I am evidently uncomfortable dictating in front of the patient also. I spent a good bit of time learning Dragon and getting it to "learn" me. It works well at my desk where I was using it for letters and admission H&P's. But when I took it in the room it sort of collapsed. Lots of errors that caused me to begin watching like a hawk. Seems my voice registers a bit of stress in real time, and the software can't figure it out.
