Transcription Jobs



             


Friday, March 28, 2008

Important Facets of the Medical Transcription Profession - Part 1

The Medical Reports

There are a variety of medical reports generated every day in physician offices, clinics, and hospitals. Medical transcriptionists should be familiar with those dictated in each work setting. Physicians in private practice frequently dictate office chart notes, letters, initial office evaluations, and history and physical examinations. Medical reports dictated in hospitals and medical centers are numerous in category; however, they invariably include dictations from the "basic four" reports: History and Physical Examination, Consultation Report, Operative Report, and Discharge Summary. Emergency Department Reports, hospital progress notes, and diagnostic studies are often dictated as well.

The Healthcare Record

The healthcare record is chronological, documented evidence of a patient's initial database, initial evaluation, identified problems and needs, objectives of care, prescribed treatment, and end results. The record may be paper, stored digitally in electronic format in a computer, or a combination of the two. The healthcare record is the property of the hospital, medical facility, or office in which it was originated, and it cannot be removed from the premises without a subpoena or court order. It is maintained in a Health Information Department usually headed by an RRA (registered record administrator), an ART (accredited record technician), or an MBA (master of business administration).

Technology & MT Equipment/ Tools

A discussion of medical transcription equipment should begin with the most important but often overlooked asset...the human brain. The machines used in medical transcription today are simple devices, and without human knowledge and intervention, machines are basically useless. The transcriptionist is the brain of the machine. Dictation systems: As physicians depend on their stethoscopes, scalpels, and tongue depressors, medical transcriptionists also depend on the tools of their trade ... the computer, desktop controls, a foot pedal, and a headset.

Dictation systems have evolved through several different stages: wax cylinders, phonograph-type records, belts, tank systems, Mylar reel-to-reel tapes, and cassette tapes. All of these systems had drawbacks even though each represented an improvement over the current technology.

Today we still see some Mylar tape cassette dictation systems in use, but most have been replaced with digital technology. A digital system works much the same as a compact disc (CD). The CD reproduces sound using digital technology that is extremely complicated; however, the end result is a dictation that is without any background noise, hiss, or other extraneous sounds found on Mylar tape. In digital systems, voice files are stored in "digital" (computer) format rather than "analog" (tape) format, and the dictation is usually free from mechanical noise.

Keyboards have had a similar evolution cycle: from manual typewriter, to electric typewriter, to the Correcting Selectric? typewriter, to word processors, and currently to virtual keyboards and even speech recognition. The input of data, whether via traditional keyboard, Dvorak keyboard, steno machine keyboard, or speech recognition systems, proves once again that it's the human brain interacting with the machine, not the machine itself, that produces quality transcription.

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Thursday, March 27, 2008

Getting The Most From Your Audio Recording For Transcription

Whether you are recording dictation, interviews, conferences, focus groups or meetings, it is important to know how to get the best quality recording, how to find a competent transcriptionist, and what sort of costs you are looking at.

The type of transcription depends on the type of recording equipment you have. You can record on to standard audiotape, micro or mini tapes, mini-disks and digital files, which the transcriptionist plays back on a computer. If you don?t already have recording equipment, bear in mind that while a mini tape Dictaphone, for instance, might be much cheaper then a fully functional digital conference recorder with several external microphones, the quality of the cheaper instrument makes it suitable only for basic dictation.

Some mini and micro tape recorders are powerful enough to be placed on a table between an interviewer and interviewee and pick up both voices, but we strongly recommend you carry out a test recording first to make sure. To record a focus group or conference you will need a good system of powerful microphones which will probably record into a video, digital audio or standard tape system. Digital systems are very variable and many are of good enough quality to record focus groups and conferences.

It is also worth bearing in mind that more and more transcribers no longer offer tape transcription, as digital is becoming so much more popular, and it is easier to work with and better quality.

On average it takes four hours to transcribe one hour of recording, but this varies considerably. It might be closer to three hours for one person speaking into a Dictaphone but could well be at least six to eight hours for a large focus-group.

This is because we speak much faster than even the fastest typist can type. Also, the transcriptionist doesn?t just type what he or she hears - it has to make sense. Although your transcriptionist should only type what?s being said (unless specifically requested to edit), it's not just a matter of the right words, but also the right punctuation and, of course, picking the correct homonym (e.g. there or their; two, to or too; pare, pear or pair; fair or fare; the list is almost endless).

You will also need to decide whether you want a ?verbatim? transcription with every um, er etc. transcribed and all interruptions etc. noted. This is necessary for some work, such as police transcription, but is completely pointless in, for example, conference transcription, as the important factors in the latter are readability as well as accuracy.

The time taken to transcribe a recording can vary according to a number of factors. These include:

*Clarity of speech - Strong or varied accents slow down the transcription.

*Clarity of recording - background hiss will make the speech more difficult to hear and therefore slow down the transcribing. Also, if a number of people are being recorded, the positioning and number of microphones can make an enormous difference to the quality of recording.

*Background noise - a recording in a pub or caf? is likely to have significant background noise and deciphering the speech from the background noise can be difficult.

*Number of people talking - everyone talks at a different rate and pitch, and with a different accent. Having to 'tune in' to a number of different people slows down the speed of transcription.

People also talk over each other and interrupt, and in order for the transcriptionist to transcribe two people talking over each other they will have to play back the section of recording several times to pick out the different voices.

*Speed of speech - as already mentioned, some people speak faster than others. Clearly a fast speaker will take longer to transcribe, as they will fit more words in to an hour than a slower speaker.

*Whether speaker speaks in coherent sentences - few people actually do speak in the same way as we write. There are usually multiple 'ums and ers' and people often speak in partial sentences. This can require the transcriber re-listening to a section several times to grasp the meaning and insert the relevant punctuation.

*Whether you are seeking an exact transcription or a transcription 'for meaning'. Our standard offering at Penguin Office Services is to transcribe word for word but to leave out 'ums and ers' and repeated meaningless phrases, such as 'you know', and 'know what I mean?' It is obviously quicker to leave out these parts, but we are happy to transcribe them if required. An example of when an exact transcription might be required is academic research interviews studying language use.

So if you want to make sure you get a good quality recording, what can you do? Firstly, use the best quality recording equipment you can afford. This really is a question of getting what you pay for. A low-cost recorder may seem economical but the quality will be comparatively poor and a poor recording will take longer to transcribe. Paying for more transcription time will probably work out more expensive than spending a few pounds extra on better recording equipment. Digital recording must be the way to go if you are starting from scratch. Minidisks make very good quality recordings but only a few transcriptionists can transcribe from them. At Penguin Office Services we can convert Sony Minidisk recording to computer-based audio and transcribe from that. If you are not going down the digital route then standard audio tapes make better quality recordings than mini tapes, though micro tapes are also good for interviews and one person dictations. If you are using tapes, by all means keep a back-up copy but do send your transcriptionist the originals, as back-ups may be reduced quality.

Secondly, record in a quiet environment such as a self-contained office. This will make an enormous difference to the quality of recording. If you need to record in an open-plan office or public space then try to ensure your microphone is placed close to the speakers you are recording, but as far as possible from other workers in the office and their phones, or other people in a public space. Recording in pubs, restaurants and cafes, trains etc. will greatly reduce the quality of recording. If the speaker has a very quiet voice the recorder will not pick it up. Although you don't want to remind people that the recording equipment is there, you may have to ask them to speak up or place the equipment closer to them.

Thirdly, bear in mind that most built-in microphones are of poor quality with limited control over volume levels. They are designed to pick up close speech such as someone speaking directly into a Dictaphone. Using a good quality microphone for interviews and other multiple speaker recordings will greatly improve quality and reduce transcription time.

It is essential to ensure that the speaker is close enough to the microphone. If there are several speakers, for example in a seminar or conference, ensure that there are sufficient microphones around the room to pick up ALL the participants clearly. If seated around a table use something like a Conference mixer, which links several microphones to one central unit that will pick up a discussion more clearly than one central microphone.

If you are chairing a focus group you should ensure that all participants know that they must speak clearly and one at a time or their words will not be clearly recorded. There will be times when participants get exited and interrupt each other. When this happens it may be sensible to interrupt and ask them to repeat, one at a time, so that all the words will be clearly recorded.

There are also a couple of things you really should avoid doing, and these usually apply to tapes, rather then digital. Some recorders can tape at slower speeds, extending the recording time and reducing the number of tapes used. However, there is a related loss in recording quality. We would recommend that you use only the fastest speed setting on your recording equipment. Also, some recorders have a voice-activation system so that you don't waste tape recording long pauses. However there are two serious problems when using this. The first is that a soft-voiced person might not activate the recorder at all, so that whole sentences might not be recorded. The second is that every time somebody does speak and activate the recorder there is a slight time delay before recording starts, so the first word or two will probably not be recorded.

Finally, where you have speakers at a podium or multiple speakers in a large room, it is advised that you seek professional help to ensure everything is clearly recorded. Most hotels and conference centers will have in-house experts, or a company specializing in audiovisual equipment should be able to help.

If you have decided to use digital recording, there are quite a number of things to bear in mind when choosing your recorder. Please see my separate article, ?Digital File Types for Transcription? for more information on this.

Penguin Transcription (http://www.penguin-transcription.co.uk), part of Penguin Office Services, offers an affordable transcription service by tailoring each quote to the exact requirements of the client. The more information the client can provide us with, and the better the quality of the recording for transcription, the more affordable the transcription service will be. Why not visit our site and fill in an enquiry form at http://www.penguin-transcription.co.uk/PTS_enquiry_form.html to receive a quote for your transcription requirements.

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Saturday, March 8, 2008

Transcription Jobs

Medical transcription and data entry are two popular jobs that come to mind when you consider the word telecommunication. Transcription jobs are more or less very similar to data entry type of jobs. Both require good typing skills on part of the employee, accurate typing, basic knowledge of computer and reliable Internet connection speed. Irrespective of many similarities between transcription jobs and data entry jobs still one can say that the former requires more training and good understanding of English language.

Transcription Jobs v/s Data Entry Jobs

Transcription is basically a process whereby the transcriber receives dictation by tape, digital system or voice file by doctors and other others related to the industry. The basic job description of a transcriber is to listen to the recording of the information and accordingly type it in document form for future reference. Transcription jobs require high quality training on part of the transcriber so as to ensure a steady and positive job. Medical and legal transcribers are more professional and specialized as compared to local data entry operators. Medical and legal transcriber requires appropriate and adequate training on part of the transcriber. A little bit of carelessness on part of the transcriber can lead to future flaws for the company.

The basic pay rate for a transcriber is anywhere around $0.06 to $0.12 on per line basis. The development of the Internet has seen a tremendous rise in demand for medical transcriber all over. Many employers are now seeking the services of a transcriber to get their work done more efficiently and accurately.

Home-based medical transcription is also on a rise considering the rapid growth of Internet all over the world and people find dealing online more secure than what it used to be in the past. As a result of this boost many people are now opting for freelance transcription services over the Internet.

Data entry jobs on the other hand are not as specialized and popular as compared to transcription jobs. The basic criterion of a data entry job is to be familiar with your standard keyboard skills and also with the ten numerical keys. The pay for a data entry job is far less as compared to transcription jobs. Data entry type of jobs, pay anywhere around $8 per hour to start with.

If you are seeking for a professional and a high rewarding career then Transcription jobs would be a better option as compared to data entry jobs.

This article may be reproduced as long as the following resource box remains intact:

For complete help and advice on transcription, read the E-book ?Home Based Transcription Guide - How to make Money Listening to Words!? created by Nathian Jackson. This E-book will give you complete details about transcription, and teach you the ways of earning money through transcription without spending a single penny. This E-Book can be found at www.transcriptiontips.co.uk

Nathian Jackson

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Friday, January 4, 2008

Medical Transcription Salary Outlook

So how much can an MT actually make?

MT salaries can vary greatly, and your actual earnings will depend on a few different factors. For example, an MT who works from home and has her own accounts will usually make more money than an MT who works for an online service or at a traditional job setting.

According to the U.S. Department of Labor the average earnings for MTs in the year 2004 was between $11.50 and $16.32 per hour. MTs in the higher earnings range (10%) earned $19.11 per hour.

Now, keep in mind that?s just a statistic. How much you actually earn can vary greatly and it?s really difficult to come up with a ?true? earnings statistic.

If you work from home on your own accounts there may be months where you have extra work and months when you have less. Your earnings could also differ dramatically from another fellow MT who works from home on her own accounts.

A great advantage about having your own MT business is you can truly have control over your earnings. The more accounts you have, the more money you?ll make.

As your business grows you can hire subcontractors and take on even more work. There really is no limitation in how large your business can grow.

You may also choose to have a smaller and easier to handle business. You can always work a little extra to increase your earnings, or simply take on the amount of work that suits your needs.

If you have a home based MT business and you do all the work yourself, you can make anywhere between $20,000 a year to $50,000 a year. A larger transcription service, which hires subcontractors can earn between $50,000 a year to $200,000 and upwards.

Medical transcription jobs outside the home can vary just as much, depending on where you live. Earnings can be from $9.00 per hour to $22.00 per hour.

It?s really difficult to say exactly how much your medical transcription salary will be. But one thing to keep in mind is the earning potential is there and there are many opportunities for you to take.

This is TRULY a business which allows you to have control over how much you earn.Mila Sidman is an experienced MT and owner of http://www.AskTheMT.com - an informative website dedicated to answering all your medical transcription questions.

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