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The Andrews School review: False Advertising Regarding Wages 45

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The Andrews School for Medical Transcription advertises, and indeed boasts, that upon graduation from their course, you can expect to earn decent wages. WARNING: IT'S NOT TRUE! RUN, DO NOT WALK AWAY!

On the school's website, click on their link that states "How much can I earn as a medical transcriptionist?" From there you are directed to a page on the website of the U.S. Bureau of Labor Statistics: http://www.bls.gov/oes/current/oes319094.htm ---

And on that page, you read that the lowest reported hourly wage for a medical transcriptionist is $10.65. Now you're thinking, "Hey, that's not bad to start, and over the years my wages will go up from there!"

This all begins to seem like a great deal for you, especially when you consider that increasing numbers of MTs, indeed most of them, work from their home offices, either as independent contractors or as telecommuting employees. So, most likely, you would be working from home and earning this very decent money, in your exciting new career with a bright future, as a medical transcriptionist. Right?! --WRONG!

Time for the truth: Entry-level medical transcriptionists earn wages which are frequently below the minimum wage. Yes, it is legal in this situation. They are customarily paid between 3 cents and 7 cents per line of transcribed dictation. Most entry-level MTs work for several months before they can consistently produce 1000 line per day. Let's do the math. If you are paid 7 cents per line and you produce 1000 lines per day, then you have grossed $70.00. If you produce this consistently for 5 days of the week, you have grossed $350.00. But hold on! How many hours did it take you to produce those 1000 lines of transcribed dictation? For at least the first year or more, it is not uncommon to expect to work 60-70 hours per week or more, for those same wages. So what are your real hourly wages, after you calculate for having slaved at your computer roughly 60+ hours per week, for your gross pay of about $350 or so?!?! About $5.00 per hour or so?!?! And for the first few months, your rate of production will be considerably LESS than 1000 lines per day.

Back to the wages quoted on the website for the U.S. Bureau of Labor Statistics: What do those dollar amounts mean? They are numbers based upon national averages only and, as stated on the BLS website, THESE DOLLAR AMOUNTS DO NOT INCLUDE WAGES OF SELF-EMPLOYED WORKERS whatsoever. If wages of self-employed MTs had been factored into the numbers, the hourly wage amounts would be a great deal less.

For those who are doggedly determined to stay with it, yes, over the years, your line count will increase as will your income. But most MTs begin their careers by working extremely long hours and actually earning some of the most alarmingly miniscule wages you have ever heard of in your life. Suddenly, your home office has become a sweatshop--not exactly what you had in envisioned when you decided to take a course in medical transcription! The work of an MT is tremendously skill-intensive and challenging. It is hard work, and it is thankless work. About 15-20 years ago, beginning MTs actually earned a decent living wage. But times change: One reason for the deterioration in wages of MTs has been the outsourcing of jobs to third-world workers; another might be the increased use of speech-recognition software, with the result that transcriptionists are reduced to editors and paid less for what is an equally demanding job.

The problem here is the great deception created by advertising of prospective wages for medical transcriptionists, in order to lure new students into enrolling in the course. The reality is that if you graduate from the Andrews School course, or from any other MT course, you absolutely will be able to find a job as an MT, working from your home computer. But you will work inhumanely long hours over work that is exceedingly challenge and demanding, and your actual earnings will be LESS THAN MINIMUM WAGE for at least the first several months.

The turn-over of entry-level MTs is huge. This is why there are always job openings for new graduates of any medical transcription school. People are lured into taking these courses with promises of decent wages for a work-at-home job as a medical transcriptionist. They work for a few months, 60+ hours per week, earning about $5.00 or less per hour, and then they quit--long before reaching a level of productivity which produces a livable wage.

Look at the employment ads from the larger MT national service companies, such as Spheris, or Webmedx, or TRS, or Medware, or any one of numerous others. Find out what they pay entry-level MTs and ask how many hours those people are actually working. Do not believe advertisements run by MT schools, and do not believe wage information reported in any other industry-related website if they have any vested interest in getting your business. No matter what you read elsewhere, the fact is that entry-level MTs earn essentially no money at all, which is why the turn-over is so high.

Also, it should be mentioned that the Andrews School for Medical Transcription advertises that their course will help you become equipped to run your own home-based business. No, sorry, but their course actually offers no training at all in this regard--ZERO. Graduating from the Andrews School, you are no better trained than a monkey to start up your own MT service.

Schools which offer this sort of training are a dime a dozen. One school is no better than another if the job waiting for you upon graduation does not pay you a living wage, and MT just flat does not.

This is a more sophisticated scam, but a scam nonetheless. Do not fall for it!

Update by Jacqueline M.
Aug 05, 2014 1:04 am EDT

Nearly 5-1/2 years after posting this, I never once checked it until today. Delighted to see this much response!

Might be worth reiterating that wages quoted on the website for the U.S. Bureau of Labor Statistics are, by the Bureau's own disclosure, numbers based upon national averages only. As also disclosed on BLS' website, these dollar amounts of reported average wages have not been adjusted and/or calculated to include wages of self-employed MTs. This is relevant, because these reported wage numbers are not entirely accurate, not reliable, and therefore of no real value--at least not for the purposes of a prospective MT student.

For any medical transcription training course to refer prospective students to the website of the BLS, in order to get an idea of realistic wages, is deceptive. Ask yourself what percentage of MTs are self-employed. Is that percentage fairly significant, would you guess? I sure would. I don't know the exact percentage of self-employed MTs, compared to MTs who are not self-employed. But even if this number is only about 20% or so, it should be factored into the wages BLS calculates as national averages, for MTs; otherwise, this wage information from BLS is not very accurate, is it?

From my experience, it seems unlikely that most self-employed MTs earn more than those who are not considered self-employed. Unless I am wrong and indeed self-employed MTs, on average, do earn significantly more than those who are not self-employed, then the real, accurate amount of this national average wage calculation (by the BLS) would necessarily be a good bit lower.

So if an MT school refers you to the BLS for information on what your wages as an MT are likely to be, please take the above facts into consideration.

Graduating from Andrews, my grade point average was figured to be over 97%, I was proud to have finished the course in 11 months' time; I had no objections to the tough grading system was or to any other aspect of the course. In fact I enjoyed the course very much and was optimistic getting my first job offers (plural). To me, the term "sour grapes" applies to the unjust criticisms of someone who does not have the skills and the work ethic to succeed. My excitement about being an Andrews grad gradually turned to sadness and frustration, when I realized that the School's advertisements about FIRST-YEAR wages for MTs were grossly exaggerated. As I personally spoke with lots of employers, I was repeatedly told of the enormous turn-over rate for MTs, especially during the first couple of years after graduation. And each time an employer would tell me this, the reason was always because recent-grad MTs are customarily and understandably VERY SLOW, meaning their line count is correspondingly very low and that their wages, usually based upon line count, are...well...a JOKE, okay?!?! Yes, it's HARD WORK! Linda Andrews always was writing on those student discussion boards, preaching to us that we had to learn to "WORK SMARTER, NOT HARDER, " her words, verbatim. But where the rubber met the road, Andrews School fell way short of actually teaching how to "work smarter!" For one small example, the Andrews School course turned out to be woefully inadequate in teaching how to use macros, word expanders, etc. These are critical tools for increasing transcription productivity. Another small example of inadequacy of the Andrew School course was Linda Andrews' constant directive to recent graduates that (verbatim): "Unpaid job training is unacceptable!" But there was one company, then doing business as "ATT, " which I know for a fact had hired at least 20 of us at the same time, and the training they gave me was well over 12 hours, over a couple of days' time, and absolutely NONE of that was paid training. Linda knew perfectly well that large numbers of her recent grads were coming on board that particular national MT service company; Linda's office had been providing verification to that particular company, for each individual recent graduate's information, at the time of that grad being hired. Linda either knew or should have known that particular company, hiring numerous of her graduates, was not paying for job training. Another example was when I was offered a job at Webmedx (now known as "Nuance") and I personally had to be the one to tell Linda, in a phone conversation, that for an MT doing clinic transcription work, as opposed to acute care transcription, the wages are automatically lower. During that phone conversation, Linda questioned me (verbatim): "You mean clinic work does not pay as much as acute care?!?!" If she knew this and was pretending to not know it, from her tone of voice asking me this question, it certainly seemed very genuine, i.e., she did NOT know that clinic work automatically paid less, considerably less, than acute care transcription, and she seemed most surprised--unpleasantly--to learn this from one of her graduates. (Folks, this basic wage information is absolutely something Linda Andrews was responsible to know, as she was preaching so often that we must "Work smarter, not harder!")

One fellow Andrews grad was a retired school teacher, a lovely older woman who had completed the course roughly 8 years before me. She told me that some weeks she might earn as much as $15 per hour but that usually she earned about half that much. She also told me something of even more concern, i.e., that medical language had changed a great deal since the last time the Andrews School had updated its course. (I don't know the last time, if ever, that Andrews School updated its course, but if an MT school is not offering a course that keeps current with medical language, in general, then I believe a 10-year-old child can understand why that course would be totally worthless.)

No regrets on my part, not spending any time working as an MT. I regret the money I wasted on the Andrews School course, sure! But I'm not sure "sour grapes" describes my motivation for authoring this post.

My purpose was and remains simple: Warning prospective students of MT courses that the hard reality is they are unlikely to earn a living wage, at least not for the first year (if not much longer than the first year!). I pray that any prospective student of ANY medical transcription course will do sufficient research of this failing industry, necessary to ask the question of whether vocational school courses should offer training in any type of work for which you cannot earn a living wage.

Friends, MT as a profession is DYING! Please heed the post of "SSusan, " dated December 2, 2009, which I'm pasting below. "SSusan" has the experience and the real-world wisdom to be warning everyone far better than I ever could, and I thank her immensely for her post as follows:

"After being an MT for 30 years, it amazes me how these schools promote employment upon graduation. For those of us in the industry, companies like Webmedx continue to hire, however, there isn't enough work for existing workers and many are complaining that their income has dropped to below minimum wage. This is the reality regardless of what these schools tell you. Check out MTStars and read the posts and contact people who actually work for these companies. It's almost a crime to take your hard earned money to enroll in a program that very well may not yield more income than working at MacDonald's!"

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ErinHWilliams
Salina, US
Sep 23, 2009 9:03 pm EDT

I have been a transcriptionist for the last 3 years and went through M-TEC. I made $68, 000 last year working an average of 35 hours a week as an employee and I am ONLY PAID ON PRODUCTION NOT HOURLY. If you are smart enough and good enough at being an MT you can definitely make the money. Sounds like sour grapes to me.

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dragonflower
Albany, US
May 23, 2009 8:12 pm EDT

I worked as a medical transcriptionist for 10 years in a hospital setting. It is not the fault of the Andrews Transcription School that transcriptionists are paid such low wages. It is the current state of the industry.

The only way you can make a living wage as a transcriptionist is if you are employed at a hospital where you are on a straight hourly wage.

In the hospital where I worked, we did have several graduates of the Andrews school. I was impressed with the training offered, because these gals all came to us with very polished transcription skills - they knew their stuff!

So, from what I could tell, Andrews does deliver what they advertise - that is, they do offer the training to make you a good medical transcriptionist. The problem is that the bottom has fallen out of the industry.

Incidentally, I no longer work as a medical transcriptionist because all of my former hospital work is now outsourced to India where they can pay dirt wages.

Oh - I should mention that prior to doing medical transcription I earned 3 degrees in music - B.Mus, M.A. and D.Mus - and still could not find a job in my field. I had all the training and pedigrees, but could not earn a living in music.

Transcription at least got me a JOB which was more than I could find in music. The hospital transcription was flexible and paid modestly. I would have stayed if they had not outsourced it to India.

Instead, I returned to school and became a nurse so I would have a more marketable degree.

Dar

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Kat
Portland, US
Apr 16, 2009 12:13 am EDT

Thank you for your input. I've been taken before (Heald College, IT program).