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The use of medical dictation delivers both cost-effective allotment of resources and retained physician productivity that, in turn, retains revenue capacity. Point-and-click and front-end speech recognition place the burden of documentation creation on the most expensive resource — the physician. When medical documentation specialists edit or compile patient encounter notes, the data-entry costs associated with creating the EHR documentation are much lower. Continuing to use medical dictation, before, during and after an EHR implementation requires minimal changes in workflow, simplifies training and does not negatively impact productivity.