I think clinic notes are boring, you have the same
Posted By: My 2 cents on 2005-07-08
In Reply to: It depends on where your strengths are. - Depends
number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation. With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring. I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.
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I've been doing lots of dental notes. Not boring at all
when you think about the ease and money you can make cuz they always say the same things. I'd take it.
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
I found pain clinic to be very boring, but you can rack up a lot of lines with all the repetitious
s
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
Clinic notes
I have always done acute care. If you get a good line rate, could you make good money doing cardiology clinic notes. I was not sure since you have letters too.
I do clinic notes...sm
Clinic notes are a lot easier to do. The letters are very easy. If you have good rate of pay then you should make as much money. I do general surgery clinic notes and letters. The only problem I have with clinic notes is you will run out of work. It is according to if it just that one clinic or not you work on. But they can only see so many patients in a day. And if they do surgeries to then they aren't always in the office to see patients all day. So I don't always have enough work. But to remedy that I have another job too. So if I run out on one I work on the other. But if you have plenty of work there is no reason to me you couldn't make good money. My problem is just having enough work.
I do clinic notes also
I love them. They are very easy and I have a lot of normals that I use. I don't have any problems keeping busy with work. The doctor's I work for sometimes see 50 patients a day total. And I don't worry about having no work because I'm an employee and if there's no work I still get paid.
Some have said clinic, some op notes, some ER, depends on what you
s
Clinic notes questions
I see lots of jobs looking for clinic notes. I have only done acute care. What exactly are clinic notes? Are they office visits by specialty? Also is the pay for clinics typically higher, lower, the same for acute care?
Thanks.
Depends on clinic notes, sm
I really think it depends on the type of clinic notes you transribed. I went from transcribing very detailed and lengthy multispecialtiy outpatient clinic notes for a major teaching hospital to transcribing acute care, mainly op notes, for another hospital, and it seemed to make the transition, although I felt very confident after about 3 months. But if you were transcribing clinic notes for just a regular outpatient clinic or clinics (well child checkups, lots of cold and flu, etc) you may have a longer transition period. It really just depends on whether it's a teaching hospital, the number of dictators, etc? You CAN do it though--it is all a matter of mindset. If it IS a teaching hospital or they have an ophthalmology department, I would definitely recommend getting the Stedman's Ophthalmology book. That made my transition SO much easier, that book, and the Stedman's Equipment Words. Good luck. Just give yourself 3-6 months to get acclimated to the op notes, number of doctors/residents, etc., don't pressure yourself to get it right away, and make copies of each report for every dictator--it will save you in the long run because they usually say the same things. Good Luck!!
I do much better $ wise with clinic notes
I have local office accounts and also work part-time for a national. The repetitive nature of doing the same dictator day in and day out increases my production at least 30-50%; more expanders, more normals, familiar terminology, etc.
Right now I am averaging $25.00+ an hour on my local notes, and less than $12.00 with my national acute care. I do have more taxes and such with my locals as it is 1099 income but I still come out much better on clinic notes.
good luck!
LOVE clinic notes
I do clinic work and I LOVE it. I transcribe for 3 docs. There are 4 girls on the acct. And we ALWAYS have work. When I am bored on Saturdays or Sundays, I sit down and type for a few hours. Rarely is the server empty by Monday morning. I have never been at a loss for work. It is so repetitive and easy. Each doctor has his own way of talking and I have tons of shortcuts for each doc in my autocorrect in Word. So easy, so fast, so fun!
Clinic notes are less detailed normally
than acute care/hospital reports. They are limited to that 1 speciality with only sparse mentioned normally of other medical conditions not pertaining to the clinic visit. However, in acute care, you have to be aware of drugs, generic versus brand, correct dosages, all types of medical conditions, problems, side effects, lab values (a working knowledge of correct and invalid values dictated in case the doctor is in error), and "all" specialities. That is just a few of the things required for acute care transcription.
Many MTSOs looking for acute care MTs will not consider someone who has only been in a "clinic" per se because the MT has only been possibly working in 1 speciality. You need a broad overall knowledge to work in acute care as you never know from 1 report to the other what is going to be thrown at you. In the clinic setting, the MT can be isolated from anything new that has cropped up, especially if in a clinic for a number of years.
clinic notes to acute care
Has anyone gone from doing clinic notes for different specialities to acute care in a hospital? I have been a Transcriptionist for four years and lost most of my work to India. I went back to medical billing for about 5 months and have been offered a position to work at home for a hospital. I never did hospital work. This will exclude lab and X-ray reports. I am a little scared. Any good sites to brush up on for documents or any words of wisdom?
Thanks!!
I was getting $3 a page 12 years ago. But $2 might not be bad for VERY short clinic notes.
Whew! I just left clinic notes after 4 years..sm.
and got back into acute care. My momentum is back and I feel like I'm part of the medical process again. I guess I just like acute care better. I can never go back to clinic notes. I can't deal with those 20-second charts. Took me longer to get in the chart than to type it. The company I WAS with had such a screwed up demo screen if you made 1 mistake you got put on probation. Just toooooo much for me.
IMO, that is.
Wow, 600 lines from 30 minutes of clinic/chart notes - sm
The most I would squeeze out of that would be 350 probably. You must have one fast talking doctor. You are also very fast if you can do 600 lines in one hour, or else you have it macroed/expanded to death and there is very little actual typing so that is why you can do so much in such a small amount of time.
I am working today but i don't get extra pay. just behind on clinic notes and trying to catch up
between cooking.
It is clinic ortho notes , same doctor, very easy dictator
I am supposed to be p/t and he dictates between 30-50 min a day, many times 50-70 min even. It takes me many hours since I am a newbie. The paychecks just don't seem worth it for the amount of time that I am putting in.
I get close to 9 cpl as an IC doing clinic notes. No chance of raise unless I find my own accounts
x
How would you handle clinic notes coming up missing after you've delivered them to the facility?
I type the clinic notes at home, print them, verify the all notes printed, place them in a manila envelope clearly marked with the clinic name and dictator doctor's name and date of clinic. I then deliver the notes to the lead Transcriptionist at the hospital which manages the clinics. She in turn distributes them to the clinics.
The last two weeks, I have gotten several calls from the lead MT that I give the work too that clinics are calling saying they are missing certain notes from certain days which is impossible because I type all notes for a specific day in one large document and print them out together. There is no way that some are printing and some are not. Plus I ALWAYS verify that each note printed. Today, she called and said there were missing notes from two different days.
Then there is the issue of my work being typed by someone in the hospital. When I deliver work I get a print out of what's on the system as far as clinic notes. It is a worktype specific list that only I am supposed type. There are a couple of doctors who dictate all their notes in one looooong job. There were two very long jobs on my list, but were never pooled to me. When I enter the specific job number, it says they have been transcribed. In one instance, the dictator dictated half on one job and half on another. I typed one job and the other just magically got transcribed. When I've called to ask who's typing these reports, no one seems to know.
These ladies in this particular transcription department are not a friendly bunch. I have felt that they sort of resent the fact that I am doing work from home while they have to come in and type. I think they are wondering why they aren't allowed to work from home. The work I do is very easy clinic work and would be pretty easy lines for one of them to do just to pad their line counts.
I have a meeting tomorrow with the HIM director who contracted with me about TAT and I know they want a shorter TAT than the agreed upon 24 to 48 hours and I know she is going to want me to make more deliveries than the three I do a week now. I have asked that they set up a remote printer for me so I can print from home that way delivery isn't an issue anymore, but they act like this can't be done which I know it can be done.
I'm about to cut this account loose, but it's such easy work. It's just that I'm running into brick walls at this place.
Thanks for listening to me whine! 
My mistake, I am not thinking tonight, I actually make 11.5 cpl, clinic notes. I earn my money thou
nm
Read a boring book or watch something boring on TV.
Sometimes I go to bed so tired, but by the time I get in bed I'm not sleepy. I do one of the above and 15 minutes later I'm asleep. My DH works third shift so he isn't there for me to bother him, may not be an option for you.
And you'll almost never get just Op notes. Probably get mixed acute care - op notes, discharge su
s
BORING!!!
Sand or tan walls, okay, if you want drab and boring go with sand and tan walls
Might be boring but
I'll take boring over nasty any day. I guess to each his/her own.
They are boring -
:(
It's no more boring than anything else.
MT will always be boring....
because it is a dead end job with no future. Try studying something that will provide a better living.
BORING...
v
Not boring!
I have to say that it's not boring! I learn something new every day, even after doing this for 20 years. I think if you look at other professions other folks are griping too. It's all a matter of attitude! Make it work for you! It does pay the bills!
Not a big fan, went there twice & boring.
board might be boring that way though
But the work is boring . . . (sm)
Easy but boring clinic notes. Seems most of the accounts are clinics instead of "real" acute care transcription. Pay is low, too. Seems like really nice people, though -- they did everything they said they would when they said they would. That's rare!
by boring I mean very repetitive...
but easy to normalize. They use these tables for different degrees of muscle movement and stuff. Maybe you could get a sample from one of the other MT websites.
I agree that PT is boring. sm
When I worked in-house, we had to rotate days of doing PT notes, one day a week. Those days of doing PT notes seemed to never end. You may end up enjoying it, but I get bored easily and PT is very repetitive.
When they have bad/boring shows
it seems like there are new bottom 3 people chosen. I thought Mandisa had a good voice, but country was not her best (as the case for many of them). Also, poor song choice. Next week they sing Queen songs. I've been recording the shows because they're just not as good as they have been. I think Paula needs to cut down on her medication. She's beginning to slurrrrrr her words again.
Boring account
I've just been taken off my favorite work type and put on an extremely boring account. Lots of work but it is so dull. How can I keep my productivity up when I am yawning through these reports? I am quickly losing my incentive to stay at the keyboardj! Help! Any ideas? TIA
Boring reports
I did a 45-minute dictation the other day, which mostly consisted of the doctor saying, "Uh, um." LOL He was doing a review of records halfway through, reading them to himself as he went. I had to sit there listening to the silence! It really stinks too, because those pauses translate to less typing, which means a lower check for my aggravation.
Boring Account
When I get a boring account, I try to make as many abbreviations as I can and that helps the account go faster and keeps your mind on what new abbreviations you can make up (for your short cuts)
yawn - your tit-for-tat is more boring than your
<<<<>>>>>> got coffee?
But don't you think editing is boring? I would -- (nm)
.
I find myself doing it if a particularly boring
long report or when I'm tired. I frequently nod off because I'm so tired and then end up having to relisten to the port at least once more, sometimes up to 4 times because I keep nodding off. My QA score is very high so I'm catching the errors, but my line count sucks. If I'm not tired I'm okay. I've worked 7 days/week the last 5 months and it is just hard to sit day after day and type/transcribe.
If your mind wonders go back and relisten to the entire dictation. If you find lots of errors, even minor ones, maybe that will help you focus more. If you need a nap, get a power nap. If you need to do some physical activity get up and do it. I work split shift as there is no way I could sit for 8 hours straight. I get up every 1-1/2 to 2 hours and do something to break the monotony.
Rehab is good. Might get a little boring to some
Rehab i
Easy but boring. Only thing I will ask sm
not to do. Also, there is the ---- factor with the doctor wannabes.
I wouldn't care if the job were boring, if
doctors would learn to dictate and give a flying flip in the wind how hard they are to transcribe day after day. If they had to transcribe their own dictations (or another physician's dictation) they might do better. So, it's not so much the boring part, it's the goof ball dictators who make my job miserable.
I feel the same and I find them truly boring.
And nowadays you are lucky to get the same MDs twice at most large nationals and most are ESL, so the money maker thing is becoming a thing of the past. I get mostly OPs but would take a good challenging consultation over a boring OP anytime! I don't know how anyone could like doing OPs long term. For me that would get old real fast.
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