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Serving Over 20,000 US Medical Transcriptionists

Is it possible that teaching can be outsourced?

Posted By: Help, Im having a nightmare. on 2005-11-16
In Reply to: from an MT into a English Teacher - LITTLE MT

the date is 2014, It a nice day. You drop off your kids to public school to for them to watch a huge plasma screen that has a teacher in it. And guess what... Its via Satellite, from India. Im getting goosebumps.... Arg. Its also outsourced. Oh im having a nightmare. I hope its its just a nightmare.


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Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc.  What is new here?  You apply for health insurance and your employee knows your health background.  What is new here?  Privacy is long gone.
outsourced for sure
nm
I was outsourced and went to VR
because it was the same place I have typed for for over 15 years now. I am retirement age and really do not have to work as much nor do I want to work as much as I did years ago on straight, VR or anything. Having said that, VR on the work I do is like taking candy from a baby. I average about $25 an hour and only work part-time with my having cut my hours back. I am happy camper.
Must be a outsourced Company
Is that for real? Thats still 1750 lines
being outsourced to TRINIDAD!! NM
.
How many of those outsourced MTs have even seen snow??
:=
Department outsourced
After going through this 2 years ago I feel your pain. Though there are some positives to working at home it is a whole different ballgame. Personally I miss my coworkers and just the general atmosphere of the hospital. I keep hoping more hospitals will realize they still need some in-house staff, at the very least to do QA on what a lot of the services are turning out. It seems to me it has become nothing more than churn and burn with the emphasize on turn-around time, not quality. When I look up old reports in our system I am appalled at some of the stuff that goes out, and I am on accounts that require American MTs. It is really sad what this "profession" has become.

Just because work is outsourced, unless
you have access to the entire medical record, not all personal info is available, only what the doctor chooses to include in his dictation. MTs do not necessarily have access to the entire record with the billing info and such.
hospital outsourced...
Believe me I didn't leave by choice! I had a great job with amazing benefits, however our hospital started outsourceing 5 years ago and slowly but surely all the work dried up and our department faded away...

I avoided Focus Infomatics due to their offshoring, but now, I don't know, they are sounding pretty good. I just want eScription back. Anyone hiring? :)
They don't have in-house anymore - it's all outsourced.
I know because the service I work for does their work.  
An Outsourced Life -- anyone see that on MSNBC?

I didn't know whether to laugh or be disgusted, so I have decided to do both.


Just saw a story on MSNBC about some jerk (an American jerk, looks like the biggest geek in the world) who has outsourced all his worries to a Pakistan company and a young, pretty Pakistani girl named "Honey" takes care of answering all his emails for work, for home, for his family, etc.  Hired a second Pakistani woman, a middle-aged woman (forget her name) to handle his WIFE.  When his wife is upset with him or he with her, he emails this Pakistani woman and she handles it -- emails the wife and argues FOR this jerk.  Even picks out the gifts he gives his kids and wife.  OMG. 


What a stupidman for doing it and, I must say, a stupid woman for putting up with that. 


How's that for Americans outsourcing everything and sending it overseas?!



Is work continuously being outsourced?
I'm just starting on a medical transcription career. But it sounds like too many companies are firing American workers and outsourcing to other countries. Is this common? Maybe I shouldn't pay for my training and try something else. Thanks.

amelia
I suppose all the work that is outsourced
Makes no sense.  What do they expect for 7-10 cpl?
I wonder why when a department is outsourced/offshored sm
the physicians never have a say in it even though most of them don't like it?  They are the ones who bring in the revenue, after all, so why shouldn't they have a say in what goes on as regards patient care? 
That's because Dell's customer service is outsourced to India. sm

The guy probably answered yes, yes, yes to all your quesions and didn't understand a single word.


Sorry to hear that. All the hospitals that outsourced on me went with US-based companies and we were
nm
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM

well-known service.  The quality of the work was shockingly bad.  There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs.  They didn't even have the very basic skills for the job, let alone the medical terminology.


I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports.  Basically saying that they employed a highly qualified QA staff that insured nearly error free reports.  That's the OUT clause as far as I'm concerned.  I started a file of every report with errors from the service, every ridiculous error.


A new supervisor for our department was hired and her first order of business was to cut the flab out of department.  She told us that the service doing our overflow was being paid something like $60,000 a MONTH!  The hospital was paying the service 45 cpl.  Now do the math!  The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying.  That's quite a profit.  I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.


The new supervisor was against outsourcing which was good news.  She set out to renegotiate the contract or drop the service all together.  I threatened her with breach of contract and that's where my little file came in handy.  Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.


My advice to you is start your file and keep track of everything.  Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!


Good Luck!


In 5 years there won't be any transcription departments in any hospital. All will be outsourced.
Same thing happened to me and if those HIM hags who control our destiny think it's a good thing they are so WRONG.  Life has been hard since having to work at a service, and I refused to work for the Monster MTSO that took my job as a matter of principle.  I think we should all write to Hillary Clinton, Nancy Pelosi, Amy Klobuchar (the MT in MN can write to her), etc., and express our strong needs to  have MT jobs and American information STAY in America with American MTs.   
YES, it's true, funding for schooling to replace outsourced jobs...sm
my husband is a machinist (was a machinist) in Illinois where manufacturing took a hard hit. They sent home a piece of paper with his pink slip about getting funding for schooling if the company was identified as having lost jobs due to overseas outsourcing. His company was too small to qualify but I went on the list and found many companies in the Chicago area that qualified. I even posted the info on the boards here about six months ago.
Total # of outsourced jobs? More less the population of 3 entire states!
Try to calculate that economic nightmare!!!
Thats why im getting into the teaching GIG
I FEEL YOUR PAIN.......
I am not currently teaching.

Perhaps I will teach again someday, but as I stated, I am now at home with my children and would like to do something at home.  The grass is always greener on the other side.  Teaching can be great, but it can also be horribly exhausting and emotionally draining.  Also, the schedule is inflexible to the extreme, and I am just not ready to jump back into that right now. 


I appreciate any advice about how to get back into transcription, as that is what I have decided to do. 


 


I was told that Healthscribe outsourced and when acquired, that Spheris would be bringing work
And this is information came to me from the inside, given to me when I was hired and in training.
Check all the brands in other stores. It's all outsourced. Nike, Rebok, Liz Claiborne.
It leaves our country in the hands of the politicians who sold us out in the first place.
What an ugly thing to post. Your job could be outsourced tomorrow, sweetie. FYI...Job security
x
RE: Teaching Hospital
I am the transcription supervisor at a teaching hospital and the residents are so long, especially family practice docs. They can go on and on and they are foreign, all of them. This makes it especially hard, but that is all we get. The Americans are going into specialty services such as Surgery, GYN, etc..
Teaching hospital

I'm on a teaching hospital account it is THE most interesting, challenging work I have ever had.  Maybe ask if you can be on a different account?  


I'd say stick with teaching.
This is not an industry I'd recommend anyone to enter anew for so many reasons:

1. Inconsistent pay and work available.

2. No respect from employers who lie to us and treat us like second class citizens. Slavery went out in the Lincoln administration, people.

3. No respect from people whom I tell what I do for a living.

4. No future in this job. Voice recognition and outsourcing are putting it in the same category of obsolete occupations as the blacksmith.

Be glad you have a career to fall back on in case the MT one doesn't pan out, but I sure wouldn't put any money into learning how to do something that's going to cease to exist in the next decade.
Former MTs Teaching English
I heard that too. its in the newpaper last week, they will be looking for teacher. Man, this board is really updated.
Just 1 in 12 yrs. 1 other was teaching hosp, I was
one department's Transcriptionist for 2 years.
Going into QA, getting a supervisor job or MT teaching job... SM

is easier said than done.  A lot of times, transcription supervisors at a hospital are required to be an RHIT, in the old days it was an ART.  Took me forever to break into QA.  A lot of companies hire you as an MT and tell you they promote from within.  And teaching jobs are even tougher to find, they are few and far between.


You best bet, if you choose to stay in the MT business, is to strike out on your own.  Start your own online school and charge MTs $1200 or more a pop.  Or start your own MT business, but it's hard to do that with the monster services out there buying up every little guy they can sink their claws into.


I've decided coding is the best avenue for me and that's what I've been studying on my own, but it's taking forever because their so much to absorb, not to mention up to date books are MUST in coding and the books are $100 (ICD-9-CM and CPT) and that doesn't include HCPCS book.  And if you don't buy the new books every year, you can't pass the test.  So I'm trying to do it on my own without paying another school for another education that might end up outsourced overseas anyway.


 


You said have experience in teaching
transcription and medical terms but have you actually done the transcription yourself, not just the teaching part?
IMO, BOS made as teaching aid for when they
x
Why work for a co who is teaching sm
people in Barbados how to do MT so they can compete with us too?  No thanks.
Whatever they're teaching them
So far as I know the term "basic four" didn't come along until the advent of MTSOs.  I think it is far more important that students learn how to actually DO history/physicals, ops, discharge summaries and consults than to know that they are sometimes called "basic four" or they might be labeled as "acute care" which is the same thing.  I have personally never been asked if I could do "basic four"  or "acute care" in an interview.  They have always asked me what experience I have.    My standard answer, "send it to me and I can do it," whereupon I expound as appropriate regarding my experience and answer questions as asked.  Again, I have never been asked anything about "basic four."
Teaching hospitals & residents...
I work for a very large university hospital account and hate how long-winded some of these residents can be! Argh! Especially 1st year - just a plain chest xray turns into a thesis! And the attendings aren't much better - they love to "teach" on my time! What is your preference - teaching hospitals (which admittedly are great teaching grounds for MT's) or regular, plain old boring regular hospitals? These residents make me want to........
RE: Teaching hospitals & residents...
Teaching hospitals.
How funny; I'm going from transcription to teaching soon!
I already have my teaching certificate, just need to get out there and teach.  Been doing MT for about 10 years now, so I can stay home with my kids.  It's been nice, but I really need the retirement and other bennies that teaching will provide. 
Teaching MT at an unethical school....sm

It was a private school that once students enrolled for any programs they would basically lie to them and never would fail anyone.  If a student failed a test the instructors were told to give them the same test again, after reviewing the test questions and answers prior to giving them the 2nd test.  Honest to goodness 1st graders have it harder than that!  The icing on the cake was when I told my students the reality of what to expect for pay scales after graduation.  The school had enrolled everyone with the "you'll be making $60-80k after graduation" crap.  I lasted exactly 2 weeks there before I quit over their unethical behavior. 


Depends on which grade you will be teaching, but
z
Another thing about teaching hospitals
is that you will see things there that you might not see at your 90-bed facilities.

These hospitals do everything and if I were you, I would just wait and see. I think you will find that the experience alone will be invaluable to you.

I know MTs who have been MTs forever that have never had the experience of a teaching hospital and are limited in the surgeries that they have transcribed.

Congratulations on your new job.
This has jumped from "mentoring" to teaching....sm
Starting a school would be the last thing I would want to do.  I have thought about simple "mentoring," not all the other hassels.  I think the original poster means that also but maybe as an employee.  I would want to do it on my own just for a few people at a time.  As I said before....not big bucks.....
I think teaching pre-teens how to do laundry

I think 10-12 year olds can help do some laundry - it helps them develop a work ethic and shows them that if they go out on their own, what they will have to do....well, the ones who don't continually bring their laundry back to their mothers.  *LOL*  AND they love eaning $$$ - it's a great way, instead of *tossing* allowances at them.....chores/laundry/etc. = few dollars in their little pockets *S*


It's all about deals and contracts w/kids I think....and I'm a pro...on the subject, as I have some....*lol*


Your exactly correct, schools are teaching (sm)
My 8th grader has to do 1 space after periods in all typed reports for school, that is what they teach for formatting typed documents now.

Also, I am in nursing school and we follow APA format, which also specifies 1 space after a period.

2 is definitely not the way things will be soon, so hold onto it if you can for now.

I still do 2 spaces for work because I get paid for spaces and those spaces do add up to $$.
I would advise you to continue teaching! nm
x
teaching dictators to dictate better
Exactly! But where is the motivation for them to do so? Yes, if you point out to them that they could be spending less time dictating and more efficiently whereby freeing them up to do patient care, maybe they'd listen. Certainly, if it hit them in the pocket there would be motivation to improve. For instance, if really, really, notoriously bad dictators were charged higher rates there would be big incentive to get/teach the providers how to use the equipment and how to dictate better. Money is a strong motivator!

I think about how there is going to be greater and greater emphasis on reducing costs of providing medical care. There's a huge opportunity for clinics/doctors/hospitals to improve and become much more efficient with transcribing. And who better to train them than us!!
I have one now where we CAP, bold and underline them (teaching hospital) -
and on one I used to only capa and bold. Everyone is different.
tsk, tsk, tsk..teaching your children to lie and cheat..nice..NOT


275-310 lph - one account-large teaching hospital
xx
Hmm. My account (huge teaching hospital) has it, and
I still think the healthcare game is in for a huge shakeup in the not-too-distant future. Quality and confidentiality of medical records will be part of the picture when it finally all gets examined under the new government's microscope. And I don't think they're going to like what they see one bit. If the general population finds out how shoddy their records (and affected health care) are, you better believe some U-no-wat is gonna hit the fan.
I guess teaching took away your sense of humor
That WAS advice. The MT industry STINKS right now.