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

Anonymous Note to Doctors (sm) - Morgan

Posted: May 19, 2013

Has anyone considered sending an anonymous email to the problem dictators who consistently enter the wrong demographics, or make other mistakes that could seriously effect patient care? Let's face it, no one is going come out of their "wimpdome" to inform the doctors of their errors. A polite note that explains that we have to remain anonymous to avoid being fired by the MTSO, and explain that we are not compensated for correcting these errors and they are at risk for dictation going to the wrong chart, to the wrong doctor, HIPAA violations, serious patient care errors, etc. Any doctor with common sense will appreciate being informed of the problem and correct it. These guys that consistently enter the DOB as the MRM think they are doing it right because no one will stand up and correct them. Thoughts?

I would rather have the bad - ones

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called out and shamed on a website on-line, kind of like Angie's List or something. That way everyone could contribute from all over and it might actually have some impact www.baddictators.com. You could also include really good ones who deserve a pat on the back.

There are sites where you can review a doctor. I suggest we review dictators who could care less abo - Morgan

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About accurate records and patient care. - Morgan

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I say we review the ones who - Babs

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couldn't care less. They're the ones who deserve it!

Let us know - how

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that works out for you.

You don't know many doctors, do you? They don't take criticism well, and they absolutely do not tolerate criticism from the "lower orders," which they consider MTs to be.

I think the good ones who really care about their patients would appreciate it. - Morgan

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Then by all means - send

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your anonymous note if you feel you must.

Just be aware that it is not likely to end well.

You really think Dr will appreciate being told by an Anon - MT how to do his job? Doubt it. sm

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You must be very young and new to MT

Flags, etc. - anon

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This is my job.... I am paid to flag reports and catch discrepancies in dictation. Ah, job security... Love it.

Doctors don't take criticism well? Tuff. - SM

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It's a living nightmare for us to listen to some of them over and over again. I could make a huge laundry list right off the top of my head of bad ones.

Maybe it would help, maybe not. But it would be so wonderful for us to do this. Some doctors love knowing who's terrible and who's not. One of mine I saw asked me who was the worst dictator, he said in a conspiratorial tone "you can tell me." Ya, right. He's going to go right to the doctors' lounge and blab it all over with delight.

Too bad. The shame would serve many of them right. I'm going to go check those sites out.

Yeah, it would help. Help the MTSO lose acct. - What are ppl thinking?? nm

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Issues with dictation - 2bz2sleep

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If you work for an MTSO, you should contact your supervisor and report the problem. I contact all my clients for issues, as it is risk management and interrupts work flow. I am NOT ALL ALL WORRIED about hurting their feelings. Workflow, TAT, and patient care as well as money (which pays for my business to keep open to serve them) are my priorities as well as any subcontractor, who I want to keep happy. No, I am not a large one but a very small independent. I hope somebody addresses your issues. :)

Good for you but I worked for a few big MTSO. They wont say - anything for fear Dr/facility will get mad. sm

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It is easier just to let MT deal with it. Who cares if MT gets upset? She can leave and the next lemming can take her place.

And by the way, - doctors, nurses,

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PAs and other health care people are no better than any of the rest of us. No matter what anyone says, they are at least 80% responsible for what gets put down in their reports. When did so much of this "quality" issue get shifted over to those of us who make the least amount of money trying to figure out some of this mess? Doctors should have the same respect for us as they do any of their colleagues.

What you think they should do and - should feel and how

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you think they should behave is irrelevant. They will do as they please. You are certainly free to share your opinions with them as you see fit, but you will find that they do not care. They. Do. Not. Care. What. You. Think. Not even a little bit.

You can't speak for all doctors (sm) - Morgan

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Only the ones you have worked with. I've transcribed for hundreds of doctors over 25 years and only one was indifferent. Every other doctor was appreciative for tips such as "don't say "uh" before the word "regular" as he was a super speedy dictator and "uh-regular" sounded like "irregular". He immediately started catching him self, and then saying "I-R - irregular". They can't hear themselves and certainly are not going to re-listen unless they have to to find their place after an interruption.

I think it is a tremendous disservice to doctors and their patients when there is no constructive communication with them about errors that are bound to affect patient care.

well all righty, then. - Since

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Your experience clearly trumps everyone else's experience, anyone who believes differently from you on the basis of their own experience must either be crazy or lying.

Go for it. Send your letter. Get your employer's contract cancelled and put all your colleagues out of work. You are right and everyone else is wrong.

Neck is subtle - Are you kidding me?

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I can't tell you how many times I have heard neck is subtle, never mind how much "garbage" I have to "fix" for them, especially the NPs. Burns me up every time, but I oh so politely fix it for them. Never mind how they butcher hepatosplenomegaly. These dictators have a "better" education than I do? Some days I just shake my head. Reminder to self: Finish school ASAP and get the $%&* out. I am oh so close.

But fixing it is what generates your paycheck. Know what I - call those NPs? Job security. nm

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Job security? - I call it the end of MT as we once knew it. Hold o

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I apologize, hold on if you can! - nm

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Technology goes on. Must change with the times, said the - telephone operator. nm

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LOL!!! I burst out laughing when I read your subject line. - MTSearching

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Funny but truthful! Spot on!!

ANONYMOUS NOTE TO DOCTORS - MTQA

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To all medical transcriptionists,
I worked in the acute care medical transcription setting for many years. I worked side by side with other MTs, IT employees and medical record staff, in addition to PAs, NPs, physicians, fellows, residents and students.
Here is the truth of the matter: Sad as it may be, physicians do not care about the quality of their dictation, nor do they care about the repercussions that the poor quality of their dictation may have on patient care. They work long, arduous days and nights, they see hundreds of patients each day, and the very last thing they want to do is dictate. Punching in correct patient demographic information, or even dictating it, is grueling and frustrating, not to mention dictating an entire H & P, consultation, and dozens of progress notes each day. The only reason any healthcare professional dictates at all is because it is required. If a healthcare professional does not dictate an admission H & P, for example, in a timely manner, his/her priveleges will be suspended.
I have spoken to many, many dictators about their dictation style, or tendency to enter or dictate erroneous patient demographic information. They could care less. Each individual facility often changes work types on the physicians, so they need to continually re-remember what the new work types are. Dictation platforms/equipments change like the ice cream flavor of the month in healthcare facilities, and physicians get very frustrated by having to learn new technology.
There are dozens of other reasons I can cite for why dictators hate to dictate, and why they do not care what we have to say about their less than stellar dictation style, or even what the effect of their crappy dictation has on patient care, and compromising the integrity of the medical record in ways we feel we would never let happen if we were in their shoes.
It's just the nature of the business, it's par for the course, to be extra cliche: It is what it is. It will never change.
I respect all of you, fellow transcriptionists, trainers and QA professionals. Peace!

Point Well Taken. (sm) - Morgan

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I know you speak the truth about what doctors are currently having to tolerate with increased workloads, and constantly having to re-learn technology when they want to be seeing patients and doing the work they were trained to do. I know they hate dictating and would love a way around it that works. Perhaps my hopes for communication to improve the situation doesn't fit the current situation with EMR, which is tragic. It may take all the good, experienced editors to move out of this profession to enlighten them that it's a train wreck. I can only hope it changes.

Can just imagine the lengths they would go to to find who wrote - letter. They would know it had SM

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to be an MT, someone who heard doctors dictating. I dont think it would take long to discover the culprit. Heck, every MT for that MTSO might lose job as facility would likely find another, more professional and secure MTSO to do their work.

You trying to get facility to switch MTSO, making EVERY - MT lose their job? nm

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Anonymous note - In the trenches

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I will come out of my "wimpdom" to be honest with you. It is not the MTs job/responsibility to inform doctors of their errors. Just my opinion, but it is a very bad idea to go behind your employer's back. Address your concerns with your account manager or QA coordinator, they can take it to the client. I agree that you should not have to correct demographic and other errors, you should flag them for the QA staff to track down and correct. I am a QA editor for one facility and one MTSO and that is how we deal with it. We have had a couple of things go to the wrong chart and caught that, it can happen pretty easily with point and click schedules. I address all of those concerns directly with my manager; I do not have authority to go directly to the providers. If you start anonymously sending doctors notes informing them of their errors, the MTSO could lose the account. There are ways to handle it that might be better than the way you are suggesting.

I was fired for contacting a client once - MT

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Back in the day I got tired of the ROM not addressing issues with the facility so I e mailed the head of transcription at the facility to discuss a certain thing with a dictator. I was fired for having contact with the facility directly. I know you want to do anon, but you may be found out. Trust me, they do not want us contacting the facility or staff directly in any way, shape or form. There may even be legal implications. I understand what you are trying to do and agree that something should be done but if you want your bread and butter think about the chance you are taking. Just a heads up from personal experience.

Anonymous note to doctors reply - Toni

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Why be anonymous? Instead of taking the risk of losing your job by sending "anonymous" notes to doctors (which I know would piss me off if I found one of my subcontractors did this), I would bring it to the attention of your MTSO and have her deal with it. As an MTSO owner, I do pay attention to these types of discrepancies and always will call the offender's office and let them know that their doctor is making these major gaffes.

Have written many a letter to a bad dictator, - IAMT

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never actually mailed any of them but did feel a bit better;-) Don't do anything you may regret later for many reasons including other MTs with the same problem dictator that may lose $$$ if the account is lost. We all have to suck it up sometimes and just do the best we can. Sometimes these bad dictators keep you on your toes cuz you have to think more and work hard on corrections. I know it is frustrating and costly but can usually make it up with the good dictators.

Had one oncologist I transcribed once who was the worst dictator, but was the best doctor with the best bedside manner, so I just assumed dictating was just not his thing.

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