What concerns me about newbies is
Posted By: Misha on 2007-06-13
In Reply to: I'm not posting this to get yelled at!! - newbie
that often they write these excited posts and reveal how tiny their working English vocabulary is. That's a terrible place to start out from. I try to be polite, but I do remember being a newbie for hospital work and how appalled the trainer was with the other MTs who had tiny English vocabularies. She about dropped her teeth because the first time I had to spell shotty adenopathy I spelled it right. I couldn't believe anybody would think "shoddy adenopathy" would make any sense. It's not logical.
How do you train people to THINK and be logical in their transcription? Those are things the person should bring to the table if they want to go into a career in the written word. Then you can build on that logic as you interpret MD slurring.
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sometimes this concerns me as well
I talked with my account managers about the future of MT and does she really feel there is a shortage. On the 1 hand she said yes there is a lack of qualified MTs, but what she also did say is that those with experience have more job security, which makes sense.
For ideas, have you ever thought of possibly becoming a paralegal or perhaps a legal secretary? Also, what about maybe delving into possible general transcription? I did a bit of that myself and it was not too bad. At least some of the skills you have learned being a Transcriptionist can still be used. I always try to keep a mental list of 5 different "paths" I could pursue if things got bad, but luckily things have never gotten to that point.
Like I said in my heading, sometimes the future of MT concerns me, but the reality is there is no such thing as a stable job anymore. I also got into transcription during my college years, 2 year actually. I ended up completing my AA as well and went on to pursue a degree in IT with an emphasis in networking, but it really bored me to death. Your family should not look at you like you did not succeed. So many people that I know from friends and family all think it is so great that I get to work at home and do so well for myself.
concerns--sm
I tend to agree with the other poster below. Do not discuss things with your mother. You already know how she is going to react and it only serves to aggravate you. If you have genuine concerns about your aunt or any other family member's health, try to address it to the doctor directly. As far as your mother goes, it sounds to me like you are seeking her approval and acknowledgement for your accomplishments. Apparently you are not going to get that. I have a mother who is the same way and it angered me to the point where I confronted her a couple of times about it. It only caused alot of hurt and anger when I did that, so now I just turn the other cheek and try to ignore it. The only person you have to prove yourself to is you and the good Lord. Since He already knows your worth, you need to work on your own. Don't look to others to validate your worth. You don't need to. You are already special. :^) Have a good day, and think positive thoughts of yourself and your abilities.
Concerns/questions
As always, if you have concerns/questions/comments regarding DSG, I have an open door policy. Please feel free to contact me at kdenson@dsg-inc.net.
Thank you.
Offshore concerns
They are smart , and that is why the jobs are going to them! Jobs don't make people smarter; smart people do their jobs well. If you don't believe this then you must question the wisdom of the American MTSOs and companies that outsource. As I have said before, all Indian MTs are not bad and all US MTs are not good. I've seen excellent quality from India and poor quality from the US - that's the other side of the story which none of you wants to see, let alone admit.
This is why I call US MTs insular. If you will only look outside of your own town/state/country you will see how the world has changed and the so-called developing countries have advanced in many ways.
The problem with the US is it has been functioning too long in a cocoon, sheltered and protected. But with the coming of the global age, competiton has become fierce and jobs are moving overseas and it is now finding it difficult to cope in this new business climate.
You say "sadly" because it affects you but have you ever wondered how Indians like it when American companies dump poor quality goods on them and Indian businesses have to shut shop because they can't bear the competition? Of course most of you would not have heard that pesticides were found in bottles of a premier American brand of soft drink sold in India!
Instead of treating "offshoring" as some terrible phenomenon, it is high time US MTs learned to accept the situation because this is the New Age Economy where everything is decided in competition.
You are an IC -- state your concerns
You need to get some faith in yourself. If you are an IC and if you agreed on a certain rate of pay, they need to adhere to that. If you have a plumber come and work for you and you don't agree with his rate of pay, you cannot halfway through the job decide to pay him less. It is the same thing. I give an offer to my IC's and if they want to work for that they can but I cannot suddenly change halfway through without re-negotiating with them and they must agree to a lower rate, etc. So if you agreeed fine -- accept it but if they just did it, don't. It is hard around the holidays but is appears you are not making that much anyway so what do you have to lose especially if they took away half of your job. You need to read and see what an IC actually means and if they are calling the shots you are an employee and can raise a little bit of trouble for them. But talk to them as sometimes until you stand up to them, they will walk all over you.
Your concerns are valid, unfortunately : (
EMR and voice recognition has put me out of a job. On my former job, there was one other Transcriptionist besides me. Because she had been there longer, she got what was left over after most of the docs jumped on the voice recognition bandwagon. They use Dragon Naturally Speaking. I have seen it at work myself and it is quite accurate. There is no editing being done on their work. Now, I'm doing a job that is just that, a JOB. I enjoy transcribing and am looking for another job, but MT jobs seem to be few and far between where I am. I can't get high speed internet where I live, so most services are out. I may move onto a different career if something doesn't come around soon. I thought about legal transcription. Anyone have experience with that?
Outsourcing Concerns
Did any of you watch the special the other night on identity theft? I think it was maybe on Dateline. If so, you heard them say the identity theft ring reaches far beyond the shores of the US. It involves many of the countries that are receiving outsourced transcription work.
The first thought that came to mind when watching that was our medical records. I often have dictation that gives me a SSN and DOB. I also often have dictation on a new patient giving me other details, such as where the individual works, how many children they have, etc. I always get their height, weight and race. With these details, the individuals being outsourced to have everything they need to supply a terrorist or identity theft ring information to enable them to pose as someone else. This is very frightening to me!
What do we do? How do we wake America up to what we're facing? Sure, we can write our elected officials, but you all know as well as I do that such correspondence falls upon deaf ears. Does anyone have any suggestions on where we go from here? At this point, it isn't only about losing our jobs, its about national security.
I've had similar concerns
about blacklisting. After all, anybody can see how easy it would be to paint a dark picture of a company on this board so why wouldn't companies have a similar board somewhere to do the same with employees? I think the answer is because it would be considered blacklisting which would likely violate some employment laws and it would be too difficult to keep it a secret. But I could be wrong.
Faxing and HIPAA concerns
I need to know the regulations imposed by HIPAA for MTSOs faxing medical reports to referring doctors. Thanks.
Of course they do. That was one of the concerns about Medquist. Info from the VA
was going offshore. The info included the location of the soldier's troop when he was wounded in combat and more.
Offshore concerns blog
I mentioned this a few messages below, but the blog has its first post. I am NOT supporting any Ad things on there and will not be making anything off this.
http://violatingamerica.blogspot.com/
If you have a link that would be useful to others to write their gov't reps, companies, news sources, etc, feel free to post them or e-mail me so i can get them up there. I am also looking for any news stories or any information we can get. One way or the other, we might be able to make a difference.
Know is old post - but valid concerns
I don't kow what they could do to help you RE: Katrina but companies need to verify the NEED to cut back or do it across the board, at least in the department / job level. I worked for this company for 6 yr & had several cuts in my take home. The platforms used became slower & slower because of the amazing amt of data in the programs. I had 3 gig memory & STILL took forever & you aren't making a dime for that several minute while a report is sending & the next coming in & then doing the demographic page.
I've been trying to find out if there was anything of that investigation - I never did get that paper that so many other employees got. And I had a definite beef.
Please use Offshore Concerns board for those topics. (NM)
Goldbird
be sure to mention HIPAA concerns with offshore...nm
..
Anything an MT can do when you have grave concerns about patient care?
Is there anything at all an MT can do when you have grave concerns about the care a patient is receiving? I know the answer to this is probably no, but I am so completely frustrated with my one of "my" doctors right now. I know that one of his patients is not receiving the proper care, and I am really worried for this patient. I wish I could contact the patient's mother and let her know my concerns, but I know that is not allowed and I would be fired for doing so. I know that I'm not anywhere near as smart as a doctor, but my son has the same condition that this patient does and I know that the patient is not receiving the proper care or even the correct diagnosis. It is hard to go into all of the details for confidentiality reasons. I just know, 100% sure, that this patient deserves better care than he is receiving.
Sometimes the virtual world that we work in is great, and other times it really stinks. If I were working in the doctor's office I could gently share my concerns (maybe I would still be fired but I could give it a shot). Here in this virtual world where the doctors don't even know I exist I can do absolutely nothing.
I'm just so frustrated at the doctor and so very worried for this patient.
Interesting info on Offshore Concerns board
OSI offshores and that is why they can't keep quality MTs
In Reply to: Today, I landed a client that was using and Indian service. They said the service - Kansas MTSO sm
The MTs they do keep are basically no more accurate than the Indians. The QA department is a joke because they hire people fresh out of MT school. It is a sad company and is destined to fail if they don't start thinking more about quality than keeping the brownnosers happy. This could be true for other companies that offshore as well.
D I T T O D I T T O
Taking 2 polls on offshore concerns board
Please participate!
Thank you!
d~
Take your medical degree into the office and voice your concerns.
How do you know the patient isn't getting the proper care? No two patients are alike, just because your child has the same condition doesn't mean anything. This parent probably has googled her child's condition and is working along with the doctor. As an MT, you should not talk about any patient even with the other people in the office. It is confidential information and very unprofessional.
Comedy Stop & Offshore Concerns were the last 2 boards to be changed over to the new format.
Archives will be available soon.
newbies
I applaud your attitude towards mentoring (especially since I'm a student and crave that!). To hold employees that are worth having the employer would only benefit by training the way he/she wants the employee to work.
As a baby boomer, I think the majority of us will work well past the retirement age set forth by the powers that be. I don't see that my retirement funds will pay for me to live another third of my life unemployed. Not to mention, the need to feel productive that many of us have. MT is the answer, allowing many to work at home (or in our RV's - not that I'll get one, not my thing).
As far as education goes, some schools are most likely sub-par, in it for the money only. Some are developing, some are downright outstanding. However, even a student attending one of the 'lesser' schools might be worth mentoring. Perhaps they attend that school because of fund shortages (I know that's why I am), that does not mean the student is sub-par. Yes, I agree some are looking for an easy buck, but some are looking for a CAREER, not a dollar. I know that's my goal.
ok - I'm getting off my soapbox, and hoping someone someday will give me the chance to work and help others too, when I get enough experience!
Newbies
Good luck in a field where our pay goes down each year, and our business costs soar. I received an e-mail that offered to transcribe my overflow for 3 cents a line. How can we compete with that? It seems the doctors just care about cheap labor instead of quality work....
It isn't that most of us have anything against newbies. sm
Just as in any field, when people have trained and worked hard to get where they are, they expect to be rewarded. Forlorn hope. As newer people come in, they are eager to learn, willing to take less money while they train. That means those of us that have been at it so long (18 years here) have to sometimes cut our prices to compete for the jobs. I won't even mention the off-shoring. Eighteen years experience means little to a company that only asks for two years. We do get bitter, not necessarily at the new people, but at the situation we're in.
People in all professions find this. New people come into teaching making as much as people that have been there 15 years. In other professions, a long-timer is replaced by someone new who works for much less. Do you think there isn't bitterness over this? The list goes on.
We all feel cheated, even those of us making a decent living, like me. Yes, I can make $16 an hour, but have to buy my own equipment, software, insurance, pay employment taxes, income taxes, Medicare tax, internet, long distance, etc. I'm lucky if I really make $8 an hour. Not much above working at WalMart, when you look at it like that.
Don't take it personally, most of us understand being new. But the money was easier to make then, and the competition wasn't so stiff. We're sympathetic with you, but we're also worried about our families. Ten years from now, when you're fighting to make what you make today, and utilities have tripled in that time, maybe you'll understand better. Good luck.
newbies
It's because so many newbies want to work M-F, at their own chosen hours and want to make $50K a year to begin with. They think because they took a course, they know everything and have nothing to learn. They resent established MTs who learned on the job.
I'm from the days when MTs were hired because of their good spelling and typing skills. They trained us on the job. We had very few resources, about 5 good reference books to use, but we were able to get feedback from the doctors, who actually respected us and what we did for them.
Now, too many newbies think that an online course or a couple semesters at the local community college put them on the same level as an MT with 10+ years of experience. Not true. There is no substitute for experience.
To the newbies who think they are too good to work holidays and weekends, I just say, why on earth did you take a job in healthcare, which is 24/7 365 days a year, if you want a 9-5, M-F job? Go to work for an insurance company or an accounting firm.
If you can't raise your family and hold down a job at the same time, then quit and let someone else have the opportunity.
There are so many newbies who cannot get a job and would
probably take that and not think twice. Twenty years ago I was making 6 cpl/gross line.
The newbies always do.....
d
Newbies.......
I have been in this field for 17 years and on 'another board' I was ridiculed beyond reason for posting a problem I had with a vendor who advertised on that site. Little did I know I was a site where there were cliques present, you know like high school. HEY we were all new at one time or another and how do you lean if you don't ask questions? Compassion, patience and understanding goes a long way.
we were all newbies once...
so what's with the vets vs. newbies attitude that has taken over this thread?
Sheesh people - it doesn't matter how many years we've been doing this - we're all in the same boat here. Just because some of us have more experience than others, that doesn't mean we're any better or that our opinions are more important.
I have to take back what I said earlier about having not seen any nastiness here because now I have - and it's right here in this thread.
Newbies
Like you, I had a mentor in a former R.N. who started a small transcription company. I knew some medical terms but not much. I did have the advantage, however, of being a very fast typist at that point. But I had never worked with any type of dictation equipment. I started when I was 26 and more or less retired at the age of 67. To say that this profession is on life support is probably the most accurate and honest statement I've heard in a long time. I was able to work at home with young children and it was a God-send at that time. For years I worked full-time for a large group as a salaried employee plus worked several nights a week at a local hospital because they had new computerized equipment and I wanted to learn that. I still love the medical profession and all that it entails and am truly sorry that now all the bits and pieces stored in my brain won't be used any longer for transcription. I still try to read about medicine and get on this site frequently just to "keep up" but, again, the profession as we oldies knew it is dead in the water. My own family physician has already switched to EMR. In fact, he types his own notes as he sees the patient. He said the group could not afford to hire a transcriptionist. To put it mildly, transcription "ain't" what it used to be, that's for sure. So sad, really.
Newbies
Hi! Where does a newbie get started? I am working at a large local hospital in the Transcription Dept. and have been here a year. I transcribe 2 days and I do tech work. I just finished my internship and I have my MT certificate. :) I do not know where to start to find MT work as a newbie. Anyone have any advice? I am able to get 2 days transcribing at my current job but I want a second job transcribing. Any adivce is greatly appreciated! :) 
Please post offshore topics on Offshore Concerns board. (NM)
Thank you.
Goldbird
This thread belongs on Offshore Concerns; thread locked. (NM)
Goldbird
I think 100 may be a lot for brand new newbies. nm
nm
Message for newbies
Please go to www.careerbuilder.com. On the left hand side, enter into 'keyword' box, 'transcription work from home'. Do not enter a city or state or category. Now click on 'search'. There are several jobs her for transcriptionists with little experience. Some of them require that you live in a certain area. Many of them do not. When you call to inquire about these positions, make sure that it's not some sort of school thing that requires you to pay a fee. I hope this is helpful.
I think the newbies who are just getting into the business sm
need to hear the truth about this organization before they get taken in by them.
No, why do you ask? They are very good with newbies (nm)
a
Taking on newbies.
The company I worked for took on newbies who had completed an MT course or had experience in an associated field. They were hired on at a slightly lower rate. Some were raised up in about a month when they proved to be good transcriptionists, and went on to become excellent employees. Some realized very soon that they could not cut it, and usually quit on their own. They were given only as much work as they could complete, and only were let go if their quality was awful and they did not improve over a few weeks time. It can be done and is often very much worth the money and time spent.
I know of svl newbies who get offered what I get now with 13+ yrs in!! Sad..and
s
Well, I will tell you newbies make
the same as you! That's pretty sad considering how long you have been doing it, but I made that right out of school
Why do you accept low pay for newbies?
I said it below but trascribing is a higher skill than alphabetizing.
The low pay for new MTs is unacceptable. Even after the huge discussion I do not understand the idea that putting in your time = working for low wages. I don't expect a new MT to make as much as an experienced one but they still should earn more than a file clerk or housekeeper.
Hospitals pay for *months* of training when a floor nurse goes to the OR. The floor nurse requires one on one training in the OR. They also pay for months of training for OR/"scrub" and anesthesia techs before they are considered productive. I don't understand why a new MT should work for $9/hour when a file clerk earns more than that. I understand the file clerk is productive after a few hours but the hosptial pays training time for other positions.
I am honestly asking this. I do not want a MT strike, MTs to type their initials on screwed up reports or a MT sit in at the medical director's office. Why is it accepted in the transcription community for a new MT to earn less than anyone else in the doctor's office?
Most newbies ARE screwed.
I personally know two people, one of whom I mentored through her training program, who could get jobs in the field. No one would let them get a foot in the door. So I understand that frustration from that point of view, because these people have had to count their training money as a loss and go on to other things. I was so sad for them, and angry at the penny-pinching MT profession as it is today, which has few opportunities for in-house training for new people to learn what they need to know to succeed.
I think a lot of the bitterness you sense is really toward the big companies and the direction that the profession has taken. There is no place anymore for newbies to learn and "pay their dues" the way many of us had to do it.
I also agree with the poster below who said this is something that is in EVERY profession nowadays. My own father was pretty well forced into retirement, and yet they had the nerve to call him afterwards trying to pick his brain because his successor, half his age, couldn't figure something out. (He informed them of his consultant rate, take it or leave it.) As the other poster said, you find it in teaching and other professions, as well.
newbies beware
TO ALL NEWBIES, AND STAY AT HOME MOMS:>>DO NOT CONSIDER EVEN THINKING ABOUT THIS ON-POINT MTS.....THEY PREY ON PEOPLE OF INNOCENCE AND MORAL CHARACTER. THEY WILL NEVER PAY YOU. THERE ARE 34+ PEOPLE VICTIMIZED. THE STATE OF WISCONSIN, THE POLICE, AND VARIOUS INTERSTATE ATTORNEYS ARE ALL AWARE OF BAWNIE BARTLETT THE OWNER OF ON-POINT MTS. REMEMBER THE NAME, BAWNIE BARTLETT, ON-POINT MTS. UNLESS YOU LIKE BEING VICTIMIZED, AND TRANSCRIBING FOR FREE DO NOT THINK ABOUT WORKING FOR THIS CRAZY B----.
Wow are newbies really starting at...s/m
8 cpl? I have 17+ years experience and just started a job 3 weeks ago and 8 cpl is exactly what I'm making, I must mention that it is 8 cpl, but based on a 60 (yes 60)character line and she counts spaces. Would that be enough to make either a slight to significant difference? Math is not my area. Plus it is clinic work, that never runs out, with no ESLs.
I understand why you upset over your rate. My wav player just stopped on me today so there's 2 hours wasted.
I'm just happy to be working for a super-nice lady that is extremely flexible and knows the definition of an IC and what they are and ARE NOT obligated to do by law. She doesn't live all that far away, and is always easily accessible and happy to help us out. Thank goodness she is also our sole QA person too. Very nice setup, IMO. One more bonus is that this company has less than 15 MTs.
Yup! And newbies have to pay the rent and eat, too -
.
jobs for newbies
Does any one know which companies hire new grads?
I get so frustrated with the newbies here who
took the At-Home Professions course or other equally bad and then complain they can't find a job. They didn't do any research on the front end or they would have chosen another school - you do get what you pay for and most took their courses because they were cheaper.
In every aspect of the real world there is someone trying to scam us, so you should always research.
We all started as newbies. sm.
Everyone has to start somewhere. When I started, I was scared to death, but had a really good trainer and worked for a wonderful doctor who was very patient with me. His comment on my first day has become a motto to me. "The only stupid question is the one you don't ask and just assume your answer is right." Trust me I asked some pretty dumb ones but like he said you don't learn it unless you ask. No course is going to teach you everthing. On average, I learn something new almost every day. It comes with experiences.
Lindsay good for you. Hope you do well and Good Luck.
My concern about newbies getting a job -
In response to a previous post on newbies finding a job - I've been typing for almost 15 years and was lucky enough to "learn the right way" from a great mentor, learning all specialties. Editing speech rec jobs is relatively easy when you have the background in all specialties like "us old folks".
At least for right now, I believe speech rec is only as good as the experienced Editor behind it to eyeball and correct any errors. I hate to admit it, but speech rec has made dramatic improvements in its accuracy over the last few years. It's here to stay, it's improving - and surprisingly, the people I work with really enjoy editing.
My concern though is when the old folks like me in the field retire, and many of us are getting close. Newbies need the opportunity to get in the door and gain their experience in all specialties to take over as the older folks leave the field. There needs to be mentors to continue to be available to these newbies to guide them along the way. There are good schools out there, but to "learn it all" you really need to be actively working in the field on a job that gives the opportunity to learn all specialties.
This is my concern as speech recognition becomes more and more successful. We will continue to need quality, seasoned transcriptionists to become quality, well rounded editors in the future.
I've taught completely green people transcription, and I've taken newbies in and guided them along the way. It is satisfying for me because someone took me green 15 years ago and gave me this opportunity, and for that I am eternally grateful. Putting 3 kids through college was a lot easier thanks to my full time job and another part time job I had.
Best of luck to all you newbies out there - if you can get your foot in the door at a local hospital, even working in house to start, its a good place to begin. Gain all the experience you can. I'm not sure working for these big shlock houses, the nationwide transcription companies, is the best place to start - it can be frustrating when you're given all the ESL docs and junk work and try to plug through it.
Good luck newbies - keep on pluggin.
TTS, NH - do they hire newbies
TTS, NH - do they hire newbies? I have a whole 6 weeks of experience and am looking for a good company. Not fond of the big nationals.
If you have any additional suggestions for good companies I am open.
Looking for employee position, but realize that initially this is almost impossible to find. Will definitely settle for IC status.
Becuase most of them are newbies and don't
nm
I have over 30 years. Not only same pay as newbies,
nm
It varies. Newbies usually
start around 6 or 7, average experience around 8ish, and very experienced in everything can make anywhere from 9-11. (This would be as an employee with benes, spaces included. As an IC or without spaces, cpl would be more to make up for that.)
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