E.P.
Hi! My name is E. and I can answer some of your questions! I am currently going through a program for medical transcription and have done hours of research! The first and most important thing when looking at the schools is that choose one that is accredited by AHDI. This will shorten your list. AHDI used to be called AAMT (American Association of Medical Transcriptionists) and is now "The Association for Healthcare Documentation Integrity." This will insure that the program you are going through follows all the recommendations for coursework and standards you will need after graduation.
I also chose to find a school that not only is accredited by AHDI but also by the DETC (Distance Education and Training Counsil). Taken from their website, here is their goal: "The DETC Accrediting Commission defines, maintains, and promotes educational excellence in distance education institutions."
Many schools offer courses that will just teach you medical terminology, the schools that are accredited by the AHDI teach you all you need to know to understand the terminology. They will usually take longer to complete, but the additional accreditation will take you further.
As for voice recognition, right now the programs only offer 75% accuracy. In med transcription, there is a standard of 98% accuracy and with the number of words that are so close in spelling and/or pronounciation with such opposite meanings, there is a very low probability that any voice recognition program will ever hit that 98% accuracy.
As for the school I chose, I can only say for me, Allied fit all my needs. It is accredited by both the AHDI and the DETC, the courses are in modules and the counselor I have, Brett Mercer is wonderful. I never felt rushed to make a decision or that I was being sold. He helped with some research and spent time answering all my questions.
Also, this particular school, helps get you ready for the CMT or RMT, which are exams to get a certificate which will get you far in job searching. They help you search for jobs as well as they have access to both in home and out of home job sources.
As for being able to work in the home right away, it is possible. It used to be you had to put time in at an office or hospital due to being new and needing help with understanding accents, etc. However, there are places that will hire you as a home worker.
Also as far as accents and people who speak fast on the dictations, choose a school that offers a large number of hours of practice tapes. The school I chose has hours of this type of actual dictations.
My final suggestion is to go with your gut. You need to be comfortable with the school and courses you choose and know how far you want to go.
I do also want to add that while no career can be guaranteed in this day and age, this is not a dying career. I know two people personally that do this, one chooses to do it out of the home and the other from her home and both have plenty of work.
Best wishes to you.
E. P