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we started seeing this trend a few years ago, all of our practices were starting to sub out all of their dictations to typists in India.

Recently though, I have turned the tables on them and I am slowly taking the business away from the Indians who undercut the local transcription folks.

We setup modules so the doctors upload their dictations directly into the EMR systems and it is automatically transcribed. Then we hired some of the locals to error-check and correct them.

There aren't as many jobs as there used to be, but at least we brought as much of it back as we could.

Makes me feel like I accomplished something when I can undercut the Indians and bring the work back home again.

Unfortunately, that's what transcription has become...mainly an editing job. The hospital that laid off our entire department was using a Dictaphone system which was based on voice recognition. We went from typing 80% of the report in 2007 to only typing 20% 3 years later. Our productivity was supposed to double or even triple with this new method but in reality it only increased by 50%. However, they slowly decreased our wages along the way until we were making less and less but doing more work.

Good for you, though, in your attempt to increase the job opportunities for your fellow Americans!

Mrs. Prince of Space