Medical Transcription - Its Past, Present, and Future

Medical Transcription has become a common term today and is about human beings listening and typing out physician dictations. Technological advances have always defined the medical transcription process. It will continue to be so and one wonders what the future could bring for the medical transcription professional.

Looking back into the past history of medical transcription one has to mention about the clumsy medical record keeping methods of yesteryears. All early records were hand written medical records that were highly abbreviated because it was quickly written /scribbled by the physician who was also actually treating the patient.

Files kept in wooden filing cabinets, that consisted of collections of handwritten notes/scribbles along with typed documents had to be physically retrieved from shelves every time the physician wanted to have a second look at them. Further development for years just involved the duplication of medical records /documents using carbon paper. (I remember doing it myself)

Medical transcription need not actually only be associated with insurance claiming. Storage of medical records by transcription must have begun ever since computers came into use. It was the equivalent of stenography and writing in shorthand the dictations of business.

We know various automation systems had started evolving right from the year 1960. Computer systems were not useful enough for years to be used in transcribing records in the medical / health sector. Only much later in the early 90s did actual medical transcription come into existence.

Today when we talk of medical transcription it automatically encompasses infrastructure, the desktop computer, the Internet, digital transmission, information systems, PDAs, dictation systems, foot pedals, headphones and more.

The evolution toward the electronic patient record and HIPAA compliance is forcing everyone to catch up with technology and there is no looking back. Globalization has enabled the medical transcription professional to even sit at home and work for clients who may be located anywhere else on the globe or beyond.

The current developments in VRS (voice recognition software) and its evolution may some day totally automate and even remove the human element in the medical transcription process. Medical transcriptionist (MT) is already happy enough to just edit the documents produced by the VRS.

Future, technology may grow to replace the human element and medical transcription can mean just another chip on a board. (I don't mean to be sarcastic). But then we still value art don't we? Like a hand printed dress or antique furniture, manual medical transcription work will have its value and may become more precious. Won't it?

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Medical Transcription - A Glamorous Lucrative Career

What is medical transcription?

The process of transcribing doctor-dictated dictations for the purposes of documentation as a medical record is simply termed as medical transcription. The person who transcribes the dictations into a document is a medical transcriptionist or a medical transcription professional.

The process originated in the West. The person who did this job used to be called as a medical assistant who used to be with the doctor at the hospital writing down notes instructed by him. Advancement of this process is electronic conversion of the dictations.

Why and who?

For insurance purposes and maintenance of medical records. The major player outsourcing medical transcription work is USA. Canada, UK, and Australia have some. The outsourced countries include India, Philippines, Indonesia to name a few among others.

The medical transcription professional needs a wide knowledge of medical terminology, American English, and critical thinking skills that may help him/her to interpret what is dictated to produce accurate documents. The dictator speaks over a hand-held device called a Dictaphone or a electronic recorder or a device which has a 1-button solution to upload his voice into the server. The transcriber downloads them at his location through a server that is provided to him by the organization he works for. He then transcribes the dictations into medico legal document.

Why outsourcing?

Medical transcription happens to be one of the earliest BPO jobs outsourced to India. Indians have strong English communicating skills due to the curriculum followed from the days pre-independence. The time difference of 12 hours between India and USA makes it easier for the doctors/clinics to have their reports on their table at their next visit to the clinic. Furthermore, cost of labor is much cheaper for the outsourcer.

Potential?

Medical transcription has a strong employment in both India and the United States. One can work for a company that serves for the Healthcare Industry. The model also involves working at home as independent contractors. In India, the independent home transcriptionist model is growing to gain much popularity.

It is said, still a larger portion of the work is still to be outsourced from US. Both NASSCOM in India and the US Department of Labor have identified this career as having a higher growth potential year by year.

Earnings potential?

As far as the money making is concerned, the fresher in medical transcription earns a starting salary approximately around Rs. 5000 and after 2 years of experience, his money making capability goes to around Rs. 15,000. Careers advancement can lead him to become an Editor or a Leader of a team in a company which could fetch him around Rs.20,000 or more. In these days of growing population and a means to earn money, this is quite decent for an Indian standard.

Allied careers?

Medical coding and billing are showing up as allied careers related to medical transcription.

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