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


Advice from the experienced? - TeacherturnedMT


Posted: Jul 28, 2011

I am a newbie MT and wanted some advice from those of you more experienced than I. Today, every single dictation I have had is from a foreign doctor..the latest one said (not kidding) toe bec abu in da pa...which I finally made out to be tobacco abuse in the past. My line count is horrible! How do you compensate for reports like this that take a long time, while maintaining a decent line count? Thanks.

Yikes! - sm

[ In Reply To ..]
Well, those are always mentally exhausting. If you have a group of dictators that you have/will have repeatedly, make samples or templates for them. Can you get samples of their work from your employer? And if you have to send them through QA, make copies of any corrections you may get back, and create your own samples if need be. I find that the foreign docs usually get MUCH easier once you've had them for awhile and use samples. However, there are still going to be some that are just hopelessly difficult no matter what.

Hope it gets easier for you, and that this is just a freakishly bad day and not the norm for you! Starting out always seems insurmountable. Even experience MTs have a learning curve with a new company/account/dictator. It really does get easier. Things that seemed impossible can come easily to you down the road, once you have more experience.

Newbie - Twins Mom

[ In Reply To ..]
I am pretty new too. I am back to work after a three year break. We have one very, very difficult doctor. Even seasoned MTs have blanks. What has helped is haveing samples, but also if you can pulling up voice files that have already been transcribed and reading the report as a I listen. I started a few weeks ago and now can understand him so much better.

Samples, samples, and more samples! :) - sm - Meerkat

[ In Reply To ..]
I agree with the poster above about samples. Maybe you can ask your supervisor to post more samples of this particular doctor on your company's website, or to send you some samples via email.

There's always a learning curve for the thick-accent or mumbling doctors, even for seasoned MTs. Eventually you can learn to understand most, or sometimes even all, of what those doctors are saying, but the most efficient way to do that is to have good samples of their work.

Usually doctors will speed up the worst through sections they do routinely, such as physical exams, or certain standard paragraphs, which are often contained in most samples. Being able to read along as the doctor speaks will complete a little circuit in your brain, and after a time or two, you might even wonder how it was you couldn't understand it before.

However, if the only feedback you get is a correction of a blank you submitted days before, by then it's usually forgotten, and therefore useless. I wish companies would keep extensive sample files on every doctor that goes through their system. It would improve the quality of their work, and the time it takes for MTs to get attuned to the more difficult dictators.

(PS!) (sm) - Meerkat

[ In Reply To ..]
I forgot to mention: Another thing that can be helpful is to start to build your own list of sound-alikes, spelled phonetically, along with the correct word or phrase next to it. That can sometimes save a lot of time you would normally spend poring over samples.

One more thing that makes looking up a word in a sea of sample pages is to use CTL-F to find part of the sentence containing the mystery word for each sample you're looking through. Doesn't always work, but sometimes it'll take you right to what you were looking for.

For example: If the doctor frequently says, "..in lieu of arthroscopy" in his reports, but "arthroscopy" is unintelligible. All you hear is "opy". You can either use CTL-F to look for "in lieu of", or, looking for "opy" might work, as well, though will probably yield more unwanted results.

Familiarity, familiarity. Many of them, knowing too well - our problems with them,
[ In Reply To ..]
try as much as possible to keep to the same phrasing. Once you know what they're saying you can make very good money doing a lot of them.

You do this by sticking to a couple of main accounts that make up 90% of your work, even after you're good. Familiarity and the repetition that allows you to make up and use a bunch of text templates to plug in are the keys to making money no matter how clear the dictation is. Good luck. Pragmatist

Advice from the experienced - raydonia

[ In Reply To ..]
Not to sound cynical but it's probably never going to get a lot better, you will just get used to it. As others have said, if you can search through archives it helps AND these foreign dictators especially say the same thing over and over and over again, day after day, week after week, report after report.


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