doctors speaking too fast
Posted By: amy on 2008-07-20
In Reply to: Welcome to the world of medical transcription. - me
Well thank you for your response. I am really worried about this issue...... especially if there is a whole sentence I cant understand but I guess blanks are the only option.
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Doctors speaking too fast!
Ok i need some help here, i can not understand what some of these doctors are saying because they are speaking way to fast!! I have tried slowing down their voice and speeding them up but it is not helping me at all. Please please help.
That's hardly necessary. She's just speaking chat. nm
x
Speaking of Internships
Did you see that thread at MTChat where the woman had no idea what she was doing, but she was in charge of the MTs who were doing their internship with her employer. I think quite a few people started thinking twice about recommending internships in lieu of good training.
"Had I been able to even understand a little of the terminology they were speaking I could have d
That's why you need the education from the good schools. If you know exactly what the doctor is talking about, it would be much easier to understand him, even if he is a lousy dictator. And a LOT of them are lousy, and a LOT of them are ESLs. And the dictation certainly isn't any better just because you are doing it from home.
foreign doctors
Should I make more money for foreign doctors transcription? What is the going rate for nephrology transcriptions for a foreign doctor??
In the few doctors I have done that are verbatim - sm
they want it exactly as they say it, even if it does not make sense to you. That is every comma, period, new paragraph, etc. On others, my QA mgr says we can clean up grammer as long as we don't change the meaning of the sentence (as he says, as long as it is not going to kill them). We NEVER guess on drug names or doses if we cannot make them out clearly. As for the BOS or keeping with the style of the company, most doctors want it done their way no matter what the BOS says, it is not their handbook. Every company you work for does things differently, some do p.o/PO, q.i.d/QID, q.d., q. day/every day, mL/ml instead of cc, etc.
i know that ahp uses ESL doctors on their tapes
because they want you to get used to listening to accents. my original question was asking if there was anyone on here who is taking course 5 of AHP because then we could help each other, but mostly so i could get some help on a particular report. hahaha. i hate sending in reports with so many blanks. i actually really like ahp and they do send your reports back with corrections and tell you what they think your weak areas are.
my intention when i get done with ahp is to get a job working at a hospital and then when i have experience work from home. is it harder to get a job with a hospital than to get a job with a company like MedScribe or ProTrans?
Doctors' offices pay little or nothing anyway. see message
I've seen this happen before. It usually turns out to be a mess and they go back to a classic transcription system. As far as coding, they use a Superbill anyway. They don't need a coder. They just list the codes and check off the appropriate ones for each student. They don't get paid as well as if they had an actual certified coder, but they won't or can't afford a real coder. That's nothing new. As far as the transcriptionist, most dermatologists don't hire transcriptionists anyway. They scribble the notes in the patient's chart. Even if they use some voice recognition system and get poor results, it may be easier to read than the scribbled notes. I've also noted that doctors who do have transcriptionists who know what they are doing are not willing to replace them with a machine. Others are easily replaced. That's just what I've seen and I have access to small and large organizations.
The doctors should dictate better, but it is our job to decipher
whatever they are saying, flying, mumbling, eating, etc. I recommend typing what you can and then go back and relisten and see if you can get blanks. If you still can't hear listen a few more times. With experience you are able to decipher. You can slow down the dictation and that may help.
I had about 6 years' experience before I started doing the difficult ESL dictators and I was not very good, mainly because I was majorly stressed out with the whole job. I've got about 18 years' experience now and can pretty much do any ESL without any blanks. Sometimes I do have to listen 2 or more times to a word though. Sometimes when I hear it first I swear they aren't speaking English at all and a couple of times that has been the case.
Run away as fast as you can
I worked for them to. Everything that was said about them is true. What I loved about them is they are telling you what is wrong with your report while using bad grammar and spelling most of the time I couldn't figure out!
Not so new, still not so fast
I've been around for a few years, but I still can't seem to keep my speed up consistently. I know that part of my problem is trying to go too fast, as you said, and going for that 100% accuracy. I always go back and fix my mistakes as soon as I make them, or maybe a line or two later. I keep telling myself that's what is slowing me down, but I hate seeing the mistakes. I am also trying to work around a 2-year-old and a 4-year-old, and let me tell you, this has been the most frustrating 4 years of my life! I'm just counting the days until they go to school.
The "timeclock" I use is http://www.nchsoftware.com/timesheet/index.html (free through Express Scribe) and I was surprised at the amount of time I am actually putting in; sometimes more than I thought, sometimes not as much.
Good luck, and please share any tips you come up with.
Fast
isn't really always good but necessary in order to make money.
I, too, am a green Transcriptionist and struggling with line count. (Wish I could do 150 lph!)
I can see I am getting faster at certain aspects, but something always comes up to slow me down (difficult dictators, research, or whatever). I rarely have those days where everything goes smoothly, but even on a good day I am not doing 150 lph yet.
It is frustrating and discouraging.
Not so fast, that's what you think,
EMR can contain a lot more than just the 'vital signs'!
For whom are you working for?
And what do you mean by 'TO different animals?'
Doctors generally won't just contract with an IC from an ad-- too much risk...sm
pretty much all the docs rely on word of mouth to find services or transcriptionists. Can you imagine turning your office transcription over to someone brand new? As an IC, not only do you have to still get the work produced when you are out sick or on vacation (do you have a back up plan?), you also have to troubleshoot file transfers, etc. all by your lil' ol' self. Yesterday, I went into the office of an internal medicine doc who had dropped our service. He moved and decided to just try to keep up with the charts himself - but after 3 months finally called desperately saying, what would it take to get set up with you again? I walked into the office, programmed his Olympus recorder, set him up with a user ID on the FTP site, and then installed an program that would allow him to place his recorder in a docking station, press OK when the "Do you want to import?" window popped up, and the software is automatically going to upload his file to the ftp site, and download the completed dictation. Then I showed him how to print it, and made some recommendations as to how he could archive his work. So you see... handling the account for the doc isn't as easy as it seems, is it?
So you can't do the ESL doctors? Your skills may be what's limiting your success
Your skills may be limiting you. Do some work on them. See if you can bring your work up to the level necessary to do well. You can do it!
Have you tried local clinics or doctors' offices?
I went to a local community college and decided I didn't want to work for a large national so I sent out resumes to local offices and I got a job working for a Nephrology office with great benefits. I can be done, just send resumes everywhere and test when you can.
Mumbling doctors cause major frustration!
Why can't someone just speak clearly? Grrr. Sorry, really needed to vent to someone who understands. I have re-played and re-played and it doesn't make it much better. This doctor clearly mumbles. 
Depends on how fast you are...sm
I would hazard a guess that a beginning MT, working on a new account alone at home, with unfamiliar words, having to re-listen, research, might make...mmm $4 an hour? That's why experience is so valuable.
...nm Shrinking Fast
s
Fast Dictator
Just transcribe what you know and leave the blanks for the whole document. Then go back again and listen. A report tells a story, so think about the big picture of what this physician could be saying about this particular patient. I have learned that sometimes you can find clues in the end of the report as to what he/she may have said in the beginning. There is usually a summary or impression towards the end to compare to the beginning and middle. Also, get up and stretch, take a deep breath, and then try again to relisten. This takes time, I know, but the whole idea is that you do not want to turn in a document with a lot of blanks. Things to think about while listening are what is the patient's problem keeping in mind the patient's diagnoses, think about what type of report acute care or clinic note, and another thing to try is a sample of available of this dictator. Hang in there! I don't know which is worse, very, very slow or very, very fast! 
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 Chart
Has anyone heard of the MT company Fast Chart? I was recently offered a position with them and just wondered if anyone has worked for them or knows anything about them.
TIA!
Amanda
Fast Chart
I worked for them twice. They are a great company. I was the one who had the problems, not them, and they even took me back a second time after my first mess up!! The owner, Sandy, if she is still doing on-hands, can sound "tough" but she is a great person. The work was always there, I don't remember ever running out, and the paychecks were always on time. If they still do it the way they used to, they give you a Dictaphone machine to use to get your work/transcribe. Again, I loved working for them, just was at a REALLY bad time in my life and I blew it. Good luck!
Have you tried local hospitals, doctors, small MTSO's
That's how I started out working for a very small local MTSO, then I went on to become an employee of a small local nephrology group where I still am today with great pay and benefits. I had no experience when I stated but the small MTSO decided to give me a chance. Don't give up.
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.
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.
Should probably try to apprentice locally if you're in need of fast
s
LMAO, thanks everyone for your comments, maybe we type too fast and are not looking at the screen,LO
Or maybe we just like to irritate the ol MT's with spelling mistakes. LOL
Not a hard and fast rule anymore. Strictly up to QA and
s
If you choose Andrews or M-TEC, you won't need a fast track or extra training.
You also will receive, with your course, many of the books that CS students purchase on their own - the Book of Style, the Language of Medicine, better grammar books.
I graduated from CS also. And if I had it to do again, I'd choose Andrews or M-TEC.
Why not try local MTSO's or local doctors' offices
That's how I started out when I first became an MT. I found a very small local MTSO who gave me a chance and now I work for a local company and have been there for two years. It might be worth it to take a look. I basically trained at the MTSO's office for about a month so there was no testing involved at all. Just learning along the way. Good luck whatever you decide.
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