Canaries in the mine - I loved this post

This discussion actually began on October 3, 2014. To search for it, use the little blue search function and type in You missed something and the date 2014-10-04. I think it bears repeating again for all who might insist that people griping" here about Nuance are just conspiracy theorists. I prefer to think of them as canaries in the mine, warning folks away from Nuance. It is NOT just Nuance, as someone pointed out, but they are the most insidious it seems, about monitoring this board and discouraging truth-telling. 

Starting at the top of the discussion on October 3rd will provide good context for this snippet that ensued:

You missed something - sm

Posted: Oct 4th, 2014 - 11:12 am In Reply to: Transcription - cherylsue

You are correct that point and click isn't a substitute, but you must have missed "front-end speech recognition" technology. That allows a doctor to dictate straight to the computer he is using, which presents him with the transcript as he says it. He can use canned text or "normals'" and the system can import labs, imaging, pieces of other reports, vital signs, ROS, etc. 

The generation of computer-averse doctors is nearly gone. The younger ones grew up with technology and don't have a problem with it. They do not see keyboarding as "clerical work." To them, it is just interacting with a computer. They grew up emailing, instant messaging, writing school notes and papers, using spreadsheets, keeping databases, and programming software on computers. Their own phones have SR technology to do emails and IMs, and they use it.

Because of that, they do not see getting a short report done by typing it themselves as a problem. They do not see getting a longer one done by front-end SR as a problem. They do not see creating their own point and click templates or canned text normals as a problem. 

In comparison, they now find dictating to an MT to be a huge annoyance. They never liked the random quality, the lost reports, the lack of control, the need to read for errors, sending it back for corrections, or the delay. 

MTs go on and on about how critical they are to patient care, but never seemed to see their delays to be a problem. Why not? When a doctor does a report, he does it for patient care right then, not days later. When they dictate an op report that will not be returned by the time the patient leaves the OR area, he has to do a brief op report by hand, himself, anyway. Same with admission and discharge notes and any consult information they need to communicate right away. Same with diagnostic tests. It is no longer acceptable to them to endure the extra work due to dictation service delays when they can just do it themselves.

They do not see this as clerical work. Their view of computers is quite different. 

Most MTs did not grow up with computer technology. They use computers as word processors and see them as primarily word processors that can incidentally do email and internet. 

Doctors who grew up with computers see them as information connection devices that facilitate communication, research, calculation, data storage, and entertainment, which you communicate with through input devices like keyboards, mice, pointers, touch, and speech. They see them as devices they use, not as devices that others use for them. They don't see using them as clerical work. 

 P.S. I personally thank whoever originally posted this from the bottom of my heart, as this was just the wake-up call I needed to get me the heck out of dodge.