Dictating Your Notes During the Patient Visit

[@yvonnemccarthy4957]

From my viewpoint as an MT of 30 years, your system is clean and efficient and, as the side notes on the video showed, cost-saving for the institution as well as time saving for the physician. You make excellent points about the benefits of dictation in helping you form a comprehensive narrative. The system wasn't broken before software vendors came along and sold administrators on their products. I think all physicians should be concerned about the accuracy of their records, and in trying to cut costs, force cumbersome and under-developed technology on physicians, and ignoring the medical and legal repercussions inaccurate records can create, administrators and governing bodies have done a great disservice to patient care and safety. Thank you for your video.

[@EmptyPocketFarm]

Happy to see that you are in favor of dictation/transcription versus a click/pick EMR system. Being a medical language specialist (MT) for over 25 years, I must point out that I would be quite able to transcribe an accurate document from your dictation by traditional means. If your system uses speech/voice recognition, the amount of editing would be excessive and time consuming and reduce efficiency and accuracy. Furthermore, if your dictation is transcribed off-shore, I doubt you would receive an accurate document due to inability to decipher dictation versus conversation by an MT with ESL. If you dictate in front of the patient, and conversation/correction is necessary, you need to use the PAUSE on the system and then say CORRECTION and redictate, then it will be clear to the MT to delete the prior few words and make the correction. This will result in an accurate document. MERGING EMR/Transcription is the best of both worlds, but with the majority of transcription going overseas and the lack of desire to have a patient's entire EMR available off-shore, the ANSWER is KEEP Medication Transcription in the USA for US physicians and patients. Doctor, where is your transcription done???

[@biobossx99]

Great video!

[@urogenie]

thanks for sharing your technique

[@NikKeeler]

I am a medical transcriptionist as well... While I can understand his point of view, I also know that when I have had physicians dictating in the room it becomes a jumbled mess that is a pain in the rear to decipher and clean up. I don't feel sympathy for the docs that they lost time when dictating outside of the room. It seems to me that they should be more concerned with accuracy in the report, which translates to safer patient care, than being able to squeeze in an extra two patients a day. Is my time not valuable as well? I would lose quite a bit of time and money trying to decipher the jigsaw puzzle of an in-room dictation as opposed to a dictation done when he can focus; I would also feel less confident in knowing that I have done a comprehensive job. He could just as easily do a summary at the end of the visit to ensure he has the correct information WITHOUT dictating if he's so concerned that he's not been paying attention well enough to have his facts straight.

[@mahimadeka8639]

This reading (dictation) sounds very much like the one we've done in our job. But it is still not as fast as it should be.

[@raccoonultimate4194]

I believe, it is unprofessional to dictate in front of the patient. The doctor should totally focus on the patient instead of doing dictation in front of him.

[@samman4602]

I believe all the information that he's dictating has already been discussed with the patient before dictating so if anything I think you're spending more time in the room , i.e. dictating time in front of the patient instead of in the office. My original gut feeling about dictating in front of patients also is cringe, but I'd take the money too