Every Physician from different parts of the globe have varying accents and dictation speeds. It is very hard to compel the Physicians to follow a certain dictating style, and it is unreasonable to slow down the dictation speed of a physician to save on Transcription costs. People in this field will acknowledge that the Physicians also instruct the Medical Typist to change a particular word or phrase in the first paragraph while they are dictating their last paragraph for example. Also Medical dictations have so many terminologies and there are so many words that are phonetically alike. These words or phrases had to be transcribed while keeping the context of the dictation in mind. So when the speech recognition engine is not trained by the Physician for days and when he is not slow enough for the engine to recognize his dictations produce horrendous reports and that will be even more difficult to edit or proof read. Those reports have high possibilities of errors going through the process unnoticed. The Spell checker will add to the dismay by certifying the wrong word as a right one because the recognized word is of the right spelling but the placement of that word is totally wrong there.

Visit http://www.cooper.com/alan/homonym.html This site of Alan Cooper lists extensively on the list of homophones, homonyms and homographs and you are sure to be astonished how cumbersome speech recognition is going to be and how easily alternate words can get through to the final reports.

Also it is worth noting that while the Physician is dictating, the dictation is an articulation of the thought process and he should be completely involved in what he is supposed to do and where his "core competence" lies. It is not expected of him to be straining himself and be a Speech recognition friendly Physician to save some cost.

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