I started out in the file room of a 6 doc urology practice.
Posted By: MT and worn out on 2008-07-21
In Reply to: Let's Do the Math!!! - Deenie
I started in the file room and worked my way up to full time transcriptionist. I took 2 semesters of med terminology at our local CC and haven't looked back since. I now have my own small transcription business and also work full time for a major hospital here in Michigan. My cubbie mate spent 7K on her program and degree and was no further ahead than I was.
It can be done.
Complete Discussion Below:  marks the location of current message within thread
- Let's Do the Math!!! - Deenie
- I started out in the file room of a 6 doc urology practice. - MT and worn out
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
I started in the file room of the urology office I worked. And I was not
going to be a file clerk for the rest of my life. I only had 2 semesters of terminology, no other professional schooling. They had a fresh from a Mayo Fellowship peds urologist coming in and needed somebody to help with the typing. First it was half file-room and half transcription. Finally he was so busy, I became full time. I was there from 1990 until 2003. I then left to free-lance and start my own business. He has since moved to Arizona and I still type for him after all these years.
I started in the file room of a 6 doctor urology office....
The file room in any office is a nuclear dumping ground...any paper that nobody knows what to do with gets dumped there. Then and there I made up my mind that I was NOT going to be a file clerk for the rest of my life.
I actually started by filing part time and typing part time. When we got a new Peds Urologist in the office, fresh from a fellowship at Mayo, I was right there. We used tapes back then as that was in the early 1990's. As he could fill up a 2 sided tape with 8 hours of seeing patient's, the other girl in the office did not want any part of his work and left it for me. The rest, as they say, is history.
I had no professional training, just 2 semesters of medical terminology and a killer spelling ability.
After I had typed urology, I was then farmed out to our other offices and I learned GI/GU, family practice, sleep labs etc.
I now work for a major hospital on the west side of Michigan and still type for my Peds urologist. The only difference is that he now has his practice in AZ, not MI.
If you can find somebody willing to take a chance on you with no experience, jump on it with both feet. You will be glad you did.
A nice sunny room just for me in our finished lower level. Love my cocoon room.
:+
I have never had my own room. I shared a room with my sister, went away to college sm
and had a roommate (whom I am still close to) for 4 years, moved back home and back to sharing a room with my sister while she went to a local college and then got married. In fact, after 17 years of marriage, this is the first time in my life that I have had my own dresser, not just the top two or bottom two drawers!
I could never live alone. Not for fear but for loneliness. I like my alone time but I love to have people around.
Urology. Thoughts?
Posterior right renal mass, exophytic, and measuring up to 3.1 cm in maximum dimension. This has Hounsfield attenuation numbers between 50 and 60 which is too high for benign simple cyst although this may be a proteinaceous or bled into cyst.
A 2.7 cm exophytic cystic mass involving the posterior mid-pole of the left kidney, somewhat hyperdense, possibly representing partially mildly hemorrhagic cyst.
Degree of malrotation involving the right kidney.
Within the right lung base peripherally, there is a nonspecific 3 mm nodule. Six-month follow up is recommended.
This has the holy living hell scared out of me. Mets?
Appreciate any thoughts; urologist appt. Sept. 27.
Urology to India
The urology office I work in only has me full time in the office for 6 physicians and 2 NPs. We send out what I can't handle. They started using a transcription company and guess where it was going? India!!!! Let me tell you it came back a mess and I had to deal with it, after 6 months they are finally letting someone locally do it for the same price. That makes me very happy! I can't believe doctors and patients don't care if their dictation goes to India. Our local hospital says NO!!!
Used to work for urology and
they say at least 6 weeks for all the swimmers to be gone. Make sure he is protected!!!
LOL typical man wanting to make sure his business is still in order.
Urology, Radiology and Psych
Hi! I'm new to the board, but I saw your question. I did contract for VA hospitals in my area for years, and I got a ton of urology, some psych (those were very long reports!) and then ended up just doing their radiology.
Does anyone have any good urology sites?
Need some clarification on C-phone dictation and some websites for urology sm
I will be covering the transcription for a urology clinic. I was briefly told that the doctors dictate to a C-phone that goes directly to a base office. Then the file is e-mailed to their office where they can access the dictation. Does this sound right or are they accessing the file from the base office through FTP and then downloading it. Also, doesl AOL work OK to access files or do you need another FTP provider. Not sure how they are doing the work, but any help would be appreciated. Need some good website for urology, Just want to be prepared. Always ask the experts! Thanks.
Good nephrology/urology site? Thnks, nm.
a
Rename your normal.dot file to something else then restart Word. It will create a new file.
x
I think it is the same type of file, so rename it and replace your autocorrect file with your DQS us
x
Help..I lost my word file. How can I retreive a file that has been changed? sm
I was working on a large file and had saved it in Word. I then went back to work on the file and hit a key that made the page go blank. When I went to close the document it asked me to save any changes on the document. I answered yes, and now when I click on that document it is all blank! Shouldnt the previous info saved be there, even if the current stuff is not? Please help me!! Thank you
Depends on the file format of the Short Cuts file.
ShortHand comes with a utility file that can import various formats. You can get that file with the trial download of SH.
Depends on the file format of the Short Cuts file.
ShortHand comes with a utility file that can import various formats. You can get that file with the trial download of SH.
...with your user.aco file. Save your autocorrect file to somewhere else. nm
x
You can save the SH file in a text file and import to IT that way. sm
You may have to do some cleanup in the SH text file, but it sure would be faster than re-entering them all manually.
File taxes under the name on file w Social Security....
Name on W2 doesn't have to match, but your tax return has to match SS records. They don't want your marriage license or anything else. Did that for 13 years as instructed by IRS. Didn't have to change it with SS until state changed rules requiring drivers license to match SS records. Still use my maiden name in some limited circumstances.
Maybe if you practice what to say
before talking to her and then try to keep your cool. It is much better to be friends with your neighbors. Having a difficult neighbor can truly make your life miserable.
How is she going to practice? Does she have
s
practice, practice, practice
Apparently not being distracted by internet surfing and concentrating while using Expanders is the key. I haven't done more than 300 lph myself, but I don't have a lot of expanders.
Partners in Practice
Partners in Practice does outsource.
Practice dictation
Does anyone out there know of a website where I could get some practice dictation? Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it. Thanks for your help.
Family Practice
I was wondering if anyone has any ideas on what you should charge per line for a Family Practice of 4 physicians? I am interested in working for this practice that currently has been doing their own transcription (oh heaven help! lol), but did not know what would a fair rate to charge per line...thanks for any input! 
practice tapes sm
As usual, your answers are so much appreciated. I love this site, helping others is so important, I do it whenever I can as well. I believe in karma. Thanks again!
Practice dictation sm
This is a crazy question but I've had to take time off and feel really out of the loop. Never worked from home before. Is there any company who would forward some sample dication to let you kind of play with for awhile before you formally test for them? At this point, I don't think I'd pass the test although I've had plenty of acute care and specialty experience. I know it sounds really unprofessional but I thought I would at least ask. Hate to fail, spent too many years being a perfectionist, I guess. Are there any sites you could recommend for someone returning to the profession after a few years taking care of family business?
It's good practice.
I know it hurts at the moment, but it will help you in the long run to have a bigger variety of dictators and specialties. When I was doing radiology there were only about 15, and all but 2 were quite good. Now doing acute care again I may not have a repeat all day. It does make a big difference in production.
Practice tapes from?
I have heard practice tapes some give out that are almost perfect dictation- definitely not what you run into when you transcribe. Are you doing the "goodie" tapes or are they the real McCoy? The practice ones I have heard put in their periods, paragraph. Ha, very seldom hear that in real. What kind of work will you do, speciality or the 4s? I have my equipment as fast as it can possibly go and my salary has gone down in the past 4 years 20,000$ from the constant outsourcing the companies are doing. My speed is between 130-140 wpm and I make good only because I have my nose to the grindstone most of the day. By the way, independent as well but my company asked me for certain hours and which days. I have seen numerous posts on here saying you do not have to do it -but I wanted to work for this particular place and I accept it.
practice tapes from...
Practice tapes are real; slurring run-on sentences, gurgling muffled words, you name it. But, she gave me the printed reports to go with them, so if I really get stuck, i can look at them and find the answer. If you don't mind my asking, how long have you been in this, and what's your cpl? You work for an agency? Yes, my speed is concerning me. Thanks for your reply.
If you are an employee at this practice sm
then it is not your decision who they hire. It is probably in your job description to train new employees. You may want to ask for a copy of that before heading into Dr. Whozewhatsee's office to complain. The other thing is even though you have a background on this girl that does not mean she is terrible (innocent until proven guilty). In my opinion, when I read your post, I am hearing "this job is mine, mine, mine, and mine". "I am to make all of the decisions because this job is mine, mine, mine." Sort of like a 2-year-old. In saying that I'm sure it will really make you mad. I am hearing from your post that you really do not want help but you want to be off to have surgery, etc. The practice cannot just back-up their work but unless you are a supervisor (25+ years does not make you that), it is the decision of the office manager on who to hire. You may be better off with this young girl as opposed to an outside service. The outside service may very well take your job by underbidding and letting the practice know that they can get the job done and do not take off for back surgeries, etc. You may want to keep the waters smooth until you get back. I would do my best to keep this girl going on a steady pace. JMO. Good luck. 
What a rip-off! That practice keeps their profits UP
$
Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed. Is there somewhere you can purchase practice dictation tapes, or digital downloads? I would prefer digital downloads of voice files if there is such a thing. Just wondering.
private practice
Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
MT and practice are both at fault sm
Have had this done to me more than once. The PT office should have said, no way, if she approached them. She should have said, no way, if they approached her. You have been hurt, and it's not only common courtesy but a stab in the back. Keep them as a client until you get really busy with others and then drop them. I would not keep her, not for one moment. I had to let go of both a friendship,, a client and an employee twice because I do not tolerate this type of sinister behavior. You should not either. Fool me once, shame on me; foll me twice, shame on me. You should be flaming mad, you have every right, you were scammed by both.
Outsourcing may not be a bad practice,
but in my case that is why I have no benefits. Hospitals/clinics outsource so they do not have to provide facilities for us to work in and full-time benefits to employess to do the MT work. If they are paying the MTSO less that what they were paying the former employees, who eats the difference? We do.
depends on practice
For the most part, my platform fills in the ADT for me BUT...there are some practices that do not provide electronic ADT, therefore I have to enter it manually, which I hate because it's time consuming. There are even a few of my practices where I have to enter it on one screen then enter it again in the report, but I only get paid for entering it the report.
this is common practice ....
in hospitals. What our hospital HR told me was that they save all the applications until they have an opening, they then will advertise that opening in-house and if none of their employees apply they will take out the applications. So, it's quite a long process and really the luck of the draw. Since hospitals cannot be without the necessary staff even for short time, they stock pile applications ahead of the need. So often they will advertise and in reality there is not an opening. Hope this helps. btw, I'm 64 and just got hired by a wonderful and company working at home.
Speed comes with practice
It may take several months to reach 150 lph. I agree with the other poster that an Expander is not necessary. Fooling around with the expander to load in abbreviations takes a lot of time. In spite of what expander-sellers say, you can easily reach 2000 lines a day without an expander if you are efficient. MTs did it for years on typewriters.
When you have done enough dictation to begin recognizing that all doctors say the same things over and over, and when you can recognize those things in spite of individual doctor differences, you'll begin to fly. It's a matter of learning what they ought to be saying so that you can understand them.
It's also a matter of focus. If you are trying to load up an expander, eat, do laundry, do daycare, fool with pets, you will never make progress. If you keep checking IM, email, and answering the phone, you'll never make progress.
Hot keys and practice.
How long have you been on this account? My average is typically between 550-600 lines an hour but I have bad days too, today is only 394 but that is with the kids home and lots of distraction. At night is when I get my good lines in. I use the shortcut keys, keep it mouse free, try to keep the audio speed increased whenever I can and do my proofing as I do my spellcheck and throughout the report. I also still use my autocorrect a lot during editing for common mistakes that must be typed in (usually the same VR mistakes every time).
I know that when starting a new account and still checking on specs and such it does take time to get that number up. There are also days like today myself that typing just seems to be faster. It happens. I also noticed when I did a short sting on a clinical acount on Escript that it had horrible lines. I much prefer Acute Care with VR.
an .exe file is not a voice file
I'm no techie, but it sounds like they might've sent the wrong file by mistake. Or could it be a program you need for testing/working for them that they sent? What is the name of the file (if it is something you can say here)?
Practice what you preach, Grandma ...
Make sure you do charitable work both as a nurse and as an MT ... just "do your part" to spread charity here at home in the good ol' US of A.
You start...we'll follow. lol
probably train MDs in private practice to use VR
(only kidding)
Family Practice, Internal Med
I like them because of the variety. With family practice you have everything from Pediatrics to Geriatrics.
I would never have given up the doctors' practice I was typing...
when my husband had his kidney transplant. The money was great! I had 2 people who worked for me! But I was not sure how long his recovery would be (turned out to be only 2 months) and if I could continue to deliver reports anywhere close to on time. Ah well....
Look for tapes on ebay for practice nm
nm
It's not your practice, you are an hourly employee, yes?
You ask the administrator how you should handle this mentoring thing and mention that you will do your job as best you can while training her but you will have to let the doctor know that the work is going to get backed up. Simple as that. No? :)
I am on 3 jobs right now. Gets easier with practice. Just get
p
Thank you. I am looking for dication that free to practice with..n/m
k
Practice makes perfect.
Let me tell you that QA will not tolerate this kind of 2 and @ and not beginning a sentence with a capital letter. So, if you want to make it in the MT word, you'd better brush up on your typing. You wanted tips, right? Well that's my tip! Are you serious?
Oh, and in answer to your question about companies reading this board? Yes, they certainly do. Look at the poster on company board defending her job ad post! I'd say that is an employer reading this board. 
My family practice doc just starting using it. sm
The doc had me meet with the Allscipts trainer to see the different options for transcription from home. The first option was accessing their system via internet and cutting and pasting what I typed in Word into each patient note (I suggest not typing directly into their EMR as you won't be able to use your spellcheck, abbreviation expander, or count the lines). Once you log on, it would be about 5 steps to get to the appropriate patient, then I would have to cut and paste, either each SOAP headings into appropriate heading or just as one note at bottom. Of course, I didn't want to do any of this, too many steps and didn't want to cut and paste (didn't tell him this but trainer had already figured it out and I think he did too as he said that was a lot of steps). However, after he heard he would have to buy an additional license or two (about $5000-10,000) for me to do this, he nixed that idea, which was fine by me. We then decided I would transcribe the SOAP notes as usual and send back via FTP site and HIS office staff would cut and paste, especially when I told him another doc did it this way!! Perfect! And to top it off, his PC guy set up a FTP site on THEIR server!! So far, this has been working great. However, the problem now is decreased work. His PA-C is still dictating but his ARNP has pretty much been using the EMR only and he has decreased his dictation load as well. So, that's it in a nutshell. None of the EMRs are very transcription friendly. Good luck.
|
