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Medical Scribe job openings - Heaven Help Us

Posted: Apr 23, 2011

I have been seeing more and more job openings for Medical Scribes. They are even showing up as part of other job descriptions. The ads that are strictly for a Medical Scribe state no prior experience needed and sometimes only a high school diploma as their only requirement – no Medical Transcription education or experience. Pay $10 an hour. Anyone else noticing this?

One of many ads I am seeing:

…full time Registered Nurse for an office/clinic setting. …. Performs as medical scribe to physician. Qualifications: Licensed RN.

Heaven help us!!!

Saves them $$$ - oaf

[ In Reply To ..]
I worked for an ophthalmology practice and all the chart notes were done by a "scribe" sitting in the exam room filling out a form. They only dictated when it was absolutely necessary and that was just referral letters. Any way to save a buck....

I've seen ads for scribes for ER - poorhouse

[ In Reply To ..]
The scribe follows the ER doc thru the department transcribing on either a laptop or stationary computer in each cubicle. Can't imagine what that is like in a very busy, extremely emergent situation. And yes - about $12/HR.

On the plus side, scribing will raise appreciation for - (Just thinking)

[ In Reply To ..]
what we do. Imagining

1. Med students sometimes turn out to have very sloppy written English and will always be leaving just as they get broken in. This will matter more to some physicians than others, of course. Plus, they have an availability problem.
2. RNs are very expensive and need to be used very carefully to justify. Not an option for many probably. Pay would have to be high enough to lure them into this work.
3. HS grad/$12 workers same as med students but worse. Plus, the physicians will have to train them and they'll often be as short-term as the med students because: they broke up with girlfriends and were bummed, didn't have money for gas, work was keeping them from hanging with friends, or--they got accepted to nursing school or just finished up their certificate in something that pays better.
4. Low-level scribing, as done today, is incredibly inefficient, one person following another around all day just to produce a handful of reports, doing nothing at all much of the time. Plus, this isn't work for dummies; a fair number of low-skill hires are not going to work out well over time, especially if an employer wants to evolve the work to higher and more expanded functions.

Now, what I'm wondering is why physicians don't just grab someone from their office, tell her to wear her walking shoes tomorrow (not quite that simple, of course), and have her scribe AND perform most of her usual duties, such as billing, as she follows him around. This would cost less than us, get that immediate record in the chart, get calls to colleagues done and recorded, and also get billings, labs, etc., out immediately. There's no reason why all other office functions have to remain in the office long after ours' left. (They could, technically speaking, even answer phones and schedule appointments while standing over some poor hapless patient.) BTW, this could also be considered on the plus side for those inclined. We'd be very good at it pretty fast and, if it didn't pay as well as high-earnings MTs make, it'd pay a lot more than just "scribing" is now.

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