Dave,
Typically Nuance will notify us about a week before the release of Medical and invite us to a webinar. This usually follows the release of Professional and Legal by about two months with the exception of version 9 which I believe was well over a year. I have heard rumors of a June release as well as a September release. We never spam our customers unless requested but we have had so many requests that we've started an E-mail folder for all who wish to be notified about Medical 12. It's a good idea to buy early if one is interested because for about two months after the release they allow us to offer it at a much lower price. If anyone is interested just send an E-mail to sales@knowbrainer.com or support@knowbrainer.com and request to be added to the Dragon Medical 12 alert folder.