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

a reason not to complain about crap (hard) jobs - L&L

Posted: Dec 29, 2009

Don't you get it...these cannot be done by ILPs or by machine alone.

In 3-4 yrs these so-called crap jobs will be the ONLY reason a few MTs will even be needed; all else will be totally automated, and even ILPs will not be required, unless they learn to do crap jobs.

Learn to live with it or train for something else. It's just the writing on the wall.

Don't bash me, I don't love it, I'm just being realistic. I'll do them because I'm nearly 60 and way too old to learn new tricks.

I completely agree. - Machines will take the easy jobs.

[ In Reply To ..]
MT's will get the crapy jobs and do not forget, we have to be at 98% accuracy or we are let go. I was told by my manager, MQ only wants the best of the best and that was quoted to me over a year ago.

And we will all be flying around in our spaceship cars in 5 years - Chrstmas Spirit

[ In Reply To ..]
Not going to happen unless technology rapidly comes to recognize voices, including those with accents, plus all mistakes that dictators make, plus all the extras and the "go back and change this" and "move this over there" and "take this out and put this in" and all the stuff that is added that is never dictated, styles, headings. I don't see it happening any time soon.

ASR hasn't changed a bit in 2-1/2 years. In fact, it's gotten worse for all its so-called training we've given it.

Now something they could introduce is we could all have to translate from Japanese or Chinese or Iranian into English. They could tell us that the doctors don't want to speak English anymore and our new foreign keyboards are in the mail and to please take a refresher 2-hour course on MQ Central to brush up on your Japanese, so it could get worse, I suppose, if anybody wants to spread some more fear and negativity around in the spirit of Christmas.

To the rest of you, Merry Christmas!

This company has some issues, but most days it's pretty good to me and I'm happy with the supervisors and team leaders here. Very nice people to work for.

VR - Pandora

[ In Reply To ..]
I've been in this line of work for a LONG time. 15 years ago, when I was a MR asst. director we tried VR in-house in a huge hospital transcription dept. It's my personal opinion that nothing has improved! We threw it out the back door and went back to the old tape/phone system, all was well. We tried another one 10 years ago... It's nothing new, it will keep coming, not gonna stop, I agree. But I do not feel that MTs will always be needed.

The ghost in the machine is haunting, but I'm still standing. Let's not give up. I keep my skills sharp and I won't let a machine put me out of a job.

What about the front end ASR/VR? The doctor - mt

[ In Reply To ..]
dictates into the computer and then makes his own edits. The computer learns just as it now (supposedly), but an MT will not be needed to make corrections. MQ is developing this now. It is very expensive and will probably be a few years before it is used in large numbers.

doctor's office - sm

[ In Reply To ..]
Our pediatrician's office has had this type of system for about 10 years. No tapes. No phones. The nurse, lab, doctor, etc., all input notes directly into computer via keyboard or voice. There is no backend office staff otherwise other than the billers. They say its saves time using the computer to find what their looking for instead having to look through a paper chart.

Sure, they can do that, but it isn't very brilliant. - Christmas Spirit

[ In Reply To ..]
In their quest to save money, they're using up valuable physician time they could be using to see more patients and turning doctors and nurses into editors on VR programs that don't work well.

That's money flowing out of their pockets from less patients and more time editing.

I predict this will be less used in the future if government health care reform gets implemented as more doctors and nurses get out of the field from making less money than they had hoped, the medical field becomes flooded with patients unable to find physicians and now everybody has health care whenever they want, leaving physicians and nurses even less time to sit around typing on their computers.

On a positive note, in one group here at MQ that I was in, and I travel around a lot from group to group, we were told that the ER was switching over to programs in-house and that some of us at lower levels would need to be transferred out as we were no longer needed. It would all be done in house starting immediately. At first there was only 1 doc that appeared to continue to use MQ rather than the computers in house, but over time they began to drift back to using MQ, more and more of them until now they are back to nearly what they were before. Why? I read an article recently that said that it costs around $2-$8 for an MT to do a report and around $20-$32 in time for a physician to do a report if you calculate up the amount of money he could have made seeing patients instead. Using physicians does not make financial sense when their time is money and editing can be done cheaper elsewhere.

The people selling these machines try to make the offices believe otherwise, but until technology is flawless, there will be a lot of mistakes in the reports (think of how physicians spell meds and conditions often and how the spellchecker half the time doesn't even know what the condition is, which requires research) and a lot of valuable time wasted. The people selling the machines don't care. They're selling a product, so they make it look good, but over time the offices and ERs with use may realize what a bum deal it is, and if they don't, more money out of their pocket for not figuring it out.

And this program that MQ is developing, will it be like the ASR we have now? How will they make money on it after the initial sell?

Front-end VR - stumped

[ In Reply To ..]
My doctor's office uses this also. The doctor actually sits at his laptop and types in as he is talking to me. When he asked what I did for a living and I told him, he laughed, put his arms over the screen and said "Don't look at my typing or spelling. I stink at both." I can only imagine what will go on if my records need to be sent to someone else.

But that is not considered front end VR, is it? - Questions

[ In Reply To ..]
Is this not the EMR that others talk about here, not VR.

So true, penny wise and pound foolish. - dnr

[ In Reply To ..]
Doctors at the HMO I go to now have to type in their own notes onto a template. When the doctor heard I am an MT, she remarked how much of her time was spent typing in the notes and how many other patients she could be seeing during that time. 1 minute to dictate translated into 10 minutes for her to type. Hmm.. That's 9 minutes away from patient care - about the amount of time some patients get ;) What appears a good idea on the surface can create so many unintended consequences. Delegating opens up much more time to make money, especially when the assistants make less money than the doctor. That's why NP's are such a boon to medical care.

AHDI (former AAMT) should really be focusing on the money saving aspects of using an MT, but we all know how much they care about their MT members (nada!)

I did't say I was unhappy here, but... - L&L

[ In Reply To ..]
Lots of office practices are phasing out MTs with front-end EMR, and this will only become more invasive.

I didn't say we'd be obsolete, but the days of whipping through "easy" jobs and using lots of normals/standards is just the stuff machines were made for.

As I said, don't bash me. I'm not still not trying to spread fear, but Chrismas or not, you need to be realistic about the future. You can only live dreamland so long before you to broke.

MQ only wants the best of the best. (sm) - Ciani

[ In Reply To ..]
Sorry, but your manager is full of it. MQ wants the "best of the best", but doesn't want to pay the "best of the best" salary to retain the "best of the best" employees. Translation: Something for nothing. MQ wants top-notch employees but doesn't want to pay the price to get them. I already gave notice several weeks ago. I've decided to move on to other areas of medical transcription in the education sector, where employers who want the "best of the best" don't mind paying for it. But this time around, I will be teaching medical transcription online at a university rather than going through the changes MQ puts us through with sending work to India. Also, I went back to school while I was still at MedQuist and got a master's degree in another field, so more money, less headache, no crappy line rates, no slave labor, no working for pennies, and more respect and flexibility. God bless to all of you who decide to go into the New Year with this company. My advice: Go back to school, learn a new trade, take some online classes in another field, and say sayonara, Medquist, like I did.

Hey front page today on our rag - Bunion

[ In Reply To ..]
Even court reporters are being replaced by machines, and it don't work!!! As far as them and the judges are concerned, but the peeps paying think different. Crazy peeps!

From my doctor's mouth............ - Bunion

[ In Reply To ..]
He HATES IT. For instance if a "nurse" has a bad day and types in the patient had an appendectomy he will not check that if the patient has abdominal pain or if the patient had a cholecystecomy, and it could be incorrect. He is concerned because that is what he reads. ALSO, they cut and paste the whole history, physical and everything else into this document to charge the insurance companies more money, like they really did the whole thing and they did not. It is real bullcrap and do not trust it, as a patient or otherwise. I personally will always question everything they ask or volunteer for MY SAFETY!!!! AMEN. Hell with Obama and his medical record program, he is soooooo wrong!!!!@!

old schoolers have the hardest - sm

[ In Reply To ..]
time with the in-office dictations, i.e., VR/EMR. Were I work, the younger docs and office staff aren't bothered at all by it all. I've been told before that it's like second nature and nothing out of the usual. Some of them had to learn it as part of their basic med studies.

So, I don't really think there will be so much resistance to it, especially as the retiring docs are replaced by the younger ones.

For part of my job, I have to go into EMRs and proof for coding/billing errors, as well as compare to the final diagnosis/plan.

One good thing where I work is that the EMR/VR is optional to use right now and only 2/7 docs implement it. So, I still get a lot of transcription to keep me busy during my day.

Change is everywhere and they say change is good. However, I hope this change doesn't fully occur until long after I'm retired.

You can ALSO change for the worse...BTW - L&L

[ In Reply To ..]
I get tired of following Obama, but isn't EMR going to be THE LAW come 2014?

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