A community of 30,000 US Transcriptionist serving Medical Transcription Industry

The Time Has Come for Sanity - - Read, CHANGE

Posted: Mar 05, 2013

People, PLEASE PAY ATTENTION!

Healthcare documentation in the US has become UTTERLY CHAOTIC.

1. We have elected in the US to become the "medical brain-drain" of the world. By this, I mean that people who SHOULD BE DELIVERING HEALTHCARE TO THEIR OWN COUNTRIES are, instead, electing to MAKE MONEY IN THE U.S.

2. MANY OF THESE PEOPLE DO NOT HAVE THE ENGLISH SKILLS TO CREATE ACCURATE MEDICAL DOCUMENTATION FOR PATIENTS.

3. The time has come to reveal the critical issues of medical healthcare delivery to the US public, who are being badly cared for by people WHO HAVE BEEN EDUCATED AND TRAINED UNDER INFERIOR EDUCATIONAL SYSTEMS AND HAVE NO BUSINESS OFFERING MEDICAL CARE IN THE UNITED STATES.

I'm telling you positively that the number of foreign trained "physicians" who are allowed to practice medicine in the US mostly SUCK IN QUALITY OF CARE PROVIDED and SHOULD BE SERVING THEIR OWN COMMUNITIES BACK IN THEIR HOME COUNTRIES.

It is TIME to reveal this problem to PATIENTS IN THE UNITED STATES. And, if you are ever a healthcare patient, INSIST ON AN AMERICAN-TRAINED AND ESL-NEGATIVE PROVIDER.

You're wrong, and this is just not-so-thinly veiled prejudice. - sm

[ In Reply To ..]

s I posted above, there is no difference in overall quality of care between international medical graduates and U.S. medical graduates. It would be a catastrophe if we didn't have these people here to help with our health care shortage.

What would you propose? That hundreds of additional medical schools be immediately constructed? And filled with who as teachers and who as students? And in your ideal universe where this actually came to fruition, how many years would it be from now before there were enough U.S. graduate doctors to fulfill our needs? (never mind the fact that there still aren't enough eligible U.S. candidates who would be interested)

You need to get past your bias and be thankful that there are people who are willing to come here and help with our healthcare shortage. I sure wouldn't mind having them be required to take more English courses to be qualified first, but other than that, I am definitely grateful for their presence.

As I posted above, there is no difference in overall quality of care between international medical graduates and U.S. medical graduates. Actually, if anything, they have better mortality outcomes when compared with all U.S. citizen medical graduates.* (what you really want to avoid is those doctors who are U.S. citizens that graduated from foreign medical schools such as in the Caribbean or Mexico)

It would be a catastrophe if we didn't have these foreign-educated doctors here to help with our healthcare shortage. What would you propose? That hundreds or more of additional medical schools be immediately constructed? And filled with who as teachers and who as students? And in your ideal reality where this actually came to fruition, how many years would it be from now before there were enough U.S. graduate doctors to fulfill our needs? (with a predicted shortage of more than 90,000 doctors by 2020)

*One-quarter of practicing physicians in the United States are graduates of international medical schools. The quality of care provided by doctors educated abroad has been the subject of ongoing concern. Our analysis of 244,153 hospitalizations in Pennsylvania found that patients of doctors who graduated from international medical schools and were not U.S. citizens at the time they entered medical school had significantly lower mortality rates than patients cared for by doctors who graduated from U.S. medical schools or who were U.S. citizens and received their degrees abroad. The patient population consisted of those with congestive heart failure or acute myocardial infarction. We found no significant mortality difference when comparing all international medical graduates with all U.S. medical school graduates.

I don't think the real issue is prejudice - Snow Bunny (the original)

[ In Reply To ..]
It's simply their way of expressing their frustration over how anything "foreign" has hurt the American MT industry. That can be doctors who dictate into the speech engines or the nonspeech dictation that is transcribed by MTs from foreign nations and are edited here.

I hope the original poster will correct me if I'm wrong.

I do - sorry

[ In Reply To ..]
It's hard for me to agree with you given the OPs talk about the inferior education of foreigners.

The American MT industry is at far greater risk from lack of good old American insight than anything "foreign". If blaming foreigners for the state of the Americna MT industry is not prejudice, I don't know what is.

racist much? - geesh nm

[ In Reply To ..]
nm

I dont think it was racist at all - sm

[ In Reply To ..]
Why is that racist? Is Black History Month racist? There is no White History Month, there is no Mexican History Month.

Is United Negro College Fund racist? There is no United White College Fund, there is no United Medican College Fund.

Why is trying to preserve our nation, our jobs, our taxes, our structrue racist?

Your false equivalencies make no sense and don't pertain to the OP's bigotry at all. - nm

[ In Reply To ..]
nm

I am entitled to my opinion, so dont belittle - me because I have one

[ In Reply To ..]
I dont feel it was bigotry on behalf of the OP. My viewpoint makes perfect sense.

belittled: the latest hue and cry - sm

[ In Reply To ..]
The poster did not belittle you. She gave her opinion. And you gave yours.

saying false equivalancies make no sense is - belittling

[ In Reply To ..]
She has a right to her opinion also, without being talked down to.

no it isn't; it's just the way she shared her opinion - sm

[ In Reply To ..]
And if you are allowed to call HER remark belittling, what about your remark: "Why is trying to preserve our nation, our jobs, our taxes, our structure racist?" I mean, no one said anything about trying to preserve our nation.

I happen to agree that the comparisons about the United Negro College Fund and Black History Month don't make sense - TO ME - and do not pertain to the OP's bigotry.

You sound like a white supremacist and so does - OP.

[ In Reply To ..]
You both are singling out classes or nationalities of people and comparing them in an unfavorable way.

You said: "Trying to preserve OUR nation, OUR jobs, OUR taxes, OUR structure." Really? The United States is made up of many different races and cultures of people. Get OVER IT! Unless they are illegal immigrants this is not just *OUR* country, its theirs too. Many of them were born and rasied here and they have just as much right to be here as you do.

So what there is a Black History month or a United Negro College Fund. Why not read up on those things and get an idea as to why they were founded and put into place before you go griping about the fact that there is not one for Whites or Mexicans.

By the way, here in the United States, we celebrate Cinco de Mayo, which is May 5th. The date is observed in the United States as a celebration of Mexican heritage and pride. So just because there is no Mexican History month they do have a special holiday that we observe in their honor. And I suspect that if I decided to dig deep I would find there are many things celebrated here in the United States in honor of other cultures and nationalities of people.

So before you go complaining about Black History month or United Negro College fund, do your research and educate yourself first.

personally, it's their knowledge of their field I focus on as a pt. Not - the broken english. NM

[ In Reply To ..]
.

And you know this how? - any stats to cite?

[ In Reply To ..]
Maybe you had a bad personal experience as a patient, but I'd like to see some hard facts to back up your claims.

it's called research, dear, same you would with A-N-Y physician. - NM

[ In Reply To ..]
.

this is laughable - get back to typing

[ In Reply To ..]
or find some platform that actually has merit. You don't know where these physicians were educated. Could have been right here in the US, or in London. Do you know for a fact that foreign medical school programs are subpar? Don't you think the AMA might be better qualified to make decisions such as this?

Qualified? - buns

[ In Reply To ..]
Personal opinion only: No organization, AMA included, makes decisions based on your best interest. Believe an individual has a responsibility to be as informed as possible regarding care they receive. Question everything, assume nothing. You are ultimately selecting a provider you personally are comfortable with and putting your life in his/her hands.

Just having an accent does not make one a subpar provider of care; lazy, sloppy communication can make an individual a dangerous provider regardless of the county of origin.

but it is in AMA's best interest to weed out the bad ones - or not let them in in the first place

[ In Reply To ..]
and my point was that this MT is not qualified to say who is a good physician and who is not, except based on her own personal experience. So unless she has visited every physician in America, she better get back to typing.

Your bigotry is astonishing and scary - anon

[ In Reply To ..]
I see several awesome physicians, all of whom are foreign born and top specialists in their fields. I wouldn't trade them for American born docs for a million dollars.

EACH and EVERY POINT YOU MAKE - is completely unfounded

[ In Reply To ..]
1. People can deliver health care wherever it is needed.

2. Most of these people have plenty of English skills.

3. Nothing about the education systems in other countries is inferior, and many foreign physicians are trained here.

Most foreign trained physicians do not deserve quotes around their title. They do not suck in quality of care. They are here because they are the best of the best, and that's ALL I want when it comes to medical care.

I hear that! - more should do this

[ In Reply To ..]
Your post reminded me of my Dad who was assigned an ESL doctor at the VA, Dr. Truddifruneoletti (something very complicated) that he couldn't understand . . . He said, "As much as I would like to -- I can't understand him."

"Tell them to assign you another doctor, one that you can understand."

"Can I do that?"

"Sure, communication with your doctor is critical, if you can't understand him ask them for another one."

He called the hospital administrator, "Say, listen I'm going to need a new doctor, because I can't make heads or tails out of that Tutti Fruity doctor you people assigned me to. He's not speaking English."

here we go again... - YD

[ In Reply To ..]
For some actual facts and complete refutation of the OP's opinions, which appear to be based on nothing but prejudice, see this interesting article in the NYT:

http://www.nytimes.com/2010/08/12/health/12chen.html?_r=0

Great article that more fully elucidates the study I cited above. - Thanks for posting it. nm

[ In Reply To ..]
nm

Inteligence not equal language fluency - lori

[ In Reply To ..]
I understand there are shady doctors but you can't judge a doctor's ability to care for patients by his fluency of English. That sounds homophobic. It's frustrating at times listening to ESL doctors but its frustrating at times listening at English-speaking doctors! Southern doctors have accents, Boston doctors have accents, upper Midwest have accents. They can be frustrating too. British accents can be hard even if they are English-speaking. ESL is part of MT field. I do agree that there are some doctors who need to improve on their English grammar.

Correction - lori

[ In Reply To ..]
I meant not homophobic but xenophobo

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