I am also a longtime user of Dragon Naturally Speaking, since version 9 Preferred, which was the last "non-medical" version that worked with an EMR. It worked well after prolonged training and adding medical terms to the standard dictionary.
Version 10 is both slightly faster and more accurate, but unfortunately only Dragon Medical will allow dictation into an EMR like Amazing Charts. I have been using 10.1 (latest upgrade) for about a year, and for a slow typist like me, it has substantially improved my speed and accuracy using AC. The medical vocabulary means a high accuracy from the start, even with minimal training. You can also install Dragon Medical on several computers so you can dictate at home (it's licensed per user, not per computer).
A few tips:
-get a better microphone than comes in the box with the software. Choice of microphone is the most important factor for dictation accuracy. The USB mikes are much better than the sound-card types. Look in the "Vendor" part of the AC boards for some comments and links to websites that review and have a good selection of dictation mikes.
-dictate as much as possible, and use the "Spell" command to correct the program's errors when they occur. This is tedious at first but you will notice an appreciable increase in speed and accuracy within a few days.
-get a modern computer, with at least 2 GB RAM. An old Celeron laptop doesn't have the horsepower to handle Dragon Medical 10.
-learn to use the "Voice Macros". It still really amazes me to be able to say a brief macro phrase like "normal-CPX" and have Dragon insert a 30 line 12 system exam in an instant.
-create "Voice Fields", which are templates with areas throughout the text, which can be navigated and filled in by voice commands.
Good luck and give it a go.
