I did use headset mikes for several years with good accuracy (earlier versions of the VXI TalkPro), but taking them on/off between patients was a bother and eventually broke the boom mike.
For over 3 years now, I use the hand-held Dictaphone PowerMic II, which I generally like and has excellent accuracy. The button to switch the mike on and off is much faster than dictating "mike off/on". I think it is too expensive however, since I don't use all the programmable buttons. The cable where it joints the body appears to be frayed, so I am surely headed for replacement or repair soon. I like the reports of accuracy on the Philips Speechmikes, and the trackball likely will be easier to use than the stubby joystick-like mouse on my PowerMic, which I never felt was accurate enough placing the cursor. Speechmikes are also pricey, however, unless you are going to need the programmable buttons.
I plan to buying the SpeechWare 3 in 1 table mike a few months after it comes out this October, if the accuracy turns out to be as good as the present 2 in 1, which has Nuance's highest rating. It comes with an integrated USB sound card (which has to be bought separately to use the 2 in 1). You have to use it in a static position such as a desk, but this is my preferred way to dictate anyway, and it may allow use of a foot-switch, which keeps both hands free.
