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============================================ MT India Digest Moderated Discussion List "Effective MT Forum" ============================================ Published by: MT India www.MTIndia.org Moderated by: Amit Chatterjee,SM
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.................................................. Nov 17, 2000 Digest #052 .................................................. .....IN THIS DIGEST..... =========MODERATOR COMMENT===== -= I do have something to say...=- ===========NEW===================== -= MT in India =- ~Lalitha Ravindranath "What makes Indian Medical Transcriptionists (MTs) unfit for the job?" ~Saagarika Haran "Traditions do not mean only observing religious festivals, performing ritualistic ceremonies but following in spirit, the great values" ===========BILLBOARD============== -= Cyber Laws in Effect =- ~Amitabh Kumar =========MODERATOR COMMENT===== Dear Fellow MTIDers.... I'm doing some research on Strategic Management... so I thought you guys might be interested in applying the 36 Strategies to your entrepreneurial endeavors... here's the raw data... you have to make them relevant to your own environment ;-) 36 Strategies: Strategy 1. Cross the Sea by Deceiving the Sky Strategy 2. Besiege Wei to Rescue Zhao Strategy 3. Kill with a Borrowed Knife Strategy 4. Relax and Wait for the Adversary to Tire Himself Out Strategy 5. Loot a Burning House Strategy 6. Make a Feint to the East While Attacking in the West Strategy 7. Create Something Out of Nothing Strategy 8. Pretend to Advance Down One Path While Taking Another Hidden Path Strategy 9. Watch the Fire Burning from Across the River Strategy 10. Conceal a Dagger in a Smile Strategy 11. Sacrifice the Plum for the Peach Strategy 12. Take away a Goat in Passing Strategy 13. Beat the Grass to Startle the Snake Strategy 14. Raise a Corpse from the Dead Strategy 15. Lure the Tiger out of the Mountain Strategy 16. Let the Adversary off in order to Snare Him Strategy 17. Cast a Brick to Attract a Jade Strategy 18. To Catch Bandits, Nab Their Ringleader First Strategy 19. Remove the Fire from under the Cauldron Strategy 20. Catching Fishes from Troubled Waters Strategy 21. The Cicada Sheds Its Shells Strategy 22. Fasten the Door to Catch a Thief Strategy 23. Befriend a Distant State While Attacking a Neighboring State Strategy 24. Borrow a Safe Passage to Conquer the Kingdom of Guo Strategy 25. Steal the Beams and Pillars and Replace Them with Rotten Timber Strategy 26. Point at the Mulberry but Curse the Locust Strategy 27. Play Dumb Strategy 28. Remove the Ladder after Your Ascent Strategy 29. Decorate the Tree with Fake Blossoms Strategy 30. Turn Yourself into a Host from Being a Guest Strategy 31. Use a Beauty to Ensnare a Man Strategy 32. Open the Gate of an Undefended City Strategy 33. Use Adversary's Spies to Sow Discord in Your Adversary's Camp Strategy 34. Inflict Pain on Oneself in order to Infiltrate Adversary's Camp and Win the Confidence of the Enemy Strategy 35. Lead Your Adversary to Chain Together Their Warships Strategy 36. Retreat is the Best Option And do excuse me for my extended vacation.......there is a saying in Hebrew (free translation): "the way to Hell is full with good intentions". The posts below are interesting; I am looking towards some interesting times ahead :) Regards to all! Your Striving Moderator, Amit
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Comment?
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================CONTINUING======================= From: Lalitha Ravindranath <
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> Subject: MT-The true picture Hi there MTIDers! Medical Transcription entered the list of career options in India recently and shot up the charts because many saw it as a glamorous option. Medical Transcription promised a hefty pay packet and flexible work times as well. Housewives particularly were drawn to Medical Transcription as they thought they could work from home, balancing a career and caring for a family. A horde of other people gave up their studies and jobs midway to join the "gold rush". All they found was "fool's gold"; their dreams of riches turned into ashes. Most entrants into the Medical Transcription field, tested the waters by starting "training centers" which promised "100% placement". After feathering their bank balances with money from the tide of trainees, they claimed inability to place this hapless lot. Jobs are so scarce and elusive that the dream of a job as a Medical Transcription is like a mirage in a desert. The Medical Transcription training centers refuse to be held accountable for the unemployed state of the half-baked Medical Transcriptionists they trained. What makes Indian Medical Transcriptionists (MTs) unfit for the job? Firstly the "training" they receive is not world class. It does not follow the standard of training set down by the AMMT, which is the international standard. This makes them lack the professional skills required in this competitive field. The accent of the dictation is like a strange language for a majority of the MTs. The accuracy that is stipulated by most of the clients is a minimum of 98.5% and an impossible task for most MTs.This is because they are not trained in all the specialties, operative reports etc. Their vocabulary in medical terminology is not adequate. The investment in setting up a Medical Transcription unit may not be too much in view of the profits, but many factors prevent entrepreneurs from investing in this field. The technology that is needed in downloading and uploading files is expensive and not fool proof. The turn around time in which the files have to be uploaded is not negotiable and cannot be violated. The migrant nature of the qualified MTs is also a source of worry. Large units that provide quality training and have the money to invest in the top of the line infrastructure, who can ensure quality control in every way are the units who can hope to stay in the Medical Transcription business for the long haul. The future looks bleak for Medical Transcription in India, taking into view all the aspects that are present in the Medical Transcription field today. It does not seem probable that much will change in the future unless Medical Transcription training is given at par with professional courses,(maybe even in professional colleges), keeping in mind the international norms. If the international insurance companies come to India, as their banks did, there is hope yet, as they will insist on maintenance of comprehensive and complete medical records. Most hospitals will also begin to keep files of their patients and that will need the service of trained MTs. Let us hope that this will indeed be true. Regards to all, Lalitha Ravindranath Comment?
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++++ new post - same topic ++++ From: Saagarika Haran <
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> Subject: MT in India - A glorious opportunity being frittered away! Dear Fellow MTID'ers: As someone deeply entrenched in Medical Transcription, I have been hooked on the net for some time now, covering in depth, the MT scene in the USA, and here in India. Chatting live with MTs abroad and corresponding through their MT message boards, several facts emerge clearly and I wish to share them with the community here in our own country. The MT industry in the USA is extremely well organized and superbly networked. Very clear standards are laid out, not just in terms of syllabus to be covered for medical terminology, English grammar, punctuation, verb tense agreement, adequate exposure to sample doctor dictation( covering myriad accents)constant refresher courses, but also ensuring special emphasis is placed on the provisions regarding patient record confidentiality and health care etc. The credits for each of the subjects are proportionately distributed to ensure very high proficiency in overall terms with the ultimate goal of excellence in medical transcription. The average MT is paid anything between $13-$18 an hour,doing an 8 hour shift in a five day week (observing all mandatory holidays). MTs work in a clean healthy environment, with the usual medical, health insurance cover that is offered in the USA. Ergonomics is an integral part of business especially in a job that requires arduous hours on the computer. An MT is highly regarded and MT business is a thriving industry growing steadily, by the year. Having said all that I might add that the incidence of doctors/hospitals paying less than contracted for or taking unsuspecting MTs for a ride is almost negligible. Substandard MT companies, managers, QAs are the exception rather than the rule. Now witness the Indian MT scene. Healthscribe India (A wholly owned subsidiary of Healthscribe inc.USA) is possibly the only big player who set up shop in 1994 in Bangalore, with a very well structured training program, pay scales et al, and function with about 350 MTs. Asoft India Pvt Ltd.,has just entered the fray in Hyderabad, with maybe a few others also. As for the numerous others - mostly small-time players, they (barring exceptions) are uniformly substandard, with little or no knowledge of the MT industry in general and MT training in particular. It is a reflection of the times we now live in that people with the "get-quick-rich" motive have launched these "MT training institutes" and "Transcription companies". Speaking from personal experience and those of others with whom I am constantly interacting, only one sordid tale emerges - one of fraud, incompetence, and a total lack of anything even remotely resembling ethics. It is indeed a matter of shame that here we are, presented with a golden business/job opportunity which we should have grabbed with sheer joy, built upon it, proved to the Americans that we are the best and also enriched ourselves in the process, whereas we have just chosen to practically throw it away by completely thwarting the whole growth process for temporary personal gains. Take a hold of the "statistics" of fraud : 1)"Transcription companies" and "Training institutes" charging anything between Rs 20,000/- Rs. 60,000/ for, what in my opinion are, at best, ill-conceived, badly planned, poorly executed training programs, that wouldn't pass muster in the USA. One transcription company had not even begun listening comprehension until after a whole month of the training program had elapsed. A "consultant company" with a "we are the best in the country" claim, keeps knowledge to itself, like it is it's birthright, refusing to part with as little as a scrap of paper, after collecting a cool hefty six-figure "fee". In the USA, for half that fee, transcription companies, wishing to set themselves up in business are offered all know-how, including books, CDs, even transcribing machines! 2) The promise of "100% placement". This one is a favorite of many Indian companies/"entrepreneurs" in other fields too. Most gullible (of which there are enough in this poor country of ours)aspirants find out the truth only much after they have parted with their hard-earned money. 3) A new breed of bogus "consultants", who have taken full advantage of the lack of knowledge of their own unsuspecting brethren, wishing to enter into Medical Transcription, and charge colossal sums for "technical know-how". Again, by the time the genuine businessman/ company wakes up to the fact that he has been defrauded, his "consultant" has collected his booty and disappeared, with false promises of giving him work! One defrauded company never got onto production and another closed down. 4) Fly-by-night operators are having a field day! I have any number of people writing to me, in further corroboration of whatever I have written here. Several, in sheer disgust have just given up on Medical transcription. I read an interesting post on the MT message board in MT India entitled "The bubble bursts", where Ms Lalitha Ravindranath, writes much the same about the terrible "training programs" and she, like me laments the fate of MT in India. With everybody in the country screaming about the greatness of Indian culture, our hoary past, our wonderful traditions, I am sorry to see none of it in evidence in the business world and at least not in the field of MT. Traditions do not mean only observing religious festivals, performing ritualistic ceremonies but following in spirit, the great values and ethical practices that form an integral part of our rich 5000-year-old culture. If you are going to hit your employee below the belt and perpetrate fraud, while you yourself travel in an Opel Astra or Ford Ikon with a mobile phone stuck in your ear and observe every 'diktat' in the rule book only in the breach, then I must state that is not Indian culture, whatever interpretation you may wish to give it! Sometimes,I find disillusionment setting in me, but with a "never say die" spirit I wish to continue exposing these fraudulent elements and drive them out of business, while helping to educate the hundreds of aspiring MTs to at least recognize a bad training program when they see one, a bogus company, when they join one and in doing so they can as a group demand quality training and refuse to pay exorbitant fees (any fee exceeding Rs.15,000/- is sheer extortion) or turn away and seek jobs elsewhere.This is easier said than done, but I think someone has to begin somewhere and I wish to do it here and now. Wake up, aspiring MTs, honest entrepreneurs, and together build an endearing work environment( after weeding out the scum) where employers and employees can flourish alike and do our country proud! Saagarika Haran Comment?
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================= BILLBOARD =================== From: VSNL Helpdesk <
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> Sub: Security of your Internet services Dear MTIDers, We are thankful to you for being a part of the VSNL Internet family of users. VSNL is committed to provide Internet services of the highest quality as well as provide a secure and reliable environment or corporates and individuals to transact business on the Internet. As you might be aware the cyber laws have now been enacted in India w.e.f. 18th October 2000. The provisions of the cyber laws and cyber crime thus have a legal backing. VSNL's security team has been coming across certain attempts by some of the VSNL subscribers to carry out security violations such as hacking attempts, port scans and other illegal intrusions into Internet networks in India and other countries. We would like to advice that VSNL has been constantly able to recognize the identity of such intruders, which is well documented. VSNL has been requested by some of the foreign networks who have detected intruders from VSNL subscribers to initiate actions, consequently we would like to advice in the interest of the security and reliability of business transactions on the Internet, VSNL intends to strictly abide by the cyber laws. Individuals and companies which are involved in cyber laws violation, hacking intrusion and scanning of other systems will be reported to the appropriate authorities for necessary action. We trust that such measures will improve the reliability and security of our existing customers who would like to transact business via the net. We look forward to your cooperation in abiding the cyber laws in the country in the use of the net. Sincerely, Amitabh Kumar Director (Operations) Comment?
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