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The XY Files in an MT World

Just for the Record, the MT Business Is Alive and Well

Published January 27, 2009 7:31 AM by Jay Vance
As someone who has spent a fair amount of time over the years perusing online MT forums, I've learned that if there's one thing you can count on in such venues, it's the chronic naysayer. For these folks, the glass isn't just half empty, it fell off the table and smashed to bits. To hear them tell it, the MT field is dying, nobody's making any money, and we all ought to pack up our bags and git out while the gittin's good.

I have no doubt there are some sad stories to be told in our line of work. I know these aren't the "gravy years" of the 80's some folks like to talk about. I know speech recognition technology, point-and-click EMRs and offshore outsourcing have had an undeniable impact on the way we do what we do and how much we get paid for doing it. But to paraphrase Mark Twain, the reports of the death of medical transcription have been greatly exaggerated.

Just so you know where I'm coming from, I've been privileged, over the last 10 years or so, to have been involved in a great many aspects of the MT business. I got my start when my longsuffering wife Carol trained me on the job, in the evenings after I got home from my "real" job as a phlebotomist. I found I had both a knack and a liking for it, and it wasn't too long before I quit my job and went into business with Carol full time. I've said many times, and still say today, that was the best business decision we've ever made, and we've never looked back with regret.

Since that time I've seen pretty much every side of the business there is to see: independent contractor, production MT for MedQuist, mom-and pop MT service owner, management for regional and national services, software and hardware sales and development, consulting, organizing, volunteering, you name it. But at the end of the day I'm still a working MT; last week I transcribed 85 radiology reports without a foot pedal. (I kid you not; I deserve some kind of MT combat medal.) And as a working MT at heart, I'm telling you, you can still make a living in this business.

The people I know in this business-service owners large and small, ICs, production MTs who are good at what they do-are busy, sometimes with more business than they can handle. There is plenty of work out there. Does it pay as well as it used to? No. Do you have to work smarter AND harder? Yes. Is this a good career field for the faint of heart or the weary of hand? No. Does this job cater to the lazy or the whining? NO! But from where I stand, looking at what's happening in a lot of other industries, this has got to be the closest thing to a recession-proof business as you can find right now. Maybe we ought not to be too quick to jump out of this particular frying pan....

Please don't hear what I'm not saying. I don't deny there are problems in this field, like clients who want something for nothing, service owners who take advantage of their people, salespeople who'll promise anything to get the contract, and MTs who don't give a darn about quality and wouldn't look something up on Google if their lives depended on it. But in spite of all that, I've never been prouder of what I do, nor more optimistic about the future of this industry. Say nay all you want, I say if you're willing to work hard and if you care enough to get it right, it's a great day to be an MT!

6 comments

Jay,

I have been a transcriptionist for over 32 years. I have seen a lot of changes during my career and I still love transcription and hopefully will do it until I retire and then part-time.

We need to keep a positive attitude and be optimistic about our future as MT's. I think that we have a very bright future. We certainly have a lot to offer to the patient.

I worked for Medquist during this time frame and I do not believe that AHDI should get the money, it is wrong. The MTs should receive this money. I also believed that I was cheated by the line but could not prove it.  I do not work for them any more.

Sharon

MT

Sharon Whitener, , Senior Med. Trans. Hospital February 9, 2009 8:40 PM
St. Louis MO

Mary, Ex-CMT--I appreciate your viewpoint, and you are right about the problems.  When I took my terminology class, I was still in high school, and in my business practice class we learned to transcribe from a waxed cylinder recording machine. I didn't follow on with it because I knew I would never make it with the typewriter--I hated erasing carbons with a passion. When the memory typewriter came along it was better, but computers saved my bacon!%0d%0a%0d%0aI was fortunate to learn on the job, starting at $5 an hour in a multi-specialty clinic.  Then I moved on to the local hospital at just under $8/hour. and had to join the same union as the boxboys at the local grocery stores.  I moved to Alaska and started at a hospital at $12/hour with real benefits for the first time.  I went from there to a physiatry clinic and started at $14/hour and worked there almost 10 years, until their transcription was outsourced.  Moved once again and started in the present job at the same beginning rate as the last one. %0d%0a%0d%0aThe only time I worked by the line was before I got my present job, and I was paid 10 cents a line transcribing radiology reports.%0d%0aI realize I'm an "outsider" to the home-based industry, but most of the time while working full time for an hourly rate, I was also doing contract work from home, so I kind of see both sides.  And I still love my work even when it makes me want to throw the computer out the door!%0d%0a%0d%0a

Carol Matthews, acute care - transcriptionist, hospital January 31, 2009 8:15 PM
Soldotna AK

Jay, thank you so much for this oh-so-rare viewpoint.  I am a longtime MT, CMT, now working for a very large MTSO as an instructor.  I get so tired of MTs/MEs who blame everyone on two continents for their problems.  Look at the headlines, ladies and gents - many, many Fortune 500 companies are laying off thousands of workers, but our company is actively recruiting and hiring, and thousands of MTs enjoy benefits and job security with us.  Thanks again -

Sue January 29, 2009 1:09 PM
TX

Hey Carol! Hmm, no mention of how much money per line you were making 20 years ago as opposed to now!  Wonder why!

I have 20 years experience, and really do love transcription, too.  Which is why I quit and became a Cancer Registrar.  

Same never-the-same-twice, same hunting and aha-moments, and a REAL LIVING WAGE that isn't production-based and wrecking my health, as well as superiors and MD's who appreciate my efforts.  

Mary January 28, 2009 6:40 PM
Ex-CMT, Ex-Trans

I am so glad you are in love with a profession you will soon come to doubt, distrust and eventually intensely dislike. I too, have been doing it for 20+ years. But I am fed up with being micromanaged long distance, told how many hours/lines I need to do reports by someone who has yet to bang a keyboard. I am an older old timer, can remember 3 colors white out, carbon paper and IBM Selectric II typewrites. I dare bet not many other can remember that typing a good quality report without errors and quickly required skill, not just memorizing macros or using an abbreviation program. Not many ESL Dictators either. Don't Americans go to Med school any more? Does med school teach them to dictate? If not, I will volunteer!! Good habits can be taught and learned, even by MDs. All I have ever asked for was a little respect for my ability. I have a BA degree, a CMT and lots of experience, yet am being treated like I started last week when it comes to production. No one ever looks at by 99%+ quality score, oh no, just more and faster. Good luck to all of you who continued, I am about out of patience with the whole deal. I used to love it, doing something that NOT just anyone who could type could do.

Deborah, CMT January 28, 2009 1:51 PM
Vernal UT

I absolutely agree!  I've been hearing the doomsday message, "The End of Transcription is Near" for 20 years now, and I refuse to buy into it.  I go to work every day and I love my work. I have had to make many changes in the way I do my work--if I listed all the different systems I have learned to use it would probably sound like a comic book plot.  Not to mention the weird things like our old computer program that disintegrated before the new one was even ready to install, never mind the training issue.  We learned by the seat of our pants and we got the job done while we were learning.  I love transcription because every day is a new mystery story to track down the answers to, and every day there are more places to do the searching.  I will have to quit one day, whether I want to or not, but I intend to enjoy every working day I can with a positive attitude.

Carol, Transcriptionist January 28, 2009 4:14 AM
Soldotna AK

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About this Blog


    Jay Vance, CMT
    Occupation: Medical Transcription Industry Consultant
    Setting: Yuma, AZ
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