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

Ran into a trauma nurse yesterday this isn't good news - sm

Posted: Mar 31, 2013

Of course we start talking about everything. Well my local hospital surgeons no longer dictate. Their medical students follow them around and are in charge of keeping track of everything and then later going in and entering it in the computer. This is a HUGE group of hospitals and I am sure impacts a lot of us. Also, my local doctors have begun bringing their computers into the room when your in for whatever, and doing the paperwork right there, on your dime or the insurance companies dime, which ever the case may be. So now not only are they not dictating, they are charging the you for their time.

No surprise - anon

[ In Reply To ..]
My doctor has been doing this for over 2 years now. Also, been reading a lot about scribes and how they like medical students. We are a dinosaur about to be extinct.

At least the MTSOs will be extinct as well! - silver lining

[ In Reply To ..]
YAY!

This Stuff - see message

[ In Reply To ..]
The family practice clinic I go to has not used MTs in years and years. They were either punching something into the computer or dictating right then and there while I'm in the office.

As to surgeries, they used to be my saving grace in terms of having enough work to keep me going. I've since left the business completely, but I do remember days where there was no work except for surgeries.

Also, we have a local day surgery center here and they just use templates. No MTs whatsoever.

So, anyway, that's part of why I got out. It's just going down a spiral....

I just need a few more years - sm

[ In Reply To ..]
But if they tossed me aside tomorrow, it could be the best thing for me physically and mentally. Then I would be forced to find something else. My problem is I know how I learn and I cannot retain or learn through online courses. The schools are too far to drive and work right now. But I darn sure could survive on U/E while I go back to school and start my bachelor's degree in something.

Be careful what you wish for. Are you absolutely sure you could survive on your UE? - Mine would be less than half

[ In Reply To ..]
of my pay. It's around $150 per week, based on my last 3 quarters. (My state stinks in so many ways.) I know I sure couldn't survive on that.

Providence Hospitals/clinics in Northwest - for 8 years doing their own.

[ In Reply To ..]
I took a course in college, EMR. The EMR is really cool to work with, but lost of memorizing where everything is in order to be productive.

What bothers me is scribes is only for practicine docs. Should have been for MTs too. In fact, easier for us to learn it and know what to put in the EMR.

Whose dime it is - CCS, CPC

[ In Reply To ..]
You or the insurer paid for that time before.

That type of physician service, the office visit, is , for the most part, paid on the basis of complexity of care and how much medical decision making is required. Documentation of the service has always been included. The time required for that and for checking labs, writing orders, phoning in a prescription, talking to a consultant, etc., is factored into the reimbursement rate.

You are just seeing it happen in front of you now, where before the doctor would have stepped out a minute or two sooner and scribbled or dictated.

I am not saying that doing it on a computer in front of you makes for a good patient experience. I do not think it does. I am just pointing out that you actually paid for that time all along.

First EHR, then ILP, now Health Scribes... - sm

[ In Reply To ..]
My hospital system uses Epic and medical health scribes. I've been told by both my daughter's doctor and by an instructor at my community college that health scribes are the "new" thing that a lot of facilities are going to. In fact, when I took my son to the ER a number of months ago, he had a health scribe doing his dictation as he was examining my son. I found it super awkward, though luckily it was just for strep throat. Personally, I don't like having anyone in the room but the doctor when I'm being examined.

You can tell them to leave - sm

[ In Reply To ..]
Like when they bring in a med student they ask if you mind them in there..Tell them you don't want them in there and they will move them out of the room..Of course, its like sending a bad meal back at the restaurant, never know what is coming out of the kitchen after that..

doctors trancribing own reports - msdaisy

[ In Reply To ..]
We have a local ad for a "physician's scribe" where the med student or PA or NP folllows the doc with a laptop and scribes right then and there. What you said in the previous post is right on.

My question - Not giving up

[ In Reply To ..]
My question is who fixes the messed up report they create? My facility's experience with do-it-yourself dictation and transcription has not been good and the outsource company we use is even worse. We've had far too many errors and the providers do not have time to clean it up. They let all our MTs go and are now bringing people back to edit and do QA. The truth of the matter is, many PAs and NPs never learned how to spell and can't be bothered with grammar. Not everything is point and click, language specialists are still needed. This is just as ludicrous as thinking that all coders will be replaced because of computer assisted coding. What goes around, comes around.

I don't think we'll all be replaced either, but... - sm

[ In Reply To ..]
as we have already experienced, pay is going down, down, down, and an actual good MT job is a thing of the past. By good, I mean, good pay and actual work to do, not just sitting around twiddling our thumbs waiting for work to come in. That's not even a job, that's just insanity. Soon, there will be very few MTs needed. Personally, I think being an MT could be a good part-time job to make a little extra pocket money, but as far as it being a solid, secure full-time job, or a career? Um, no, not even close. Sad but true. I feel like I've been in mourning over this for so long and am just now starting to get closure on it. I love being an MT, and I miss it.

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