Trained inhouse 25 years ago. LOL :)
Posted By: Oldie but a Goodie on 2008-07-21
In Reply to: Let's Do the Math!!! - Deenie
Never been without a great work situation. Job changes to meet new circumstances in my life.
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58, AHP/self-taught, trained at hospital 5 years, now with 2 of my own accounts for 10 years, employ
Also worn out 2 keyboards in 4 years. I will never retire. DH will come home some day from work and I'll be slumped over my keyboard. I put in 14 hours a day 7 days a week.
Worked inhouse for years and years
Inhouse transcription from 1973 to approximately 1992 and we had no downtime for answering the phones and when the physicians came into the room (or others) needing some assistance, just part of the job. I did not feel bad about doing it then and I dont see why you would either. You don’t realize that probably you are making right now more than if you are outsourced, right? You have hourly salary plus incentive. Guess how many of us have that now? Probably inevitable about outsourcing so I would say just enjoy while you can. The pay our here now sinks further and further. I make, for instance, 4 cents a line for voice recognition and 8 for straight. Now, more complaining?
When I trained, back years and years ago
We did not have spell checking nor the internet (Google for instantaneous help). OMG, how did we do it? We used Correcting Selectrics with the lift-off tape to correct errors- you only had dictionaries, both English and medical, to look up things so yes we did have to learn to spell all those big longgggggggggg words.
do you have 6 years of inhouse sm
doing acute care or doctors office MTing? If you have gone from strictly office stuff to hospital acute care, that is a big transition and one that you are not gonna make a ton of money at starting out. Experience as an IC is not the thing, do you have the 6 years experience doing the same thing inhouse that you are now trying to do at home?
I'm 36, been doing this 26 years, trained on the job.. nm
.
I was trained for 4 years at a
vocational technical high school and learned transcription for 4 years straight, 4 hours a day at least. I then went on to transcribe when I graduated for a lawyer, and then into the medical field I went. That was 25 years ago. We learned shorthand, accounting, typing, biology, among many, many other things.
Please don't assume that I went to what you call one of these transcription schools because I did not. I don't have to explain to you that I had 17 years of on-site training with physicians. I learned straight from the dictator, so don't go there. AHDI has brainwashed these new people entering this field with their silliness and money grubbing paws.
Okay, so I'm simply stating that to question someone's education for a job that they may make 20 grand a year of their lucky is just downright ignorant and nasty. I make way more than that but only because I've been at it a while and have my own accounts and I'm not bragging at all; I'm just saying.
Whether you want to believe it or not, the ER reports were done through medical records as well as the basic four. I know because I worked there in many different departments and did the transcription. We had a separate entity for radiology and for the cardiology department. Everyone's situation is different and not all worked at the one hospital you did for one lousy year where ever that may be in the US.
We all have our stories, but my main concern is the post regarding questioning this poster's education. Get over yourself! 
I trained in house 5 years ago
They had such a turnover they would hire anybody off the street that felt like giving it a try. One in-house self-study medical terminology course, and a lot of help and support from my co-workers and I was good to go. Since then I've worked for 2 nationals (and had to unlearn a few bad habits - I'd never even heard of BOS inhouse, LOL). I never spent a cent to begin this profession - I got paid hourly to do it.
I was trained on site, but that was 30 years ago.
x
Barbara Tice - I trained you 10 years ago
Hey Barb:
I was looking through some of these boards and came across something you applied for in Raleigh in September. I worked with you all those years ago and would like to catch up. Write me.
PA's go to school for 5-6 years, longer than RN and are trained
in medicine. Some PA's specialize in the operating room, orthopedics, family medicine, neurosurgery, etc. They do rounds for physicians in the hospital and can write prescriptions. PAs can make up into the mid 100K range in salary and sometimes more.
MA pretty much is a 6-month to 1 year certificate program to work in a doctors office doing vital signs, blood work and paperwork. Nothing major and not a great salary.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
thats exactly why I did this. I trained sm
in a hospital when I first started in 1979 but as soon as I could I went home to work. I tried the hospital "thing again" for about five years but I hated it. I just needed the insurance at the time. I prefer being at home not dealing with the politics and the back-biting. I don't think there is anything wrong with that at all. I figure I am secure enough in myself to ignore the comments about how we at home don't have to work, can do what we want, etc. etc. Anyone who has done this knows better anyway!
They still have to be trained how to
QA/grade, give proper feedback, use the QA software, etc., because as I said, it's a completely different job. When having an opening for a QA, why not take applications from internal MTs, if any are interested which is rare because MTing pays better, as well as taking applications from experienced QAs? I don't have a problem with that, only when they hire exclusively from within, forcing experienced QAs to MT again & work their way to QA again. That's just SILLY.
LOL, I trained on the job also in the
early 1980s. As for hospitals, some are taking their transcription back. A MAJOR hospital chain in my town used the Q, but at the end of the contrast 2 years ago, they totally took all their transcription back and hired in-house and at-home MTs (one of my friends works for them).
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
Sorry but I am not going back inhouse.
I do well at this work. I always have. Though my income has varied a bit over the last couple of years, I am still doing very well and I don't plan to join a union or go back inhouse.
It costs hospitals more money to payroll you inhouse because of the capital expense. More and more hospitals will contract their work out as the economy squeezes on them, too.
I agree that those who are new should try to work 1-2 years inhouse first. But to say that going back inhouse is going to "save" this work? No. Completely disagree. It won't even be an option soon for the greatest majority of facility MTs.
50, trained by VA OJT in 1988.sm
Started out doing autopsy reports, then went to "the typing pool" (acute MT) as we used to be called, came home in 1995, been here since.
Honestly, they need to be trained.
Mine had the same mentality when we first got together. I refused to do it. If he scattered dirty laundry, I left it there. If he didn't put his dishes in the sink, they sat out. I'm not anyone's slave. Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
they seem to be trained to dictate that way.
I worked at a hospital that had a podiatric residency program, and the residents were often required to do the dictation for operations performed by others. Obviously the long format wasn't something the resident made up on his own, it was something they had been trained to do. Other doctors tend to stumble into dictation without much in the way of instruction.
You weren't trained
You weren't trained, which is why you couldn't earn a living doing MT. A lot of people make that mistake, think they just sit down at a computer and type what they hear, then they wonder why they can't make any money. I'm sure if you had gone to school to learn MT, you would have been great at it. After all, you didn't teach yourself to become an RN, right?
My son was three when he was potty trained.
I did similar things.
I don't know if you are already doing this or not, but the best thing I have found to potty train my kids is.....stop buying diapers/pull-ups. If you run out and you don't buy anymore then you really don't have a choice but to be consistent. Having nine pair of underwear on hand is what is recommended.
You can by the the toilet targets online for 5.95. They ARE helpful in making it a game. I always used the whole "Daddy is a big boy, don't you want to be like Daddy?" (works sometimes)
Make it a routine. Go every so often (timer), use the bathroom, flush the toilet, shut the lid, wash your hands, turn the light off, get your reward. Be consistent.
I have four girls and only one boy and my girls were trained by 2 years old with EASE - boys are much more difficult, mine anyway.
trained fingers
Makes me think of what it is like for your fingers to "know" a telephone number but for the life of me I couldn't tell you what it is--I'd have to dial it for you.
Not true....I trained 3 ...sm
from scratch. All were very good, probably better than me! I was just starting out on my own and had reached the point I needed help. Taught them one at a time. Just set them up right next to me and gave them the easiest stuff I had. We both worked at the same time, and I was right there to answer questions and listen when they had trouble.
Trained someone by proofing (sm)
She listened to every report, word for word, and she is now one of the best MT's I know. That would be an excellent way to train.
How long do they have to be trained?
I work for MQ, and I think their VR stinks. It's been going for at least 3 years (though I think longer), and it still slows me down. You literally have to change every he to she or she to he and little things like that through the entire report that really slows me down. The funny thing is, it usually gets the medical terminology correct but everything else wrong.
Try Piedmont - they have inhouse staff nm
x
Around here, it's $9.99 per hour with inhouse for the first 6-12 months.
I'd still take it, but I'm not sure how the cost of living is where you are.
i used to but quit it to go inhouse and now am home again without it. sm
i got 2 weeks PTO a year and got paid equivalent to my production for the hourly rate, which at that time was $15.75/hr for my vacation time. had insurance too but can't recall the details. boy, i regret that now as i feel like i am working 24/7 as IC and can't afford to take time off. take off = lose money and get behind. i'm stuck, lol. gotta look for large nationals, acute care, and about 75% ESLs to get it nowadays is what i am seeing. hard choice between clinics/gravy work or PTO/insurance/ESLs/busting tail, lol.
My inhouse incentive experience
When I worked inhouse, our incentive was calculated quarterly. Our incentive was based on minutes of dictation transcribed, not lines.
We had a minimum number of minutes to average daily. Depending on how much we passed that minimum (on the quarterly average), we were assigned an hourly incentive to be paid for all regular hours worked for the next quarter.
Example: If my 1st quarter average production put me at 180 minutes of dictaiton, then I would receive an extra $8.50 an hour (in addition to my regular hourly wage) for all regular hours worked for the 2nd quarter. If I took paid time off, had a holiday off, or had overtime, it was not paid for those hours. Only for regular hours. So, if I worked my regular 40 hours weekly, I received an extra $340 a week in incentive.
Now, incentive started low, at $1.00 an hour and worked up to $10 an hour.
Last time I worked inhouse with per-line incentives, we literally got a daily line count and had a tiered set up with lines/hour average daily.
My inhouse experience was almost identical! (nm)
.
I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
WORKING INHOUSE NOT ALWAYS SO WONDERFUL, EITHER.
I worked in house for the only hospital corporation available in my rural area. I expected to learn a lot. I actually learned very little with regards to transcription. I learned a lot about hospital politics. They had some of the worst dictators there, and the HIM director did not like confrontation. Also, the main task given to me was to accomplish a line rate equal to 1200 per day with spaces, at which time they would set me up to work at home. Unfortunately, I only had 6 months in which to accomplish this. I was flatly told that if I did not accomplish this production rate, I would be fired. Before that happened, I found a job online, and will never return inhouse again. I also have to say that I don't miss driving 300+ miles per week in order to do that inhouse job. Also, I wasn't thrilled with the prospect of the hospital's tech person visiting me ad lib at home.
Now, I can't say that I'm thrilled with this profession. I have the same concerns/complaints as the original poster of this thread. However, comparing inhouse, with inhome, I do believe that I've learned more and gained more valuable experience through the inhome process. Yes, I have worked many hours and more than 1 job at a time. When I research previous jobs by a doctor, I also notice that previous jobs have been submitted with lots of errors in them. I have shared my concerns with my manager and believe that nothing was done. I have also complained about poor dictators and why, oh why, are these doctors still allowed to conduct themselves so poorly? When I worked in the hospital, I noticed that the HIM director let the doctors do whatever they wished because she was afraid to confront them, like they were Gods or something. It is my opinion that this is a major problem in our industry with regards to the people who are the liaison between the MT and the doctor. Somewhere, a doctor has a supervisor, office manager, director, hospital administrator, etc. If a doctor is in private practice, he may care more about the quality of his product. But, if a doctor is affiliated with a hospital or other facility, he might just be doing a job and as long as he/she can get away with it, he/she will be as sloppy as he/she wants to be.
It is also really frustrating to be told that you have to do 150 lines/hour or more, or lose benefits or be fired or whatever. At the same time, it takes time to really produce a good report, given the deficiencies in the dictations. I panicked about this in the beginning, as I was doing about 50 lines per hour. I'm happy to report that it does get better. I also quit the job with the production quota.
Okay, I'll shut up now.
Wahh Don't give up your inhouse job! sm
They are so few and far between these days... it makes me sad :(
When working inhouse I had a supv
that one time told me in a French term (had to ask for explanation) that meant I did not join in with the others there. Hmm, transcription seems to be like a 1 person job and how can you socalize and still make your incentive. Always got terrible evaluations and on ongoing eval after 10 years there she gave me an acceptable for attendance. I brought to her attention I had not missed 1 day during the entire year and I wanted an excellent for that if nothing else. She said she had not noticed. Yeh, right! The next job so much different. Very good evals but by this time I was very shy of ever getting them again.
I worked for over a year inhouse
and my boss corrected all my work, every day from the time I started until I had less than 3 errors on a page and then I was ready to be doing transcribing. It was a good learning experience.
I'm 49, trained in 1973, hospital course, been at it since!
x
How do you learn when you know you are being trained wrong?
I am so sad. Right now I am a newbie and need to ger my experience in and learn from the bottom, but I think this is not going to happen and I will never be a good MT with any skills to get another job. I am currently employed with a company that has a QA manager that is not very good. She corrects my work with her own made up ways of grammar, drug terminology, etc. It is whatever she says, but when you tell her of her mistakes she won't listen and say just do it the way I say. If I stay here I will never be good enough to go to another company. Also, I will not be good enough to one day get hired by a national. What do I do when I am being trained wrong, but need experience. The people who hired the QA manager are clueless because they are not MTs.Therefore the QA person's word is the law of the land even when I know it is wrong. Help!!!
How do you know you're being trained wrong?
Can you give some specifics? BTW, many MT rules do not follow standard English grammar rules. We either go by the BOS (AAMT Book of Style) or per account specs provided. Each job is different. If you want a paycheck, you learn to adapt to their particular style.
I seriously doubt anybody's going to hire an untrained QA person. A person has to have years of experience as an MT before doing QA. Honestly, if you're that unhappy, quit.
The school that trained you should be the first place
you go for placement assistance. They should be able to tell you what companies seek to hire their graduates. Many schools have employers lined up to hire their graduates because they know those schools turn out job-ready MTs. If your school was one of those, you will have no difficulty finding a job. In any event, your school should be able to tell you what employers have traditionally hired its graduates. Good luck to you.
I was told when I trained on DQS that there would be a decrease
in pay for lines done as ME.
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