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

this is actually the future for transcriptionists, sm - bdg

Posted: Aug 03, 2010

Go to this website. Transcriptionists will no longer be needed in the future for transcribing or editing. One of my friends told me the hospital she retired from is going to this system and their transcription department will eventually no longer exist.

http://www.youtube.com/watch?v=KGMEf11GmBo

looks easier than me doing it - anon

[ In Reply To ..]
.

this is actually - the past for this transcriptionist

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That's the system they implemented at a large clinic where I used to work. The docs input their own information. Boy, did the quality suck. Why are they so picky about our QA? Docs typed like they were drunk and someone just spun them around several times and set them down in front of the keyboard. CNAs and MAs input chief complaint "any which way." At any rate, clinic director was very happy to get rid of the transcription department, as he had always seen us as a "financial drain" that did not "generate revenue" for the clinic. This was not an UNspoken message, they told us very frankly in face-to-face meetings that their ultimate goal was to "phase out the transcription department entirely." We still hung on as long as possible, as work got more and more scarce. Some doctors liked us and tried to keep dictating, but they were reprimanded. Finally-- poof! The transcription department no longer existed. It was a weird feeling, almost like I was slowly disappearing, along with my job. The ironic thing is, the patients do not like it. Notice in that video, when he is with the patient, where the doctor's focus is? I saw a doctor at that clinic where I worked, and during most of the visit he sat facing the computer while I patiently waited for him to type, enter, select, pick option from drop-down menu, etc.

My father goes to the local VA facility and this is what they use - Its horrible for patients

[ In Reply To ..]
I went with my father on his last appointment, and the resident treating him came in with his laptop, opened it up, and began inputting information. He'd ask my dad a question, then look at the laptop to figure out which pull-down choice was applicable. After about 10 minutes of this and seeing my father become increasingly frustrated, I asked the doctor how HE liked this as opposed to dictating. He told me he did not like it at all, because it took the personalization of being able to spend adequate face-to-face time with the patient and left the patient feeling as if they weren't being listened to or taken seriously.

I have to agree, too. When we left, my dad complained about the lack of any real contact with the doctor because he was too busy with his "new-fangled toy" the VA had told him he had to use.

I don't think these facilities realize the negative impact these systems have on patients...either that or they just don't care (more than likely).

They will still need - MTs and editors...

[ In Reply To ..]
The type of point & click system he is talking about in the video has been around for a few years now. My own doctor has been using a computer in the exam room for about 5 years. It's great for clinic notes....but he still dictates his acute care notes.

Many EMR systems offer a variety of ways to get patient info into the computer. Many offer VR, and VR will always need editors. If you've worked with VR, you'll know why I say that.

Although VR and point & click technologies are available to them right now...today, many doctors still dictate their op notes and discharge summaries, and that requires MTs.

There isn't one cut and dried way to get patient info into the EMR system. Doctors are offered a variety of ways to do it.

Clinic notes are great for the point & click method shown in the video, but you can't point & click through every procedure done in the operating room.

yes dear I need you - just not as much as I did

[ In Reply To ..]
The point-and-click options reduce the transcriptionist input of a typical H&P by a huge percentage. Chief complaint is put in for you. Exam is put in. Meds are put in. Social and family history are pulled in from the database. You get to type the HPI, assessment and plan. They still need you, but about 75% less. That was my experience at the large clinic. Another clinic (smaller) went the same route. Some doctors, who were more picky about their records, typed everything themselves! Others would use the transcription department for a paragraph or two of free text for each record, but the rest was direct input. Doctors don't like dictating, seems to me! One doctor, who had been the bread-and-butter account of a coworker of mine, went to EMR, and his entire dictation for the week could be done in 2-3 half-days. That is way less than full-time.

Don't do clinic, do acute care - ops and DSs are

[ In Reply To ..]
I've worked in an EMR system for about 6 years, two EMR systems, actually. The "clinic" notes are mostly done in point and click.

The "op notes and discharge summaries" are still dictated as always. Some of them use voice rec for that, and I've been editing voice rec for several years now.

My point being...I still have a job, have not lost my job, and I still work 40 hours/week.

Don't assume that EMR will do away with your job, especially if you do acute care.

I think eventually they wil come up with a way to do it all in EMR, sm - dd

[ In Reply To ..]
The clinic EMR started somewhere,so it seems to reason that a program will eventually be created for all types of hospital dictation.

I already work in an EMR - and have plenty of work.

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discharge summaries and EMR - -

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Discharge summaries at the hospital where I worked, are now mostly generated from the data base. We only had to fill in the "hospital course" which the doctor dictated. The volume of discharge summary transcription dropped quite a bit!

Agree, - sm

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If you don't want to become obsolete, expand your skill set to include OP reports/discharge summaries, any and all specialties, and make VR/SR do most of the work for you.

If they use M-modal for the voice wrecking machine, you will always - "editor"

[ In Reply To ..]
have a job. That system is the worst I have ever seen.

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