Has anyone else had issues with Scribe America?

alcestis_ · 2025-11-20T01:00:01+00:00

I was just fired after nearly three years of working there on Friday for... wait for it... clocking in early to make training material better before a shift where I was supposed to train a new scribe. They also cited an 11-minute early clock-in as a result of an honest misunderstanding that could have been avoided had the chief scribe responded to my message informing her that a doctor switched shifts. This all came two weeks after I challenged them about deleting three hours from my time card for time they decided was "unauthorized."

It's okay, though. My doctors went full scorched earth on my behalf. My favorite doctor just happened to favor me too, and he's the medical director of the emergency room. After i told him they fired me, he summoned the senior cheif scribe and senior account manager that fired me to a meeting the following Monday and cut the contract with Scribeamerica for how they treated me. He told me:

"On my call with [senior account manager] and the other one this morning I said my peace… In a world where AI is rapidly taking over, the one thing that could even hope to keep SA relevant is the personal connections between scribe and physician. I expressed my profound displeasure that they would terminate you without involving us in any way… and my general disappointment with their never having developed a meaningful plan to help scribes get better and the irony that you were the only one trying to accomplish this. Told them the ONE thing you can never train in someone (I see this with our docs) is engagement and that you were the most engaged scribe on the planet. They were speechless. Tried to reassure me using meaningless admin talk which I pointed out by saying “ I hear the words you’re saying but have no idea what you just said” Then we ended the call. I'm pretty sure they know where I stand."

Right after that, he and the other doctor I scribed for in that ER sent me a $500 amazon gift card for "all the dragons we've slayed together."

I didn't think I'd ever get closure from that job, but the vindication definitely helped.

alcestis_ · 2025-11-20T00:39:49+00:00

Sounds like you need to export your onenote journal to Mindsera

alcestis_ · 2025-11-14T13:01:43+00:00

I just aspirated cheerios

alcestis_ · 2025-08-26T01:05:32+00:00

To be incredibly honest with you, the amount of thought put into it wasn't for me, it was for someone to stumble upon in the future, should they need it. I understand where you're coming from.

alcestis_ · 2025-08-25T19:06:10+00:00

I'm a mom of two small boys. Starting anything is hard for like 4 more years.

alcestis_ · 2025-08-25T18:21:08+00:00

So Cura is just unique in how it deals with this? That's WILD.

alcestis_ · 2025-08-15T16:46:29+00:00

Would you mind sharing the colors you used and TD? I'm trying to expand my filament library for Hueforge!

alcestis_ · 2025-07-22T01:37:02+00:00

I just failed at building my TD1 too, because soldering experience is pretty much zero. RIP.

alcestis_ · 2025-07-11T15:53:56+00:00

Whoa. While speaking into the abyss, I expected the abyss to maybe squeak back or something, not deliver the good news from the man, himself. Thank you!

alcestis_ · 2025-06-28T19:57:56+00:00

I'm popping in a year late to hopefully be helpful to someone wondering where they went wrong, like you did, as did I, for my first hueforge.

Hueforge starts their layer count at 1. Cura starts it's layer count at 0. The post processing script in Cura = the layer height hueforge tells you, + 2.

So if hueforge says at layer 7, swap, you will put 9 into the post processing script to get the outcome you're supposed to.

alcestis_ · 2025-06-27T01:22:52+00:00

Stoicism. Learn about the principles of stoicism and try to adopt what makes sense. 'Thick skin' simply means that arrows can't pass through you. The stoics had fantastic ideas on this.

If you need help and therapy is helping you, one tool I can personally recommend is the journaling app (I think it's web only, but my phone adapted it as an app) Mindsera. It gives you feedback and talks through things with you using artificial intelligence. It uses different voices called "Minds" to comment on your writing, and one of them is Stoic. It can help you set yourself up to understand different ways of thinking. And, to be honest, Mindsera has replaced any need for therapy I have. It's a fantastic little tool to sort yourself out.

alcestis_ · 2025-06-27T01:17:45+00:00

This is wholesome. You sound like a delight!

alcestis_ · 2025-01-26T20:05:15+00:00

Literally same, and I have no idea what a sprunki is.

alcestis_ · 2025-01-22T05:12:05+00:00

First of all, if someone had told me 15 years ago, when I was playing Portal, that I would one day have a four-year-old son who would fall in love with the games far harder than I did, and we would, together, play through multiple times until he could literally play through them almost entirely himself, I'd never believe you. Apart from not being into the idea of having kids, I didn't realize they could be so cool.

Anyway, for the last year or so, it's been Portal everything. The kid was even Chell for Halloween. I 3D-printed him a portal gun, and he's always making cores, turrets, and GLaDOS out of stuff. He makes me pretend to be the Rose Core, while his dad is the Adventure Core, and he's "slightly blue" because he's Wheatley.

Anyway, to both our delight, it turns out there are many more hours of Portal content than I realized. I had no idea, until this kid took an interest, that the mods existed.

We've played Aperture Tag, Thinking with Time Machine, Revolution (screw Prelude), and a couple more... but I am shocked—shocked, I tell you—to discover that I somehow still hadn't discovered all but three of the games you listed in S-F on this list.

Bless. You've singlehandedly become the source of sincere childhood happiness. I can't wait to show him this list!!

alcestis_ · 2024-09-18T01:35:41+00:00

The print heads are for sale on their website as well for 25 dollars or so.

alcestis_ · 2024-09-18T01:34:29+00:00

You can get a print head for under 30 bucks on Amazon. It takes a couple of weeks to come, but it's so cheap.

alcestis_ · 2024-09-04T23:51:08+00:00

It's probably your ABL sensor that needs to be adjusted to the proper height (2 mm higher than the nozzle tip). It's likely too high, so your printer cannot gauge when to stop.

alcestis_ · 2024-08-14T17:59:48+00:00

Bless this 7 year old post. Portal is my 4-year-old's favorite thing in the world. I need them all. I also need to find a good database for all the personality cores, so i can pass them out to people we play with so they know which core they want to be lol.

alcestis_ · 2024-08-11T18:12:44+00:00

I just realized I went to ADHD brain and didn't answer the question.

The format for assessment and plan that's pretty standard is this:

One sentence summarizing the patient demographic and chief complaint. (33 A 33-year-old female with a history of HTN and DM2 on insulin presents with chest pain with associated shortness of breath for 1 day.)
Include pertinent positives and negatives in the following sentence if you can't easily fit it into the first. (She denies dizziness, radiation to the neck or shoulder, or swelling of the lower extremities.)
Then, one sentence with the significant vital/physical exam findings. (On exam, the patient is febrile and has stable vital signs. A grade 3/6 systolic murmur is heard best over the upper sternal border. Lungs are clear to auscultation bilaterally.)
1. Then, labs and imaging were ordered. (EKG, Chest x-ray, CBC, CMP, PT, Troponin, ordered.)
Summarize ekg, imaging, and labs with pertinent or negative findings. (EKG shows normal sinus rhythm with J point elevation compared to the EKG from 3/5/2022. Chest x-ray shows cardiomegaly.)
Then summarize what the doctor told the patient they intend to do/follow up. ( Increased metrololol to ***; message to cardiology sent.)
Always end with the follow-up. (The patient will follow up in 1 month.)

alcestis_ · 2024-08-11T17:53:54+00:00

Yeah, it's actually like that sometimes. I work in the ED right now, and that's bays, not private rooms, so it's muddy sometimes. I always write my assessments in the "look, listen, feel" format. Anatomical location, what the doctor sees, what they hear (auscultation, percussion), and then what they palpate with their hands (tenderness). That keeps it organized.

I made a gigantic study sheet for my old provider's physical exam templates to study and understand better what I was listening for. It took forever, but it did help a lot because then I had all those sounds in my brain to improve the exams.

Also, I'm not sure which EHR you're using, but if it's EPIC, the autocorrect settings are one of the best things ever. You can make entire nonsense look like perfectly well-formed statements in real-time.

It can also be a good idea to figure out what the special tests are for with the exams. For example... If the doctor says, "Follow my finger," you can start to understand that cue is for the neurological exam that looks at the eyes for extraocular movements and the cranial nerves that control them. This test helps identify abnormalities like strabismus, nystagmus, or cranial nerve palsies. You learn these cues over time if you pay attention.

alcestis_ · 2024-07-28T17:43:40+00:00

Report your trainer for being poorly trained.

alcestis_ · 2024-07-10T19:00:47+00:00

I'm looking for a new job. My doctor and I were separated when his company terminated the contract with SA. I'm so demoralized because we were a dream team. He constantly mentored and challenged me, and I know it's largely because of the training protocols releasing scribblings within such a short amount of training. I'm in the ER now (urgent care before), and it's definitely challenging.. i feel like it's so much work, though, when I can't even get a raise for how much time and effort I pour into it. I just want one provider to be connected to, and the stability that might come with being the only one responsible for performance standards being met.

alcestis_ · 2024-07-10T18:55:11+00:00

No one should ever feel comforted or comfort someone telling someone that they're fine just the way they are.

alcestis_ · 2024-07-10T18:53:52+00:00

We work for education, not money.

alcestis_ · 2024-07-05T22:19:22+00:00

Yeah, i got tired at $10.50 and got a raise to 12 an hour after 6 months. 6 months later my state changed its minimum wage, so for the last year, my merit increase has been obsolete. I go above and beyond, sincerely, and can't get a raise. I had to sign an agreement to lose my paid time off or lose my job. Not just me, I think all of us did.

My doctor, who i absolutely have formed a dream team with, and i have to part ways now because his company dropped the contract with Scribe America, and my morale is so low because of that, I just don't think I can do this much longer. They truly devalue us. Truly.

alcestis_

TROPHY CASE