I've been using Dragon for a week now. I've learned a few things quickly. Speak a tiny bit slower and paying attention to elocution helps tremendously for accuracy. I am quite happy with the programs ability to recognize very difficult medical terminology. Quite impressive. I created several complex reports last week that needed very little editing. I'll keep working with the system and learning some easy usage tips and likely enjoy Dragon even more as a clinical tool.

Ben,

Dragon can be used in virtually any free text area of any program. For example, I used Dragon to type this blog. With a little practice very little editing is necessary. Using a form generated template within OpenVista I did an H&P on a pediatric case. I will attach it within this blog. As you can see below it is a nice history and physical. Everything you need and nothing you don't.

Name:    xxxxx, xxxxx
DOB:     APR 16,2000
Age:    8
Gender:    MALE
Phone:     Residence: 210-493-xxxx  Work:
SSN:    xxx-xx-xxxx
Medicaid:No Medicaid Number
Medicare:No Medicare Number
REASON FOR Admit:
  This 8-year-old boy had a seizure. His mother called the paramedics, upon arrival he was in status epilepticus and the emergency room physician initiated the standard protocols.

HISTORY OF PRESENT ILLNESS:
    there was no prior history of epilepsy. There was no fever or chills. No upper respiratory infection. No abdominal pain, nor vomiting nor diarrhea. No UTI symptoms. There was no rash

SOURCE(S) OF HISTORY:

    Family
    the mother stated the child was playing and his eyes rolled back in his head. He did not have loss of bladder control.

PAST HISTORY:
  CHILDHOOD ILLNESS:
    this child has been vaccinated. He is not had any childhood illnesses
  
  INJURIES:
    possible remote history of head trauma at age 2. He fell out of a bunkbed
  
FAMILY HISTORY:
Maternal Family History,
  Mother living,
   Mother has history of:
Siblings without significant disease
SOCIAL HISTORY:
  OTHER:
    he goes to public school in the summer they travel to the Poconos
  
REVIEW OF SYSTEMS:
ALLERGIES: Patient has answered NKA
  Positive for:
  
  Negative for:
    as per the history of present illness the review of systems was basically negative
  
PHYSICAL EXAM:
  VITALS:  
          T: 98.6 F [37.0 C] (11/04/2008 12:29)
          P: 80 (11/04/2008 12:29)
         BP: 104/58 (08/17/2006 06:20)
         RR: 14 (11/04/2008 12:29)
       Pain:
     WEIGHT: 55.776952286 lb [25.4 kg] (10/22/2008 17:08)
  GENERAL:
  This is a well developed, well nourished, MALE
   in no acute distress.
    patient now appears slightly tired since treatment in the emergency department
  
  HEAD:
  Normocephalic, atraumatic
  EYES:
  Pupils are RRE and react to light and accomodation.
  Conjunctivae pink and moist.Extraocular muscles intact.
  
  EARS,NOSE,THROAT:
  Ear canals patent. TM's intact. Nares patent and pink without epistaxis.
  Mucosa pink. No pharyngitis. Natural dentition.

  NECK:
  supple, no JVD, no carotid bruits, trachea midline, no thyromegaly, no
    adenopathy.

  CHEST:
  symmetric expansion, clear to auscultation without rales or wheezing.

  VASCULAR:
  HEART:
  PMI at 5th ICS MCL, regular RATE and RHYTHM, normal S1/S2 without murmur.

  ABDOMEN:
  soft, flat, nontender with normal bowel sounds.

  GENITOURINARY/RECTAL: MALE
  MUSCULOSKELETAL:
  Significant for:
    grossly normal Musculoskeletal examination
  
  EXTREMITIES:
  Significant for:
    no evidence of trauma or abuse
  
  LYMPHATIC:
  no adenopathy.
  
  SKIN:
  Inspection and palpation of skin and subcutaneous tissue reveals no acute
  rashes, lesions, or induration.
  
  NEUROLOGIC:
  Significant for:
    his speech is a little slurred following medication administration.

  Lab results reviewed:
Radiology Results
emergent CT of the cranium was unremarkable

ASSESSMENT:
#1 new onset status epilepticus etiology unknown

PLAN:
consult the pediatric neurology.
MRI brain when stable.
Admit to pediatric ward and
routine admission orders.
Primary care pediatrician notified.
Continue Dilantin for now.
Schedule EEG when stable