This article is intended to refresh some key concepts since you completed your Dragon Medical Training.

SELECT is Dragon’s MOST important command.  We are all in the habit of reaching for our mouse to delete an incorrect word, then typing the correction.  Two problems with this:

  • It wastes time
  • Dragon doesn’t “learn” from these corrections

If you gradually switch to correcting by voice, you will become more efficient and Dragon will become more accurate!

Using the “Select” command:

  • Select/highlight the incorrect word (or phrase) to be edited by saying “Select” followed by the incorrect word (or phrase) e.g. “Select disgust”; Don't pause or hesitate between the command and the word
  • Nice feature: If there are multiple occurrences of the word (e.g. “disgust”), then Dragon will number all of them for you.  Simply say “Choose 3” (for example) to highlight the one that you want.

The Correction Menu appears with a number of options:

  1. You can immediately say another word or phrase (e.g. “discussed”)

OR

  1. If one of the menu options is what you want, say “Choose” followed by the number of that option, e.g. “Choose 2”.

OR

  1. If none of the listed options are correct say “Spell That” to spell the correct word or words into the Spell Dialog Box. Unfortunately, since many letters sound the same (e.g. “s” vs. “f”), it is easier to just type the correct spelling using your keyboard, rather than trying to spell by voice.

Then say “Go Back”, and your cursor will return to where you left off so that you can resume dictating.

Variation:  The “Select [first word] Thru [last word]” command:

What if you need to select a phrase, sentence, or whole paragraph?

Example:  Assume that you have a command for a normal Review of Systems for a level 3 visit:  “ROS 6”, and the CV history is NOT normal:

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Constitutional:  No chronic fatigue, unexpected weight gain or weight loss.

Eyes:  No visual impairment, no pain, watering, discharge or itching.

ENT:  No ear or sinus infections.  No recurring nosebleeds, no chronic nasal congestion.  No  mouth lesions or dental pain.  No throat pain or dysphagia.

Respiratory:  No wheezing, dyspnea on exertion, or chronic cough.

CV:  No chest pain, cyanosis, palpitations, dizziness, or fainting.

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Just Say:  Select No Thru fainting”  (Use THRU not TO)

The whole CV review will be selected.  Then dictate the abnormal history, such as:

“3 month history of substernal pressure during exertion”…then say:

Go Back

It’s as easy as that!

Twin Cities EMR Consulting, Minneapolis, MN
 Medical Speech Recognition Products – EHR Consulting Services – Training – Support