Bert,
You are right that ideally the note would be done in the room, and for that reason I envy most primary care physicians. Unfortunately, while consult codes are no longer reimbursed by CMS, the notes back to referring physicians are basically the "product" of the general neurologist and needs to compete with the group across town. Therefore, the types of errors that Dragon creates (due to my lack of clear speaking) are always real words and therefore not amenable to spellchecking.
I have spent the extra time speaking clearly, proofreading myself only to have my secretary find glaring and inexcusable mistakes only after the note has been faxed. As there is no way to have my secretary proof and correct after the note has been signed I am left to my current scenario. Try as I may I just can't catch all of these errors. Ideally the person proofing would be able to hear my voice file while correcting, but I do not believe there is a way to save this in AC (as there is in some other EMRs such as MEDENT).
As a consultant I really wish this were easier, as well as the ability to modify font and formatting in the created letters to referring MDs.
