A community of 30,000 US Transcriptionist serving Medical Transcription Industry
Hard to believe what mgm asks you to do - PR
Posted: Jan 13, 2013
This past week editing a report and the dictator was giving the diagnosis. By the way this was an ESL so lots of the voice recognition was wrong to start with, numerous corrections had to be made. The guy started out with 1 and then 2 and dictating away. They then said #6 and I did not hear the numbers in between. I sent instant message telling mgm and was told after the fact I should have divided the categories. I am not a physician, could not differentiate that clearly to start with, the guy changing his mind, going back and forth and am not putting myself in a position to guess what they want. I am really so sick of how dictators are being allowed to get away with murder. We are supposed to go here and there, adding this onto 1 category when they forget and want to update and then, oh go back to so and so and put this in. Dictators years ago never did this, why now? No one holds the dictators accountable, yet the transcriptionists are supposed to be sure the reports are 100% accurate. Dictators cannot pronounce English words, make a horrible mess of the reports and I am doing slow burn as I type this.
just to be clear... - Des
[ In Reply To ..]"Dictators years ago never did this, why now?"
Oh, yes they did. I've been an MT for over 15 years and you had better believe they were like this then, too. The difference is that back then, we were actually PAID to take care of those things for them.
Just to be clearer, sorry, have you beat in the years doing this - P
[ In Reply To ..]as this is my 41st year doing transcription and this was not done years ago. Some people then typing on a regular typewriter making several copies with carbon and had no way to do corrections except for erasing each and every copy. I started out on typewriter, correcting Selectric and there is no way that you could go back and insert a paragraph, just was not done. You could put something at the bottom but insert, nah.If you started 15 years ago, you had computer, we did not. We had a handful of people other than doctors who dictated, huge hospital, but not every person who thought they could speak would dictate. Also if you had an issue with a dictation, you could flag it, get answer and you could also ask a doctor about the dictations. Now it is not allowed to even say that a dictator should get their act together for fear of a company losing an account so therefore we as trancriptionists have to trudge through horrible reports. Oh, by the way, before I make a statement I always know if truth or not and like I said previously, YEARS ago, not done.
I agree. No it was not always like this - middleageMT
[ In Reply To ..]I too started out on typewriters with carbon paper. No we could not go back and insert or take out. There was no way we could make corrections on upteem number of carbons. If we had to type it over from the beginning because the doctor wanted something else, we got paid (and paid well!) for the 1st time we typed it as well as typing it a 2nd time or a 3rd time, etc. There was none of this putting up with the dictator's bad habits. We left blanks or we went straight to the doc and said get your act together! Fast forward 25+ years. I work directly for a hospital, thank goodness, but oh my at some of the horrible dictators and horrible quality of dictation we have to put up with. We complain and the management contacts the docs; sometimes they clean up their act, but more often than not they continue with the bad dictating habits (and they get contacted with blanks). The only thing is with computers we can now add this or take out that much more easily. But I'm still daily correcting errors made by doctors be it medication dosages, dictating lab data wrong, wrong dates, he/she, you name it.
I would think, also you would agree with this Middleage MT - PR
[ In Reply To ..]The work is much harder now than it used to be, for me at least it is. It should be easier but because of the dictators with their sloppy, almost incoherent words a lot of the time, I am having to leave blanks and no where in my past has it been like this. I know the work frontwards and back, no issue with that but how can you possibly do not only a correct job but an excellent job when you really have not much to work with? I sit here the days I work saying, "I really don̢۪t have to do this any longer" and yet I hate to give up the extra income. It is a catch 22 with me. Have worked since very early age, around 14 or 15 at my first job and is ingrained in me to want to work. Started on VR some years back, that has evolved to be a constant frustration because you can go for months and have really good reports and then first thing you know the reports are a jumbled piece of words. One of these days.......
You know, it is now a lot harder for some docs too - who are also employees being
[ In Reply To ..]pushed and pushed to produce more revenue. Also, because so many hospitals are having severe financial difficulties, many are requiring docs to see more patients instead of hiring additional ones.
It's not just on us.
Do I get to see you one and raise - 40+ years
[ In Reply To ..]Actually, they DID do this years ago. Many, many times, doing 5-part copies, I would have a resident say, "OH Sh*t! I forgot the PE." This meant I had to tear up 4 of the pages I'd just transcribed and start over. After a few times, I began billing the MTSO for them. But dictators have never cared how we are producing the work so to think just because you were doing this on a Selectric with 5-part copies meant they didn't change their mind, forget or be mumble jumbles is sorely mistaken.
Not, cannot raise because we are talking about - P
[ In Reply To ..]something different entirely. You are talking retyping. I am talking about not being able to insert nor were we asked to do that. You can tear up copies, start all over but you surely were never able to insert paragraphs, etc. on the typewriters. If a dictator changed their mind, you would put at the bottom of the dictation and by the way as far as mumbling, jumbling and so on, it is far, far worse now than then. We were allowed not only to speak to the doctors but also could call their offices to ask about a dictation. Most cannot do that now, including me and working doing same hospital as I did over 15 years ago.
Not my experience at all - 40+ years
[ In Reply To ..]I am talking about the same thing, where a resident would ask to go back and put in his PE. OF COURSE, I couldn't do that w/o having to retype the entire report. These were teaching hospitals in NYC and Philadelphia and never once were we told to just add it at the end.
And have you ever done any work for Perth Amboy? In 1979, I cried my eyes out of their sockets trying to understand what in the heck the dictators were saying. So, anyone who wants to purport that mumbly jumbly dictation is now is just whack. And dictators have changed their minds since the advent of giving dictation. Modern docs do NOT corner the market on EITHER issue.
Is someone disagrees, then they are called whack? - P
[ In Reply To ..]Never worked for Perth Amboy, never heard of them either. I also worked at a teaching hospital and still doing work for them now 15+ years later. I never remember having to retype a report. I do remember extremely well the quality of the dictators then and now. We had probably maybe 2 ESL physicians who dictated in the entire hospital whereas now, on the weekends about every one dictating is. No one said dictators did not change their minds but like another person and I both said, we had the same experience in transcribing and that was we put an ADDENDUM on the end. If I had ever came close to "crying my eyes out of their sockets trying to understand what he was saying" then I would feel I certainly was not cut out for this type work in the first place.
I agree not always done and never given a - bad review for not understanding (sm)
[ In Reply To ..]any of it. Doctors clarified their mistakes and actually would apologize if they were not clear in their dictation. Imagine that?!
Been doing this for 25+ years and started on a typewriter on a form with 4 copies and 4 different colors of white-out, but not once could a doctor insert an entire paragraph. It had to go at the bottom as an addendum.
Before seeing your answer, stated exactly same above - P
[ In Reply To ..]You did not insert, you put at bottom as addendum. In all my years, in fact, I do not really remember a doctor asking me to tear up a report and they would redictate. Never had to copy type a report. I know to get physicians to catch up on their dictations they would have these fantastic spreads for the doctors, lunches, dinners, one time was a seafood spread. Doctors were notorious for hating to dictate, thus guess reason never got redictations.
to: Hard to Believe..... - Anon
[ In Reply To ..]Do you Truly believe that this JUST STARTED RECENTLY??? I've been doing this work for over 22 years and they were doing it then also. The last girls I worked with were at the same place for over 35 years and worked on TYPEWRITERS (not the memory kind either) with 5 or 6 carbon copies. I asked what they did when a doctor changed his mind or wanted to "add" something. They said there was nothing they could do but start the report all over again from scratch! So if you think it's rough going up and down on a computer screen deleting, adding, moving text, etc., remember the girls who wished they had YOUR problem!! Also I have no idea how they could even HEAR the dictation with all that CLICKING and CLACKING going on in the room with 4 or 5 of them at one time!!! Those certainly were NOT the "GOOD OL' DAYS"!!!!
Loving the keyboard, making more money - P
[ In Reply To ..]Base pay and incentive combination. I type around 130-140 wpm and do you know how I could rack up? Anyone and I mean anyone who has ever used the Selectric keyboard would tell you the best they probably ever used and people seek those keyboards out now after all these years. As far as the other people working around, excellent because you "would not have to cry your eyes out" because there is another person sitting closeby who can listen for you. Also people were not paying attention to noise in the room, heavens no, no bother at all. I guess for people who are insecure, shrinking violets and have a tough time relating to others it would be an issue. Maybe you know people that fit that picture. In our office were never told to tear up and start over. We were taught in the office and guess our background was just top notch, never ran across anything like that. Just the difference is a really good background compared to suboptimal one.
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