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

I honestly believe that if physicians/PAs/et cetera, talked - wannie

Posted: Oct 21, 2009

to their patients the way the transcribe, many of them would soon have no patients to worry about. I'm listening to this one nut that is making paragraph a 2 syllable word. He is pgraph. How do these folks manage to get medical licenses. They couldn't possibly have passed English!!!!!!!!!!!!!!!!!!!!!!!

i honestly believe... - agreed

[ In Reply To ..]
you are correct

many dictate in a way that is just this side of incoherent, write near-illegible (or incomplete) orders, and think nurses should take verbal orders that are mumbled on their way from one patient to the next. who is held accountable??? not the doctor!

i have one doc who talks so fast (in an office setting--not hurrying from one patient to the next in the ER, which i could understand) that she slurs her words, sounding sometimes like she's drunk.

the rage recently has been "dangerous abbreviations." one nurse i know told a pharmacist that if doctors would write clearly and people would take the time to read what was written, there would BE no "dangerous abbreviations."

IMO, attention should be paid to "dangerous dictating." i don't mind correcting grammar, etc. spending 10 minutes on a 2-minute dictation because dr. drunk doesn't stop to take a breath and enunciate is ridiculous, though.

:::sigh:::

oh, well.

great concept: dangerous dictating. nm - alias

[ In Reply To ..]
.

I've heard docs like that and always wonder how - sm

[ In Reply To ..]
they are able to make themselves understood to their patients. At least we are familiar with medical terminology, so we know what they might be saying, but I can't imagine how their patients can figure it out.

I agree! How many times have you typed a report where - the patient misunderstood the -sm

[ In Reply To ..]
directions given about how to take their medication? ALL THE TIME! And that doesn't even take into account language-barriers. I'm talking just plain hurried and careless instructions. I personally have taken medications wrong, not because I didn't listen or wasn't an informed patient, but because the PA who came in to the office after the doc had gone, and was handing me the medication and explaining how to take it, was in a hurry and left out something vital. So I was taking meds q.6.h., when I SHOULD have been taking them q.3.h.

And how about when they blast through the meds list on reports? Do they have any idea how similar "15" and "50" sound? Even with above-average hearing and 35+ years of MT-ing, I have trouble distinguishing between those two numbers. Even if the doc slows down! I think sound-alikes should be added to the "dangerous" list, as well. It should be mandatory that docs dictate the numbers 15 or 50 by saying "15, one-five", or "50, five-oh". They're relying on us to look up the drug (hopefully they at least pronounced THAT correctly, but often they did not), and see what the normal dosage is. Hopefully the normal dosage is what the doctor was actually prescribing.

They all squawk about medical malpractice risk and cost, and they don't do a blessed thing to try to reduce those risks by ensuring that their dictation has been properly understood and transcribed.

I used to have one doctor who said - Old and Tired MT

[ In Reply To ..]
All his elderly patients were hard of hearing because they all said "huh?" when he would tell them something. It never dawned on the idiot that because of his horrible accent, they couldn't understand him. He was a terrible dictator and if OUR ears couldn't understand him, what about the poor patients? They all think they speak PERFECT English and its the stupid MTs fault if we leave blanks. I wonder how many patients have it in their records that they are hard of hearing when they are not.

like I said before... - chips

[ In Reply To ..]
They take seminars on how to treat patients, how to make more money, even how to do just about everything... why not HOW TO DICTATE MEDICAL RECORDS to make sure that the patient record is of upmost efficiency. They can take a 30-minute seminar including things like: Dont eat while dictating. Don't cough or yawn into the mic as it is rude. Make sure you give as much patient info as possible to make sure it goes to the right patient. Make sure your records are prepared before dictating... That is just some of them that could be jammed in a 30 minute class. Would be nice, but not going to happen.

Of course, that's not going to happen - Old and Tired MT

[ In Reply To ..]
We can dream, but they don't really give a rip about the medical record and paperwork-- until they are sued, that is. I have found from experience that once they are sued, they are VERY careful to document the least little thing. Up to that point, the dictation is just a drag. They didn't go to medical school to do anything mundane like dictation.

It seems to me that - Willa

[ In Reply To ..]
the MTSOs should take some time and really speak to their clients about how important it is to do their best with dictation (and point out the things like 15 vs 50, etc.).

If everyone weren't so darned afraid of losing business, it would help, but sometimes I think the companies would get more respect (and continued business) if they were firm, told them the truth about their dictation, and expected decent audio files from them.

i saw that somewhere - little MT

[ In Reply To ..]
some company--don't remember which--has a thing on their site with tips for dictation. i'm sure every practice hiring this company makes sure their docs, PAs, and whoever else reads it.

*snort*

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