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


IMPORTANT! NEW CAREERS FOR MTs. - Get out of MTSO companies for good.


Posted: Aug 18, 2011

I have been enrolled in college for the last year while still working.  Found out today about a whole new carrer that has just come out and being created because of EHR/EMR and now being offered and will become even more popular.

My teachers in college informed me of a meeting they had in the city where I live.  This meeting was held with physicians, PA's, NP's, MT's, Medical Assistance, nurses, etc. 

Because of EHR/EMR, most doctor's (about 78%) do not like the point and click method of dictation.  The other physicians who do are usually young and computer savy.  These few physicians who are computer savy happen to do very well when they are in the exam room during a patient physical and are able to not only type their own dictation on the computer in front of patient, but also have good patient contact at the same time.

The other 78% of the physicians "despise" being with a patient at the same time having to type info in the computer.  In fact, physicians are losing patients because of this problem.  The patient feels the physician does not care about them as a "patient" and feel their computer is more important.  Also is taking too much time for physicians to have to type or point and click info while examining the patient.  Physicians are not liking what is happening with the transcription work by having to pay high costs to MTSO companies and also physicians are not wanting the work sent to other countries.  To much HIPAA liabilities.  

TO FIX THIS PROBLEM?????  The medical staff and personnel have decided to create a new job called (several names) Scribers, or MA Scribers, or medical scriber, or med scribe, or medical assistant scribers.  No, this is not related to MedScribe the company. 

Here are a couple of websites of medical scribers: 

https://ochsner.myvurv.com/main/careerportal/Job_Profile.cfm?szOrderID=12810

http://www.medicalscribe.org/

This new career is taking off.  I am currently in a medical assisting program and with my knowledge of medical transcription for 20 some years, this will help me to get a job.  You can work in clinics, hospitals, etc.   

The Medical Scribe will document the patient's history and physical, the physician's interaction with the patient, the procedures performed, the results of laboratory studies, and other pertinent information. This may be accomplished by using a COW (computer on Wheels) which the Medical Scribe takes with him or her throughout the shift.  The Medical Scribe may also be responsible for ordering laboratory/radiology studies, assisting with the patient's disposition documenting consultations, and notifying the physician when important studies are completed.


This whole new career is taking off and physicians have voted for wanting to have their dictation in-house or rather in-clinic settings by having a scriber.  Physicians are not so much into the point and click method and prefer  a human being to help them through this process of dictation and the future of EMR/EHR because in the long run, it will be more cost-effective to have a human being do the work then a computer operated by an MTSO company, especially overseas. 

You can apply to FASFA which is free and fill out the information.  This will help you not only pay for your schooling, but also give you extra money to help live on if needed, although you do have to pay it back with no interest or little interest.  It is like a grant for some.  Check your local community college???  

Hope this helps, but I am extremely very excited about learning this information today.  It should give us all hope and if we all get employed with this new career, then we get to leave MQ and start making the average of 38,000 a year as a scriber with awesome benefits.  We can leave the board of directors scrambling and trying to find newbies to fill our positions or better yet, how about the board of directors sit and edit the dictation for the measely 4 cents a line to fill in the gap.  Smile

 

 

I've seen it at all my local hospitals - It is called a nurse. NM

[ In Reply To ..]
xx

Scribes - Anonymous

[ In Reply To ..]
Where I work, the MAs do this, or the provider types his own note while in the room with the patient. The rest of them use ASR and do their own editing.

In our local hospital, they're basically untrained - sm

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clerical type people who have no medical knowledge & just type & click answers to a specific set of questions. They don't make much above minimum wage.

One difference being - Ayn

[ In Reply To ..]
that you no longer are able to work from home. In addition, many smaller hospitals (like those here in the Midwest) are going to find it difficult to pay for that many scribes. They are looking at going from a team of transcriptionists who handle all their dictation to hiring scribes one-on-one. Many will not be able to justify that expense. Bottom line - the doctors may not like the EMR/EHR, but they are not the ones who make the decision at the hospital. The hospital administration makes that final decision, and all they care about is the bottom line.

Not to rain on the parade -- I am also excited to see a new career opening up where ours is shrinking. Scribing IS a good opportunity for many -- but, realistically, it will not "replace" MT completely or be a good fit for all MTs to transition to. IMO, scribes will become much more common in ERs and clinics for sure, but I don't feel many hospitals will pay for their staff to have that one-on-one scribe for the H&Ps, discharges or certainly Op notes. I see a lot of these positions being filled by the interns, PAs, med students -- people already following the doctor around. The hospital isn't going to add another person to the room and another salary to the list.

I would hate for all MTs to go running out to sign up for yet another career that makes big promises it can't keep like the MT programs now that promise $50,000/year...

Actually, scribing is close to what MT was back - in the days of shorthand, before - sm

[ In Reply To ..]
dictaphones came about. If they're now looking for MTs to sit in the office with them while they examine patients, then it looks like MT has come full-circle!

And if that's the case, then I'll hold out for when plain ol' dictaphones, cassettes and typewriters come back into play. Which is where we would all be if (and more likely, WHEN) some major catastrophe happens to the Internet that causes major and long-term disruption to the communications system.

I actually miss my old mag-card machine. I could type all day on that thing, and its memory for macros and normals was limitless, unlike the memory IBMs that came later.

Finally, a post based on reality, thank you - NM

[ In Reply To ..]
xx

already talked about this last week I think, but thanks. - no name

[ In Reply To ..]
nm

That sounds great! But.....sm - mb

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My local community college is so behind the times they still have a medical transcription program! It's so frustrating to want to lean new technology and it's not even available in my area.

Wow! Well I am going for it. - Refuse to sit on my butt

[ In Reply To ..]
and constantly be demoted and have benefits taken away and one day you wake up and boom, MQ fires you for some stupid reason for a sweat job profession. I have too much class than to be treated like crap.

AHDI even talked about MTs training to become - SCRIBES.

[ In Reply To ..]
http://ahdilounge.blogspot.com/2010/11/trsi-to-train-medical-scribes.html

Some of the salaries of scribes below:

http://www.simplyhired.com/a/salary/search/q-medical+scribe

http://www.trsinstitute.com/why_scribe.shtml

Dont fall for any more "training" BS - If you're - already an MT, you can scribe, no sweat. nm

[ In Reply To ..]
Yep, we're already overly trained for that step-down position. - nm
[ In Reply To ..]
x
Yeah, you're still an MT, but you're doing it - by hand, while standing up. nm
[ In Reply To ..]
.

Hah! AHDI finds another money-making scheme? - MT

[ In Reply To ..]
Scribes have been used by hospitals in my area for a long time, not new. They are medical students and get paid very little for it. Why on earth would a hospital pay an MT higher wages for this position when they are getting this service done by the medical students practially for free? In the local ER here, these jobs are considered low pay "grunt work."

Don't fall for AHDI scam if they are offering high-priced "training" for what MTs already know.
AHDI would probably start charging MTs thru the - nose to take shorthand classes! LOL...
[ In Reply To ..]
I sure wouldn't put it past 'em. They're probably trying to sink their greasy claws into coding, too.

"A typical medical scribe is a pre-med student who works part time while in school for roughly - nm

[ In Reply To ..]
x

MT profession - MT

[ In Reply To ..]
Is there anyone who feels that when all is said and done,maybe not much will change from the way it is now?

Seems like rather than the point and click system, the hospitals/physicians could have developed more standards, e.g. for physicial exam the doctor could say, "Use my standard for physicial exam but change HEENT to the following ...

ROS could be done this way also.

The doctors wouldn't be bothered by point and click and it would have the same effect of saving time and money.

Other ways to save time would be to encourage doctors to dictate in a quiet place, dictate on something that produces good sound quality. If they can't speak English or don't dictate well, they should be encouraged to delegate that to someone who can do it for them.

What a difference in time it would make if standards were used whenever possible and the MT could understand and hear what is being dictated.


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