Pros
Decent pay if you're fast enough to type 150 lines per hour. Pay does go up the faster you can type. Most of the TSM's I have worked with have been friendly and helpful.
Cons
DISCLAIMER: I am a brand new transcriptionist. Just graduated from school last year and started with Nuance in January. When I was hired, the line-per-hour speed was a minimum of 100. Being brand new out of school, I figured I could get to that level fairly quickly and I have, and I have been able to maintain that fairly consistently depending on the work site I am dealing with on a day to day basis. Within 4 months, the company decided to move the lines per hour minimum up to 150, and pretty much said get there or else.... and while they have been "encouraging" as in, "You can do it, I know you can. Just keep at it. You will figure it out," there has not been any move to make suggestions or accommodations in assisting me to get there. I have even suggested that they not hold the new transcriptionists to the same standard as someone who has been doing this for a longer time, but this has fallen on deaf ears. Not only did they increase the lines per hour requirement, 2 months later they took away the line bonus (25% over what we type each week which was figured into the LPH) they were giving us for the "difficult account' and STILL expect us to meet this 150 lines per hour rate.