I bought Dragon Medical Practice Edition V. 11 at the same time I purchased AC. I have never used voice rec. software previously and was reluctant to try. I am not a fan of templates. As a psychiatrist, I like to have individualized notes. I have been thoroughly impressed with Dragon. I would say it's 97% actually out of the box after doing the 5 minutes training session. Already, I cannot imagine charting without it. It words great AC. I use the headset that came with it which works perfectly. The high price is worth it!