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Correction, Correction, Correction - Go back..Change this, change that..

Posted: May 17, 2014

A million times throughout the report. How do you keep you keep your sanity or make a decentl living with all these dictators?

So you delete, delete, delete - and watch your lines

[ In Reply To ..]
dwindle to the little nothing that you find in your check every pay day. Isn't VR just GRRREEEEAAATTT!! There doesn't seem to be much mention that in addition to the crummy line rates that we are paid, we only get the lines that are left after all the real editing is done.

Yes, VR is a total nightmare. - OP

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:( Guess it doesn't matter which editing program you're using - they all stink, as far as I know.

Doesn't help that most of the doctors stutter/stumble through their dictations either. :p

If you ever saw a really decent (and there are some) - VR you would be surprised

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I work at a company that uses Escription. The majority of the time our system is about 98.9% accurate. It picks up English just as well as ESLs. I am amazed it is so darn near perfected. I do not see the time when all MTs will be something of the past but this VR is almost spot on.

Question - see question pls

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Are they good dictators?

I don't see ESL as the worst dictators. Dictators who back up over themselves (clear English or not) are the distaster on ANY program. The problem lies with the companies throwing any old dictator on there. That's what's nuts. The machine can't know that the dictator changed his mind, it just types what it hears.

I used to work for one of the biggies, and if I was lucky enough to get a good dictator, it really wasn't so bad. Trouble is, the hospitals don't have many good dictators---but clinics do, and when I had all clinic for about a week one time, the ASR was just fine.

SO, it's not necessarily the SR, it's these companies just decide to throw hundreds of dictators on it, not even thinking about the mess.

Are the physicians trained - or is it

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engine-trained. The VR I have to correct, the physicians are not trained, do no formatting so basically is just a bunch of words the system puts out that has to be made into a report. If the physician happens to speak clearly, dictate the format headings then not too bad but it is the extra work put into the report that takes so much time making it a report that drives me nuts in addition to correcting the unrecognized word, basically redoing the whole report; this is more the case than not.

I doubt they are trained - see msg

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I doubt they are trained. This was for a big MTSO, and we all know they don't train the dictators and maybe don't even tell them anything about being on VR.

I would never say they are good dictators - and who gets those all day long

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Just an extremely good system.

I have seen very good VR (sm) - Rose

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But only from very good dictators, English as primary or ESL, but as long as the dictators are not trained how to make a correction or change, they will need editors to do that for them, as well as correct all the he vs. she and other things VR hasn't been able to master in 25 years. VRs accuracy is mainly a result of repetitive phrase training. Note the first line where the doctor dictates the patient's name, DOB, referring physician, etc. is jibberish. Thats how VR does with single words that don't fit into a phrase. So it takes very good dictators do dictate things out of the ordinary and very few can do that with good accuracy.

I've seen very good VR turn to bad VR from the training method, i.e. you can teach it CA 27-29 and from that point on every lab value that is 2729 is transcribed 27-29. Same with teaching it "FISH 11:14" and the next time it get dictation "He had fish at 11" it will come out "he had FISH 11:14". VR still can't distinguish 2, two, to and too. It will give a weight increase of "3 or 4 pounds" as "304 pounds". It just cannot do the job that requires a brain, and if the dictators are not willing to edit the documents I think they will always need editors.

As we have said before, front-end VR does - NOT require editors

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Front-end does not require editors. It never even goes to anyone else. Not to an MTSO, not to HIM, not to MT, not to a secretary. It is machine-transcribed right in front of them. They can fix it, or sign it as a mess, or they can learn to do it so the VR does what they want.

The goes-to-MTSO scenario ou describe is time-limited. It will continue only until facilities get their EHRs integrated with a front-end VR system.

With all due respect to American MTs - but not the pariahs

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It is a total waste of an MD's time to be performing those clerical tasks associated with front-end speech wreck.

Those products force dictators to organize their dictation into a pattern easily recognizable to a brain dead program. Rather than dictating as they have been for years, they have to change how/what they say to avoid editing time. MDs as transcriptionists. What a waste!

"Clerical" tasks??? - Are you an MT?

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If I said MTs performed "clerical tasks," I would be criticized for insulting them, yet here you are -- presumably an MT yourself -- calling your job "clerical tasks." Hmm.

In any event, the doctors are not performing clerical chores with FRONT-END VR any more than they are when they dictate, because that is all they are doing ... DICTATING.

You do not seem to be getting it that front-end VR does not return the mish-mush that BACK-END systems -- what YOU use. You also do not seem to grasp that doctors are oriented to the content and meaning of the report, not to spelling, punctuation, and formatting, as you are. They just write.

And, before the usual "people will die!" clamor starts up ... no, they are not dying from spelling errors, bad punctuation, or uncapped headings.

That was uncalled-for rudness. - nm

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;lkj

What I Did - I left MT, but see msg for suggestion

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One thing I used to do is this: If the dictator keeps saying "correction," use the function in the software (if there is one) where you can type a word into the Find field, and all the words "correction" will be deleted in the report in one swoop. The program I was on, you just typed the word, then put nothing in the "replace" field, and all those words got deleted in one shot.

It's not everything, but it's something. If the dictator actually needs the word correction in the report for some reason, you can always add it in.

I used the Find/Replace function for he, she and things like that. It really does help. I also used it for when he kept saying the patient's name, and we were to only type "the patient" in the report.

I left MT because of the VR cut in pay. I hated VR editing, but if they paid me decently, I'd still be doing it.

I wish my platform had find/replace... - But NOPE!

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I know myself and other MTs have been asking for it at my MTSO but yet they just can't/won't write it in the software but yet "update" the same stupid stuff all the time that makes no difference or has to be changed back.

If I had find/replace I would be happy (well, happier). Maybe that's why I hate VR so much because of not having that feature. Especially on days where the patient's name is Maddyssyn or some stupid spelling like that but VR puts it as Madison the common spelling and so it's not caught on spellcheck as it is not spelled wrong. And especially if I have to change that stupidly spelled name 27 times in one psych report. One of my biggest complaints of VR is having no find/replace for sure!

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