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

overqualified for entry level, underqualified for everything else????? - AmberG613

Posted: Mar 26, 2010

Okay, here's the situation I am in. I graduated school in 2008, but i got hired before I even graduated and I have been transcribing IC for a local family practice for 3 years. Therefore, I have school + 3 years experience, just not in a hosptial or acute care setting, which seems to be everyone's requirement!

I noticed someone said Spheris hires newbies so I checked out their site. For the new graduates, it says you must have graduated in the past 6 months or within the past year and worked 3 months at transcription. (It appears I am over qualified to apply for this job)

The next job tier up is for acute care and requires acute care or hosptial experience. (It appears I am underqualified for this job)

I am trying to figure out should I try to apply for one of them and if so, which one?

I would greatly appreciate any suggestions or if anyone has any idea how to contact someone at Spheris to ask them this question, as there is nowhere on the site with contact information for support during the application process, I would also appreciate that information!

Why do you want to work for a large company when you have a job.... - AzRain

[ In Reply To ..]
apparently as an IC? Why not just try to get new clients and continue to work for yourself? I know the taxes and lack of benefits suck, but so does working for a big chain where you're just a number.

overqualified for entry level, underqualified for everything else????? - AmberG613

[ In Reply To ..]
Well due to an office manager who cut throat and sabotaged me so she could give the job to her granddaughter, I no longer have a job. I live in a rural area and it is extremely hard to find any clinics in my area that currently need an MT.
Also, the taxes and lack of benefits is a huge thing for me now, as I am going through a divorce and my daughter and myself will no longer have any medical coverage.
I was hoping to take the opportunity of not having a job to force me to find one that does have benefits instead of just "making do" where I was.

Sad situation - RLee

[ In Reply To ..]
Unfortunately there are other MTs in your shoes or in a similar situation - I myself have 22 years under my belt, but no acute care exp or hospital exp, as I worked in private practices for 18 plus years. The job situaton out there is a dog eat dog world and with so many seeking work unfortunately - the big nationals receive so many applications -I guess it is their call.

You have 22 years MT exp. but no acute care or hospital experience? - Is That Unusual or do you have lots of company

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I was just wondering if lots of MTs are in that same situation of doing MT for many years, but never having done acute care of hospital transcription.

Bummer! Maybe someone has an idea that will help.

No acute care here either - cj

[ In Reply To ..]
I have years of hospital transcription experience, but for radiology. I have a lot clinic work experience with multiple specialities, but no acute care or basic 4.

Its rough when that is what is mainly out there.

No hospital or acute care experience - RLee

[ In Reply To ..]
I have always worked in private practices up until the last 4 years. I worked doing all outpatient and clinic work in only neurology and psych. Even with a national I only worked doing outpatient/clinic in those 2 specialities, although did do family medicine in the last few years on an outpatient level, which was not limited to speciality obviously, as it was family medicine and did quite well even though it was not limited to neurology and psych. With that said - I am not qualified to do inpatient hospital acute care. I have only worked for 2 private practices and one national (Deventure). If you include Transcend that would make 2 nationals. I had no need to bounce from company or practice up until now.

MT for nearly 9 years, the first 5 was completely office/clinic work. - nm

[ In Reply To ..]
nm

28 years and no acute care or hospital exp here either - Specialities out the yingyang

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Since 1982, numerous specialities, but never acute care or hospital.

However, with my skill and experience, I would not hesitate to apply for acute care, even if they indicated "acute care exp" only... and sell the heck out of myself... if that is what I needed to do. And I would put money on walking away with a job.

I would advise the OP to apply for both. The worst thing that can happen is they will tell you no thanks.

I am in that exact spot, Only have worked for a clinic. no message - myka

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no message

There are some big companies that don't have horns. - :)

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Some of the best money I hear about are coming from MTs working for larger companies. They aren't all bad. I do know that once you've been burned by one of them, it's hard not to put them all in the same category.

Not wanting to create a fuss. Just making a comment. Better get some housework done and then enjoy the weekend.

Could you tell me which ones aren't bad? - NM

[ In Reply To ..]
NM

You'll never get answers with such vague and nonspecific questions. - nm

[ In Reply To ..]
nm

There is a reason why nobody talks about the good experiences by name - See message

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If I say that Company X is a great place to work, and with their incentive and bonus plans it's possible to do very well, we all know what will happen.

We'll have a thread full of people who had a bad experience with them. The people who have good experiences will be outnumbered, not because there are more unhappy people, but because happy people aren't that motivated to post about being happy. Anyone with a gripe or complaint is highly motivated to convince others to feel the same way.

It wouldn't serve any purpose to list positive experiences.

That's not to say that the people who had negative experiences with the "good guys" are wrong. They experienced what they experienced. It's natural to want everyone to share your opinion, especially if it's a strong opinion. I'm guilty of that myself.

For instance, I have favorite charity organizations and for years I wondered why everyone else had different favorites, or none at all. Finally I realized that we are not all the same.

In fact, we go through the same situations and see them entirely differently. I finally relaxed and stopped trying to convince everyone that Charity X is the greatest and Charity Y is worthless.

I hope that answers the question about why I'm not going to answer the question.

You are also branded a liar and/or ... - sm

[ In Reply To ..]
... too stupid to know you work for a horrible company and are being used, abused, and taken advantage of.

Or you are a suit.

The unhappies outnumber the happies by droves. But that is the nature of any 'net message board, in general.

Exactly. They post saying you only think you like your job. You really don't. - Being unhappy is part of their life script

[ In Reply To ..]
There are people who are never happy. It's part of their life script, to be unhappy. Some like to spread that around unfortunately, and get angry and mean when they run into someone who has decided to be happy.

There are plenty of people who really do like their jobs and are doing well. One key to doing well is being able to do all of it, acute care and clinic, including all or most specialties. It's also important to be willing to change as the industry changes, regardless of how many years you've been doing it.

Of course it's also okay not to change or improve your skills, as long as you have other job options and are ready to move on. The problem I have is when people don't move on, but they also don't stay up. They are miserable and want everyone else to be miserable too. There's something very unhealthy about that.

Nobody ever said that medical transcription is the right thing for everyone and always will be. It is, however, the right career for many people for a particular time, maybe not forever, and then they may move on to something else. Some never want to move on to something else and those who are miserable are angry about that evidently.

I always want to ask, would it be alright with you if I make my own choices please, and if I'm happy, would you please just go take care of your own unhappiness and let me be happy.

Good points all. - LK

[ In Reply To ..]
What I can't understand is why if people are so miserable with a job or company, they don't just move on. They go on and on about how unhappy they are, and then go on to give all the reasons they can't change anything. I believe that you have to make your own happiness, and often that means change. The few times that I've posted something about being happy with my job, I get people telling me I have my head in the sand or get the "you just wait, it won't last and you'll eventually be as miserable as I am" kind of response. They say misery loves company, and I guess it does!

If all the facts were known behind all the posts - it would be interestig

[ In Reply To ..]
There is much to be learned from people who have been and are successful in medical transcription. That is the value in forums like this.

If we had the facts behind some of the posts though, or if we met the people in real life, I think we would value some messages much more than others.

For example, we know that many here are sincere when they say they have been transcribing for many years, in a narrow capacity, restricted to doing maybe one or two specialties, but not able to do all types of medical transcription. Some have told us that they have for years being doing clinic work and they would love to get into hospital or acute care transcription but don't know how to do that. That's an honest evaluation of skills and I think most of us would respect that in person and/or on forums like this.

Others weren't familiar with the term 'acute care' and they have been very honest about their situations. Those are also the people I would love to help if I could.

Then we have people who are also very sincere when they tell us they are just burned out. I've experienced job burnout before and I can relate to that. The only cure for that is to move on to something else, but that isn't always easy, so while they consider their options, they talk about it here with cyberfriends they will never meet in person. That's a good way to vent as long as you don't 'live there' as someone said earlier.

Then we have people who, if we had all the real facts in front of us, have very poor attitudes and maybe poor work skills as well. Everything is always being 'done to' them.

All employers are bad.
All QA people are stupid and mean.
All MTs are doomed.

In other words, they are victims. They are always right. Change? Adapt? Never!!! Move on to something else? Naw, that would be too easy. They love it when they see someone else having a bad day. Rather than change their own situation and make it better, they would rather spread misery, which certainly is contagious. Those are the ones I really feel sorry for. The ones in the other categories have hope, but the last category will take their misery any where they go. Maybe they know that and that's why they don't go.

We all know someone like that in real life. We are able to avoid them, ignore them, or get out of their way. They have found that on the internet, they can speak loudly, often, and with (fake) authority, and someone will always listen to them.

I think I would prefer to be more selective in what I read. There is much to be learned from people who have been and are successful in medical transcription. That is the value in forums like this. That doesn't mean I don't care about the people with poor attitudes, but I sure don't want to be around them, in cyberspace or real life.

I would enjoy knowing some of the posters but some are like people I try to avoid - Meeting Posters In Real Life

[ In Reply To ..]
There are people I try to avoid. I'm thankful for caller ID. LOL. Some of the people who post on MT boards would go on that list. The ones who are working as MTs and are doing well at it are the ones I'd like to know better in real life.

Overqualified? - Anonymous

[ In Reply To ..]
My advice would be to apply to all of the companies, you still might get asked to test. A lot of places will let you use reference books and the internet to look things up. If you can pass the test then you might have a shot at a job. As far as managers giving jobs to friends and relatives, I worked under someone like that until just recently (he's gone) and all I can say is I feel your pain.

At Spheris you should apply for an entry level job. It's going bankrupt, so I heard. - nm

[ In Reply To ..]
nm

yes, i heard - AmberG613

[ In Reply To ..]
Yes, I heard they are going bankrupt and getting bought out by MQ. I tried to test for MQ and the test like automatically rejected me, even though I know I did well. I don't know what happened there. I am currently in the process of testing for TransTech, anyone know anything about them?

Spheris - Ann H.

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I ran into a fellow MT at the post office today and she said they definitely are going bankrupt. In addition she said they have very little work.

I would avoid Spheris because you will likely wind up with MQ - M-tok

[ In Reply To ..]
which I cannot recommend to anyone w/o 100 yrs of experience.

I would look for an MTSO that does not offshore because the easier work goes offshore and the really horrible stuff stays back home.

You might check out community hospitals in your region. I've worked for major teaching/research institutions and small local hospitals, and there is no way to compare them. Multispecialty clinic work is probably harder than some of smaller hospital work, but major (tertiary) hospital work is not for anyone under 50 with less than 20 years experience. JMHO

it appears? So, you are assuming without applying. - n/m

[ In Reply To ..]
..

Sadly 3 years at FP IS NOT qualfied MT - .

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There are MTs and then there ARE MTs. I don't believe you could come close to making it working in a hospital doing acute care or with a large company in acute care. Not meaning to be mean, you just could not handle it. I just think you could not do it, not even close.

It takes a great great deal of skill, over many many areas; there are many different levels of hospital care (ie what services a particular hospital provides)the specialities and subspecialities and all the products, drugs, procedures etc that go with them.

I suggest you stay with doctor offices, doing pretty much the same doctor/doctors and get the same terms over and over. It is entirely different than acute hospital care, teaching center, trauma center etc etc etc.

I think it depends on her skills. - sm

[ In Reply To ..]
I was in her exact situation. I worked for 3 years for an orthopedic surgeon as an office manager wherein I did everything. Scheduling appointments and surgeries, obtaining authorization, billing, and a little transcription. When he retired, I worked 3 years for cardiologist in a rural area strictly on transcription. When he retired, I decided to give it a shot at home and started working for a friend who had recently got an account for our rural hospital and also applied with MQ (back in the day) who tested me, hired me, and put me on Presbyterian Hospital in NYC. I worked more than full-time hours, as it took me a little while to learn the ropes, but within a year I was full-time on Presbyterian and transcribing almost 1700 lines a day.

OP - I think if you were to test with a large national and pass, you could very well talk to them and have a chance IF you are committed. But just keep in mind that the field is constantly changing. You are going to have to commit to a lot of hours while on the learning curve and may have to learn VR in addition. You may find that the hours devoted to it still won't allow you to pay the bills. It all depends on what you put into it. I went into the field practically green, but at least you have an education. All you need now is the opportunity.

Nothing new to learn for VR if using keyboard & mouse - nm

[ In Reply To ..]
nm

I think you're wrong there! VR requires more than just pushing the reports through - anonymous for now

[ In Reply To ..]
You need experience to do VR. You need to know drug variables and lab normals.You need to have a good grasp with dialects for ESLs.

VR doesn't mean you just float through the reports. I've seen a lot of reports lately that are crap because the MT doesn't care, or doesn't have any idea of dosages, diagnosis, etc. It takes more xperience to do VR than it does to do regular transcription.

Over and above my above statements, it takes experience to know who, what, where, when, and how. Patient care comes FIRST. It is the MT that can decipher all this information into a solid factual record without errors, so don't state VR only uses a keyboard and mouse. That is a totally wrong response.

what is then YOUR suggestion to make the switch to acute care? - NIA ?

[ In Reply To ..]
nm

Try for an in hospital position and/or keep testing - Backwards Typist

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It will be frustrating to keep testing, but who knows? You may be more qualified than you think.

Try for an in house hospital job. I did it as that was the only way to get experience in my area. I worked 4 months for a hospital before I had to leave for illness in my family, but that was enough to help me get further in acute care.

I truly don't think I would go for a national with the wages they are paying today, but that's my opinion. :-)

I agree - Dolly

[ In Reply To ..]
Go for an in-house hospital transcriptionist position. You can get training, learn on the job and get an hourly wage while you are training. I worked in a hospital for 6 years and learned lots and lots. It won't take you that long to get experience. Good luck my friend.

Reply - Ima MT

[ In Reply To ..]
First, I'm sorry you're going through a divorce and going to need benefits. That being the case, my gut instinct is to tell you to NOT try to get an MT position with benefits. Too many of them tie benefits in with production, and given that you do not have the experience, you may find yourself thinking you have benefits when you don't.

Second, I don't see how you think you're overqualified for Spheris, so if you want to get a foot in a door and see how it works out, I'd encourage you to walk through that door.

While Family Practice often covers many body systems, you don't get into the nitty gritty of body systems like acute care or other specialties may.

Also, there's the issue of significant lab tests, ESL, and teaching hospitals. Not all acute care stinks, but today, a lot of it does.

Then there's just the small matter of simple formatting. You've likely done SOAP notes and letters mixed in with your occasional complete PE.

OP notes, consults, discharge summaries, history and physical-- all have different formatting. But that's the easiest thing to learn :)

I would encourage you to buy the book Language of Medicine. It's fairly comprehensive on teaching the systems of the body. Would be a great reference tool.

And if after all this you still want to dive into this ever-draining pond, then I'd say lie :) Say you have acute care experience and then do what you can to learn the formatting and have sufficient systems references.

I'd still recommend trying another line of work or finding in-house work as an MT because trying to be single with a kid on the salaries we get today is not easy.

job opportunities - some positive info for AmberG613 - NotNewMT

[ In Reply To ..]
Just so you know we're not all grumps... I'm sure you've transcribed plenty of work to include all body systems, most meds. You have probably even transcribed some minor procedures. Some of my most difficult work was transcribing for local clinic physicians, not for the acute care setting. You would be lacking experience in OP reports in the acute care setting. But, if you have a good knowledge of anatomy, OP reports are simple. Nothing ever changes with anatomy. The name brands of instruments can be found via references/ internet searches.

Many national services have accounts that are not huge teaching institutions and therefore would have simpler reports being transcribed. Some also have accounts that are large clinics, i.e., family practice or specialists.

You may need to find a smaller service to find a company that would work with you. Everyone needs to remember that we ALL started with minimal experience. Every day is a new learning experience. If you have the desire to do the job well, learn as you go, and realize that there will be difficult days, you can succeed.

You might also try a temp service. And check to see if in your situation you qualify for unemployment.

Best wishes and I hope things work out well for you.

well said - nm

[ In Reply To ..]
xx

Best of luck to you. I was in a similar position. - CrankyOldBroadOnTheBeach

[ In Reply To ..]
I can only tell you, keep trying. If your skills are good, somebody out there will take you on board. Lots of the national services have clinical accounts as well as acute care; you just have to hit it at the right time, when they're hiring for those accounts.

Here's what happened with me. About a year and a half ago, my long-time boss closed his local practice, and with 36 years of transcription experience under my belt, I went job-hunting.

What an education. I couldn't even get arrested, it seemed like.

Despite 36 years of transcribing many, many specialties, for some of the worst mumblers on the planet (and doing it well, they all assured me), because those 36 years were all in local doctors' offices, most companies would not even let me TEST!

Finally, though, TRS (which was bought out by Transcend nearly a year ago) not only offered me a job, they offered to up-train me into acute care. Needless to say, I pounced on that one.

And, despite my years and years of experience, it was quite a steep learning curve, between the new dictators, all the stuff they do in a hospital that they don't do in doctors' offices, not to mention my first experience working on a platform (as opposed to typewriter, a couple of moth-eaten word processors nobody would recognize if I mentioned their names, then WordPerfect, then Word).

It's been a year and a half now, my adventure in acute care, and still I learn something new almost every single day. But I am one of the MTs that they call on when they need extra help on the harder accounts, so I must be doing something right....

I knew I could learn acute care, but until TRS took a chance on me, no one wanted anything to do with me.

Ironically enough, the very last company I applied to before TRS was Transcend, and they wouldn't even let me test. They said don't call us and we won't call you. And now they've got me anyway. Lucky them.

So don't give up. Keep beating those bushes, and eventually, something will fall out. I wish you the very best of luck.

who decides qualified? - shaking my head

[ In Reply To ..]
I recently did a test for a MT position that came back 90% (needed 96% to pass). In one part they gave you points for an 300 word essay judged on content, composition, grammar (how objective is that), another question was so unclear that I explained as good as I can my answer. They were not going to tell me what I failed in but I couldn't help myself to ask them for at least the answer to the unclear question which they responded and explained: "most seasoned MTs know what we are looking for". Mh, I thought the profession of an MT has nothing to do with guess work, but I guess the way they hire at times you can be seasoned or not seasoned...everybody has different taste buds!!!
Apply wherever you see fit, there does not seem to be any rhyme nor reason in any of their hiring at times. Believe in yourself!

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