Small practice 10.1 is good, DMPE 2.2 Works better for me. I am getting very few significant erros, I use the Philips SpeechMike. My machine has an Intel i7, 12 GB ram and now SSD. You may want to talk to know-brainer or look through his materials in order to optimize your dictation. Feel free to PM me, we might be able to talk (Actual telephone) and I could help you troubleshoot. Our rheumatologist not only uses Dragon, but he dictates in the room with the patient and finishes his notes before leaving the room. Dragon is as important to me as my stethoscope. Marlon