I'd like to second what Ryanjo said in the first of his posts. AC IS very intuitive and fairly straightforward; BUT the switch to an EMR requires a really radical shift in the workload of the entire office. Unless you are already on one EMR and merely looking for a better one, it would be folly to think that you will just step into it, no matter what. We've been using AC 3 weeks. We have held office meetings every noon hour since we started to discuss office flow issues. Today was my first even faintly normal patient load, and I am whipped, despite going in at 6:00 AM to preload patient information. We still are not scanning, we have not totally integrated the lab and fax system, and the schedule is still partly on the old system. There are hundreds of permutations and combinations of issues, and "who is going to do what" questions that need to be addressed. All of this given that we were already using speech recognition into an electronic record storage system with electronic prescribing and did not have to be learning that. Six months from now, this will be wonderful, but don't let your boss get suckered into thinking it will be easy.