Try local clinics
Posted By: LinK on 2008-10-23
In Reply to: easy for you to say! - KAC
Or if you have a small local MTSO, they may be willing to give you a chance. That's how I started. I trained with the MTSO at her office for a couple of weeks and then I started working from home for a local nephrology group and I've been there for the past five years. Try not to get discouraged, although I know that's a hard thing to do.
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Local Clinics
I would seriously try to find work at a local clinic if you're finding it hard to get hired with a National. I also went to a local community college. I didn't take me long to find a very small local MTSO to hire me, thank God they decided to take a chance on me. I now work for a local nephrology clinic. I definitely know though that if I tried to go out on my own, there would be no way I could have done it. Good luck with whatever you decide to do.
try local hospitals/clinics around you
that still have in-house. My local hospital did this and the education/experience/hands-on help provided was golden. Then go home and work - you will be viewed as a step up if expierience is in-house.
DO NOT pay for mentoring.
I would try local doctors and clinics
I only work weekdays and nights only when absolutely necessary, no weekends or holidays either.
Check around your local area for clinics or transcription companies
That's what I did. I first started out working for a very small MTSO and worked at their office for a couple of weeks and then they moved me home and I started working on a single speciality account. I'm still working for the office after 5 years (altough the MTSO closed her business).
Buy local. The local stores pay taxes to support your city and state. (SM)
Using online and catalogues does nothing to promote the local economy. We complain about outsourcing and about the big companies gobbling up all the work so the jobs at local hospitals are gone, yet we do the same thing when we buy on ebay, catalog, and these web sites that may be located any place in the world as their primary business location.
I went local. Great local tech support, they know what I do and were able to set it up just for me
:)
Could maybe see clinics going over to
full EMR with doctors documenting, but it would be very hard in hospitals for physicians to do this considering how complicated some dictations are.
Try hospitals and/or clinics-
I don't know about other places but in at least 3 of the major hospitals in my area they have people work both in house and at home. Everyone works in house to begin with and has to prove themselves before going home. Some people (like me) just prefer working in house, so it works out.
Yup and I love my clinics! nm
nm
That is great if you can get the same dictators. I have over 85 and all different clinics. (sm)
That is why I started my own business. It really depends on who you work for and if you get a great account your lucky. I unfortunately wasn't that lucky and after 15 years a GF and I do it locally for doctors. Much less stressful. Glad you can do that!!
I wish more hospitals & clinics would get the picture that (sm)
what you have just described is the best and most cost-effective way to get quality transcription. At the hospital where I used to work, MTs are treated like the scum of the earth. The nationals want us, but pay peanuts. By eliminating the middleman and the overhead of having enough office space for MTs, a hospital/clinic can pay the MTs what they're worth, the MTs can afford to keep working for them and stay on for many years, gaining a better knowledge of the doctors and the institution. Both that and having decent pay and a more flexible schedule means happy MTs, and happy MTs will go the extra mile to produce top-level work. It sounds like your employer is ahead-of-the-curve in the way it deals with its transcription needs.
I think the MDs that care in their offices or clinics sm
keep their trans in-house. My personal MD does and overseas every last little detail and she is tough! The ones who dont want to mess with it go to a service and let the service take responsibility. So neither will care....IMHO
Hospital with many smaller satellite clinics associated with it
nm
So true, work for some doctors and clinics also and many are now
jumping on the save lots of money and offshore bandwagon! We just can't win. It's over everyone :(
I am an IC and my accounts are clinics and doctor's offices
So I have weekends off unless the docs dictate late on Friday, in which case I have the choice of working late on Friday or getting the work done over the weekend.
With clinic work, you don't have the constant flow that you have with a hospital. You can't work harder or longer hours to make more money. There is a specific amount of work, and when it's done, that's it. Your income will fluctuate. But if you're willing to put up with that - you can have your weekends off.
ALL of the clinics I work on use SS #s as medical record numbers, and many of them cc to the
patient at their home address, which is conveniently typed at the bottom of the report. Seems pretty straight-forward to us, then why can't the govt figure this out and put a stop to it?
Is this Holiday a major one? Clinics and offices closed?
I guess I am out of it. How big of a holiday is this? All the kids home from school today? Post offices and banks closed? Seems rather quiet work-wise. Wondering if I should start cleaning the house or keep staring at the no jobs to do in my queue.
Thanks!
TO the person who emailed me about their experiences on the multispecialty clinics, etc.
I tried twice to respond to your email and help but it keeps coming back undeliverable.
??
good luck getting hospitals/clinics and the med communityto
nm
Yes, I always have the notes. One time, it was an entire day worth of clinics except for one!
How did they just get one note and not the rest? There have been a couple of times when the doctor just didn't dictate on that particular patient, but most of the time I typed the notes, printed and delivered the notes, and then they say they never go them! And I always have them on my PC and backed up on CD.
I'm just putting my clinics on digital too, check out enclosed links - sm
http://www.hthengineering.com/sst2.html
http://www.hthengineering.com/pdf/DigitalGuide.pdf
I have 2 clinics still on tapes, love'em! Also work for a national. Like that too. nm
nm
Any hospitals/clinics hiring home-based employees on an hourly basis? TIA
/
p.s. my clinics give me Bday gifts and bake stuff for me! I'm a skinny single girl and I guess th
nm
Holy cow! That's, like, a lot of clinics! In only 7 years? Holy Cow!
Legit place...hmmmm. There are a few out there. Whether they have clinic work is another story. I'm sure someone will have suggestions. But, isn't it cool that you'll probably already know the doctors no matter where you go!
local
I am in a small town in Florida and I had one set up by a local one person company, cost me about 500 and he gave me a 5 year parts and labor warranty, I had a minor problem with it, I took it to his store and was back home in an hour - didn't have to have it shipped to me, didn't have to wait for "rebates" and would do it again any time.
would the local
mental health center be able to help? (if a child psychiatrist is not affordable) Might Social Services have a referral, or a crisis hot line possibly have referral information?
I think this child probably either has been exposed to visual porn in some form or is mentally ill.
Pray for them all too.
I have a local ISP (sm)
I have a local ISP so unless you live in the State of Michigan I am afraid this won't be much help to you. :) Here is the link anyway, just in case. :)
http://glis.usonline.com/
I would take the local job. sm
what is so nice about the local job is that you have the same dictators over and over. You can use your expander/templates/macros, etc to get really fast on a local account and work less and make more. Good luck. The local jobs are the best IMO.
I do both. Go local. Luv my local job. nm
nm
local ic
Hi there! If I did a local account for a hospital, would I still need a license? I know for the state I am in I would need one if I had accounts of my own. Thank you so much!
Need to look for something local, like
a small clinic or doctor's office to get your foot in the door and get some experience. Most larger places require experience, but some only a year or so, so see what you can find locally, even if PT, and start there.
Now you know the local job market and my
home situation better than I do. For your information, I make more working parttime at home doing MT than I would working fulltime for any of the local advertising agencies. Plus, I don't have to travel or put my kids in daycare.  Thank you so much for your concern about my employment situation, though. And please, get off your 
I went back to local. sm
Local companies are popping back up because people are getting fed up and going back to local.
I had horrible trouble with downtime with Adelphia, so I switched. Last time I talked to Adelphia I talked to a "rep" who was obviously in India, who asked if I was enjoying the snow.
Arst uz enjozinz' snowz!
It was May!
Now I can call and say "Yo, Eric, hows it going? Having a little trouble here."
I went to wireless and I have toooooo many trees. They trimmed branches for free and they also gave me free dial up backup, just in case, so I won't lose any money.
I have had them since May and I haven't lost a dime. I've lost the wireless on occasion, but I have the dialup to back me up.
With Adelphia, I had downtime sometimes for days. Still had to pay the ridiculous bill though!!!
I like my national (PT) but my local is the best.
With my local I know exactly what I'm in for and how long it's going to take me. With my national, I can work hard at it and do the extra or just meet the requirement.
My local has picked up a ton of accounts so I may be able to find a national that doesn't have a "schedule requirement," i.e. 3 hours 4 days a week and one weekend day.
With my local, I can say, "Hey kids, not much work, let's go get ice cream?" They like that, but they hate "Mom's gotta burn the midnight oil."
It's a trade off. I'm not complaining. I burned my nylons in the fireplace last October and I don't miss them! 
I have one local account that does that (sm)
I've gotten used to the fact that he'll do a 2 page report on an established who is being seen for a an earache. He has to go through all of the other medical problems, review of systems, etc., instead of just saying something like medical history is in patient's chart.
The other doctor in the same practice will just do: Chief complaint: ear pain. Examination: Left ear is red. Assessment: Otitis media. Plan: Amoxicillin.
The hospital and the practice have tried to get him to cut his notes down, but apparently he likes to hear himself talk.
No skin off my nose, I see that I have a tape for him and I sing, "I'm in the money!"
thank you, that is great to know...how do you know it is local?
what is the best way to tell? we have a (small) butcher shop here, but I see the trucks pull in from all over, and they even have told me their meat is just ordered from all over.
Do you from a farm? I live in WNY, and there are plenty of dairy and cow farms, but was not sure they would sell direct...
Any information would be greatly appreciated!
I still will not eat meat, but my boyfriend does, and I have to make it every day...would feel much better if it was local...
I get it all the time. I have a local guy
who is amusing. He addresses every report to me personally because he knows I'll be typing it. Then he adds commentary and personal opinions. "I don't what this yahoo was thinking. G.D. idiot. blah, blah If you can figure this out, let me know."
Maybe get local accounts
I was lucky enough several years ago to hook up with a urology office that was expanding its practice. I did this at home for a long time. The pay was excellent and, of couse, only 5 doctors, so I got very used to doing them which increases your speed. Also, there was not all this looking up doctors from huge databases which really slows one down. Maybe you can check around your local city and find something like that. It doesn't hurt to try. Good luck to you both!
If local co can be trusted, then go with them, but SM
 will probably be more expensive. Again, they can probably customize it for you.
On the other hand, I just bought a Dell.
Get a local acct (sm)
The middle man is making money on your work. Cut out the middle man and you'll make more than $15 an hour.
I do not see how you can get around this with local accounts.
You are always going to run across patients that you know. That is why confidentiality is so important. Yes, I know things about people that sometimes I wish I did not know. However, the people who work in my physician' s office know things about me that I wish they did not know. My physician is a client of the service I work for, so I do not see any way around it. In my opinion, typing reports is no different that actually working in the office with the patients. You just have to keep your mouth shut.
Buying local ....
Unfortunately, some of us don't live in areas that have a lot of choice. My town is tiny and we have a teensy WalMart that has items that (I really think this!) have been there waiting to be sold since the day it opened years ago! I buy from JC Penney's from a catalog outlet here in town (if they're open) or online, sometimes I shop in one of the larger neighboring cities. Frankly, unless I'm buying cotton or watermelon, it ain't happening here :-).
However, in defense of your statement, when I lived in a larger city and had variety (and choices!) I did shop in town more often than not. I miss those days LOL.
Try "Airborne," an OTC from your local RX.
nm
Call your local MD!
find a medical care provider, whomever is on call for your local MD, and do what they say. Once something lke this involves the head/neck/face, it can get hairy. And if it begins affecting his airway, there's hell to pay. Find someone medical to give you advice right away. Otherwise, he could end up on the floor, and you on the fone with 9-1-1.
You have 911. There are local hospitals
with free nurse referral lines. That's just for starters.
You just take the cake for stupidity with your original question and now your silly offended replies.
Local MTSO's here
only pay 6-8 cpl. Some will not go higher than 7 cpl to start. I was told by the owner of the company I work for now that she has had to cut some of her charges in order to get new accounts.
According the local people here I don't need one - sm
that is good enough for me. Rather not spend the money if I don't have to. I am sure if they were wrong, I will be hearing from them again. Thanks for the heads-up though. Are you in a city or a rural area (I am rural, King William County).
Local accounts
Contact local doctors so that they know you are available either by flyer, brochure or cold calls. You cannot find a local account unless you contact potential clients.
My local vet went to Spain for
30 days, and it only cost her $11,000. This covered air fare, all hospital and doctor bills, followups over there, the residence, everything. She has lost weight and is happy she did it. She said her medical insurance would not pay and she could not afford to have it done here. Evidently this hospital does this for a lot of foreigners. I live by the Canadian border and the folks here have always gone up to Canada for dentistry and to get prescriptions filled because it is so much cheaper. Also for laser eye surgery. My hubby needs dentures and is going to Canada to get them because it is so much cheaper. Medical care in this country is very expensive.
local business
Look in your yellow pages for companies that re-cycle as they will stand behind their cartridges -- at least in Portland they do. I have a large laser HP and my toners cost me over $100 at Office Depot even their re-cycled one. But several local companies offer for about $75 to $85 and they deliver and last just as long. I do a lot of printing and so go through about 3 per year at 10,000 copies per toner. Seems sometimes it is cheaper to buy a new printer.
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