I use SharePoint for internal communications and announcements, as well as policies and procedures. There are some other assorted parked documents, such as network referral directory, some formularies, etc. The shared folder was getting unmanageable. The search function in WSS3 is a welcomed improvement on WSS2 or file manager searches, and is so much more robust.
I find OWA to be more dependably usable for my staff than a separate email client that I have to configure (Pegasus, Outlook). So I have forwarded the public business email addresses (@hometownedoc.com) to the new abbreviated ones (@htfm.biz) and have all staff use that via OWA for both external and (longer) internal email. I use IPmsg for quick internal messaging, and AC for patient related trackable messaging.
I use RWW for charting on AC from home. I still keep LogMeIn so I can use the iPad (could nto find an adequate RDP client) and for the odd time I have to do things that RDP does not allow (or I haven't found out how, such as transmitting Alt-Ctrl-Del).