in-house hospital is the best learning experience. sm
Posted By: anon on 2008-10-23
In Reply to: new MT, need help!! - KAC
and is accepted with anyone. at least a year or more. there nothing like having someone right there at hand first time out.
good luck, you'll do fine.
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when I worked in house learning MT the first shifters were just like the mean folks here
x
Any tips on learning a new hospital that has a lot of ESLs. I have done some but not to this extent.
I just wondered how you develop a better ear for them. I havent had trouble with the ones I have had unless they talk rapidly.
In-house In-hospital
Ive been in medical records when someone tried to force us to release records to them (not the patient.) I am saying people are sneaky when they want information.
in-house hospital pay?
After working at home for approximately 7 years, I decided to apply for an in-house (but work at home) hospital job. No more companies. To my surprise, the starting wage was 10.31. They offered me 12.00 an hour with a very small incentive, maybe 100 dollars every 2 weeks or slightly more. Okay, does that seem extremely low to anyone else? I make 10-11 cents doing IC work (yes, there are plenty of downfalls to IC work that can be made up by getting employee benefits) The insurance is decent and cheap at this hospital for a family and the benefits are excellent, but still, 12 dollars an hour? Is this the going rate? Are they trying to give me the next-to-lowest wage after the 10.31? Help!
Hospital pay was 7.5 cpl when I was in-house sm
and with shift differential, you could make a maximum of 8.375 cpl. When I went to MQ, I was started at 8.75 cpl and now at new company can make up to 10 cpl with shift differential and other incentives. It totally depends on the MTSO/hospital as far as pay. In-house work only would not necessarily make pay better across the board.
i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus. they cant keep emps now except the ones that are too close to retirement.
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice? I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription. I called the MR Dept. and the lady acted like she did not want to tell me anything. She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used. How can I go about finding out who does their transcription for them. I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
Did you start with hospital experience?
instead of investing in equipment, or start with a small system or a used system if you want your own call in equipment. Bytescribe seems to have the best deals on dictation call-in systems. But if you are just starting out, you may decide to go with a TASP instead so that you don't have to invest in equipment.
The hospital experience is crucial. That way you have a sound base. You have the knowledge and the experience. And you have contacts and references from a hospital, which is going to get your foot in the door. That's why I say that is my #1 recommendation. Start with getting experience working IN a hospital and be the best MT they have. Work hard and prove yourself to them. Go the extra mile and impress them. Don't be a whiner. That's the best advice I can give you. When you send out flyers and you can give local hospital MT supervisors/HIM managers as references, it opens doors for you.
Absolutely, hospital experience...
I think it must be rare to be able to take advantage of these days. I would not trade those years for anything.
Started in-house at a hospital, medical records department, on a typewriter in
1983, earning $6.00/hour, eventually moving up after 7 years to $10.00/hour. All hospital work was then outsourced to a national service in 1986 (beginning of our downfall), went to work for the service and made $2.10/page. Service was bought out by another service, rate changed to $1.90/page. Rates changed again to $0.08/cpl. After many years of experience in all services, found my first account in 1992, charged $.09/cpl/gross lines but blank lines not counted. Business has grown steadily through the years through word of mouth. Now charging $.16/cpl or $25.00/hour or $6.00/page, and having to turn down work at this point. If you have the experience and are detail-oriented, you can find your own accounts eventually like I did. But you have to pay your dues first and be able to transcribe all ESLs accurately. If you learn how to transcribe ESLs well, those doctors are the ones to target for work. I do work an ungodly number of hours, only because I am trying to save at a faster pace for retirement because of all the uncertainty in this line of work.
I had a similar experience, had a cow when I got the bill from the hospital - sm
I did not know I needed PERMISSION to go the ER (any ER).....I had taken a bad fall while skiing (back in 1995) and had my friends drop me off at the ER when we got home as my leg was killing me and I had hit my head too. Got a bill for $1500 or so saying it had been denied. I promptly called up the insurance company found out my "error", explaining that I did not know I needed to get "authorized" before a trip to the ER, etc. I had to go through a little red tape but was able to get them to resubmit it and have insurance pay for it. --So it may take a couple phone calls and maybe a letter, but it is worth the effort!
The best place to get experience is in a hospital. I think it is near impossible
to work from home without the valuable experience of working onsite with others around to listen and train.
The schools all hype everyone up on working at home, but it is not that easy!
The easy answer is to go to a local hospital and get experience.
The other answer is to ask anyone and everyone out there to give you a test, prove yourself, put your best foot forward.
Be very careful tough, because in your post you even used a wrong word "there" for "their" and I just wanted to bring this to your attention not to give you a kick but to caution you that you really need to "know your stuff" to get into this business. What you put out there tells about you, so make sure it's your best.
I have 13 years experience and just started a hospital job working from home making $16 an hour
and with a really good incentive plan. I live in the Kansas City area. $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs.
It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour. Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.
I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.
JMO
Most in-house hospital jobs allow only 30 minutes for lunch! So I wouldn't call an hour lunch
"rigid." If you are an employee, there are rules, set schedules, etc. that you have to expect.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
Experience on top, current experience first. Education second. Leave out ALL fluff.
Recruiters don't need your life story. They need to know if you can do the job. If you want, put your current employer, then state "I have 20 years in the profession doing....." Keep it simple; keep it clean. If you want to go into more detail, do it during the interview. A HUGE red flag is to see that you've worked for 10 different companies, for months at a time. I know that someone who has worked for the same company for 2 years or more is going to have some degree of loyalty and will work through issues rather than cut and run.
Always looking and learning
What is a marker, is it product specific or would shorthand have it? Sounds great
learning op
Try this book: Stedman's Medical Transcription Skillbuilders: Creating Surgical Reports. (also comes with 2 cds)
Learning radiology.....sm
You should definitely give it a try, but "only" if you let them know up front that you haven't done radiology. You can say that you feel you have enough experience to adapt to it and hope they'll give you the chance. After all, the more specialties you have under your belt, the better your chances are of staying in this field. But I would not take the job without being honest. The transition is not all that difficult, but it will take some time. And besides, you always have your former skills to rely on if it doesn't work out. Good luck.
Yes, I'll be learning DQS...
I have wireless internet so I can't imagine why I would need a modem. I'm hoping that's something that's just in the manual for people that are still on dial up.
The lady I talked to made it sound like I had to rent the computer, although she quoted a fee of $25 a month. Is it not something I have to rent? Honestly, I don't mind it for right now just because my computer has been doing some crazy things, but when DH gets my computer upgraded I'd much prefer to just use my own computer. I'd rather not use all the other stuff if I don't have to.
Is DQS hard to learn? My training is Thursday and Friday so I assume I'll learn it then but I'm also not the best at remembering every single detail right away. I just want to get through this. I'm excited because they're letting me do acute-care work even though I tested for clinic work. I've been wanting acute-care experience and am thankful to be getting it. I just feel so overwhelmed with these three huge boxes sitting in my living room when I was only expecting one. The enormous DQS manual is also adding to the anxiety.
Thanks again.
Carole
Learning to read...
Yes, that problem brings you right back to the lack of early stimulation, schooling success, etc. You can offer the world, but just like the "horse to water", you can only do so much in getting people to accept education and work hard at it to be successful. It is NOT a solution to have people work at McDonalds, and unless they are literate, other options are just not going to work. I would guess that all states have vocational training in community colleges that provide tuition assistance, scholarships, and financial aid for those in need, but again, the ambition and dedication to finish something like that needs to come from the individual. Also, chasing down dead beat "fathers" is fine, but maybe young girls/women need to be smarter about taking reproductive chances. Nobody died not having sex. Perhaps more education in that arena is something the government could do. But again, you can only lead a horse to water, and people ultimately have to be responsible. We need to stop sugar coating the facts in our society in fear of offending somebody. The facts are that blacks are disproportionately more impoverished in America, but they also have babies at a 70% out-of-wedlock birth rate, and that is a problem.
Could not do without it. Small learning sm
curve, but worth it.
Looking to start learning soon
Hi all,
I found this board doing a Google on a company I hope to join soon. They will train me to work for them. I am excited to be able to finally get into this business.
I stared taking a course twice, but have been battling Diabetes. It was hard to find the motivation and keep the momentum going. Now my Diabetes (type 2) is better under control. I am also tired of working for someone else outside my home.
I have been looking at doing transcription work for 3-4 years now. I have researched positions I can take once I get some experience, and I don't mind trying to hustle up my own accounts.
I am posting here to keep my dream in front of me and keep me looking towards my own business. I plan to join AAMT and my local chapter once I get working. I am so excited!
Thanks for the information your board posted while I was researching the company to make sure it wasn't a scam. I am satisfied it is not and can't wait to start learning!javascript:editor_insertHTML('text',' '); Thank you all!
Thank GWB for that. It is all about the testing, not the learning.
x
Learning MSWord - need help
Finally have given in and am switching from WP to MSWord. I work from home. If anyone has any encouraging words about MSWord, I certainly would like to hear them. So far, I am going crazy, i.e., I have put in "gray boxes" but when I enter my autocorrect short cut for the "shell", my cursor goes to the bottom of the page and I have to page up 2-3 times. I am missing something?
Any help would be so very much appreciated 
Thank you.... bw...
learning word
There is a really good web site called MTwerks. They also give really good tech support and have a news letter with helpful tips.
Learning the English would be
a big help! They come here to make money and should learn the language. Benny Hinn does a great job with the English language when he's asking for money! so apparently it is doable.
Yes, but I have to use the mouse. But....am learning (sm)
more shortcut keys as I type!! Thanks!
I switched but still learning,too
I used SH for a year. To me, it was like AutoCorrect, which I used to love, but IT does so much more. I've been using IT for about a year. There are so many things you can do with it that you can't do with SH.
As the other poster said, check out the productivity website and you will fiind zillions of ideas.
Some have a different learning curve than others
I had an in-house job for 3 years, hired in off the street, no experience. Three months later, another girl hired in, same situation. Paid hourly, no ESL, and we had the opportunity to talk to the doctors in person about any issue.
By the time I left, I was the highest producer in the office. She was still struggling with the simplest words and phrases, still asking the same questions she asked the week she hired in, still needing help from somebody else all day long. She would cry from frustration because she couldn't get her act together. Other people that hired in after her got the hang of it much faster and were soon helping her too. I asked management on many occasions why they just didn't show her the door, and they said I was being harsh and that some people just couldn't learn as fast as others. I wonder why she didn't just go find a different kind of job instead of hanging around driving herself and everyone else nuts.
learning another language
It isn't that I wouldn't like to learn another language if I had the time. I would. It would be neat to be able to speak another language, but I don't. And it makes me fustrated when immigrants come here and expect me to know their language when they are the ones who came here. They should know proper English. Or just decent English. If I moved to South America I would not expect them to understand me. I would take it upon myself that if I wanted to communicate I need to learn good Spanish. And if I had a job where I did something such as dictating, I would make sure I knew decent English and tried to make myself understandable. Some ESLs act like they don't care if you can understand them or not. There ARE some who try though.
learning steno, et al.
Hi mt,
I looked into closed captioning many years ago here in San Diego, but it was not as good as it sounded with many problems both internally and externly, hard to explain in this forum, but I didn't want to get involved in that mess.
I started court reporting school way back in 1988 when we still had saber tooth tigers running around. I started the program at San Diego's City College. The first semester was learning theory which taught the steno language and the keyboard. We used the old manual machines, which are still available for students. The second semester and thereafter was all about the dreaded speed-building classes. We finished the first semester at 60 words a minute. Speed-building is a very personal matter. It can take years and years or less time, depending on the person. It took me 2 more years to reach 225 words per minute which qualified me to take the California state board test for licensure. I passed the academic portion the first time but not the machine portion. So I took it another 6 times, never passed that damned thing! Nerves got the best of me each and every time, so I could not go into the court reporting field (something I don't regret in hindsight). Instead I opted to enter our wonderful field of MTing.
I'm using my machine to write this message. I really like using the machine a lot. Each stroke produces either one word several words or phrases or parts of words that have many syllables. It all depends on how you have your dictionary defined.
Today's steno machines are electronic and computerized allowing us to interface with any word processing program.
I hope more people learn this skill and start using it for medical reports so we can get rid of this rotten ASR chap which has reduced my income way more than I can live with. I need a firm that will appreciate my skill and recognize its value in this field.
BTW, it would only take about 10 months to a year to become proficient enough on the machine to start using it for MTing, maybe even less time depending on the person. I didn't work during 3 years of my early training as I had financial help at the time (which I had to pay back, of course, $30,000 - it's paid back now).
Dave
It's like learning MT all over again. It takes
nm
There's a learning curve
In time it all gets better. Usually. Some people aren't cut out to be MTs, for them it never gets better. I felt the way you do when I started out in-house (no former training). But I was stubborn, and I learned, and knew I was getting better. Then I started working at home - BIG learning curve, had no idea my hospital job was so easy! But I was stubborn, and I learned and improved. Next job - more learning. New accounts with constantly changing specifics - keep learning. In this job, you learn every day - a new phrase, a new production tip, the fact that you've been spelling something wrong, etc.
Just take a deep breath and realize they are trying to help you. Thank them for every correction, because its what they need you to do. Make a lot of notes. And you can and will improve, if you're stubborn enough to make your investment pay.
coding learning
Both Andrews and M-Tec have coding courses. I had a discussion with Redpen about the possibilities and she thinks it will be at home eventually.
MT, are you just now learning about her needing a
Xanax?
I have been an MT for 10 years and am still learning...
you really do learn something new every day...just hang in there and you will do fine...
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school. After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school. After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
Learning the hard way and my story (sm)
I didn't read all the posts below me, but I must agree with not quitting one job before landing and being even comfortable with the next.
I worked for a national and was VERY happy with everything except I had no benefits. So I sought another job and was offered one for significantly less per line, but I had benefits, mainly insurance which was a trade-off I was willing to accept.
Keep in mind, my current national offered basically no benefits for employees.
My new employer was enthusiastic about me coming aboard. I told him/her that the ONLY reason I was leaving my national was FOR the benefits and nothing else. I was happy with accounts, pay, personnel, etc. where I was.
Now, also keep in mind that I did NOT resign from my first position.
I spent the next weekend working for the new employer and making macros, etc. plus doing work for my national.
Tuesday morning I get a packet welcoming me to my national... the national I already worked for... what? Turns out my national bought out the company I had applied to, the one with the benefits, which meant that had I resigned, I would have been working for over 2 cents a line less and NO benefits still.
Talk about ethics? The "new" employer knew my situation, knew she/he was selling or had already sold his/her company to the national, but STILL let me apply and hire me, knowing I would be screwed big time. I was totally up front with him/her about WHY I was changing jobs. This devastated me to no end, but I was thankful that I had not quit my first job and I am still there (still shell shocked I guess LOL).
You just can't trust anyone.
I thought about learning it as well, but I didn't.
You can actually reset your computer from qwerty to dvorak, then just change out the key locations on the keyboard instead of buying a new keyboard. I just really don't feel like relearning anything right now. The fastest typist in the world uses the dvorak keyboard, according to the Guinness Book of World Records.
I'm learning scoping, and its quite interesting, instead of CR -- nm
xx
Correct and I believe 1 or 2 more years learning
from their signing physician in house.
At least 6 mos! You'll be learning and looking stuff up every day, all day, before you
s
Virtual Learning Center MT Course
Has anyone done this? It looks good....but I need to know before I spend the money.
Thanks.
I'm learning radiology now after 19 years
in acute care. So far it's pretty easy. The phrases are familiar from the radiologic studies sections of consults, H&Ps and discharges. The internet makes short work of finding any new terminology. What is throwing me, though, is the sound quality. It's all pretty muffled. I don't know if that is typical of radiology or not. I thought maybe the proximity of the dictation equipment to the radiology equipment is causing it, but maybe they just have old phones. Any radiology MT care to comment on sound quality?
I agree. I'm learning a lot more with the variety
than I would have otherwise, which makes me feel more comfortable should I ever move to just one specialty. Of course you find some specialties you like and some you don't, but you're still gaining the knowledge. Just hang in there.
Medical transcription is like learning a sm
foreign language. It takes years and years to become fluent and able to transcribe whatever comes through your queue. Also required are excellent spelling, grammar and punctuation skills as well as computer skills.
Nowadays, the majority of dictators have thick foreign accents which make it difficult for even the most experienced MTs. It has become a situation of translate and transcribe!! You really need to know your stuff.
That is exactly what it is. They overload these accounts, you keep learning new
ones as backups only to find that they then get overloaded and then you sit there and wait for work making probably minimum wage. Well, just keep two PT jobs and then when one runs out go to the other and let it go. The whole thing is not about the MT or what they make or how much time they spend playing the game. After awhile, you just say I will cover myself.
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