The first step to a successful home medical transcription career is a solid medical transcription training program. Fortunately, some of the best medical transcription training options are available online. You are able to train at home to work at home as a medical transcriptionist. It doesnât get much better than that! However, it is a double edged sword. Home medical transcription training requires a commitment and a self starter personality. Training at home is not for everyone, just like working from home as a medical transcriptionist is not for everyone.