Hi! Don't know how I missed this thread...I'm also an at-home medical transcriptionist. I started as a transcriptionist in about 1996. Had always been a secretary prior to that. I'd gone to my local community college and started an Associates Degree program for medical transcription. I think they've since discontinued the program and now have an on-line training program that takes about a year! Anyway, I was lucky enough to land a job at a multispecialty clinic closeby while I was still going to school and worked there for about 2 years which gave me some great experience! And we did it on typewriters, if you can believe that! After I quit, I worked for a couple of different companies that allowed me to work from home, using my computer and tapes, and one company allowed me to dial in and access voice dictation that way. I then found someone locally who did transcription on her own (had her own docs) and I actually worked for her for a while which was great. Then I found the current company I'm working for, Healthscribe, who is based in Sterling, Virginia. They're actually actively seeking (experienced) MTs right now! The company really is an awesome one to work for. They sent me to Virginia for a week for training (on their software), which was a lot of fun (got to meet others there for the same reason from all parts of the country), then sent me home and sent me a computer fully loaded with their software. The transcription is all done through the Internet (wav voice files) from hospitals and clinics all over the U.S. They set you up with a primary and secondary account and, though I've had to be switched a couple of times to a different account, I've never run out of work. The money is there to be made but I don't push myself harder than I want to (I work full-time, 40+ hours a week) and I'm pretty of happy with the paycheck I get. They've got all sorts of benefits...health insurance, 401K, vacation and personal days. You do sometimes have to work some holidays but if you do you're paid double-time for them. I've been with them now for 3 years and all in all I'm happy with them. The hardest part, for me, of working at home is that I miss the whole "social" aspect of working, especially now that my son is older (he's 13). It's got its definite advantages and disadvantages...but I keep thinking how I don't have to deal with rush-hour traffic, buy new work clothes all the time, etc., and it's a pretty good deal!