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sleepy dictator - 21yearMT

Posted: Mar 26, 2011

Just need to vent about my ESL doc who decided at 11 last night he needed to dictate all of his H&Ps for the week. He's not very good at his best but his yawning is giving me tons of blanks and it drives me crazy not being able to get it, so have to listen 20 times to try to get one extra word, which of course takes much longer than his 5 minutes of dictation should require! Really wish he would pick a weekday to talk since I only do weekends for this hospital!

sleepy doctor - I know how you feel, if

[ In Reply To ..]
that's any help. I HATE it when doctors make typing their dictations a hellish nightmare. You want to do your best, and you want to get it done, but are thwarted in your efforts to do so. Hopefully your next ones will be easier.

Sleepy dictator - Lannie

[ In Reply To ..]
I have a sleepy doctor too who talks through his yawns without missing a beat. I've been able to make out most of them but when I can't, I give it 3 shots and no more than 3 minutes. Any more than that and I am losing money. I then send a note stating I could not understand through his yawn. I'm sure these notes don't make it past QA and to the doctor, but I want QA to know!

Yawning dictators - Alice

[ In Reply To ..]
IMHO, these dictations should have an extra fee added and passed on to the MT. They should never be tolerated.

Why do MTSOs and clients allow such nonsense? I guess it's because they can. These dictating clinicians are supposedly intelligent people, but are they totally clueless as to how their dictating behavior affects the end product, not to mention how it has a negative impact on the work experience and lives of the MT?

Perhaps their training is lacking and needs to be improved. Or, are they just jerks that need to be feared, so no confrontation or correction is ever considered? I just don't understand.

In the hospital setting, nurses, hospital administrators, etc., do not put up with behaviors that have a negative impact on their "production", so why should we? Regarding nurses, I mean they don't put up with it without issuing complaints, though they might have to tolerate it if the administration is not responsive, but if it affects the hospital administration, or if a patient complains, whatever the issue is, it gets addressed.

So, if this poor dictating behavior were to affect the bottom line, say cause an increase in costs, I'm sure it would be corrected.

As an MT, I think we have been somewhat brainwashed into thinking that we have to tolerate bad dictating practices.

End of vent. Thank you.

I totally agree and think that a lot of times - orthogirl

[ In Reply To ..]
no one will tell the doctor and the doctors never have to listen to themselves. Five years ago, I worked for a physician's group and when I was promoted to supervisor, I told all of the doctors at one of the practice meetings what they strengths and weakness were and problems with dictation. The doctors were very appreciative of that, said no one had ever told them before and wished they had known the problems with yawning, eating, mumbling, talking too fast, etc. There was actually an improvement in their dictation after that! So many people are so scared to talk to a doctor because they are "God" and you would never say anything to him, but they are just regular people with a whole lot of extra schooling. No I would never tell them they are diagnosing wrong or treating patients wrong, but I was never scared to talk to them and suggest improvements, in fact, they would respect me more for coming to them with problems and possible solutions and ways to do things to make life easier for all. If only people would just tell the doctors, not all, but some would change their habits. I work for a group practice now just doing transcription and my doctor yawns so often, I really wonder if he gets enough sleep. I am a big yawner so I can usually understand him but I try not to talk while a yawn.

We regularly tell the doctors and it has done - nothing.

[ In Reply To ..]
They apologist, are always surprised there is a problem and say they're happy they now know, but it doesn't change a thing. Chief of dept talked to a couple of the docs about certain bad habits but he drew the line with chewing and dictating - he didn't think that was an issue.

I had a doc who would fall asleep and talk - in his sleep.

[ In Reply To ..]
He "dictated" some crazy stuff, such as "Send a copy to the babysitter." Snore.....

I used to have a doc that would routinely dictate - at 1-3 a.m.

[ In Reply To ..]
He would yawn all through the dictation and even fell asleep in the middle of dictations a few times!

Oh, he was a GI surgeon and was doing surgeries at 7-8 a.m. - the next day!

[ In Reply To ..]
Always made me not want to go to that doc.

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