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Serving Over 20,000 US Medical Transcriptionists

Me to, I sit there with 1 hand on the mouse and the other on the

Posted By: M on 2009-07-20
In Reply to: In VR I use no keys until - VR person

keyboard, reading along. When a correction is necessary, I put the cursor in that spot and make the correction and read on.
I never use shortcuts and I cannot imagine that this would speed me up.


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Right hand and left hand dictated on same report.
dd
because the right hand doesn't know what the left hand is doing... EVER! that's how.
xx
EMR and Transcritpion can go hand-in-hand

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 


 


 


 


 


 


 


Do NOT use your mouse, and you can do this 2!
Seriously..scan ahead..format, etc. You can do it. It just takes practice.
Said it before, here again, I use my mouse with VR
and have never used the hot keys and I get well over 300 lph, sometimes as much as 500, 600 and the like. I can scan ahead but you do not have to put the mouse down in order to do well.
With VR always use the mouse
I told someone else on here that have never used the hot keys. Been doing this tooooo long to change now and my speed is as fast as the audio will take me. Glad you tried the mouse.
Mouse and VR
You've got a good attitude! Using shortcut keys and avoiding the mouse is a big part of productivity with VR. In editing, the longer your hand(s) is away from the keyboard the less productive you'll be. I was a mouse fanatic too, but after I learned a few keyboard shortcuts I was hooked. It really does increase your line count. I'm still trying to master all the shortcuts with our program, and I'm pretty confident I'm 90% there. I'm sure you'll do fine with them. It really doesn't take long to get rid of the mouse fix. Good luck!
Avoid mouse if possible
If your software gives you the option of using keyboard commands instead of picking up your hands to use the mouse, use them. Avoid doing anything that takes your hands off the keyboard and your eyes off the screen if at all possible. But it can be helpful to write down your new shortcuts and tape the list to your monitor until you can remember them. If you have internet, make use of OneLook Dictionary. Many common medical phrases are in there as well as single-word entries. It might be quicker than using even a specialty book.
Just push tab instead of using mouse. NM
q
To Minnie Mouse
Minnie, I am with MDI-MD. No, I am not nor have I ever been, management. I am just a lowly MD and have been one for decades. I appreciate this company because it pays me well, knows how to run a company and I love my accounts.
Could someone please explain to me how using the mouse
in VR works? If you have to edit something, you have to take your hand off the mouse and fix with keystrokes? I have seen this a lot people discussing the use of a mouse with VR, but I don't quite understand it. Please explain. Thank you kindly! And keep up the good work!
Correction to Minnie Mouse
Whoops, I meant to say lowly MT, not lowly MD. (That wouldn't be me, I hated science.) I was up nearly all night last night working. No work shortage here. Anyway, sorry I made an error in typing, hope the grammar/typing cops don't launch their grenades at me. :)
Have yet to turn loose of the mouse
On on end, makes no difference about using hot keys or not, most really good, very few errors to change but so long on the mouse, will just stay.
Using mouse versus key controls
From discussion below with WMXers using ASR, I decided I didn't have anything to lose trying the mouse since using key controls isn't upping my speed.  Much to my very pleasant surprise, I averaged 50 lph more than my usual (almost 500 extra lines today).  It was hard to use it at first, but so much easier to navigate through the reports.  I didn't use it for highlighting, just navigation to what needed correcting.  Hopefully the numbers will go up as I become more proficient with the mouse.  I'm glad I tried it.

I use both a wireless mouse and keyboard
and love it! I've used both the Microsoft 7000 wireless keyboard and mouse as well as the Logitech wave wireless keyboard and have no problems with either one keeping up with fast keystrokes.
We? We?? You gotta mouse in your pocket?
d
Was told starting VR HAD to use the mouse
I had never used the mouse before since starting this job in the 70s so shock city when told had to use. Ok, got to where I could use that and then outsourced to a company from the hospital where I was trained and then told NOT to use the mouse; however having said that I just continued on with the mouse. Does not slow me down at all, able to keep up with the work as fast as I can get the audio to go so all this yah-yah about using these keys, don’t know what all the hype is about. When people say you can work faster, not in my case.
I'm a skinny well-paid whiner and don't use a mouse.
nm
try holding cntr down and using mouse scroll.
x
Keyboard. Using the mouse is too hard on my hands. nm
.
Trying to see bright side - I am bad about using mouse - working very (sm)

hard today on starting to break the habit.  I took the little class thing on increasing our skills w/o mouse and do try to use a little more but now I feel I had better get my fat butt in gear on it immediately.  Hopefully this will help offset the losses I am going to encounter. 


I figure I will put the mouse on the left hand side to start with so I will be more conscious of whenever I read for it.   Old habits die so slowly.  Shoot, this old girl took forever to quit reaching up to return the carriage on the old typewriters.  (Am I giving my age away?)


I have about 7 more years until retirement and I do not want to train now for another profession, don't think that would be too profitable.  I want to bend like a willow in the wind and adjust to whatever comes up with this profession until then.  Trying to be positive.  Will paste on a smile and work,work, work on quitting using that mouse.


 


I have and it worked great for me using mouse controls. No prob.
x
it means you use the mouse to put the cursor where you want to make a correction
with keystrokes.
The other way is to use the shortcuts, a combination of keys.
It is much harder on the wrist to constanly use the mouse to jump around the report to edit, rather
x
I have seen this first hand with my own BIL
who is an M.D. He fired his own MT (IC) because he got a voice recognition program and decided to do it himself to save $. Like he needs to pinch pennies. He let her go after 10 years and sits at home doing it himself. Then tells me I should think of another career path because I am going to lose my job to his new program, hahaha! That was 2 years ago and my national still bothers me every weekend to work.
On the other hand...
We could all be totally thrilled and happy with the "new and improved" Medquist about to be unveiled. I'm staying POSITIVE!
W2s in hand?
Well, that is good to know, but who is going to monitor them, the W2 police? What is our recourse if we don't get them on time? It is aggravating to be ready to file returns and have to wait.
On the other hand

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. 


On the other hand
They hope that we're all sheepish enough to make nice with them until they get the accounts transitioned over, so even if they may not care if we stay or if we go, they're pompously (but probably accurately) assuming enough will stay to make the transition smooth FOR THE CLIENT.

Glad I'm not one that will be helping out in this regard.

I figured one good turn deserves another and walked on MDI-MD immediately.

I hope this has 'FAIL' stamped all over it.

Enjoy your $16 mil, D...I hope you're sent on a slow boat to India to spend it.


Hold my hand??? sm
How about returning my calls instead of hiding behind the answering machine!! How about answering one of my dozen emails!! Give it up Lee. You're just making the obvious more obvious.
Yep!! I have experienced that first hand.
On more than one occasion, the company I worked for knew that I had worked 22 days in a row without a day off. They were so back logged and desperate that their response to me (CEO's response) was so, I've worked 24.
Right hand does not know what the left is doing!!
nm
You obviously have your hand in AAMT...sm
or HIS or you wouldn't post ignorant stuff like this. If you don't have anything supportive to say, don't say anything at all.
Aren't we all. Why do you think someone should just hand
9
They sold off what they have. They might have more on hand, but I think that sm
once it's gone, it's gone.


So, no they do not provide equipment. They sold what they had for dirt cheap. Some accounts need it, some don't. If they have it, they will sell it to you very cheap, if they don't you have to find your own.

Okay, now calm down, it's okay. I see a hand too sm
when I have the message open, then scroll down to see the list, it is pointing to the one I have open. Do they have rooms with a view there?
The Mysterious Hand
Oh thank goodness someone else sees it.  I have never noticed this before, and I have been coming on this forum for months now.  Yes, there is a window view, and we only have to wear the straight jackets in the afternoon to give the staff a break
Gotta hand it to ya
:)
No your hand is up, because apparently
you think it's normal for somebody not to be able to spell the name of the company they work for. Sorry, my hand is down because I agree that's a little weird. Sorry if that offends, people, I just think it's strange.


Raise your hand... SM
...if you work for Acusis and your pay was cut during today's conference call.
Second hand information s/m
My DIL works for them  and  has for some years.  She seems pretty happy, says as long as you do what you're suppose to do no problems.  She said she very rarely runs out of work.  I've never worked for them myself.
A bird in the hand..... nm
s
My feeling exactly. I can count on 1 hand

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. 


Please don't post what you have no first-hand knowledge of. sm
It just makes it difficult to sort through what is true and what is not.
ooops, my expander got out of hand..lol - nm
nm
Until money is in hand, yes, we have been stiffed.
x
I'm not the one needing my hand held, now am I?
NM
A bird in the hand, well you know the rest
probably. A place would never want to hear let me work a little while longer but as soon as I find something that fits I will dump you. I would have worked another job in some way, at least on a part-time basis, while getting out of the VR business. Good luck.
bird in the hand my butt sm
Do you call working for $5 an hour a bird in the hand? I was trying to be nice and give notice. I'm thrilled they said no. Now I can do whatever.......but not work as a slave. That is below minimum wage.
Biting the hand that feeds you.......... sm
Sometimes that is all one has to eat! LOL

The MT field is transforming at an alarming rate and will soon require fewer MTs. I think it is time to open our eyes and really look at where we are now in comparison to 10 years ago and apply that difference to the next 10 years and try to project whether this field will still supply a viable income then. Personally, I don't think it will, and I don't think it will take 10 years to see that. Offshoring, EMR and VR are rapidly replacing the American MT, and if we continue to sit here at our keyboards with blinders on, we may be caught in a situation more desparate than the one we are in now.

I wish everyone, whether they choose to stay or choose to go, the very best of luck and good fortune.
Like I said, I'll take my decade of first-hand knowledge of her over
x