Every doc is different and you should not blame the specialty. sm
Posted By: ks on 2008-01-25
In Reply to: I agree. I hate podiatry because - annabanana
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.
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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...
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.
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.
Ever come to like a specialty you used to hate, just because the dictators are so good?
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.
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
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.
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. 
Don't blame QA!
If your quality is there, you don't need to worry. If you are worried about your quality, don't blame it on QA people. We are not "out to get you," just making sure that we send a quality product to our clients. That is our job. I have been in this business for 30 years. I try to help our MTs by giving them good feedback. It is insulting to me as a professional when an MT with poor quality whines about what QA "did to her." You should see some of the garbage I have to fix daily....Some reports take an hour or more to QA - just one job!! We have productivity quotas to meet, too, and this hurts us. This is why the poor-quality MTs are being gigged in their pay. If you are not a poor MT, no worries, right?
Don't blame QA
You go girl!! My thoughts exactly....
i don't blame you there
now if others will do the same, we could actually have good debates/venting sessions; I appreciate your answer
I don't blame you at all. We did the same
for my nephew and I will get a list of music alternatives from my sister and post for you.
Keep up the good fight!
can't really blame them 100% either
I've learned to take a more pragmatic view of the problem rather than blindly placing all the blame on the doctors themseves. Rather, I place the majority of the blame on the shoulders of the government and the insurance companies for driving up the costs not only to patients but to the providers. Practices have found that they've got to cut back somewhere. Some have turned to EMR, some are using voice recognition, and some have resorted to going the cheapest way possible, offshoring, to create the documentation REQUIRED by insurance companies and the government in the first place. Though we may debate the morality of sending American jobs overseas, they're not doing anything illegal.
The biggest problem I have with offshoring, as my friend once put so eloquently, is "I wouldn't want my medical records to go to some country we're going to be at war with in a few years." (thanks, AK!) We Americans are expected to abide by government-imposed HIPAA laws, but does that extend to offshore companies? They say they are HIPAA compliant, but who really knows? Which "government" agency watchdog do we have to protect our privacy in these other countries? Gee, we're having such a problem with identity theft, wonder why?
I've taken to asking any new physician that I go to who will be typing my medical record after this office visit. If they say they sending it to some really cheesy company in India or even refuse to tell me who, I walk. How many of you do the same thing?
Can't really blame them.
You are working for them actively IN their system.
I wouldn't bat an eye at it. I say kudos to the hospital for protecting patient information and upholding HIPAA appropriately.
I did not blame anything on anyone.
I simply stated a fact. Some MTs are incapable of making a successful transition to editing. I did not blame anything on anyone. Do I think that the measly pay rates offered by some companies for editing are fair? No. There are also companies that pay a reasonable, but not great, pay rate for editing.
I will reiterate what I said before. If you cannot make a living on what you make doing editing--then don't do it. Period. Bemoaning the fact you can't make decent money while your bills pile up accomplishes nothing.
So, you blame this on QA? How do you know
"Anonymous" and "Untouchable?"
Don't speak for me. You don't know me. I have always wanted to deal directly with the MTs. There are other QAs who agree with me, too. But we have been told in may meetings that just will not happen.
Of course, I would imagine the anal ones who should not have their QA jobs would not like to do that, because they could not back-up their corrections. But I stand behind mine. I would rather talk directly to the MTs -- lack of communication is good for nothing but misunderstandings and bitterness.
I am not out to get any MT. I will not make a change in your report unless it is an outright blatant medical terminology mistake or a formatting error.
Why are you so mean? You don't know me. I wouldn't be nasty to you. I have never done anything to you.
Bitterness is not good for anyone. Why don't you place your anger towards the QA who is giving you troubles? Turn that QA in. Keep doing it. If more MTs would speak up, then the ones who should not have jobs will be held accountable.
I know what you are talking about. I understand. I see it myself when I look at completed reports and I see what some QA are doing. It is wrong. But not all of us are the same way with our jobs. I have always tried to be professional and helpful to the MTs. I leave notes with info that they might need concerning the particular report, and even thank them for their hard work.
I am sorry you feel so hateful towards someone who never did a thing to you.
How can you blame the landscaper for
what the wind did? Any tree will uproot or break unless it is a palm tree if the wind is bad enough.
No blame placed on anyone. Surely you have
limits in your life, don't you? I would hope so. Those are the lines I have drawn. I have had to change accounts before and change employers before. I may have to again, who knows?
It doesn't cost me anything whether you take that as blaming MTs or not.
Not anywhere in that post did I blame MTs. I took responsibility for what I wanted to do and I am ALLOWED to make those decisions for myself. Perhaps you should do the same for you.
Enjoy your day!
Blame the names
on the 911 system. To help keep dispatchers from having to deal with sound alike names and sending emergency services to the wrong street the 911 center in most areas gets the final say so on whether a street name is okay or not.
When a small rural county I lived in went with the 911 system those of us who lived in the small cities had to rename some of the existing streets since there were streets in the rural areas of the county over 50 miles away with the same names.
I don't blame the merchants for doing that
actually, he said he didn't blame me..nm
x
Who else would you blame this on? You did the work. SM
it didn't cut the mustard and you want to blame somebody else? You know, one report will not get you canned.
I do feel sorry for you, again.
Your management is to blame, not the MT.
Your management allows it to happen.
Talk to them.
It is isn't up to you nor me nor anyone else not in management to regulate who gets what work and when and how much.
you can't blame them for killing themselves to get here,
and adding further insult to injury, we put everything in their language. however, thanks to our system of welfare, too many US citizens refuse to work the hard labor jobs, so we "need" the illegals.
blame game..........sm
As for the *blame game* - most states and MOST judges don't care....they don't care if your spouse is caught in bed with people. Hopefully the OP's state is like that. Many states today are *no contest* states. If you want a divorce, you can get a divorce in most states with no contesting. If the OP's state is not like this - is not a *no contest* state, the OP needs to file for a divorce in another state, where the OP would need to get residency status in that particular state (using someone's address who you know real well).
I blame it on trying to remember too much sm
all the time. My brain goes on overload and then shorts out. LOL
I didn't blame her
If you read my post, you would know that I said I am guilty of that, not Misha. As I said, I was curious if that might have been the problem, because if a dog's nails are properly trimmed I have never seen this problem. That's not even saying that it doesn't happen, just that I personally have never seen it. If it is the case, however, should I blame the dog?
Take a look at who their parents are. Where's the blame now? nm
v
I blame my employer...
...for taking another transcriptionist's word over mine regarding a situation involving only the two of us. I blame my employer for overlooking the fact that another Transcriptionist was 15 minutes late EVERY SINGLE DAY for five years, had temper tantrums at work (even the employer said she needed anger management classes), and antagonized the radiologists - and yet still, somehow, I was the "bad guy" and that employee was the golden child. I blame my supervisor for being IN THE SAME ROOM and witnessing the cold and cruel way the other transcriptionists treated me, when I had nothing but pleasant things to say to and about them, and still allowing the manager to "let me go" when it finally came down to a choice.
No, I didn't fit in. I don't lose my temper at work. I don't try to turn people against other employees. When there is a problem at work, I have the courage to address it and calmly try to work it out. I treat other people with respect and dignity.
You're absolutely right. I didn't fit in. But I should mention - I left there August 28, 2005, and they STILL have not filled my position, nor have they filled the position of another employee who left at the end of December 2005. What does that say about who "fits in" at that department?
Don't blame you - I refused also.
nm
I AGREE, if you put up with it, you are to blame but sm
If you put up with that for five years they probably think you have accepted them! That shouldn't go on for more than 3 months. Here is the serious deal though.. you have to pay well to get someone who takes pride in their work. Nine cents a line will get you someone good.
Blame it on ExText...
It is a glitch that I have encountered...and have always been told that it is a glitch and I just have to learn to live with it.
I don't blame you. I have the same problems, only
"Faster, faster, faster! And oh, by the way - NO mistakes... EVER!"
No normals for me, either. I wouldn't mind it if I got paid a decent rate for full, word-for-word typing.
I hate proof reading. I'm not good at it. (Also, there is a neurological phenomenon that makes it particularly difficult to proof your own work, because you tend to only see what your mind wants to see on the page.)
Never any positive feedback, and pay that is downright embarrassing. Thank goodness my pay is at least direct-deposited, and I don't have to look a teller in the eye while depositing a check.
Then I don't blame you for venting.
Nobody should cherry pick. I never do it. I take all the junk that comes down the pike now. I hate a certain work type, but when I get it, I just curse under my breath and do it. 
blame the victim, geez
You people crack me up. Blame the victim and her family. For pete sake. You sound like the type of person who would blame a rape victim cause she was wearing a short skirt. The Aruban Govt thinks that boy is guilty, that is why they are holding him. He is guilty, IMHO. His story has changed several times. If you are innocent, you have one story. He left her on the beach, come on, who would leave a young girl, not familiar with the area, on a beach at 2-3 in the morning? The person at fault? The person who murdered her or kidnapped her and I think it is that obviously well off son of a high ranking lawyer. Instead of pointing fingers at her family, we should be sending prayers and hope.
blame the victim, geez
Sorry, but if you dont' want to get picked up and treated as such, don't go to places like that p. e. r. i. o. d. And yes, some women ask for it maybe not intentionally, but it happens. People need to start taking reponsibility for their stupid decisions.
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