Like I said, I'll take my decade of first-hand knowledge of her over

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IMO, until the old docs retire, they will use EMR and transcribed reports hand-in-hand.  There is no reason to totally go away from dictation, since typed reports can (and probably are already) be added to the EMR system.   

Starting in 2011 when the big roll-out starts, until 2015 when Medicare/Medicaid penalties go into effect for any doctors not using EMR, there should be no dramatic change in the number of MT jobs.  After 2015, I believe that as Transcriptionists retire, those jobs will simply not be replaced.  It may mean medical transcription schools will have fewer people to train starting in 2015 because of the decline in NEW transcription positions, but current Medical Transcriptionists should be able to retire from this field, if they want to.  JUST MY OPINION. 

Here is an interesting article giving the pros and cons of both EMR and transcription from a doctor's point of view. 

emrhealthinformatics   dot   co   dot    cc 

www.emrhealthinformatics   dot    co.cc 

Most are already aware (it is pretty obvious), but because some still refuse to open their eyes, I am posting the below from the Nuance website.  It is actually a timeline of the Dictaphone Corporation's history, which is pretty interesting and goes back to Alexander Graham Bell.

Still, I find it noteworthy that they state in no uncertain terms that they want to "eliminate most manual transcription for healthcare in North America this decade."

"A major development took place in February 2006 when Burlington-Massachusetts-based Nuance Communications announced that it would acquire Dictaphone in a cash deal worth $357 million. In a news release Nuance Chairman and CEO Paul Ricci commented on the acquisition, which was completed by the end of March, stating: 'The combined resources, experience and talents of Nuance and Dictaphone will help accelerate the adoption of speech recognition to eliminate most manual transcription for healthcare in North America this decade, delivering over $5 billion in savings to care facilities and transcription service organizations.'

Under new parentage, Dictaphone was named a division of Nuance--the Dictaphone Healthcare Solutions division--and Schwager was named its president.

Most of us don't have much choice where to buy our water, natural gas or electricity. But hospitals can shop around until they get the transcription on the cheap.  And some well-thought-of MTSOs are losing accounts that have been totally satisfied with the work, because some other MTSO promises the client pie in the sky, 99.9% accuracy, 1-hour TAT at a real bargain price.  Might take the hospital quite a while to discover you should *love the one you're with*. 

Some of us have had an experience with deregulation of public utilities in our areas.  A small natural gas provider offers cheap rates on gas, using the big company's transmission system.  You sign up, then within a month or two the little company *discovers* it can't afford to sell the gas at those rates and has to raise its prices.  Sounded like a good deal at the time, but getting un-signed up and back with the company you never should have dropped is a real hassle. 

Not unlike what happens when a hospital gets courted by a new MTSO and finds that the price is nice but the quality stinks, because it is either bad VR, or offshore outsourced.  Have you ever noticed that a client hospital gets super picky about QA issues that never were a problem before?  This is how they justify breaking a contract before it's up, to go with the cheaper company. 

I just wanted to thank you all for sharing.  Every opinion and every point of view are valuable.  The truth really will set us free --eventually.

the number of times I haven't helped out when they have gotten backlogged, usually without being asked with never a thank you, but an e-mail or phone call asking me to do extra the next day and then the next.   I've always pulled my share and then some.  I don't care about a gift or even a card, but if I do my 40 hours/committed line that should be enough.   They aren't paying me when there isn't any work.  

Ultimately it comes down to they don't care if I'm sick or I have a life or not, they just want the lines done.  They didn't used to be that way, or at least they would offer incentives, which they rarely do now.   I can't stand threats about losing accounts.  If isn't my fault if they lose it.   If another MT is not doing her share don't ask me to pick up the slack.