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Serving Over 20,000 US Medical Transcriptionists

Upping the skill ante.

Posted By: Winnie on 2009-04-01
In Reply to: Looking to strengthen skills... - KR

You might go online and look at Oak Horizons. They have an excellent reputation and are affordable. Also check VO-Technical schools for grammar as they are less expensive but adequate and junior colleges in your area. Good luck and good for you in improving your quality.


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upping my line rate
I have a situation that I would like some advice on. I started out 2 years ago with a client, charging 9.5 cpl. (FYI, I have 5+ years MT experience, but just started typing for this client 2 years ago.) It's a VERY easy account, 1 doctor and 1 PA. They don't dictate much, maybe 15-20 minutes a day, sometimes even less than that, sometimes 60 or more minutes a day, but most of the time it is the fewer minutes/day. They use a digital call-in system which I manage but they pay all the charges. I have to print their work and deliver it (well I fedex it as they are awhile away from me), but they also pay all fedex charges. I pay for the paper to print on and of course my printer cartridges. I have considered raising their charge per line, but not sure if that's the right thing to do, seeing as how they do pay for all the charges that are incurred with the account. Should I raise the line count or should I just be happy with what I have? Thanks for any advice/suggestions.
upping my line rate
Sorry, I posted this below, but not sure if it will be seen, so moved to the top.) I have a situation that I would like some advice on. I started out 2 years ago with a client, charging 9.5 cpl. (FYI, I have 5+ years MT experience, but just started typing for this client 2 years ago.) It's a VERY easy account, 1 doctor and 1 PA. They don't dictate much, maybe 15-20 minutes a day, sometimes even less than that, sometimes 60 or more minutes a day, but most of the time it is the fewer minutes/day. They use a digital call-in system which I manage but they pay all the charges. I have to print their work and deliver it (well I fedex it as they are awhile away from me), but they also pay all fedex charges. I pay for the paper to print on and of course my printer cartridges. I have considered raising their charge per line, but not sure if that's the right thing to do, seeing as how they do pay for all the charges that are incurred with the account. Should I raise the line count or should I just be happy with what I have? Thanks for any advice/suggestions.
transcriptions have a skill also
as far as looking up addresses go!
There's a shortage of US MT's because the skill is becoming obsolete

Schools don't even encourage anyone to get into this field anymore because they don't want to have someone take a course and then be out of work in a few years when this skill goes the same direction that shorthand did several decades back.


Like someone said on the Company board, education is the key.  Don't allow yourself to be a one-trick pony and learn how to do something else while you can.


MTs with less skill s/b paid less with that money going to the best
I can do xxxx but it makes me sick when the slackers get the exact same pay as me. Please don't give me the xxxx story that I can make more by being more efficient.
This is all part of transcription and the skill
I have had in all of my years of experience many types of dictators.  I can honestly say that I have had ESL dictators that were better than your run of the mill American dictators.  We are a melting pot, and what's funny to me is that so many make comments about an MTSO sending ESL dicators offshore, yet we have Mexican, Chinese, and Indian restaurants that we eat from and love the food.  I think we need to somehow learn to embrace the ESL dictators.  I had an ESL that was the most lovely physician.  He knew that his dictation was difficult and was always willing to answer questions and would take the extra time to explain why he stated this or that. 
Good research skills the best skill an MT
x
If you believe editing is a HIGHER skill, then why are we being paid

Failing national skill test
This is to Vicki. Please do not be discouraged. The MAJORITY of the companies out there (most of them advertising here) actually DO NOT want experienced MT's. They are looking for the stay-at-home mom (not critizing, wish I could be one) that do not actually have to carry an active part in family income. If you are experienced you would actually produce (imagine that-isn't that why we are working cpl?) and that would cost them money. Where a newbie makes the minimal amount for a time and that makes them happy. Not to say that they would not be on the newbie's butt to produce 98%+ etc.

I have 30 years experience, and I have failed tests from a national company. I have kept myself updated over the years and extremely computer literate, and had been in charge of staffing before they recently outsourced our workflow to India, so it is not a case of not accepting the "new ways" of doing things. Many of the "new" AAMT guidelines are grossly incorrect according to the major hospital system that I represent.

Just my say. Thank you.
If I had just one other skill that allowed me to pay for my modest lifestyle, I'd utilize it.
Maybe it is the 20 yrs in this business. I now have tinnitus, am absolutely sure that sitting for 8-10 hours a day is having a detrimental effect on my health, am more anxiety ridden now that there is very little job security and I am a sole operation here in my little world, have arm and hand fatigue (it's a freakin miracle I do not have CTS yet). I just really do not enjoy doing this as I used to. I have to really force myself to stay focused and am really really trying to find some joy in it by realizing other people have tedious jobs just as I do that they must also dislike.
B.S. in HIM, no MT school, OTJ training for that skill, but the HIM classes for the knowledge. nm
x
It depends on your skill level, your speed, your ability to do the
nm
Editing is the higher skill since it's more brain work,, AND SM
the computers are taking over the finger work. That and practitioners entering directly into the electronic medical record mean that most traditional transcription jobs before too long will be a thing of the past.

So I'd recommend you go directly to editing since you'll end up doing that anyway. If there's a future in this, it's going to be with a higher level of medical knowledge and a more expanded involvement in medical records beyond merely editing dictation, but likely including that.

Plus, with editing you'll be in at least twice as many reports as if you were transcribing them, which means you'll get much more experience more quickly. Whether you'll lose some benefit from not typing every word out I don't know, but you will spend a lot less time getting verbage you don't need to learn on paper. I.e., instead of typing some version of, "The patient presented to the emergency room by private automobile with a complaint of" a few hundred times a week,...you don't.

Do commit to developing an expansion base that will cut the Keystrokes it takes to do your work to the very minimum. As long as anyone's paid on a production basis, and as long as we're using keyboards, someone using 5 keystrokes to make 2 edits will BOTH make a lot more money than someone who takes 9 keystrokes to make one correction AND be a much more valuable productive worker--i.e., worth keeping on and developing as most traditional jobs disappear.

And do sign up for more medical classes, the ones people preparing for nursing and medical school take.

Whether you'll make more or less money one way or the other right now probably depends more than anything on the particular talents you bring to the job and the particular skills you choose to develop. Unlike the previous poster who does better transcribing, I make more editing, but I'm a fast reader and a slow keyboarder, so the less my income depends on what my fingers are capable of the better. Best wishes!
Yes! We're talking critical skill developement here! nmx
x
Totally agree. They're no longer paying for this so-called skill
and that's part of the reason the quality is down.
This is a very basic computer skill/concept. You copy files to another drive using Explorer.

There are very detailed instructions in the Help files that accompany Windows. You can read those for more information.


Basically, you open Windows Explorer (not Internet Explorer). Locate the files you want to copy, highlight and right mouse click. Choose Copy. Now, find the location where you want to copy these files (usually another drive like D: or H:, whereever the flash/jump/thumb drive is located) and paste the files there.


 


Good for you, Linda! SM First, editing's a desirable trend. Higher skill, easier SM
I feel it may be like a train about to rush around the bend at me.

For the discussion, editing is a higher skill and it's easier on the hands--absolutely no carpal tunnel problems since I started editing. And the WAGES ARE ABOUT THE SAME--you go through approximately twice as much dictation (some people more, some less depending on talent) in the same time it would take to transcribe it and get paid half as much for that amount of dictation, ending up without a drop in wages from editing. This is fair and market-driven.

Fewer editors would be needed, but some would be needed for the stinkers, even scary-good as VR gets with most dictators.

The big threat is from the electronic medical record, where physicians and their assistants check boxes on a handheld device they carry around with them and there is NO text report to come to us at all. England has had this for some years; go look and see how MTs are doing on the Emerald Isle.

No Chicken Little here, guys, AND not burying my head in the sand either. I don't have a view into the future, but the one thing that's clear is the future will require developing new skills, professional or trade level, of one kind or another. I just hope and pray it doesn't require going back to suits and office politics. School's okay, even at my age, but am guilty of putting it off to see if I'm going to be allowed to continue pretty much as is until I'm too old to work...huh--maybe there's some sand obscuring the picture after all. Best wishes.
It's not funny when you're on a board where language is one skill you're selling.
.
It's not even a sport - these guys aren't athletes - it's a SKILL not a SPORT
x
Editing is the higher skill. I earn more editing SM
because I'm able to produce more--if the company doesn't adjust the way production's figured down and down again to keep the account from going elsewhere (when that happened to me on EditScript with no explanation of why my income was dropping, I went elsewhere also).