ESL dictators are everywhere in the MT world.
Posted By: deb on 2008-04-04
In Reply to: I would like to know as well. - mindy
If you can't do them, you are going to be severely limited.
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ESL dictators
I'm sure they are, but certainly there must be entry level positions that would not require ESL transcribing. I would hope to gain some on the job experience first. Just out of curiosity, I was offered a job but the contract that they wanted me to sign seemed way out of line. I'm wondering if this is customary?
Difficult dictators
Ask for one week of dictation of nothing but this one dictator. I guarantee you after a full week of listening and getting used to the "cadence" of this particular person, you will begin to know what is being said. ESLs oftentimes have limited vocabulary in English and you will find them using the same phrasing throughout the PE, for example, which they reel off very quickly and then will slow down for pertinent findings. We have a few difficult dictators and have found the only way for someone to train is to do that one dictator for at least one week and no one else. Once that occurs, you will be requesting that dictator (believe it or not) and will spin through the transcription. I have seen it happen with at least 6 MTs already. I hope this helps.
As far as fast dictators,
you should be able to slow it down with your program. If not, you'll just have to do a lot of stopping and starting.
Fast talking dictators
What do you guys do when you get a dictator who rattles off words so fast you have no idea what they are saying? I have tried to slow down the dication but it still doesn't help. I can barely make out a word this guy is saying. Half of my typed document is blank spaces and I don't want to turn it in to QA this way.
Unfortunately, if you can't understand the dictators, you're not going to be able to do the wo
That's the reason for testing in the first place.
Probably make in the low teens at first, unless you get lucky with great dictators. nm
b
Easy or not will depend totally on the type of dictators
s
Guess what, it's not just the testing. MANY doctors are terrible dictators.
Sometimes the dictation they use for the test is from the actual doctors they are hiring MTs for. If you can't do it on the test, you can't do it, period.
All the encouragement in the world
and all the positive thinking anyone can muster will not make up for a poor education or lack of skills. When people try to explain to folks who've made a poor choice of schools that they will have difficulty with finding and keeping a job, they're not being mean. They're trying to point out that long-term success and job security will require further investment in time and money for proper training. The truth is just the truth, it's not mean. Just because you don't hear what you want to hear ("don't worry, everything will be all right, just try really hard and be really positive and you can turn limited skills and a poor education into a high income working only one hour a day while your baby plays in your lap") doesn't mean that anyone is being unkind. The cruelty is in the unrealistic Pollyanna "advice", not in the truth.
In the real world
Your employer or clients will tell you how to format SOAP notes. There is no universal format law. Each practice determines its own format. One of my clients wants the name and account number on one line with the DOB and DOS on separate lines under that. Another client wants each item on a separate line. A thid client wants a different format altogether.
There is no point in worrying about various formats until you have a job or a client, at which time you will be told what they want.
world-wide capabilities
Yeah, we do send stuff offshore, it helps us pay more for American transcriptionists. But that really isn't what I meant when we said that -- we have transcriptionists in France, Argentina, Canada, we do a fair amount of translation work, Internet captioining. I do my best to make sure that no matter what happens, the transcriptionists I work with will have work. I've heard a lot about EMRS putting people out of work, and Voice Rec, and so on. So I try to keep lots of options open so we can all stay in business.
i thought this was for the new MT, not the MT who knows everything in the entire world..
oh brother.
Welcome to the world of medical transcription.
Leave a blank where you can't hear something. Complete the report and then go back again and relisten and see if you can fill in the blanks then. If you get any feedback on blanks save it for future reference. Some docs that have the same physical exam, or same operation talk really fast. Even with a correct copy you may or may not be able to hear each word.
Even the world's best MT leaves blanks on
occasion, and if they don't they should, because sometimes you just can't hear what is being said and guessing is worse than leaving a blank. I can't promise you that you'll get to where you can decipher it, but experience will get you better. When I first started doing ESLs I was majorly freaking, had a stress headache every day, yelling at my family constantly, crying because I was never going to be able to make enough money, etc. I still leave blanks, but I have become somewhat talented at being able to do ESLs.
Don't be afraid to leave a blank. I am surprised at all the blanks that QA leaves in my reports. Just do the best you can and then go back and relisten like I said before. Make samples of any dictator that gives you problems.
I had a job once where my very first day they gave me 100% ESLs. I was going to quit that day because I just could not do them. The MTSO told me I really did very well and to hang in there. When I got my corrections back and used them for the next time I could hear clearly when they were saying and got to where I could do them all day long with very little problem.
World-wide capabilities just means they
offshore, without actually saying the offshore.
Welcome to the world of real medical transcription.
That's what a lot of doctors' dictation sounds like. You have to be able to handle it. That's why it's on the tests.
They've been around a while & their website is up to date. Also say they have world-wide
,
HIPAA is a joke. These reports go to third world countries. nm
:+
Not the profession. MTs in house at hourly pay do great. The world of the
s
I just started yesterday with World Direct Transcription...
I also was a little nervous accepting this position, mainly because after posting a question on this forum regarding anyone's knowledge of this company, I received NO responses! I am very happy with everything so far, the account I am on is great and my supervisor is very helpful! Good luck Sonnett with your test! Have you heard anything yet? 
TV commercials promoting their MT schools also misrepresent the true essence of the MT world. nm
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