Chris,
I use Dragon 10.1 with a 2 in 1 TableMike at my office desk and dictate HPI, Exam, Diagnoses, Plan and Rxs between patients. Lots of running back and forth, but the office is well laid out. I can't imagine using AC without Dragon. Voice dictation "tells the story" better than templates and helps jog my memory at the follow-ups. I use templates for simple stuff, primarily well-child visits (all templated). Getting a good reliable microphone makes all the difference. (Except for the infamous AC "know" and "in" quirks.
Dave