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Doctors seem clueless that cell phones - muck up their dictation.

Posted: Jun 14, 2014

Don't they realize that cell phones and similar devices make their dictation a mangled mess with words being cut off? Or do they just blame us?

They don't care. - xx

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Once the words leave their mouths, in their minds the dictation is somebody else's problem.

It seems like they should care when they - yap on for 10 minutes or more.

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:p

I really think most doctors are too ignorant to - realize what the problem is

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Most doctors aren't into even basic technology these days.

What bothers me is the total laziness - of these dictators.

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Most doctors/dictators probably only dictate 1 or 2 dictations a day, whereas we transcribe dozens. When they say something like "cc to Dr. Smith" without giving a first name of the doctor, there's no excuse. There are about 50 Dr. Smiths, some within the same specialty. I'm not psychic.

Hmm, I wonder who told them - cell phone dictation was ok?

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It couldn't be our employers, the MTSOs, could it?

Why, yes, I believe they probably did.

What the heck do they care if it makes it difficult for us, they are only interested in profits for them and we get no more whether we have to decipher a terrible cell phone recording or a perfectly clear dictation done in a quiet place, so no skin off their nose.

Gah!

theres an app for that - sign of the times

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I receive cell phone dictation by a physician who uses an app on his iPhone. He dictates using the record function. Once it is stored in the phone, he has the option to upload the dictations one at a time or as a group. He can send them that day or wait until another day.

The handshaking platform? Emdat.

Who bought Inscribe Emdat? Nuance.

I don't have a problem with the software per se - but maybe improve the quality?

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We always seem to be the last thing considered and have the least effort/$ expended on anything to improve technologically the dictation and transcription process.

It would take just a little bit of effort to improve the garbage we get, and there are so many ways to do it technologically (improve the sound quality, automatic reminders to dictators to actually speak into the mic and not too close, etc.), it is incredibly depressing to think they can't be bothered because our time and effort is apparently not even up for consideration.

this does improve the sound quality - sign of the times

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Because the voice is recorded locally on the cell phone (without interference by faulty cell phone connection), the quality is pristine. The sound file is sent by email to the MTSO's platform, which also eliminates faulty cell phone connection.

The problem with poor quality voice recordings made over a cell phone connection lies with the platform not providing a sound solution to the problem like in this case.

Dictation is the LAST thing they want to do in their day. sm - Feather Tuscadero

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It is tedious, time consuming, repetitive, requires recalling details on many different patients from many hours past. They typically leave it until the end of the day when they are dog tired, or they try to squeeze it in between peeing and a department meeting (all 26 patients).
To them, as long as their end *gets done*, and by *done* I mean they have talked quickly into a black hole of nothingness called a dictation system, their responsibility is complete.

They became doctors because they had an aptitude for doctoring, not for oratory.
Every one of us--MTs and docs and nurses included--are under increasing scrutiny for attention to detail, minutiae, and all-around perfection. It is increasingly frustrating to all of us.

I have had a few docs who were ALWAYS pleasant, clear, jovial, joke-cracking, and liberal with their use of normals, but they are few and far between. I appreciated them immensely and missed them terribly when those accounts were offshored.

I have sincere empathy for every issue brought up on this board because I have experienced all of them over my 17 years in MT.

Docs probably DO blame us for the holes in their dictation...and we blame them...and QA blames us....and we blame QA...and we all blame management, who in term blames AHDI or the individual hospitals, who blame "the government" or "the consumer"....

I think many MTs--the really good ones--are perfectionists, and it really gnaws at us to not be able to complete a perfect chart. Having no control over the missing parts is doubly frustrating to those of us with this personality trait. The bad dictators don't get to see our perfect charts, or hear the impossible garble that we somehow deciphered, or the errors in THEIR dictation that we caught and corrected.

This is a terribly under-appreciated profession we have chosen. It just is, and that isn't going to change. If you need more appreciation, you have to find something else.

This is in no way a condemnation of the OP. I have sincere, been-there empathy. I had enough of all this myself, and I got out.

Garbled Dictation - Oldtimer

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I'm totally convinced the doctors simply don't care. How could they care about patient's reports being perfectly correct when they speed up to the speed of an auctioneer when they get to the lab results and PE? And to take away their privilege of dictating on their cell phones would be just too much for them to accept. What? Dictate at the hospital? Oh no! I'm going to dictate while I'm driving home in the comfort of my Mercedes or better yet, when I GET home and the kids are all screaming and the dog barking so the digitized voice is even more garbled and there is an abundance of static. Yeah, I can really see the EMR (electronic medical record) thing working perfectly for them. They are going to be left to construct their own reports with all canned phrases. I can really see that being a perfect solution. There are going to be so many lawsuits from errors in reports. They are going to HAVE to have people audit these reports. I guess that's where we, as MTs, are going to rollover into.

yes, but at what price? 1 cent a line? - working for PNETs

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I don't see their need for us to continue what we are doing as a reason to give any of us a raise. We will still be working for peanuts. If some can exist on this pin money, I salute you.

None of that was meant as an offense to the OP. I hope we can still work into the future, but I want a decent wage to go along with it. It's demoralizing. Our knowledge is worth something.

Yes, wouldn't mind so much if we were paid fair wages. - OP

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You people who say you "got out", can you share what you're doing now?

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