I just use the regular Dragon, not the Medical version. It won't, of course, work directly with AC on the same machine. I rarely need to dictate on the same machine as I have AC -- just my documentation style, I handwrite or type the short notes and only dictate ones that require some effort and consideration, well after the visit -- so I don't waste the money on the Medical version.
However, if you have it on your laptop that you carry from room to room, or at home or on the road, you can remote (RDP works best) to another computer (like in my office)where you have a copy of AC and the Dragon doesn't recognize the AC as an EMR -- it treats the remote window as an unknown window and will accept the dictation.
At that point, you can either dictate directly into the individual AC fields -- there is some funny behavior, but it works pretty well -- or you can dictate into the "dictation box" that allows full text and correction control, and then transfer it to the AC field.
Yes, I use templates, too. I use many different ways to enter data, depending on the situation. Templates can be easily written to allow correction and completion with Dragon.