and 31 weeks @ 40 hours/week. I am a slow learner, but I have had most of this material before, so it is review for me. Also keep in mind that the estimates above do not include any time for illnesses, vacation, houseguests, etc.
Don't waste your time
Focus is known to hire new MTs, but then they rarely have work available for these MTs. Currently, they have hired a lot of people from my school and have postponed training because there is no work available. I would look elsewhere.
put your time to work for you
If you're with a company and you know what Expander program you will be using, you can spend your free time working on that.  Look up sites on the Internet that give free lists.  Practice with them.  If you have any reference books like Stedman's with sample reports, start building your program from them.  Most of what you type on every report is common English phrases -- you can concentrate on entering them into your expander now while you wait for work.  When the work comes, you'll be able to do it faster.  Don't worry about what medical terminology to enter now.  You'll type "the patient" and things like that many, many more times than medical terms.   Enter phrases that begin with the words "was, were, in the, on the, over the, below the, into the, under the."  Make shortcuts for blood pressure, pulse, temperature values.  You'll get ideas from the Internet sites.  In the end, it will really pay off when the work comes.  Just practice condensing words and phrases into their least amount of letters and work on developing a system that works for you.  Train your mind to think in "expander mode." 
Takes time

My friend made $50,000 last year and has only been doing MT work for 4 years now.  It can be done.  You just have to find the right companies and work hard to get what you want.  She has never worked for any nationals.  She does do IC work for 3 companies right now.  I just graduated and am looking forward to getting my first job. 


Good luck! 


It takes time

I think most do, but I have heard some do not.  You just get to where you can proof as you go.  I know it seems like you are not very fast right now and that 1200 to 1600 lines a day is completely unreachable, but it is possible.  There is an MT with the company I work for who commits to 2300 lines a day.  I could not do that.  It just takes time to build up your speed and make as many shortcut keys as you can. 


You will get better, it takes time
We have all struggled in the beginning.  Pretty soon, you will find you look up less and less each day and many days you won't have to look up anything at all!  Hang in there and persevere.  You will be okay.