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Press Write -Up
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"Big new line of business
can be found at Selectronic Equipment & Services, . . ."
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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
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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
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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." |
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The Wall Street Journal:
Satellite Communications Help Transcriptionists
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in India
to Work While Doctors in
US Sleep
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16 March 2000
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By Miriam Jordan & Jon
E. Hilsenrath Staff Reporters of the Wall Street Journal
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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. |
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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. |
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"Such workers can give
smaller towns a middle-class core, with the spending power to attract
service industries - and with them, still more jobs.
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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) |
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"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) |
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"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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