James: I had actually read that wikipedia article before initially posting.

Indy: Thanks for the suggestion, I'll have to try it out.

Bert: I looked up IPMSG and it touts itself as being very simple, which is exactly what I want. I have been implementing a cyclic system for my MAs. Assistant #1 takes vitals, HPI, ROS, PMH, etc on patient #1 and then goes with me into the exam room. I then dictate my PE, meds, and give any orders. I leave patient #1 and join Assistant #2 who has already prepared patient #2 and do the same. Meanwhile, Assistant #1 has discharged patient #1 and is continuing to process patient #3. I read about this system online about a year ago and have vastly improved efficiency since implementing it. I couldn't find the link for the original article to suggest it for the 'Help! Help! Charts Completion - Life Saving' thread.

I need a simple, live intra-office messaging system for the MAs to chat with the x-ray tech, referral girl, or receptionist while they are still in the exam room with me or before discharging the patient. Constantly refreshing the AC inbox is not working out.

What I mean about the search button is that everyone directs users to use the search function before starting a new thread. I used the search function and dug up this 4 year old thread.

Thanks to all for the responses!