What Is CART and How Does It Work?

CART is an acronym for Communication Access Realtime Translation. In performing our work, we hear for others. We write the words we hear in a special type of shorthand (or steno) on our shorthand machines. The machine is connected to a laptop computer, and translation software then matches our personalized steno dictionaries to their English equivalent. The English translation appears on the screen, usually with a delay of only 3/4 of a second.

The accuracy rate is extremely high. In our daily work, we write at speeds up to 300 words per minute and accuracy rates nearing 100%.

The steno is based on a system of phonetics. In order to attain the speeds at which we write, a regular QWERTY keyboard will not suffice. We do not "type," we write steno. We stroke word for word, and not letter by letter. It is analogous to stroking chords on a piano, achieving the writing of an entire word or phrase with a single chord stroke. It requires very quick reflexes, full concentration, and ear-brain-hand-eye coordination.


How do you know how to spell all those medical words and why does White Coat Captioning specialize in medical school?

As stenographers, words are our business. We are word nerds. We love words! 

Some of us, though, love medical words more than others. In addition, some of us are more practiced and skilled with accents than others. Some perfectly great captioners who can handle legal lingo or news lingo just fine, for example, just don’t perform as well with medical jargon. 

At White Coat, we have built a reputation for excellence in the medical, veterinary, and dental school captioning realm. We have years and years of day-in-and-day-out experience in captioning medical and veterinary and dental school classes. Some of us have been through medical school three and four and five times already. Many of the students we have served and their colleagues have jokingly suggested we should take the medical board exams by now. But our real talents lie in writing the words to help our deaf and hard-of-hearing medical students to excel and attain their dreams of becoming doctors, pharmacists, dentists, and veterinarians.  

That is why we have created White Coat Captioning.