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

Where are all the American doctors? - Yeck

Posted: Sep 06, 2014

This past week it seems all I have got to transcribe are foreign docs. Some are not too bad, but some it is just plain torture to listen to. What is going on? Also this is the first time I have not been able to pay my bills with my paycheck. It is so depressing. Just had to vent.

Welcome to Nuance. - Unfortunately, you might need to get used to it.

[ In Reply To ..]
The "good" docs (easily understood) are the first reports to be off-shored. We take a little longer training voice wreck to "hear" the foreign accents, so that is what we're left with.

It is not just Nuance - It is everywhere

[ In Reply To ..]
One of my jobs is a hospital system in the mid west and there is only probably 1 english speaking doctor for every 5 or 6 ESL doctors. This is not a Nuance job, either.

A big part of the problem is the American medical schools. They have not increased the number of graduates that they produce in many years, yet the demand for doctors has increased. That demand is going to be filled from somewhere, which is why so many ESL doctors end up in the US.

American Docs - Yeck

[ In Reply To ..]
I don't mean to sound like they are bad docs or anything. I think they are fine, it just slows you down so much. I mean I think I got maybe 2 docs my whole shift that I can easily listen to and didnt have to make many corrections on VR. There are American Docs too that are hard to understand, but it just seemed so weird to get so many of these ESL docs at once. It was like one right after the other. I feel like I have to slow down or else miss something they said or not understand because they put the accent on a different part of the word than I do.

I think you have to consider technology - in this.

[ In Reply To ..]
I think you have to consider that technology is affecting the work you get. No matter what MTSO you work for, the clients are going to EHRs, and EHRs offer other options for getting reports done ... point and click, templates, Dragon interfaces, and hand typing.

You aren't getting the full picture because you see only what work you do get ... you don't see it from the other side. I work on the other side. I see how little we send out now and I see how the doctors get it done.

Younger American doctors are the first to adopt new technology. They grew up with computers, typed their own class notes and assignments in school, and they often prefer to do their own documentation. They have good experiences with Dragon.

Foreign doctors have as much trouble writing as they do speaking and Dragon doesn't work as well for them, so they dictate.

MTs keep saying that "there will always be jobs for MTs," but you are beginning to see just what kind of work those jobs will do.

You really do need to retrain in another field while you still have a job to support yourself.

Hate to see it in writing, but you are correct. - Technology.

[ In Reply To ..]
Went for a mammo the other day and the tech told me all their radiologists use point-and-click methods, edit their own reports, and/or use Dragon. Their MTs were transitioned to reception work. At least they were not let go.

Afterward, when to my PMD and she also uses the above methods. She was quite proficient at point and click this year, so it looks like it is here to stay.

I like how they are - saving money

[ In Reply To ..]
I think it costs me $165 to see my doctor for maybe 10-15 mins and most of the time the doctor sits in front of the computer. So paying someone at least $500+ an hour to our job at maybe $15-20 an hour (back in the good ol' days) apparently does save them money...

Technology - yeck

[ In Reply To ..]
Oh I am looking for another job, since May. It is hard out there. I am not use to this, not being hired right away. Looks like I am not the only one looking for a different job or just work.

Also, the good american dictator ASR goes to India - Another Factor

[ In Reply To ..]
And the good american MT gets the shaft with the ESL.

WHERE ARE ALL THE AMERICAN DOCTORS - phatty duwop

[ In Reply To ..]
I have not been able to pay all my bills with my paycheck from MMODAL in a long, long, time. Thank God other family members are working and we just all pitch in. I never dreamed you could probably make just as much or more at McDonald's as you do here. Just unbelievable!!!

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