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


your lengthy psychology question - for the evening


Posted: Aug 02, 2010

Now I can't even find the words for what I want to ask. I just want to talk about how your (editorial "your") confidence level has been affected by doing transcription. When I started doing this in 1990, I sort of thought transcription was "beneath" me, or I was over-qualified, and that it was a temporary job. Then I started noticing many of my (also very qualified) older coworkers who had been in the field many years, actually wanted to try something else, but ultimately seemed convinced that "transcription is all I can do." I would try to tell them, You can do so much more, this, or that, or the other... And the reply would always be, Yeah, but... this, or that reason.

Fast forward several years. I keep doing transcription. I find myself becoming convinced that transcription is all I can do. I start talking more and more frequently about wanting to change, to do something else, but deep down find myself believing that "transcription is all I can do."

Do you think that-- like a person can grow to fit a role that's too big for them-- do you think a person can shrink to fit a role that's too small for them? Does anyone else have this feeling? I am not talking about people who love transcribing, because it is tailor-made for some people. Or people who find transcription the perfect job to suit their needs. I mean, people who feel stuck in quicksand. I have heard so many, many women (and a few men) over the years who say they "want to do something else," even when the money was good. Now, more than ever, we are losing our financial incentive to do this work. And yet, very few individuals seem to leave the field entirely.

Is there something addictive about transcription? The peaceful feeling of being alone with a computer, not having to face people, being focused on the next word, not having to make any decisions-- what to do next-- whatever's next in your queue, is what you will do next. Is that what will keep us transcribing, even as wages get lower and lower? Sometimes I feel that it is like hiding away in my own little corner. I've always worked in-house till recently, but even in the office, I would feel protected, shut in with my headphones and keyboard and monitor. No one ever bothered us transcriptionists-- "they're on production" was the phrase everyone else used, as they left us alone in our "quiet room." But what was it doing to us, what was all that solitude and being-left-alone and intense focus doing to our own confidence? Taken away from our computer, what did we have to offer to the job world? Not just what skills, but what confidence did we have to offer? What is right now so entrapping about this business that we would rather suffer through hours of NJA and crying at unintelligible dictators and fretting over paychecks, and sliding into isolated depression, and working disorienting hours, and taking another penny cut from our cpl, and fuming over trivial QA markdowns that make us doubt our competence, ... what is so entrapping that we still say (with our actions) that "I'd rather do this than anything else." -- or, "I'd rather do this, because the alternative would be--" not starving, not being homeless-- what?

Sorry for the long post. I was talking to an ex-coworker of mine tonight and maybe continuing in that vein... Asking myself all these things. Maybe it's just my problem. Maybe it's just as simple as realizing, You're a middle-aged woman having a crisis of confidence. I can't blame my job for the way I am... maybe it's a scapegoat, though. But somehow I felt better about myself when I was unemployed, two months ago, than I do now that I am working. Surely that can't be coincidence? To sum it all up: I think there is something about medical transcription that fosters low self-esteem **in susceptible individuals.** Including middle-aged women!!

MTs - Anon

[ In Reply To ..]
I was a nurse for many years and after I retired, I decided to do MT work so I could work at home. I have found out that you MTs are some of the most intelligent people in the medical industry and it is such a shame that you are so invisible and that your work is obscured. You never get the credit you deserve.

MT "beneath" us? - Love my work

[ In Reply To ..]
I never thought our profession is "low" or undesirable. I totally embrace the "medical language specialist" definition of what we do! I have also been doing this full-time since 1990 and do it because I absolutely love what I do. Yeah, you get your unintelligible dictators, long hours - at least my pay doesn't seem nearly as meager as a lot of people who post on MT Stars. My confidence is high! I know there are a lot of things I could do if I chose to, although I would have to take a cut in pay to do almost any of them. I will never use the word "just" and "MT" in the same sentence. This is my chosen profession (even though I fell into it accidentally 20 years ago), and I'm proud of it!

Addicted to MT - MT

[ In Reply To ..]
I think I'm addicted to the work at home scenario, with no need to worry about transportation or what not to wear. Financial-wise, I make more than I would at one of the few jobs around here that pay less than $10/hour. But, I keep telling myself that, in the world of computers, there are better opportunities out there for working at home, be it for someone else or for starting up my own online business.

I think, after doing MT for some time, the neurotransmitters in the brain do become accustomed and possibly rewired as it is with all habitual activities. Then, it just becomes a comfortable rut for me. So, as long as decent work is available and I'm paid on time, I keep putting off making any changes or venturing off into the unknown.

Personalization - WHAT

[ In Reply To ..]
You shared: "To sum it all up: I think there is something about medical transcription that fosters low self-esteem **in susceptible individuals.** Including middle-aged women!!"

I can't even imaging SAYING these words and reading them just leaves me gobsmacked! I'm very much a middle-aged woman and actually MT was quite part of my midlife renewal, certainly not dragging down my self-esteem.

If your PROFESSION creates those feelings in you, I suggest you've started out well asking lots of questions. While I know *some* MTs are in abusive employment situations, many, many are not. Many still treat this profession like it IS a profession. Many are proud of what they can and do do. Saying MT is "all" you can do is not saying you can do nothing.

As a mental health professional, I think you've done some good journaling and hope you continue that journey to find out why YOU see yourself in such a poor light. Good luck to you!

why I stayed - sm

[ In Reply To ..]
MT'ing was supposed to be temporary for me as well. I was enrolled in a technical school at age 21, and I remember someone coming in and explaining medical transcription and what it involves. This was in 1993. What drew me to it was the fact I would be left alone and get a paycheck. I stayed with it because thats what it was to me, and it was a healthy paycheck for awhile until the last year or two. Then I left because the incentive was gone. I'm going in a new direction now, because I realize the days of getting an easy paycheck are long gone. I've known for years MT'ing is beneath my skill level, in fact I have been a little embarrassed disclosing my "profession" to anyone, but dang proud of the over 40k a year while staying at home! So,I stuck with it because it was an easy paycheck and I would be left alone. It does foster an unhealthy life-style, as I had become practically a shut-in, and that affected my confidence tremendously.

perspective - wymt

[ In Reply To ..]
Wow. Finally a perspective I can relate to and relate I do. I also entered this field and thought it was merely a "data entry," type of job. Little did I know! I have worked in 2 different industries, have a college degree and while this is the most difficult work I have ever done, I continue to grow weary of the lack of compensation. I am willing to work hard, but pay me something worth my skills and dignity.

I recently was offered--and accepted--a position with a small company. I was very excited! It seemed like a nice situation. However, I was due to begin one month from the start date, and 2 weeks before,they telephone me to inform me that they "do not have enough work." Now, I get that accounts are lost, but if you offer someone a position (I sent in my paperwork and everything) and have such poor management that womanpower cannot be determined 1 or 2 months in advance, you have very poor management.

And, yes, I believe this occupation is like many others where people get stuck and stay b/c people must eat and survive. I happen to be in a nice position b/c I have a husband who is the primary breadwinner, but if I did not, my mind would be to continue in this field. I am seriously open now to other work situations.

I find this perspective refreshing, though, someone taking the initiave to think outside the box, so to speak. I realize this does not pertain to ALL MTs, but I also believe those MTs might not have different options? I don't even pretend to know.

What I do know is we are paid very poorly, work very hard and are being faded away. I wish some companies would just stop pretending they need us and that they are outsourcing. It's as though it's a big secret. LOL

I believe I have suffered the "isolated depression." Most definitely. Not having to deal with office politics is not something I care to experience again either. I did not have problems working with others, this is just simpler.

Thank you for sharing your thoughts.

Not to put MTing down in any way, but it is - Poppy

[ In Reply To ..]
very narrow work, performed by many of us at one level for years, so growth can stagnate even as the world continually changes. A source, I suspect, of much of the anxiety among us.

Poppy - stagnation

[ In Reply To ..]
It definitely does not transfer well to another career, you are right. I used to wish my former supervisor had taken more interest in helping her employees "break out." The personnel motto was "Develop people." She would say that transcription departments would not even exist within a few years. But she did not take any steps to "develop people" who were stuck in a stagnating career, and who needed help to look outside their limited "job window."

Re: ''Not to put down MTing...'' - rkl40

[ In Reply To ..]
To say that''growth can stagnate'' is very strange when referring to the field of MT, because just (as the old saying goes) ''Art reflects life'', the field of MT reflects the ever-changing field of medicine. Thus, as new treatments, medications, surgical instruments and technologies constantly emerge, the expert acute-care MT is constantly learning. Added to that mix is the mastering of new accounts and new dictators. Plus,the expert MT must keep abreast of software/technologic changes as they pertain to her job. So, the effective MT is constantly learning/reassessing. She/he does not have the luxury of stagnating. Isolated work? Certainly. ''Narrow'' work? Yes--simply because so few can do it effectively. But stagnation is a strange claim to make.

I stay strictly for the money - ana

[ In Reply To ..]
I am a nurse and in my area of the country I can make more as an MT than as a nurse. I never, ever make less than $20 bucks an hour, in over 10 years of transcribing and that is on a BAD day. So, for just a few bucks more than that, I don't see the need in putting up with supervisors, having my hours made for me, buying scrubs, getting in trouble if anynoe that I am supervising does anything wrong. I just PREFER transcribing and wish this field would stay around forever, so that I never have to work in nursing again.

On the flip side, I can tell you this though. I try NOT to be this way, but every now and then when a QA person will fill a blank for me, not because I didn't understand the context of the term, but because the doctor had a mouth full of potato chips.......anyways the QA might give me a small lecture on that specific disease and disease process and sometimes it is hard for me not to say......"In four years of college I actually DID learn that, I'm glad you know it too, but it was just that the doctor wasn't speaking clearly, NOT that I didn't have a grasp on the disease." That's wrong, I know, and I have much respect for those QA people, now THAT is a job I wouldn't want:)

nurses - and MTs

[ In Reply To ..]
Last year, I remember thinking "Why go back to school to become a nurse-- it would be a lateral move, financially!" That was LAST year though ;)
I think nurses have a very hard job!! It sounds like they have so many rules and regulations to keep in mind. EMR made a big impact on them too, not just us!

inertia: we all have it to some degree - sm

[ In Reply To ..]
Many people stay in jobs they don't like because of inertia, because of the uncertainty of getting another job or of being left without an income.

However, MTing is difficult in the same way factory jobs are. There is a level of supervisors who consider themselves white collar, above everyone else, more educated and worth more, and they tend to p--p on everyone who does the actual work. I used to be a special needs teacher, then I was a high level property insurance broker. I'm in MT because of my health now, but every supervisor I've had treats me like I'm some kind of undereducated moron who is lucky to get 6 cents per line. My husband works in a factory and he gets similar trash heaped on him.

So when you're already dealing with inertia and uncertainty, also fending off these constant messages of being worthless can lead to a metaphorical freezing in your footsteps.

Are MTs worth less? Of course not. Try to move past the emotion of the issue and see the logic and reality, adopt some acceptance of the situation, and go from there. Maybe you can move on, but maybe you have to stay in a job you don't like. Worse things have happened. Good luck.

MT - wymt

[ In Reply To ..]
sm--those are wise words.

I looked all my life for the perfect job - and for me this is it!

[ In Reply To ..]
I know I "can" go "out there and do something else", I just don't WANT to. I have Asperger's syndrome and I know if I am "out there" in the work place I will ALWAYS have problems with socializing and the general hectic, noisy place I'm expected to work in. I know I like to sit and work when it is work time. Period. I don't want to talk, make friends, take a break, sign a potluck sheet, run errands, etc. I want to be let the heck alone to work! So wherever I worked in office situations I ended up doing most of the work while the rest of the staff goofed off and hated me for making them "look bad". But I got paid less because THEY had seniority. And my reviews always were bad because I wasn't a "team player" (no I was a solitary WORKER, not there to PLAY with any TEAM).

But MT was my salvation. At LAST I GOT PAID WHAT I WAS WORTH because production rewarded me for working hard and working steady. No other job has ever done that for me. And not having to deal with other people's drama is priceless to me. I've only been doing this 7 years - only FOUR measly years from home - and it breaks my heart that probably soon I won't be able to afford to do this kind of work - unless I find just the right job with the right platform/dictators. I had it so good last year, was making 50k (and that did a LOT for my self esteem!), then the client left, all I get now is horrible accounts, and my employer seems determined to cut our wages until we all quit.

But even if I have to give it up, I will be eternally grateful that I had these 4 years of peace and productivity. All I want is to sit in a corner and produce forever.

I am "entrapped" (if that is the word) by my LOVE of THIS job. My self esteem is GREAT. I have a job to make MONEY - and production MT rewards your hard work. When I'm forced back out into the workplace and forced to socialize with a bunch of harpies again...that's when my self esteem hits the basement. "Julie says you're not friendly enough", "Sally thinks your tone on the phone is wrong", "You're clothes aren't quite meeting our dress code", "I've heard complaints that you're not fitting in well with the group". It never matters that my work is excellent. Every review I hear "your work is excellent BUT (fill in blank with petty complaint from jealous lazy social co-worker). I dread it, I dread ever having to do it again.

I relate to this alot - sm

[ In Reply To ..]
Well said. I had no peace working in an environment with a bunch of gossipy women. I don't take part in small talk or gossip, I just like to perform my job duties, and that makes me an outcast. I have had much trouble with this and I know one day I will be forced into that situation again. I dread as you do, but hopefully will be able to cope with it. Maybe we just need to establish who we are in the beginning so we do not offend anyone with our lack of interaction. It might be that simple.

perfect job - agree

[ In Reply To ..]
This is probably the perfect job for someone with Asperger's. Or one of the perfect jobs.

Agree. - Anon.

[ In Reply To ..]
I have to agree with you. There is definitely something about being an MT that messes with your mind and your feelings of worth in the working world. I believe those feelings are generated less by the fact that we work at home, and more by the fact that we are underpaid, over-worked, and grossly under appreciated. We are invisible, and seem to only be acknowledged when we have made an error, or when we're being told of yet another pay cut. I can think of no other profession where you can give your absolute best for 15+ years and still find yourself at the SAME level, doing the SAME tasks, for the SAME if not less pay. How can anyone feel valued, and competent, and worthy under those circumstances?

Sad - Becky

[ In Reply To ..]
It is sad to me that so many feel that MT is not a true profession. Not everyone can do it. I think it starts with us. We must have pride in what we do. Almost every profession (except for being a physician maybe)does not get the respect it deserves. I speak as a former teacher. Think of police officers and EMTs and fire fighters. I taught for 10 years in the inner city, and that was INSANE! This, MT, is my dream job, and I hope to do it for a long time to come. If you are not happy, you should do something else. I made the move from the classroom to working at home doing MT because I wasn't happy. We should have pride in what we do.

MT profession - Viva

[ In Reply To ..]
Most people have no clue how hard it is to do this work or to become an MT.
I heard someone say "Oh, that's just typing" and I wanted to tell her to come over to my computer and try it if she thought it was so easy.

no other profession where you can give your absolute best for 15+ years and still find yourself at t - Aye

[ In Reply To ..]
I quoted you. I have done this since 19 and am 52, save for 6 years off in my 30s). After years of dedication, uncompromising quality for speed, going the extra mile to meet TAT whenever asked, eagerly, covering sick time, vacation time, even never complaining about the pay, my present employer talks to me like I am a nuisance to deal with.

It's an employers' market and they employers are by all appearances getting rid of seasoned workers who might demand more income or expect more in benefits, I believe.

In my company, the changes taking place have been constructed to push PT MTs out. How do I know that? I just got an e-mail from management who said this, forgetting that I am full time, that they are obligated to provide FT staff with work first. Well, my account is gone and my hours are virtually 0 since I do not have a backup account. Is this why I am being considered a PT employee? We'll see about that.

Now, I don't know about you, but to raise the bar too high (fixed to fail) rather than lay off is just mean. At a time when homelessness is a real possibility for a single income home, this is criminal in my mind.

My take - Cindy3

[ In Reply To ..]
I did not read all the posts, but from my experience isolation can do horrible things to a person and most definitely deplete confidence. One's comfort zone can get extremely small (and even that is not comfortable).

This work is not very good for my personality, but here I am (by a series of events). The hard part is getting the energy and confidence to move on, and right now there are no jobs here anyway.


Similar Messages:


Psychology Transcription Jobs
Sep 06, 2011

i urge u to inquire about doing transcription at social service agencies. they are overwhelmed with their paperwork. i work for a psychotherapist. he is extremely busy and tells me typing his own notes is one less thing he has to worry about. u can market yourself by telling them they can carry around a hand held dictator and dictate while they are in the car going to their next session. i pick up at the end of the week and finish by the end of the next week. it is a general transcription, few m ...


I Want To Go Back To School For Psychology, But
Sep 30, 2013

I've read on the internet that a bachelor's degree in psychology doesn't get you too far.  There are a lot of jobs in my area (Boston) that require a bachelor's in psychology, mostly in social work/human services, which is what I want to do.  Anyone here have a psychology degree or any advice?  ...


Moving Lengthy Autocorrects Between Computers
Jul 23, 2011

I have run into this problem every time I have to switch to a new/different computer.  In Office 2003 I save autocorrect entires with the first four initials of the docs last name containing their usual physical exam spiel or sometimes a sample of their entire report.  There seems to be no limit to how many autocorrects can be saved or how long the save can be.  The problem comes when trying to move them to a new computer.  Does anyone have experience with this problem t ...


Plan B: Job Ideas That Don't Require Lengthy Training
Jan 27, 2012

Before all the Debbie Downers and Eeyores come out of the woodwork, let me preface these 2 ideas with:  These will not appeal -- or even be possible due to family commitments -- to all.  BUT they will be viable solutions for some.  Both are in the medical field and do not require extensive training.  1.  EKG monitor tech.  Requires just 8-10 weeks of training.  A quick check of pay for my region shows $17.65-$25.53 per hour, which is in keeping with what my em ...