JessM, yes, you're right, it does take them time to dictate, but it's a lot quicker to say what you want to than it is to type, and, of course, very few doctors are proficient typists, more like two finger typists, so it does take them longer than a trained secretary. And also, when dictating, they don't have to bother with the address, date, medical conditions, medications, etc, etc. unless there are changes. I have no doubt that in the future there will be a move away from medical secretaries (unfortunately the powers that be don't see all the other work a med sec does!) and a move to the doctors doing their own summaries/notes, whether by typing or by voice to text, with these being sent electronically. I see the latter, though, as a difficult course to take; one of the doctors I worked for had a very strong Asian accent coupled with a speech impediment - over time I got to know what he was saying, though if I was off work no-one else would touch his dictation, haha. I dread to think what a computer would have made of him.