Practice dictations
Posted By: siren on 2007-09-07
In Reply to:
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.
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Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
STAT dictations
Re: Stat dictations. Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in? This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis. If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?
Ginny
Downloading dictations (sm)
If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue. When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.
Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'
When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.
but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence. Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
Where to find some Sample Dictations?
Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports. Need to test job applicants. Happy Holidays!
Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Right on, JMO. Also, when I have the ability to choose dictations SM
from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.
Things that dry you looney during dictations, for example.
I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."
I thought the you know, you know, you know would not come through on here.
In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again, I figured out the settings, and how to recover the files marked done. Question though on saving the actual dictation. My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for? Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand. Anything I might be missing? Tips or ideas in using the program.
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks. 
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe
,,
Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT.
I think doctors in general just don't care about their dictations... sm
I know there are some who are really great and are careful or even just considerate. But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end. Maybe I'm a bit bitter, but at this point that's how it feels.
Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.
One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm
:I
wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
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
$
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.
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
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