I'm not currently in QA, but crappy dictators
Posted By: me on 2008-10-19
In Reply to: QAing - sw
isn't the only reason for QA. You'd be surprised at the crappy work that some MTs do and QA corrects the errors so they bad work isn't going to the client. Some MTs don't feel the need to proof their work, believe that is what QA is for.
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Guess what? There would be no cherrypickers if there were no CRAPPY DICTATORS! nm
x
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? 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.
Many many crappy jobs for me
1. Emergency Room admissions clerk in a back-woods hospital in rural Western Pennsylvania dealing with drunks, freaks and worse on the 11-7 shift while working with a bunch of angry, nasty shrews who hated life in general and were too busy hating the rest of the staff to pitch in and actually do any work.
2. Working in medical records department of another back-woods Western Pennsylvania hospital (family owned and operated, I kid you not) where the medical records director was the 30-something girlfriend of some 90-year-old racketeering buddy of the hospital's owners and she got hired as MR department director directly from the bangle bracelet counter at the mall.
There are more but these two stick out in my mind the most.
I just think it's crappy to judge m
someone's ability to responsible by their credit report, especially in these times when you can make the same amount of money as you have been and have just the basics (no luxuries) and everything has gone up and you scrape to make ends meet. I know many people like this now. I've even read articles on how people are in worse credit card debt than ever because of what I just described and they're bridging the gap by having to charge x amount each month to get by. It's very sad. Because one's credit is poor most often isn't because of a lack of responsibility or willingness to pay, just life happening.
Yep they are a crappy school. Unfortunately too
many take the course because it is cheap compared to the good schools, but it ends up costing more when they can't get a job and need further schooling/training.
Have you posted your resume on the job boards?
Knowing about foot pedals or other equipment is no big deal, what you need to know is the terminology, good grammar, research skills are things you need.
You can look for a mentoring program. Some companies will pay you a minimal amount for any work you do. There are some companies who want you to pay a monthly fee. I don't know the names of companies, but there are companies that are not legit, so be sure and ask about them.
You could also apply to local clinics/doctor's offices, and hospitals. You would have to work on-site, but that is the best training you can get.
I'm sorry that you have crappy QA. I wish I had you to edit. sm
A good QA will not do that. Where are you working that you have such bad QA personnel? I'm not wanting to go to that company, lol.
Hope it gets better and you get helpful mentors.
crappy work
Must be coincidental, I just had it out today concerning your posting. I sent a copy of it to the owner, I got a return message to never email "her" (the owner) again from the original person I sent it to. Hmmmm, my email with cc to the owner must of sent of sparks! (about what is really going on). Cherry pickers they are!
but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
But we all want to leave our crappy nationals...
and go BACK to the office! LOL. We're TIRED of the peace and quiet!
If so i bet they are a crappy MT. You have to KNOW anatomy to be good.
;P
downright crappy and unfair!!! SM
MQ paid 30% less pay for ASR reports, and they took just as long to edit as they did to type sometimes, so was very frustrating. I have heard some companies pay straight line rate difference, i.e. if you make 7 cpl typing, you'll make 4 cpl for ASR. It is totally unfair, as like I said, it does take quite some time to edit ASR, some more/less than others. Needless to say, I left MQ for KS, who does NOT do ASR!!!!
somewhat. would help if the quality of the dictation wasn't so crappy. nm
nm
Yes some crappy India people get this work
But I think it is also a great opportunity to keep this IN the USA.
sick of working for crappy companies?
I have been thinking about starting my own company. I have done some research and it looks like all I really need is an FTP site, handhelds (that the doc's purchase themselves), and to get accounts. If anyone is interested in doing this with me let me know...or if anyone has any other information on starting a company input would be appreciated!
Why are we working as IC's and the companies are making profits off of us? Lets cut out the middle man and make the money we deserve!!
I wouldn't hire you with that crappy attitude either.
nm
Pretty sad when you have to settle for a crappy company because all the rest are no better.
f
How true, I have one very crappy doc that drives me nuts, just got done 10 minutes of him that is-sm
riddled with blanks. I go through it once more, then the office mgr goes through it and fills in what I cannot get. We have an understanding that I do what I can then send it in luckily on him. It is an all-around non-money making account....I waste my time, she wastes her time then the owner proofs it. This doctor even has horrible residents who dictate for him. If there was not so much background noise I would do a lot better but they somehow manage to find the most horrible place to do their dictation and go to town with it........surprised I still have hair left. I told them that if we continue to do this guy (the doctor had decided to stop using the service but changed their mind recently) that I should be paid double (I get the bulk of this twit) and they should charge more to do him due to all the heck he puts us through. ------Can't wait to see what happens with that one!
Venting session = so tired of crappy MT companies...
I have just about had it! I mean I have over 14 years experience as Transcriptionist and all I can get is crappy pay rates, which now I am okay but could be better....And I am tired of getting crappy accounts! Whenever I ask to switch over to a different account, they tell me no. And these companies want PERFECTION, even though noone is perfect, for peanuts! I have seen places where they want you to work set hours even though you are an IC. What is up with that? Plus these places never off any good benefits, if any. What are we supposed to do. I am ready to go to a retail job or fast food. Somewhere where I can get out of the house, do my job and not have to worry about it all day long - not have to worry if I get an 9 hour shift worth of VERY BAD dictators. I bet I could surprise myself at how many hamburgers I could flip in an hour because I sure am tired of seeing how much crappy doctors I can type in an hour.
Does anyone else feel this frustrated? What happened to this profession?
She got booted because she sang a country song really crappy.
nm
Actually, it is retranscribing from scratch, because the software is so crappy. Same work, sm
less money.
any encouraging words for a newbie with crappy line counts?
Today is my 3rd day of "real" work (not school) and I did 482 lines in 5.5 hours. That averages out to about 87 lines an hour.
How many lines per hour did you average at first? How long did it take to get faster?
I accepted an acute care position to get more experience, but now I'm wondering if I should have gone for a company offering clinic notes accounts ...
Please tell me it gets better!
If you work from a pool, it's when others are leaving you the crappy reports by skipping over the
s
Why would I go backwards? Simple thing is to fire the MTs whose quality is crappy. Weeded out abou
I get paid rather well, but I really should not have to do an MTs job. The point is I DON'T WANT TO TYPE!! Why would I want to be an MT and type ALLL THE TIME?
I felt crappy for 8 days..while coming off carbs..but now feel great..don't forget calories still
for those who are carb sensitive..its a godsend and a lifestyle. I really like this site: http://www.lowcarbluxury.com
there are TONS of wonderful recipes. I made the chicken cordon blue for the whole family and mock mashed taters..yummy!! Obviously not the same but I was a happy camper to have mashed again. Good luck!
Yep, a good MTSO will get rid of the crappy doctor, not the good MT...sm
unfortunately, there aren't many MTSOs out there who will confront a poor dictator and nip it in the bud to begin with.
In the old days we used to do this all the time. A doctor was put on report and told to shape up and if he didn't he would either be charged more because they had to pay an MT more to do his lousy dictation, or he was always given the option to do his own reports if he wouldn't comply.
Believe it or not, almost every physician my former company did this to straightened up their act became good dictators and found that it was actually less stressful and less time consuming for them too!!
The MTSOs just don't have the guts to do this anymore... and they should. I can make more money on good dictators with a lower line rate than crappy dictators at a higher rate, and would rather have the better dictators and lower rate than the other... it's a win-win for both the MT and MTSO because the MT is making more money per hour and the MTSO gets to pay less for her MTs and make a better profit. I can't believe the MTSOs haven't figured this one out.
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!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime 
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately. Don't these people stop to think that someone has to listen to this? That they are chomping incessantly into someone's ears. No common sense. Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.
Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too! Is it full moon? I am sure I had your doctor's wife. LOL Can we band together and chart a bus to deliver them to the firing squad?? LOL At least maybe would could let the air out of the tires on their golf carts! Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators
You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way? I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.
Dictators
 I could send you a lighter! Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said!
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there
SLOW DOWN! This is not a race. I cannot stand it when these dictators talk so fast that you cannot understand them. You know who you are, especially the cardiac dictators!!!!
Thanks for letting me vent. I get frustrated when my production goes in the toilet!
bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button. I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again. How RUDE. I think all doctors should take Dictation 101 as part of their medical training before they get licensed. Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly. I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced. It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it. I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators
Now my pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.
Any suggestions welcome!
dictators
If MTs did the kind of job some dictators do they would be fired.
When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.
Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was? 
What is it with these dictators..sm
They'll ...um and ...uh and ...er all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time). But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times. Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit. Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
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