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


MDs don't care, so why should we? - JoeUser


Posted: Sep 02, 2011

There you are, sittin at your desk, slammin your head into yet another mumbled dictation, desperately trying to divine the meaning of the muttering, frantically googling, stedman's open on your lap, cursing all foreign doctors everywhere, and then you get it! After ten minutes of listening intently, tilting your head to one side, pressing the headphones tighter, slowing down the incoherent ramblings, you finally figured it out.

Feel proud afterwards right?

Well, maybe you shouldn't. See, the reality is that a majority of doctors don't even read what we send back to them. They talk to each other, talk to the nurse, talk on the phone, eat their lunch, dictate more reports, etc, while hastily thumbing through the pile scrawling their signature or, in many cases, whacking away with a rubber stamp.

Yes, it's true that some physicians do scrutinize what has been transcribed from their dictations, but on the off chance that they do detect a glaring error, one so heinous that it demands correction, ya know what they do? They whip out their little pen, cross out what you transcribed, scrawl the correction somewhere, and whack it with a rubber stamp.

I'm sorry, but I just can't get all that worked up about accuracy when the physician responsible for the account isn't worked up about it. Anyone who has ever worked on the floor in a hospital, clinic, or anywhere else where doctors dictate reports knows that what I am saying is the truth. They just don't care. So long as it's "mostly" right, they're happy, so why aren't we?

So, the next time you hear dictation something like, "Uhhhhh... *thump*... patient was uhhhh... *thump*... seen... *thump*... on uhhhhhh... * rustling papers followed by a *thump*... Tuesday for a uhhhh... *thump*," yeah; that's yesterday's transcriptions getting the seal of approval while Aunt Margaret's hip replacement followup gets dictated.

And this concludes The Friday Post, brought to you by JoeUser. Have a great weekend everybody!

Where's that LIKE button?? Like-like-like-like - like-like-like-like-like! n/m

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Oh, I totally agree! - Mcg

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And you described me perfectly! LOL! I do all of those things you mentioned.. then I mumble to myself quite a bit. Too funny!

Also, I take great pride in gettin' it right but in the end, it's the docs' responsibility to make sure it's exactly what he wants in his own dictation.

MDs don't care - cr

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You not only hit the nail on the head, but are also a very good writer. I think most of us are perfectionists who want to make the reports correct and all pretty, but it probably is mostly a waste of time, and takes away from our line count. As Rodney Dangerfield might have said, "We don't get no respect." The doctors just want to get home, and the MTSOs just want us to produce so they'll make more money.

Necessary evil - SM

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I have said it for years - Dictation/transcription is just a necessary evil to most doctors. However, about two years ago I had an account go totally to VR. When a certain family physician in our area would get one of these VR reports from the local little hospital that thought they could do without the entire editing factor of transcription, she would send them all back for correction. I said to myself “That is going to be my new family physician” as she cared that the documentation for her patient’s was correct. So there are a few doctors who care if they get the correct information for their patient’s.

It is called WORK ETHIC - Does that exist any more?

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Call me crazy, but I take pride in my work and do my very best to produce the best document that I can produce.

Aren't you the same JoeUser who posted last week saying that he's still a student and the rest of us are just lazy for not producing 100% accuracy on our reports.

Yep. Thought so. Maybe you should go back to your school work.

Meow. - MTGuy

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Lighten up, woman!

Why should anyone lighten up? - The attitude expressed above is unacceptable

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Lighten up? When someone who has said that he/she is still a student and yet at the same time didn't understand why any MT working today is unable to produce 100% accuracy documents at all times?

No, I won't lighten up when someone basically says, you know, the doctors give us crap, so I'm going to give them crap back. It's that kind of attitude that is driving this profession into the toilet, and yes, to me it is a profession. I consider myself a professional and I work very hard to produce the best document I can produce. If you think that anything else is acceptable, then you need to get out of the business before we all get dragged down with you.
Well, I guess we're all a ray of SUNSHINE. - nm
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x
I agree with you. Don't worry, I seriously doubt - JMHO
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JoeUser will be in this profession very long with that attitude. If a student now, will probably get fired from first job for quality and/or attitude issues. Complaining about doctors on this forum is one thing, but taking it out on a patient by sacrificing the quality/integrety of a report is totally unacceptable and unprofessional, and these people are usually weeded out of MT fairly quickly. I have fired several in my time with the attitude "if the doctor does not care, why should I?" They simply do not belong in this profession.
Troll Alert - sm
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I think some of you are being snookered. The person, posting and then posting again to agree with himself/herself is just trying to start something and is most likely not an MT, student or otherwise.
Yeah, non-MTs come to this board all the time. - Just passing through
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Perhaps stumbling on it while surfing the Web and thinking "oh, maybe I will stir things up about something I know nothing about." Geez.
Probably lots of canned people come complaining - instead of admitting they were fired. If
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they only knew how bad their "cover" complaints make them sound. There isn't a company in the country that would hire someone like this knowingly, in or out of this industry.

''Meow'' - AGAIN?

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Isn't this the clown who calls himself KSGuy on the other board? Poor thing needs to think up some new lines for his tired repertoire.

holy cow...it was designed for a laugh. - humor? anyone remember that?

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sheesh

Oh, my bad. Ha ha. Very funny - NOT

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xx
lmao. the way it reads, your name is NOT. Hi, I'm Happy, and you are?.... - enjoy the holiday. :o+
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It's a holiday weekend, I'm off, and I'm stoked. So shoot me.

They must not have a lot of pride in their work... - hmmm

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I'm thinking of a particular couple of docs who chew and smack gum - EVERY TIME THEY DICTATE, FOR THE ENTIRE DURATION.

My mom taught me that smacking gum when I talk is rude.

Lol. Maybe we should start asking that when - we go to see a physician

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"Do you chew gum when you dictate my chart because obviously if you enjoy a piece of gum during your day you have no pride in your work."

Yes, it sucks, but it is part of the job.

I totally disagree. People used to type my reports, - and I learned fast not to expect

[ In Reply To ..]
them to be to the standard I would wish. Political and social issues kept me from pushing to correct all but the most egregious errors, and, of course, I was just too busy to fuss over it all too much. Not half as busy as way too many physicians these days, though.

The fact is, their time is enormously more valuable than ours and they need to spend it wisely. The same downward pressures we feel have hit many of them. Medicine is not a high-profit producer for their employers, and those margins have to be brought up somehow. Many are badly overworked, BUT with patients' wellbeing depending on their being able to handle it all.

Even a little reading can enlarge one's outlook enormously, BTW.

Then I guess you better just type it yourself. - hmmm

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: P

Totally disagree with your inane post... - sm

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All your genuflecting to physicians and their ''enormously more valuable time'' aside, the fact remains that there is a job to be done that involves the production of an accurate medicolegal document that can potentially be used in a court of law. Lowly MTs (whose time and expertise according to you are of no real consequence) are dependent on the professionalism of the dictator to produce this document with accuracy. Regarding the ''downward economic trends'', gee, things are tough all over now, aren't they, but that does not change the fact that if they do not discipline themselves enough to speak intelligibly, then they are preventing the MT from producing the accurate document that they need. ''BTW'' It's YOUR outlook that appear to be badly in need of enlarging, so why not take your own ridiculous advice and pick up a book some time instead of posting your sanctimonious nonsense.

Wow. Mean. Like it or not, we're here to help - them produce their reports. But why so

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defensive? I chose transcription so I could move to the country and go out and garden when I want to. It's not low work, just relatively low skill. That's reality.
Wow! This profession is "low skill"?!?! You COULDN'T be a real MT. - JustPassingThrough
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Either that or you only typed office notes for the duration of your career.
''Low skill''? - Seriously?
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She's obviously inhaled too many pesticides while out in her little garden. That or she badly needs to wear a sun hat.
Nothing ''defensive'' about pointing out - sm
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the stupidity of your post. Might be a case of stating the obvious, but nothing particularly defensive about it.

Dont' let the door - mt2

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hit ya where the good lord split ya. No one is forcing you to do this job. No one is forcing you to do this job. Repeated it twice just in case you didn't understand it the first time, in case I was mumbling or something.

It's your JOB as an MT to take the spoken (and now voice recognized) word and turn it into a legal document. What did you think you signing up for, kindergarten?

Attitudes like yours tick me off. If you don't want to do the job, then go call Mickey D's and god help the customer who doesn't enunciate clearly.

Take a chill pill! - chillpillMT

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It is called HUMOR - let me spell it 4U: H. U. M. O. R. Got it? K, thx!

Great idea! Mickey D's would also allow them to tell off - people to their faces for real satisfaction. NM

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x

Been scribing for 30 years. It's never been about - the MD or MTSO for me.

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When I sit down to do my work, my focus centers around 2 things. First would be the personal pride I take in the fruits of my labor, which reflects the blood, sweat and tears I have contributed over 3 decades of expanding my knowledge of medicine and technology while perfecting my skills. The second, and infinitely more important primary focus, would be the PATIENTS and their families (who at one time or another could be ANY of us) on the receiving end of the medical care chain. I consider my work to be a highly visible and significant link in that chain. I identify with every single person who stands between me and them, to include all hospital and clinical staff, from receptionists, admissions and clerical personnel, to MDs, PAs, nurses and their aides, therapists, technicians of all descriptions, pharmacists, dieticians, housekeeping and the myriad of ancillary service workers who all come together day in and day out to take part in the provision of medical care. The PATIENTS and their well-being is the one common denominator we all share. I take much pride in the role the record plays in the advancement of medical care and research, and make it my personal responsibility not to lose sight of that.

The MTSO, IMO, are simply the "fetch-me" folks who find my work and get it to my desk. I never look to them for appreciation or validation, nor do I expect that from any of the other team members who go about their business oblivious to my existence or the part my work plays in their daily lives. After all, it is the PATIENT who commands all of our attention, which is as it should be. I learned a long time ago that ultimtely it is nobody's job but my own to recognize the value of the contributions I bring to the table. For me, transcription is intensely personal and is an endeavor I pursue for my own sake and that of the PATIENT, PATIENT, PATIENT. They are the ones who deserve my very best efforts and are the driving force behind my commitment to excellence, regardless of any and all of the down sides that lay between me and them in the course of a work day.

Very well said, bravo - NM

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xx

The main issue for me - Had it!

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The big issue for me regarding this is the fact that I get so much of the ridiculously crappy dictation that it slows me down to the point where I can't meet my minimum line count. Therefore, I have pay decrease and job loss hanging over my head on top of the frustrations and hurting ears. It's BS!

I don't have the option of working extra time to get the lines in either. We have shifts and have to get it all done within that time and, of course, have blank and quality requirements too.

For the little effort it would take the dictators to do their part properly and the difference it would make for us, it is complete BS that this goes on.

I would certainly have great respect any MTSOs out there who don't tolerate this from the client.

Any "MTSOs out there who don't tolerate this from - the client" are out of business. NM

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x

Or maybe ... - Hat it!

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...if it were handled properly they would gain respect or end up with decent clients that get it!
Or - Had it!
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...they should as least give us a break on lines for having impossible work.

I see my typo on name. Perhaps "hat it" is better anyway. lol

Well said to Had It! nm - JustPassingThrough

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nm

That is what blanks used to be for - to let the physician know his dictation was crappy. - MTs should not be penalized for them IMO. NM

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x

Exactly. nm - JustPassingThrough

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nm


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