Any tips on learning a new hospital that has a lot of ESLs. I have done some but not to this extent.
Posted By: PAMT on 2006-08-23
In Reply to:
I just wondered how you develop a better ear for them. I havent had trouble with the ones I have had unless they talk rapidly.
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tips on ESLs
I am new to acute care at a hospital where there are many ESL docs. I find it helps not to slow them down because it makes it worse. Also, try asking for the same doc because repetitive listening really helps. Good luck to you.
in-house hospital is the best learning experience. sm
and is accepted with anyone. at least a year or more. there nothing like having someone right there at hand first time out.
good luck, you'll do fine.
I was just notified my hospital is switching to DQS, any tips or warnings (sm)
Also, what type of expanders can you use, if any. I've been on DOS for so long and use Smartype. I'm looking forward to it and dreading it at the same time. Truthfully, any pointers you can give me will be greatly appreciated.
I do agree with you to an extent
most surgeons do dictate well. I enjoy doing OP notes for the most part. I have this one doc; however, that I would like to do mean things to...lol. When I see his report come up I want to cry sometimes. He is a neuro doc and he literally sounds like someone winds him up with a crank and lets him go. The fastest talker I have ever heard. The good thing is that most of his surgeries are spinal surgeries and are similar, so I have created normals for him, which are a big help. Occasionaly, there will be that oddball report though, and I just want to tear my hair out because I just cannot understand him! Oh well, OP notes are good for the most part, but that guy is a piece of work!
Yes to some extent, obviously you need to have a computer - sm
You also need reference books, I only have 3 I use on a regular basis, and 3 others besides that, plus a medical dictionary. I don't know what sort of transcription machine you are referring to, but if you mean a digital player for the computer, yes, that is usually something you have to buy, unless the company works via an internet website and has their own platform through which you get work. If you mean a transcription tape player, again yes, that you buy yourself, same with a C-phone usually, though I have worked with companies that will lend them out to you if you do not have one. You will also need 2 phone lines most likely, maybe even a fax machine, or an account on-line that receives faxes. I assume by office furniture you mean you bought a desk, chair, light, that sort of stuff. You could have used the kitchen table or dining room table (if you had one) just as easily though the level may have been wrong, at least temporarily since you have no experience. MT is not for the faint of heart, and if you get hard work it is very easy to get discouraged and give up. You will also need to keep track of all your expenses so you can write them off on your taxes, i.e. your new furniture, computer, etc. I probably easily spent $2500 getting everything I needed over the course of my first year, computer $1400, reference books, second phone line installed, unlimited internet, programs for my computer, foot pedal, travel laptop, etc. It takes a while to get in the black at first, but once you have everything odd are you do not have to add much more on, just if you change jobs, and they use different equipment/programs. Good luck, I hope you did not pull off more than you can chew.
I agree to an extent
I agree we should be honest about things and not put on pretend happy faces as you say, but I think the point is, there's a difference in being honest and just plain nasty. I also believe one can be honest without being blunt or rude. That's what I'm seeing a lot on this board - just plain rudeness. Not necessarily rudeness in giving honest opinions about companies, but rather, the bashing that goes on when someone responds honestly about a question or comment.
To some extent I agree with you.
I, too, believe that experience should be compensated at a higher rate. More often than not, it is worth it. The women I worked with were great and they were very helpful and did indeed help me with some terminology that I didn't know, being new to oncology at that point. I do think, though, that when someone is hired as a newbie and is paid as such, once that person starts working and proves that they can produce more than the vets, the compensation should be re-evaluated. Maybe not to as much as the vets, but it should be closer than what it was. At least that's what I think from being in the middle of it. I was considered good enough to get the brand new doc that was extraordinarily picky with his documents, and I was given the two PAs that no one else wanted to touch.
I know I'm not objective about it. I just think that sometimes there needs to be some review of a situation and not just "oh she's a newbie so she doesn't make as much," or 'oh she's a vet, so she makes a whole lot more."
Boy, my husband is paranoid too but not to that extent - sm
If I were you I just tell him I am coming and that is that. You miss him, the kids miss him, etc. I find it hard to believe he has a girlfriend on the side already (its only been 14 days). It could be he is just very tired and wants his 1 day to himself, granted I am sure he has unwind time at night. But he shouldn't be that selfish about his free time since he has a family to consider. Can you get one of those video cams for the computer and at least have the kids be able to see their dad that way since he is unwilling to drive 5 hours to come home every 2 weeks, or unwilling to let you "get in harm's way" by driving to see him? You have every right to be pissed, but as suggested wait until you calm down, then ask him WHY and that it has to be a credible reason, not because he thinks there is too much traffic in the area, or some such crap like that. As I said, it is probably because he is tired, being selfish about his time off and (here's the big one) probably enjoying being by himself for the first time in a long time. I actually take my kids up to my dad's about 3-4 x a year to give him some down time, granted I never get any except for a few hours here and there when he takes them to the movies or something, but at least it is something!
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Always looking and learning
What is a marker, is it product specific or would shorthand have it? Sounds great
learning op
Try this book: Stedman's Medical Transcription Skillbuilders: Creating Surgical Reports. (also comes with 2 cds)
Learning radiology.....sm
You should definitely give it a try, but "only" if you let them know up front that you haven't done radiology. You can say that you feel you have enough experience to adapt to it and hope they'll give you the chance. After all, the more specialties you have under your belt, the better your chances are of staying in this field. But I would not take the job without being honest. The transition is not all that difficult, but it will take some time. And besides, you always have your former skills to rely on if it doesn't work out. Good luck.
Yes, I'll be learning DQS...
I have wireless internet so I can't imagine why I would need a modem. I'm hoping that's something that's just in the manual for people that are still on dial up.
The lady I talked to made it sound like I had to rent the computer, although she quoted a fee of $25 a month. Is it not something I have to rent? Honestly, I don't mind it for right now just because my computer has been doing some crazy things, but when DH gets my computer upgraded I'd much prefer to just use my own computer. I'd rather not use all the other stuff if I don't have to.
Is DQS hard to learn? My training is Thursday and Friday so I assume I'll learn it then but I'm also not the best at remembering every single detail right away. I just want to get through this. I'm excited because they're letting me do acute-care work even though I tested for clinic work. I've been wanting acute-care experience and am thankful to be getting it. I just feel so overwhelmed with these three huge boxes sitting in my living room when I was only expecting one. The enormous DQS manual is also adding to the anxiety.
Thanks again.
Carole
Learning to read...
Yes, that problem brings you right back to the lack of early stimulation, schooling success, etc. You can offer the world, but just like the "horse to water", you can only do so much in getting people to accept education and work hard at it to be successful. It is NOT a solution to have people work at McDonalds, and unless they are literate, other options are just not going to work. I would guess that all states have vocational training in community colleges that provide tuition assistance, scholarships, and financial aid for those in need, but again, the ambition and dedication to finish something like that needs to come from the individual. Also, chasing down dead beat "fathers" is fine, but maybe young girls/women need to be smarter about taking reproductive chances. Nobody died not having sex. Perhaps more education in that arena is something the government could do. But again, you can only lead a horse to water, and people ultimately have to be responsible. We need to stop sugar coating the facts in our society in fear of offending somebody. The facts are that blacks are disproportionately more impoverished in America, but they also have babies at a 70% out-of-wedlock birth rate, and that is a problem.
Could not do without it. Small learning sm
curve, but worth it.
Looking to start learning soon
Hi all,
I found this board doing a Google on a company I hope to join soon. They will train me to work for them. I am excited to be able to finally get into this business.
I stared taking a course twice, but have been battling Diabetes. It was hard to find the motivation and keep the momentum going. Now my Diabetes (type 2) is better under control. I am also tired of working for someone else outside my home.
I have been looking at doing transcription work for 3-4 years now. I have researched positions I can take once I get some experience, and I don't mind trying to hustle up my own accounts.
I am posting here to keep my dream in front of me and keep me looking towards my own business. I plan to join AAMT and my local chapter once I get working. I am so excited!
Thanks for the information your board posted while I was researching the company to make sure it wasn't a scam. I am satisfied it is not and can't wait to start learning!javascript:editor_insertHTML('text',' '); Thank you all!
Thank GWB for that. It is all about the testing, not the learning.
x
Learning MSWord - need help
Finally have given in and am switching from WP to MSWord. I work from home. If anyone has any encouraging words about MSWord, I certainly would like to hear them. So far, I am going crazy, i.e., I have put in "gray boxes" but when I enter my autocorrect short cut for the "shell", my cursor goes to the bottom of the page and I have to page up 2-3 times. I am missing something?
Any help would be so very much appreciated 
Thank you.... bw...
learning word
There is a really good web site called MTwerks. They also give really good tech support and have a news letter with helpful tips.
Learning the English would be
a big help! They come here to make money and should learn the language. Benny Hinn does a great job with the English language when he's asking for money! so apparently it is doable.
Yes, but I have to use the mouse. But....am learning (sm)
more shortcut keys as I type!! Thanks!
I switched but still learning,too
I used SH for a year. To me, it was like AutoCorrect, which I used to love, but IT does so much more. I've been using IT for about a year. There are so many things you can do with it that you can't do with SH.
As the other poster said, check out the productivity website and you will fiind zillions of ideas.
Some have a different learning curve than others
I had an in-house job for 3 years, hired in off the street, no experience. Three months later, another girl hired in, same situation. Paid hourly, no ESL, and we had the opportunity to talk to the doctors in person about any issue.
By the time I left, I was the highest producer in the office. She was still struggling with the simplest words and phrases, still asking the same questions she asked the week she hired in, still needing help from somebody else all day long. She would cry from frustration because she couldn't get her act together. Other people that hired in after her got the hang of it much faster and were soon helping her too. I asked management on many occasions why they just didn't show her the door, and they said I was being harsh and that some people just couldn't learn as fast as others. I wonder why she didn't just go find a different kind of job instead of hanging around driving herself and everyone else nuts.
learning another language
It isn't that I wouldn't like to learn another language if I had the time. I would. It would be neat to be able to speak another language, but I don't. And it makes me fustrated when immigrants come here and expect me to know their language when they are the ones who came here. They should know proper English. Or just decent English. If I moved to South America I would not expect them to understand me. I would take it upon myself that if I wanted to communicate I need to learn good Spanish. And if I had a job where I did something such as dictating, I would make sure I knew decent English and tried to make myself understandable. Some ESLs act like they don't care if you can understand them or not. There ARE some who try though.
learning steno, et al.
Hi mt,
I looked into closed captioning many years ago here in San Diego, but it was not as good as it sounded with many problems both internally and externly, hard to explain in this forum, but I didn't want to get involved in that mess.
I started court reporting school way back in 1988 when we still had saber tooth tigers running around. I started the program at San Diego's City College. The first semester was learning theory which taught the steno language and the keyboard. We used the old manual machines, which are still available for students. The second semester and thereafter was all about the dreaded speed-building classes. We finished the first semester at 60 words a minute. Speed-building is a very personal matter. It can take years and years or less time, depending on the person. It took me 2 more years to reach 225 words per minute which qualified me to take the California state board test for licensure. I passed the academic portion the first time but not the machine portion. So I took it another 6 times, never passed that damned thing! Nerves got the best of me each and every time, so I could not go into the court reporting field (something I don't regret in hindsight). Instead I opted to enter our wonderful field of MTing.
I'm using my machine to write this message. I really like using the machine a lot. Each stroke produces either one word several words or phrases or parts of words that have many syllables. It all depends on how you have your dictionary defined.
Today's steno machines are electronic and computerized allowing us to interface with any word processing program.
I hope more people learn this skill and start using it for medical reports so we can get rid of this rotten ASR chap which has reduced my income way more than I can live with. I need a firm that will appreciate my skill and recognize its value in this field.
BTW, it would only take about 10 months to a year to become proficient enough on the machine to start using it for MTing, maybe even less time depending on the person. I didn't work during 3 years of my early training as I had financial help at the time (which I had to pay back, of course, $30,000 - it's paid back now).
Dave
It's like learning MT all over again. It takes
nm
There's a learning curve
In time it all gets better. Usually. Some people aren't cut out to be MTs, for them it never gets better. I felt the way you do when I started out in-house (no former training). But I was stubborn, and I learned, and knew I was getting better. Then I started working at home - BIG learning curve, had no idea my hospital job was so easy! But I was stubborn, and I learned and improved. Next job - more learning. New accounts with constantly changing specifics - keep learning. In this job, you learn every day - a new phrase, a new production tip, the fact that you've been spelling something wrong, etc.
Just take a deep breath and realize they are trying to help you. Thank them for every correction, because its what they need you to do. Make a lot of notes. And you can and will improve, if you're stubborn enough to make your investment pay.
coding learning
Both Andrews and M-Tec have coding courses. I had a discussion with Redpen about the possibilities and she thinks it will be at home eventually.
MT, are you just now learning about her needing a
Xanax?
I have been an MT for 10 years and am still learning...
you really do learn something new every day...just hang in there and you will do fine...
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school. After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school. After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
Learning the hard way and my story (sm)
I didn't read all the posts below me, but I must agree with not quitting one job before landing and being even comfortable with the next.
I worked for a national and was VERY happy with everything except I had no benefits. So I sought another job and was offered one for significantly less per line, but I had benefits, mainly insurance which was a trade-off I was willing to accept.
Keep in mind, my current national offered basically no benefits for employees.
My new employer was enthusiastic about me coming aboard. I told him/her that the ONLY reason I was leaving my national was FOR the benefits and nothing else. I was happy with accounts, pay, personnel, etc. where I was.
Now, also keep in mind that I did NOT resign from my first position.
I spent the next weekend working for the new employer and making macros, etc. plus doing work for my national.
Tuesday morning I get a packet welcoming me to my national... the national I already worked for... what? Turns out my national bought out the company I had applied to, the one with the benefits, which meant that had I resigned, I would have been working for over 2 cents a line less and NO benefits still.
Talk about ethics? The "new" employer knew my situation, knew she/he was selling or had already sold his/her company to the national, but STILL let me apply and hire me, knowing I would be screwed big time. I was totally up front with him/her about WHY I was changing jobs. This devastated me to no end, but I was thankful that I had not quit my first job and I am still there (still shell shocked I guess LOL).
You just can't trust anyone.
I thought about learning it as well, but I didn't.
You can actually reset your computer from qwerty to dvorak, then just change out the key locations on the keyboard instead of buying a new keyboard. I just really don't feel like relearning anything right now. The fastest typist in the world uses the dvorak keyboard, according to the Guinness Book of World Records.
I'm learning scoping, and its quite interesting, instead of CR -- nm
xx
Correct and I believe 1 or 2 more years learning
from their signing physician in house.
At least 6 mos! You'll be learning and looking stuff up every day, all day, before you
s
Virtual Learning Center MT Course
Has anyone done this? It looks good....but I need to know before I spend the money.
Thanks.
I'm learning radiology now after 19 years
in acute care. So far it's pretty easy. The phrases are familiar from the radiologic studies sections of consults, H&Ps and discharges. The internet makes short work of finding any new terminology. What is throwing me, though, is the sound quality. It's all pretty muffled. I don't know if that is typical of radiology or not. I thought maybe the proximity of the dictation equipment to the radiology equipment is causing it, but maybe they just have old phones. Any radiology MT care to comment on sound quality?
I agree. I'm learning a lot more with the variety
than I would have otherwise, which makes me feel more comfortable should I ever move to just one specialty. Of course you find some specialties you like and some you don't, but you're still gaining the knowledge. Just hang in there.
Medical transcription is like learning a sm
foreign language. It takes years and years to become fluent and able to transcribe whatever comes through your queue. Also required are excellent spelling, grammar and punctuation skills as well as computer skills.
Nowadays, the majority of dictators have thick foreign accents which make it difficult for even the most experienced MTs. It has become a situation of translate and transcribe!! You really need to know your stuff.
That is exactly what it is. They overload these accounts, you keep learning new
ones as backups only to find that they then get overloaded and then you sit there and wait for work making probably minimum wage. Well, just keep two PT jobs and then when one runs out go to the other and let it go. The whole thing is not about the MT or what they make or how much time they spend playing the game. After awhile, you just say I will cover myself.
You probably tried to do real work while learning IT? sm
You can't really do that in the very beginning because it makes the learning curve a lot longer. A lot of people don't give IT a chance because it's new to them and they don't like change--and because it's such a powerful program with lots more features than the other expanders. My advice would be to go over the Productivity Talk and read what the power users there have done to learn IT. They have tips on how to get the most out of your Expander that you would never dream of doing.
Very difficult with a long learning curve.
You must have adequate resources, books, protocol lists including research drugs. It's doable but not if you expect to learn it in a week.
how long of a learning curve w/ new account?
Good morning everyone ... I'm starting at-home work this week for a new hospital, out of my area. How long should I expect of a learning curve? It's been a while since Ive done NEW accounts !
How long does it take you guys to get up to par - and that money starts really pouring in? I did a few reports this weekend - and between the strange names, accents, procedures - it's going to take me a while before I'm lucrative.
What's your experience w/ new accounts ?
Thanks everyone!
JoJo
Resources in learning psychiatric work
I work for a large national and am changing accounts to a psychiatric clinic. I've done a bit of behavioral medicine in the past, but don't have a lot of experience with psychiatric work and would like to brush up on my knowledge before I start with the new account.
Is anyone aware of any resources (books, websites, training classes) out there to help me grasp the psych. basics and terminology? I appreciate any and all suggestions.
Thanks!
Slow learning curve...getting a little nervous.
I recently left the job I had had for over a decade because I had grown to HATE the company I worked for. Have moved to a different company, one with a very good reputation on this board. So I'm learning a new platform, new account, new dictators including lots of new ESL docs... and I'm learning acute care after many, many years of almost entirely clinic work. Please, somebody tell me I'm going to get up to speed someday. Hopefully someday soon. Back in the day I typed an average of 250 lines an hour.... My line count seems stuck for the last week or so at 140. I've been doing this job for 2 weeks now. The switch to acute care is really shaking my confidence... I'm realizing how much I didn't know for the many years I've been an MT. Just hoping for a little encouragement -- as my daughter would say, "an encouraging shoulder squeeze."  TY!
Learning Site - Heart - Listen!
Animated to see and listen to heart beat and other. Great Site. Trying to learn all I can about cardiology to help with transcription and understanding! Still learning! Kinda like an old dog! Ha!
http://www.blaufuss.org/tutorial/index2.html
New learning website! Visible body...
It's free!
http://www.visiblebody.com/
It is relatively easy and I have a looong learning curve.
You will figure it out. MS word is user friendly. There are just a ton of options available. Hopefully someone will come by and say more.
Good luck
Good for you! I'm back at school learning (sm)
a new career after 16+ years in this business!! I love MT but it's time for something with a steady paycheck and longevity. Good luck to you and to the rest of us in your shoes!! :)
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