I think Indy's idea is brilliant. Indy, I wonder if you could do they virtual servers, then use terminal servers so each doctor could simply use the other ACs on each virtual server?
I know this isn't for everyone, but we use Redhat Enterprise Linux as the host/virtualization platform, then run the VMs on top of that platform. How we implement the detailed security architecture is part of our 'secret-sauce', but the goal is a well performing user experience with maximal security in layers. [disclosure - we are RH Partners]
It can be done in your office Jimmie, but if you are talking about that many practices, full redundancy is essential - but that is a whole other discussion.
