Adam, thanks (I do like your signature quote from Ben F).
I should chat with Bert.
I guess I use f.a.a. (lower case on purpose): "file assitant amateur" then.
I built an "external to AC" note editing/creation program (think templates on steroids) that has links to the scanned images indexed (again , outside of AC) for review, much faster than AC / Apple QuickView combo.
This eNotes can generate a comprehensive, unique note in short order, can take voice transcription from non-medical Dragon, and best of all is also used at our hospital for physician documentation.
The note created is "uploaded" to AC (very much a kludge: AutoHotKey "plays" the text into AC, then I sign it).
One of the reasons I chose AC was its similarity to what I had built using Access. I used AC "Live in the dark" for 3 months, and went live with AC for my staff 1/3/12. Very little training has been required so far. Of course, they have a long ways to go for optimal use, but I see it a gradual process without any loss of productivity to date. Hair pulling at times, yes. Less productivity no.
