Transport over Scribing

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DJBroca

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After watching this video () posted yesterday regarding the debate over which job is "best" for pre-meds, I thought I should consult the SDN! I'm surprised by the general consensus here (Patient Transport or Scribe?).
I would have to say patient transport is a "better" experience than scribing. I have been doing transport for about 5 months now in a level-I trauma center and I have never once seen a scribe up on the floors or in the ICU. I see scribing as synonymous with shadowing. While admitting patients from the ED, I do see scribes glued to the ED docs which is great. However, it takes a lot of focus to chart what the docs are saying and that really only leaves time for a scribe to say hi and bye to a patient while the doc takes charge. Also, as an ED scribe, they are only in ONE department alllllll day/night long. In transport, you are everywhere (ICU, pre-op, IR, MRI, etc.)! The residents, attendings, and students usually don't mind if I hang out while they round on the floors or in the ICU (depending on how busy transport is at the time) because a handful of them were transporters in college.
As transporters, we are communicating with the nurse before we take their patient, knocking on the patient's door, introducing ourselves, letting the pt. know where they are going and really developing a rapport with the patient. As a bonus, we get to go down to the patient's test and pick the brains of the techs and ask them how things work and why this test was ordered. In transport, you get the opportunity to take charge of the situation and not remain in the background of the doc. It's a great feeling being able to have an impact on someone's day. Working a 12-hour shift allows us to see about 35 patients per day. I'm guessing scribes are also pretty close to that number. So I would say that scribing is great if you are not shadowing in conjunction with scribing, but transport is better if you are currently shadowing or have in the past. Scribing gives you the shadow experience, but minimal patient interaction. Transport provides you with so much freakin' pt. interaction, but the doc interaction is here and there. We mainly talk with hospitalists (sometimes cardiologists in the Echo lab).
If you want to be a physician, get experience working with patients as you'll learn the finer details that scribes learn as a medical student. In the EC realm of this application process, I feel like the true threats are the ones who have shadowed AND got their hands dirty with patients in a hospital. It takes time to hone your craft talking with a diverse population of patients so might want to start now.
P.S. I have a lot of friends who are scribes so I like giving them a hard time. 😀

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According to most medical schools, the best job that prepares you for medical school is sitting in a chair studying the MCAT.

If you mean what job prepares you to be a physician, then that really up to you to decide. Scribing, CNA, transport, lab techs, EMT, and so on all have their pros and cons.
 
Okay so as someone who has had a ton of clinical experience I'll chime in. I've been a scribe in the emergency room, a chief scribe, a scribe in a medical office, a receptionist in a medical office, an ophthalmology technician, a hospital volunteer, a researcher at NIH, a clinical research coordinator, and now a clinical research supervisor.

Scribing is GREAT for the exposure you get in terms of seeing the interaction between physicians and patients. That's really invaluable experience right there, especially if you get to work with more than one doctor over several years. I'm not going to lie though, it gets boring after a while just being a fly on the wall and not being able to interact with the patients. I honestly really enjoyed working as an ophthalmology technician. Just because I was finally in control and it was just me and the patient. I learned what to say, how to say it, how to treat the patient, how to handle sticky situations, and what not do to. I don't think I could have learned that while scribing. All of my patients adore me, and I'm so glad that I have that experience under my belt. So I'd say that will best prepare me as a physician in terms of patient contact.
Being a patient transporter was okay--but the interaction is very short and wasn't intimate enough for me. There's no back and forth conversations going on, there's no questioning, there's not as much "touching" with the patient as I'd like (for example taking blood pressure, administrating eye drops, e.t.c)...and touching patients is really important. You have to be comfortable touching complete strangers that have their complete trust in you...
In terms of scribe vs patient transport...I don't know. They're both great experiences and I don't think you can get away with "just" being a scribe or ''just' being a patient transporter. You should do both 🙂
 
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Okay so as someone who has had a ton of clinical experience I'll chime in. I've been a scribe in the emergency room, a chief scribe, a scribe in a medical office, a receptionist in a medical office, an ophthalmology technician, a hospital volunteer, a researcher at NIH, a clinical research coordinator, and now a clinical research supervisor.

Scribing is GREAT for the exposure you get in terms of seeing the interaction between physicians and patients. That's really invaluable experience right there, especially if you get to work with more than one doctor over several years. I'm not going to lie though, it gets boring after a while just being a fly on the wall and not being able to interact with the patients. I honestly really enjoyed working as an ophthalmology technician. Just because I was finally in control and it was just me and the patient. I learned what to say, how to say it, how to treat the patient, how to handle sticky situations, and what not do to. I don't think I could have learned that while scribing. All of my patients adore me, and I'm so glad that I have that experience under my belt. So I'd say that will best prepare me as a physician in terms of patient contact.
Being a patient transporter was okay--but the interaction is very short and wasn't intimate enough for me. There's no back and forth conversations going on, there's no questioning, there's not as much "touching" with the patient as I'd like (for example taking blood pressure, administrating eye drops, e.t.c)...and touching patients is really important. You have to be comfortable touching complete strangers that have their complete trust in you...
In terms of scribe vs patient transport...I don't know. They're both great experiences and I don't think you can get away with "just" being a scribe or ''just' being a patient transporter. You should do both 🙂
At times, we are pseudo-CNAs because half of the time, the patient wants use the bathroom before a long test. Sure, we don't take vitals, but we do have our hands on our patients taking cuffs, leads, oximeters off, helping them up and down from bed to gurney, holding gowns closed (old ladies hate open gowns), etc. A good majority of our patients are over the age of 70 years so we are almost always holding them as we slowly walk them to the gurney juggling lines and an O2 tank. ICU nurses love it when we willingly jump in to help get pts. ready by getting monitors set up and connecting the cords to the pt., staying after the test to help clean pts., anything really. We are the extra set of hands when there are no CNAs available.
Our boss is very data-driven and keeps track of the average amount of time we spend with each pt. which is about 18 minutes. During that time, it's too awkward to be silent (unless it's a trauma pt.) so I always make conversation and crack a joke here and there. Again, scribing is great if you don't shadow and want to know what it's like being an MD/DO. Transport just seems to have a great balance between everything and that's why I'm advocating for it to those who are considering a hospital job while trying to avoid wasting their time investment. The ophthalmology tech job sounds pretty interesting though, good for you!
 
At times, we are pseudo-CNAs because half of the time, the patient wants use the bathroom before a long test. Sure, we don't take vitals, but we do have our hands on our patients taking cuffs, leads, oximeters off, helping them up and down from bed to gurney, holding gowns closed (old ladies hate open gowns), etc. A good majority of our patients are over the age of 70 years so we are almost always holding them as we slowly walk them to the gurney juggling lines and an O2 tank. ICU nurses love it when we willingly jump in to help get pts. ready by getting monitors set up and connecting the cords to the pt., staying after the test to help clean pts., anything really. We are the extra set of hands when there are no CNAs available.
Our boss is very data-driven and keeps track of the average amount of time we spend with each pt. which is about 18 minutes. During that time, it's too awkward to be silent (unless it's a trauma pt.) so I always make conversation and crack a joke here and there. Again, scribing is great if you don't shadow and want to know what it's like being an MD/DO. Transport just seems to have a great balance between everything and that's why I'm advocating for it to those who are considering a hospital job while trying to avoid wasting their time investment. The ophthalmology tech job sounds pretty interesting though, good for you!
Oh good I’m glad!! But of course everyone is going to have different experiences. One hospital will let you do more, etc. Also it’s a much easier job to get than a medical assistant, scribe, etc. Oh and just so you know, there’s a shortage of opthamology technicians out there and it requires on the job training, so ask around 🙂
 
Quick question, as per the minimum necessary statue of HIPAA, why is a transport asking about why a patients tests were ordered?
 
Oh good I’m glad!! But of course everyone is going to have different experiences. One hospital will let you do more, etc. Also it’s a much easier job to get than a medical assistant, scribe, etc. Oh and just so you know, there’s a shortage of opthamology technicians out there and it requires on the job training, so ask around 🙂

I've had some of the jobs you guys are talking about. None of them seem hard to ascertain except maybe "Medical assistant" because many places require a certification for that.
 
I've had some of the jobs you guys are talking about. None of them seem hard to ascertain except maybe "Medical assistant" because many places require a certification for that.
Unless you live in pre-med mecca
 
I am curious though @CloverBale , what did you say at your job interview for a scribing position to convince them you are capable of the position under the circumstances its harder there?
 
The best thing that prepares you to be a physician is medical school and residency. You don't have to know a thing about patient care to become a physician before medical school. You will learn everything in med school and residency. Working or volunteering in healthcare or knowing how take blood pressure and other vitals is just extras.
 
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