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


I personally could make a bundle except for ESL - Tinear


Posted: Jan 25, 2015

The money I have lost recently arises rom very poor ESL dictators, too many of them. Did you know 28% of US doctors were not born in US and many arrived on J-1 visas under the Conrad 30 program? They are looking to expand IMGs (international medical graduates) quite significantly under Obamacare. Of course, I know non ESL can be awful, too, but think about who your worst dictators are and then consider the outlook: much higher percentage of IMGs coupled with foreign born patients who with the IMGs are ripping off our health care system.

All part of - sm

[ In Reply To ..]
Obama's plan to destroy America.

I agree! Losing money for various reasons: - see inside -

[ In Reply To ..]
(and this isn't for all ESL, but the majority):
1. VR doesn't do nearly as well capturing what they say, so have to fix much more, hence money loss.
2. You have to rewind more often and relisten more to understand what they say, hence money lost.
3. Greedy companies won't give a differential anymore for difficult dictators, hence money loss.
4. More likely to miss an error in the VR, get penalized from greedy companies, hence money lost.
5. Easier to get important values wrong...they can't pronounce numbers as clearly, their 2's often sound like 3's, hence money lost when you get a CPSE for that.

Some American Speakers - Meh

[ In Reply To ..]
I find a few of the American speakers even more difficult than the ESL speakers. In particular, it seems majority of orthopedic surgery dictators seem to fail to enunciate--maybe because they do the same surgeries all the time and they just say it really, really fast because they repeat themselves so much. I find some of these orthopedic dictations impossible to understand if not for the fact that there are previous reports to look up.


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