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Press Write -Up

"Big new line of business can be found at Selectronic Equipment & Services, . . ."

Software is only the more prominent half of India's IT bonanza. A glimpse of other big new line of business can be found at Selectronic Equipment & Services, a three-year-old New Delhi company where young Indian workers are paid to watch American Programs like ER and Chicago Hope. They have more rigorous duties as well. Selectronic hires stenographers to transcribe medical records for doctors in California, Georgia and Pennsylvania. Without the Internet, the vast distance was unbridgeable; with the Net in place, a whole range of labor-intensive work or "IT-enabled Services" can be done anywhere on the globe. Ireland and the Philippines have also caught on, but India is becoming the country to beat.

Selectronic's business works like this: doctors in the U.S. to protect themselves in malpractice suits, have to keep detailed notes of all consultations but don't want to hire stenographers at U.S. wage rates. Indians charge far less - and the Internet has brought them within reach. A doctor in the U.S. simply dials a toll-free number and dictates case summaries into the phone. Those recordings are transmitted via satellite to New Delhi, where they are typed up by Selectronic's 200 transcribers.

Founder Veer Sagar, who quit a computer company to get into the business, says it has even more potential than software because it can employ Indian with non-specialized educations. "With our huge pool of educated, English-knowing workers," says 56-year-old Sagar, "we have a chance to be No.1 in the world for the IT-enabled services." Some 100 Indian companies are doing medical transcription already, and Selectronic operates 24 hours a day, 365 days a year a claim that even Indian power companies and telephone exchanges can barely make. There are challenges to the job. Speed is a must; the company promises a 24-hour turnaround. So, too, is accuracy, and that poses challenges for Indians dealing with American English, which is why those U.S. TV programs are part of the training program. One worker couldn't understand a case history that involved a patient having eaten a tortilla - so the company imported restaurant menus from the U.S. for study. "India is in the same position Japan was in during 1960s." Says Sagar, "if we capitalize on our human resources."

 
The Wall Street Journal: Satellite Communications Help Transcriptionists
in India to Work While Doctors in US Sleep
 

16 March 2000

By Miriam Jordan & Jon E. Hilsenrath Staff Reporters of the Wall Street Journal

 

Gurgaon, India - Richa Singh and her classmates have sat through a lecture on cardiology, a video on heart disease and a rerun of "E.R."

Ms. Singh is training for India's new knowledge economy. She isn't a medical student; in fact the 27-year-old is already a dentist. Instead, she's vying for a highly competitive job transcribing dictation from doctors in the U.S., which she believes will offer better career prospects.

India is experiencing a boom in offshore clerical services thanks to rising labor costs in the West, satellite communications and time-zone differences that allow transcriptionists to work while doctors in California sleep. The next morning, they awake to a hard copy of their patients' records.

Such commercial links helped pave the way for President's Clinton's visit to India next week, says Richard Celeste, U.S. ambassador in New Delhi. For America "India was always the blank spot on the other side of the globe. Today, it's the place where we do the other 12 of hours of our business," he says.

But because of its huge crop of low-wage, well-educated English speakers, India is leading this global trend. The medical scribe business is more forthcoming. In a drab basement, Shilpi Bajwa dons a headset and begins her eight-hour shift at Selectronic Equipment & Services Ltd. Fresh out of college, the 21 year old Ms. Bajwa earns $150 a month, a comfortable starting salary for India. Top Selectronic scribes earn $350 a month, or $4200 a year, a fraction of what their U.S. counterparts make.

"It's hard to get a well paid job like this," says Ms. Bajwa, who joined Selectronic's 200-strong staff two months ago. A science major, she is surrounded by other university graduates, in literature, computer science and even medicine. Some 400 people had applied with her for 100 slots in the company's training program.

Because of malpractice concerns, medical scribes can't afford to make mistakes. So Selectronic's six month course trained Ms. Bajwa in medical terminology, including anatomy and drug names. Just as important, she was bombarded with all the baffling dialects of American English, from Texan to immigrant Chinese.

Training lectures are peppered with doses of American popular culture. In a Selectronic lecture hall, 47 trainees have their eyes — and ears — glued to an episode of "E.R."

Selectronic transcribes patient's records for several U.S. hospitals but won't disclose their names due to confidentiality agreements. Because it guarantees 98% accuracy , the company requires quality-control officers to review each file before beaming them back to the U.S.

Most physicians dictate into a toll-free number, which is linked to a medical transcription company. The dictation is converted into a voice file by computer software and transferred to India via satellite. At Selectronic, the files are opened by a connecting server and distributed to transcriptionists. Completed texts are sent back via e-mail to the U.S. where they are downloaded and printed out for the doctors to review.

Selectronic is a family-owned startup, but U.S. companies have also entered the field.

Are the transcription companies becoming white-collar sweatshops? "We are getting employment. We are getting well paid," says Raj Kumar Bali, a Selectronic trainee.

The training itself has become a money-spinner. When Selectronic started, it had to pay job applicants to take the six-month course. As job seekers soared, the company cut back and eventually eliminated the stipend. Today, Selectronic charges about $200 for the course. And there is no guarantee of a job. New technologies, such as voice recognition software, could some day alter the dynamics of the transcription business. Verbatim transcription is useful in some industries, but for legal reasons, physician's mistakes — technical and grammatical — must be corrected by the transcriptionist.

In the meantime, even the American Association of Medical Transcription welcomes the advent of the industry in India. There are an estimated 250,000 medical scribes in the U.S.; not enough to meet demand, says Claudia Tessier, executive director of the association.

The workload will only rise as nurses, social workers and dieticians seek transcription services. "Everyone has a backlog," says Marge Parker, president of the Florida Association for Medical Transcriptionists "We can't keep up."

- Jonathan Karp contributed to this article.

 
"Such workers can give smaller towns a middle-class core, with the spending power to attract service industries - and with them, still more jobs.
 

If it happens, it will be companies like Selectronic Equipment and Services that deserve the credit. Selectronic employs 250 young men and women, who work in an obscure suburb of New Delhi, doing overnight transcription of patient reports for American doctors. Veer Sagar, the company president, says his costs are between 25 and 35 percent lower than an American service's. And he thinks his business, whose current sales are about $750,000 a year, is just in its infancy. 'I could see us extending the service to billing, payment follow-ups, bed management, inventory control,' he says."- Newsweek, september 27, 1999. (Growing Smartly - page 38)

 

"Cultural fusion is another common feature. Since these companies are outposts of American or British firms and adhere to their standards, they must master not only unfamiliar terms but also the mind-set behind them. At Selectronic, a six-month training course in American medical terminology is supplemented with group viewing of Chicago Hope and ER, accompanied by take-away pizza. Yet in some ways the atmosphere remains resolutely Indian. These dataworkers are not rootless part-timers, as their American equivalents might be. Many expect their employers to treat them like family members, providing transport to and from work, company cricket games and jobs for life. Indian law makes it hard to do anything less."

"Selectronic recruits from its lower-middle class Delhi neighborhood. Its employees may speak English less fluently then GE's, but Selectronic compensates with rigorous training and a checking process that vets every one of the 1.3m lines of transcription the company produces monthly". - The Economist, january 16th-22nd 1999. (Spice up your services-page 63)

 

"India's vast diaspora of professionals working in the U.S. and other developed countries may also be an advantage. About 32,000 Indian doctors practice in America, creating a network of contracts for Indian medical-transcription services, a high-growth field. Delhi-based Selectronic Equipment & Services employs 300 workers to transcribe patient histories from voice recordings sent by U.S. doctors over the internet. Within eight hours, text versions are back in physicians' hands, says Selectronic President Veer Sagar."

- Review, september 2nd 1999. (Catching The Bus - page 11)

 


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