A community of 30,000 US Transcriptionist serving Medical Transcription Industry
There are, generally speaking, fewer WTs to clinic accounts, and these get readied for off-shoring rather quickly. But honestly, the goal is to offshore as much as possible whenever possible, so EVERYONE at Nuance can expect to starve or take on new and different accounts CONSTANTLY.
The one exception to this is when accounts (rare gems) have already been offshored only to come back to US MTs when they discover the ESL MTs overseas really cannot deliver a great product (even with voice wreck helping out). Then, you MIGHT, might get to stay on that account for awhile longer. I'm only aware of 1 situation where this has happened (allegedly), and cannot quote my source because of anonymity requirements on this board.