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

Is this the future? - anon

Posted: May 20, 2014

I am beginning to think that the future with VR and point-and-click plus offshoring means that the work that is remaining will be just a little bit from a bunch of different accounts, meaning we have to navigate through a bunch of different account specs for those MTs left. My old account went completely offshore, the new account I was transferred to went completely over to Epic and my new assignment has me with 3 accounts and the work is dried up so I will have to ask for more. The future does not look promising.

Sounds like the Ghost of MModal - Present...

[ In Reply To ..]
That's what we do now.

At the clinic where I worked, it meant there was - nothing left, and we all got laid off.

[ In Reply To ..]
Work dwindled from voluminous to zero in the course of about 8-10 days. Then a conference call telling us all "adios".

The future - anon

[ In Reply To ..]
I read in a thread below that EMR will not affect MTs work load. Not true, as my account just went to EMR and the work is drying up. I actually have no clue how that works, but I do firsthand know it's not good for MTs.

My husband recently had an - EGD and colonoscopy

[ In Reply To ..]
We were handed the report at the end of it by the doctor, who I presumed had pointed, clicked, and printed it out. It did make me think.

However, I do believe there will be dictators, even the odd good one (as reflected by my primary account) who do NOT want to do this and will dictate. They are not necessarily all old either.

There are doctors I know are tech savvy and in favor of this by virtue of them being the referring or consulting doctor and me never even reading one of their reports, much less typed one. If they have no reports to research, you know they have utilized the point and click or even their own system, but the down side is less information for us to research prior reports.

As per usual, there is probably a way for them to incorporate these self-done reports into the database for our use, but never EVER do Nuance do anything that would make OUR job easier or more productive.

In fact, I have begun to wonder if they are purposely sabotaging the speech engine to depress our pay.

Nuance Dragon is supposed to be the leader in speech rec, people who use the personal version rave about it. If you do a search on these very boards, there are MTs who customize it for their own use and redictate (I presume) adding their commands and claim to cut their transcription time (and arthritis pain) immensely and are very happy with Dragon's responsiveness.

So what happened to ours? You see the same mistakes again and again, you see very poor speech rec even with common dictators. Are they purposely telling the Dragon NOT to make any changes? Are they purposely NEVER correcting the spellchecker because they WANT us to make more errors?

You have to wonder about that. We have always been way down the totem pole, but this is almost to the point of them completely knocking us off.

Dragon and SR - nmi

[ In Reply To ..]
That is because the people actually using it are training the VR, while most companies/doctors using it are not training it - a voice file of their dictation is, which will never be as accurate. I have it on my Win 8 laptop and it works great.

I realize on a personal level - you can manipulate it

[ In Reply To ..]
But I have worked with on platforms other speech rec engines that really improved quite regularly. I think what is lacking here is any sort of modification or use of our corrections to modify the dictator speech recognition profiles ever.

Even if someone on the tech end had to do that manually once in a while, it would greatly improve the speech engine. The whole point of a speech engine is to evolve the profiles, right? So why isn't that happening?

Do they just keep going back to the original voice file with the initial errors the engine made and never correct them? Heck, I would be willing to tell them the errors that keep happening, even in the best dictators and even input them myself if the techies were too busy.

After working on systems that seemed to be very sensitive and always evolving, it is so annoying to see the same old errors for a perfect dictator and have to change the same things every time.

This speech rec is just plain dumb and there should be more of an effort made to improve it, even if they have to pay who actually knows something about the process to consult on it.

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