Ever come to like a specialty you used to hate, just because the dictators are so good?
Posted By: mini-poll on 2005-07-17
In Reply to:
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!
Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
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Same for me. Prefer male dictators. I hate to say it,
but the male dictators seem more organized. YIKES!
Reply to get a good set of specialty books
When you say specialty books by Stedman's what do you mean exactly. I have a Stedman's Medical Dictionary and a Dorlands Medical Dictionary but what other books would I need to get? Thanks so much for your help.
Is the dictation quality good, are the dictators good, are you
a newbie and you still have to look up lots of words .... The very first day I typed, with absolutely no education way back when, when you didn't have to have a degree/certificate or previous experience, I typed 665 lines. This was without an expander and I was not a fast typist. I can do 1000 lines in about 4 hours now on average.
Love psych notes. HATE, HATE, HATE, HATE,
HATE ER notes.
Good workload, bad dictators! nm
Good dictators only on that account . . .
I get plenty of the stinkers, just like we all do. The accounts I don't share, and sometimes dread, are often short reports filled with lots of dead air in the sound file. They are also 90% ESLs. So don't think I skim off the cream. I don't.
I'm just saying it is impossible to cherry pick an account of all good dictators.
I work my butt off to make it. I'm not sitting here taking only the "good stuff" and leaving the crud for other MTs.
I find myself willing to research more for good dictators...SM
if I get a lazy, mushmouth speedtalker, I don't bother much. I mean, I definitely strive for accuracy with what I *can* hear, but if there are unintelligible parts, I leave a blank rather than playing it over and over and over and trying to get it. If they obviously don't give a rip, why should I?
Maybe a bad attitude, but why should I gyp myself out of $$ because some a$$ can't be bothered to E-NUN-CI-ATE!!
Have all the good dictators left the building?
I am so ticked. I work on VR and everything is nothing but a bunch of words that fit nothing, dictators cannot speak properly and VR throws in whatever. I am sick, I tell you, of dictators who don’t care. I am on my soapbox because I am so angry with having to listen to all this ______ (put in your own words here).
All I ask is for clearly speaking dictators and good sound quality and I would be a
nm
Even with multiple GOOD dictators, I still find it hard - sm
to do '8 hours' worth of transcription in less than 11-12 hours, mainly due to the lack of ability to make templates, as each doc does his H&P entirely differently. Also they want extraordinary accuracy, grammar clean-up, and proofreading done on each report. So a longish H&P can sometimes take an hour.
I agree. It's an impossibility for me even with years of experience AND good dictators. nm
m
The way I see it. Competing with national rates. If stable acct, good dictators. Bid low, get job
dd
For this account, I charge 0.12 cpl. It is very easy clinic stuff with good dictators, but ...
I also do tapes which are horrible so I'm considering upping my line rate especially if all this aggravation keeps up. When I first took the work, I thought I was being fair because the work was so easy, but then they asked me to do tapes and then work specific hours, print and deliver work three times a week. I wish I would have addressed more than TAT and line rate in the original contract. I do charge them a $5 per delivery fee because of gas prices, but still I think I'm getting the shaft.
Oh well, live and learn. I am negotiating for a local doctor's office here in my hometown, small one doctor office, and I'm here to tell you I will be negotiated every little detail right down to paper and toner charges!
Good for you! I hate meds....
If your headaches become so bad that they interfere with your life and you really want to crawl up and die, check into occipital stimulation. It gets the pain that no medications can even reach. It is a miracle. Two companies make them, ANS and Medtronic. I am really glad you are feeling better!
Ditto -- hate it, it's slow, not nearly as good as the QL.
nm
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
I hate to admit this, but the one good thing I learned Focus Infomatics
was the Escription platform. Trust me, that is the only good to come of it. I think even if you get a few months under your belt, you'd be better off for it.
Agree! I hate Daylight Savings Time. It takes me a good two weeks
to get myself and everybody in the household adjusted to the time change every six months. If the farmers need to get up earlier, let 'em! That doesn't mean I should have to, also! DST has definitely outlived its usefulness. I stay up later and get up earlier in the summer, but go to bed earlier and sleep later in the winter. It's like my mind and body are tied to the sun, not the clock. I never got an extra hour of sleep last night anyways because the neighbor's stupid dog barked from 2:00 a.m. to 3:00 a.m.
?? Bad dictators are bad dictators regardless of their mother language.
wonder when people will just get over it and do what they can and move on.
I hate DocQSribe, I hate DocQScribe, I hate DocQScrbe, I hate DocQScribe, I hate DocQSribe.
NM
Love cardiology, hate podiatry. Hate discharges, but
nm
Specialty
I will be graduating May 2007. I was wondering what your favorite specialty to transcribe is? So far from the assignments in school I like surgery reports and internal medicine. I did not care for dermatology very much. I had to many visuals in my head of lesions and sores.
What specialty will you be doing?
Have they hired you for a specific specialty?
This is my specialty sm
email me, we'll see what you have for IM and we'll connect. You can IM me anytime and pick my brain. I have done a ton of retinal surgeries, scleral buckling procedures, pars plana vitrectomies, YAG lasers...
I hate those but I hate trauma notes on children even more sm
I used to work for a large hospital that saw a lot of children for various horrible things.
The very last one I did was a 12yo boy who had hung himself while his mother was at work. She thought he was in school. The doctor cried, I cried (as I usually did) and I just couldn't handle that anymore. That was the longest report I swear. Short in lines but the length was almost an hour. The doc didn't pause the machine, she cried, horrible gut wrenching sobs, and I did too, right along with her.
Specialty dictation
Just wondering how many lines within 8 hours do you "speciality" transcriptionists type? Not acute care, not SOAP notes, just the specialty accounts?
I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated.
Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
Can be one specialty or multiple ......
xx
I was cornholed into a MT specialty
Does anyone know where I can get maybe some samples of op notes or radiology notes? I want so bad to further my career and unfortunately where I work I don't see that happening. I will be doing ER work until I die... which ER work is not bad, but I will never make any big bucks doing it unless I work for my company forever, that is if the Indian company dosen't take it all over. Thanks ya'll.
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?
Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.
I ENVY YOU!! And good luck!
Would appreciate comments from any specialty transcriptionist
who transitioned to another specialty. Also, have been doing strictly psych transcription for 10+ years but would like to branch out, does anyone have a recommendation as to which direction I should be looking and learning? I don't mind hard work and have mastered a lot of dialects, but am clueless as to what direction I should be looking to better myself in the field.  
Which specialty have you found the most difficult and why?
I find cardiology to be most challenging.
Any good cardiology links or websites?
Just started ortho specialty... Does anyone
Thanks a bunch!
If it's a woman and specialty is ENT, I've done her.
She's truly awful.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
Asthma Allergy specialty
I am working as an IC for a asthma/allergy specialist who has recently went into private practice. In the 10 months that I have worked for her she has changed the format of her PE, new patient, D/C, well all of her forms, several times. I have tried to explain to her that it is her practice and I will transcribe whatever information she feels is necessary to have in the permanent record (she does not do dictation, I transcribe from written report). Can anyone give me an example of final transcription for an asthma/allergy specialist, and possibly an example of the forms used? I would like to present these to her to compare so she can feel comfortable with what she is transcribing for the final record. I would really appreciate any help I could get with this. This is my first job and I want to keep this doctor satisified......Thanks!
What is your favorite specialty to type and why?
I only have a year and a half of transcribing under my belt, but I have had the opportunity to do a few different specialties: General practice, pain management, orthopedics, physical therapy, endocrinology, psychology and oncology. I have liked them all for different reasons. I like psychology because it is always interesting, easy and I can make good money with it. But I also like orthopedics and oncology because they are interesting and challenging for me. Just curious what others like (and dislike too!).
I think specialty work would be easiest..sm
With family practice, you could see a number of diseases from all specialties, so you need to know the terminology for all. In specialty work, you would see the same all the time. For example, if you took on an ortho doc, you'd see all ortho, so you learn the terminology for that specialty only. Once you have that down pat, you could branch out into a new one and so on, gaining experience with each.
You will have a more well-rounded experience going with family practice over specialty, but as a newbie getting own accounts, specialty would be easier, IMHO. I don't really recommend starting as a newbie at home with your own accounts, but that's just my opinion. It's a lot harder because you won't have QA - the doctor will be your QA, and they can be a lot harder to face than an online QA person. You have to take criticism well, since it will come from a doctor most times (or staff member) and some docs can be blunt and even condescending. Just being honest based on my own experience. Maybe you could try some of the small MTSOs rather than national companies, where you might only have 1-2 QA people and aren't as stringent about BOS rules, etc.
If you find a local doc willing to take a chance, go for it, but don't expect it to be any easier at first than a national or working for another person. There are pros and cons to each. It can be hard to get either job without experience, but a local doc desperate for help might be more willing to take a chance. Depends on what the MT market is like in your area. If small town, good chance finding a client. If larger town with lots of MTs available, it will be harder.
Heck yes, go specialty! Psych will never bore you!
your production will go up. Psych is different, but at least it's a specialty so you can get good at one field instead of having to do 50 dfferent specialties.
I check jobs in my specialty out of curiosity.
Have only applied for three in a year though and those were to possibly replace a PT job I have with a better PT job. The FT job I have I am content with for now.
Be careful not to become known as applying all over the place. This is when it is a good time to get information from the Company board when you see an opening. Be sure you want to be considered before you apply. It is a small MT world with the better companies. This is my thought anyway.
Could be by specialty, but usually walk-in clinic, stand-alone
s
I can understand stumbling over an unfamilar med, or one outside of their specialty, but (sm)
I have a number of docs who routinely mispronounce drugs that they have prescribed for the majority of their patients ... they've mispronounced (and often also misspelled) the same drugs for many, many years. It just floors me.
Oncology and some specialty AIDS facilities can be TOUGH.
nm
Is Radiation/Oncology a difficult specialty? I am going to be starting..SM
on a new account doing this specialty. I was wondering if anyone has any helpful hints for this specialty. Any know of any references that would be good for me to use? Are there any websites that would be good as reference? Any help would be greatly appreciated. TIA.
I don't hate AAMT at all, ks. I don't hate
their book. In fact, I love the BOS2. It is not a regular grammar book at all - there are hundreds of issues in it that are point specific to MTing and medical field. I have dozens of regular grammar books, too, for other purposes, and they are not similar at all. I purchased the BOS2 when out job interviewing for a few months. Every single employer wanted me to have my own company, and they all tested off of it. Several used it in their daily work, and I have found it priceless over all. I think its even on sale now, but $89 is not a lot for a professional tool that we should use if required, or if a newbie. MTs who don't like to buy books are not very wise in the big picture. Its like shooting yourself in the foot.
how are they going to get used to all the dictators
if your source says they cherry pick and only do American dictators? Sounds like never. But you knew that.
PS: Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?
Dictators who keep....
  
I'm having a bad day with dictators and got this in my
email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.
http://www.thesmokinggun.com/archive/0916051disk1.html
I have had dictators like that!
when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
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