Dragon Medical Practice Edition Training Workbook Version 4 by Alexandria Carstens of Speakeasy Solutions Inc.

Dragon Medical Practice Edition Training Workbook Version 4 by Alexandria Carstens of Speakeasy Solutions Inc. Copyright 2018 Alexandria Carstens. All rights reserved. ISBN: 978-0-9917040-3-3 Printed in Canada. Published by Speakeasy Solutions Inc., P.O. Box 21720, 1424 Commercial Drive, Vancouver, British Columbia, V5L 5G3 Canada. No part of this book may be used or reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or by any information storage or retrieval system without the prior written permission of Speakeasy Solutions Inc. This workbook is for persons using Dragon Medical Practice Edition Version 4, and who receive training from Speakeasy Solutions Inc. The contents of this document are subject to change without notice. The publisher and author assumes no responsibility for errors or omissions, or for damages resulting from the use of the information contained herein. The names of all products mentioned herein are for identification purposes only and may be trademarks or registered trademarks of their respective owners. Speakeasy Solutions Inc. disclaims any affiliation, association, connection with, sponsorship, or endorsement by such owners with the exception of Nuance, for whom Speakeasy Solutions Inc. are authorized resellers and trainers of Dragon, Sennheiser Olympus, and Philips, for whom Speakeasy Solutions are authorized distributors. 604-264-9109 or 1-888-964-9109 604-264-9105 speakeasysolutions.com speakeasysolutions.com/blog speakeasysolutions.com/client-access-area twitter.com/#!/sesdictation training@speakeasysolutions.com speakeasysolutions.com/newsletter speakeasysolutions.com/shop facebook.com/speakeasysolutions WARNING: When using speech recognition on an ongoing basis, please endeavour to maintain a healthy voice. The possibility of vocal strain is very real if you speak quite a bit throughout the day. In order to prevent potential stress to the vocal cords, keep them lubricated. Vocal cord lubrication is achieved most effectively by drinking large amounts of water. As a couple of hours must pass for the vocal cords to absorb the water you drink, you should begin drinking water early in the morning, or as soon as you wake up. Take care when drinking liquids with caffeine, alcohol, or sugar as each of these substances dehydrate your body and your vocal cords, leaving you susceptible to vocal strain. Room temperature water is the best to drink; therefore, you may wish to keep a jug of water near your desk at all times. Refill your cup or water bottle from the jug and when the jug is empty, refill it from your main water source. 1

This workbook is not intended to replace training and guidance from a professional Dragon Trainer. This workbook is designed for use as an adjunct to the training program given, and as a resource after training is complete. As always, feel free to contact Speakeasy Solutions Inc. with any questions or concerns that you have at any time. Thank you. Dragon is licensed per user, and not per machine/computer. This is an extremely flexible licensing arrangement and takes into account the reality that most individuals have a main PC, a notebook, a home computer or may have several offices. If an assistant is performing corrections, an additional license is not necessary. Please contact Speakeasy Solutions Inc. should you require additional licenses of Dragon. 2 Dragon Medical Practice Edition Training Workbook Version 4

Contents Visual Format of Workbook 20 A. Creating a User Profile 23 1. Microphone Placement 23 2. Creating a New User Profile 23 i. User Profile Name 23 ii. Speech Options (Region) 24 iii. Speech Options (Accent) 25 iv. Speech Options (Vocabulary) 25 v. Microphone 26 vi. Processing and Initializing 27 vii. Microphone Check 28 viii. Dragon Tips 29 ix. Read Training Text to Improve Accuracy 29 B. Beginning to Use Dragon 31 1. The Basic Concept of Speech Recognition 31 i. Evolution of Input 31 ii. How Dragon Works 31 iii. What is a User Profile? 31 iv. Reasons for Speech Recognition 31 v. Computer Overuse 32 vi. Vocal Strain 32 vii. Ideally 32 viii. Power Speech Recognition Use 32 2. Starting Dragon 33 i. When to Start Dragon 33 ii. Opening a User Profile 33 iii. Vocabulary 33 iv. Location of User Profiles 33 v. Switching a User Profile 34 vi. Which User Profile Is Open 34 vii. Closing a User Profile 34 viii. Microphone 34 3

3. Dragon Setup 35 i. Main Options 35 ii. Auto-Formatting Options 46 iii. Administrative Settings 50 4. Speaking 54 i. Where to Speak 54 ii. How to Speak (Quick, Clear, Complete & Continuous) 54 iii. Water 54 iv. Speaking Dictation 54 v. Speaking Commands 55 5. Microphone Control 55 6. DragonBar 57 i. Modern DragonBar 57 ii. DragonBar in System Tray (as Tray Icon) 58 iii. Classic DragonBar 58 iv. Extras Bar 59 7. Dictating Spaces & Punctuation 59 i. Dictating Spaces 59 ii. Dictating Punctuation 60 8. Results Box 61 i. Two Preliminary Results Variants 61 ii. Show Preliminary Results Enabled 61 iii. Show Preliminary Results Disabled 62 iv. Command Recognition Results 62 v. Dictation Context Menu 62 vi. Dragon Does Not Understand You 62 vii. Contextually Speaking 62 9. Recognition History 63 C. Editing Text 65 1. Editing Defined 65 2. Full Text Control 65 i. Introduction 65 ii. Availability 66 4 Dragon Medical Practice Edition Training Workbook Version 4

3. Moving the Cursor & Inserting Text 66 i. Introduction 66 ii. Essential Navigation Commands 67 iii. General Positioning 68 4. Selecting & Replacing Text 69 i. Introduction 69 ii. Selecting Specific Text 69 iii. Selecting from the Current Cursor Position 70 iv. Additional Selection Concepts 70 v. Multiple Text Matches 71 5. Deleting Text 72 i. Introduction 72 ii. Deleting Specific Text 72 iii. Immediate Deletion After Dictating 74 iv. Resume With 74 v. Deleting from the Current Cursor Position 75 vi. Undo That vs. Scratch That 75 vii. Backspace 76 6. Cutting, Copying & Pasting 77 i. Cut & Copy Specific Text 77 ii. Step by Step Cut, Copy & Paste 78 iii. Cutting & Copying from the Current Cursor Position 78 iv. Mouse Users 78 v. Copying Text into Another Document 79 7. Capitalizing Text 79 i. Introduction 79 ii. When to Capitalize 79 iii. Command Structure 79 iv. Capitalizing as Needed 80 v. Capitalizing Specific Text 80 vi. Capitalizing After the Fact 81 vii. Turning Capitalization on and off 81 viii. Adding Capitalized Phrases 82 5

ix. Methodology 83 8. When to Best Use Which Command Method within Each Editing Function 84 i. Introduction 84 ii. "<something> (word(s))" or "<something> (first two words) to (last two words)" 84 iii. Strategic "<something> that" 84 iv. "select (word(s))" & "<something> that" 84 v. Summary 85 D. Correcting Text 87 1. Editing versus Correcting Clarified 87 i. Introduction 87 ii. Human Error Versus Dragon Error 87 iii. The Purpose of Correction 87 iv. Select or Correct 87 2. Correction Methods 88 i. Initiating Correction 88 ii. What to Correct 89 iii. Choosing the Correct Word or Phrase 89 iv. How Dragon Learns 90 3. The Spelling Window 91 i. Introduction 91 ii. Dictating Into the Spelling Window 91 iii. International Communications Alphabet (ICA) 92 iv. Navigating the Spelling Window 93 v. Deleting in the Spelling Window 93 vi. Editing a Choice 93 vii. Correcting Acronyms 93 viii. Playing Back in the Spelling Window 94 4. Improving Your User Profile 94 i. Improving Your User Profile 94 ii. Saving Your User Profile 95 iii. When Not to Use Your User Profile 95 iv. Saving Your User Profile on Exit 95 v. Saving Your Work (an aside) 95 6 Dragon Medical Practice Edition Training Workbook Version 4

5. Train During Correction 96 6. Correct That 96 E. Dictating Numerics, Special Characters & Phrases 99 1. Summary of Punctuation & Characters 99 2. Formatting Numbers & Special Phrases 100 i. Introduction 100 ii. Tips for Speaking Numbers 100 iii. Numbers as Text or Numerics in General Vocabulary (not medical vocabularies) 101 iv. Forcing Numbers in General Vocabulary (not medical vocabularies) 101 v. Percent Sign (%) 101 vi. Currencies 102 vii. Postal Codes 102 viii. Telephone Numbers 103 ix. Numbers Mode 103 x. Fractions 103 xi. Dates 104 xii. Times of Day 104 xiii. Roman Numerals 105 xiv. Street Addresses 105 xv. Abbreviations & Contractions 105 xvi. Units of Measure 106 3. Commands, Dictation & Modes 107 i. Forcing Recognition 107 ii. Command Mode 107 iii. Dictation Mode 108 iv. Normal Mode 108 v. Summary of Modes 108 F. Dictating Uncommon Text 109 1. Spell Command 109 i. Introduction 109 ii. Spelling While You Dictate 109 iii. Spelling Window 110 iv. Spell Mode 110 7

2. Accented Letters 111 3. URLs & Email 111 i. URLs 111 ii. Email 112 4. Hyphenated Words 112 i. Introduction 112 ii. Automatic Hyphenation 112 iii. Removing Hyphenation 112 iv. Adding Hyphenation 113 5. Compound Words 114 i. Compounding 114 ii. Removing Compounding 114 6. Multiple Versions of a Word 115 7. Apostrophe Ess ('s), Plurals & Possessives 116 G. Formatting Text 119 1. Introduction 119 2. Formatting Specific Text 120 3. Formatting After the Fact 121 4. Text Alignment 121 5. Text Font & Size 122 6. Bulleted & Numbered Lists 123 7. Quotation Marks & Brackets 124 H. Controlling the Computer 125 1. Introduction 125 2. Pressing Keyboard Keys 126 i. Single Keyboard Key 126 ii. Multiple Keyboard Keys 126 iii. Function & Numeric Keys 127 3. Mouse Clicking 127 i. Click Command Options 127 ii. Menus & Buttons 128 iii. Alt Key Rule (Accelerator/Access Keys) 128 iv. Dialog Box Tabs 129 8 Dragon Medical Practice Edition Training Workbook Version 4

v. Drop-down Lists 130 vi. Scroll Boxes 132 vii. Radio Buttons & Check Boxes 132 viii. Text Boxes/Fields 132 ix. Navigating Your Computer via Keyboard 132 4. Starting Applications 133 i. Start Menu 133 ii. Shorter Names for Popular Applications 133 5. Opening Utilities 133 6. Opening Your Items 134 7. Opening Desktop Items, Documents & Folders 134 8. Resizing Windows 134 9. Switching Between Open Windows 134 10. Exiting Dragon 135 11. Shutting Down & Restarting Your Computer 136 12. Disabling Dragon Commands 136 13. MouseGrid & Mouse Clicking 138 i. Mouse Clicking 138 ii. Mouse Positioning 138 14. Mouse Movements 140 i. Setup Options 140 ii. Moving a Specific Distance 140 iii. Dragging with the MouseGrid 142 iv. Moving & Dragging Fluidly 142 15. Available Commands 143 i. Natural Language Commands 143 ii. Command Browser 143 16. Basic Text Control Text Areas & Applications 146 i. Speaking Dictation & Commands 146 17. Dictation Box 148 i. Configuration Notations 148 ii. Unhidden Dictation Box 148 iii. Hidden Dictation Box 152 9

18. Text-to-speech 155 i. Introduction 155 ii. Visual Limitations 155 iii. Email & Correspondence Reading 155 iv. Proofreading & Dyslexia 155 v. Setup Options 155 vi. Execution 156 19. Voice Shortcuts for Desktop & Dragon Help Search 157 i. Introduction 157 ii. Setup Options 157 iii. Execution 157 20. Voice Shortcuts for Web Search 158 i. Introduction 158 ii. Execution 158 21. Medical Web Searches 160 I. Refining Your Vocabulary 161 1. Vocabulary Editor Overview 161 i. Introduction 161 ii. Layout 161 iii. Written Form Conventions 162 iv. Spoken Form Conventions 163 v. Make That a Phrase & Add Spoken Form 163 2. Adding Items to the Vocabulary Editor 164 i. Introduction 164 ii. Adding a Phrase 165 iii. Adding Acronyms 166 iv. Adding Unusual & Foreign Words 168 v. Adding Words with Symbols 169 3. Deleting Vocabulary Items 169 4. Training Items 170 i. Training via the Vocabulary Editor 170 ii. Training via the Training Dialog Box 172 iii. Training via Selecting 172 10 Dragon Medical Practice Edition Training Workbook Version 4

5. Word Behaviour & Properties 172 i. General 172 ii. Default Formatting 173 iii. Use Printed Form 1 & 2 174 6. Quick Phrase Addition 176 7. When to Correct & When to Add a Word or Phrase to the Vocabulary 176 8. Steps for Resolving Misrecognitions 177 9. Help from Speakeasy Solutions 177 10. Importing & Exporting Word Lists 177 i. Introduction 177 ii. Word List Formats 178 iii. Exporting Word Lists 178 iv. Preparing Word Lists for Importing 178 v. Importing Word Lists 179 11. Learn from Specific Documents 182 i. Improve Recognition Accuracy 182 ii. Document Formats for Analysis 183 iii. Performing the Analysis 183 12. Automatic Accuracy Improvement 189 J. Refining Your Audio 191 1. Introduction 191 2. Checking Your Microphone Settings 191 3. Playing Back Your Audio 191 i. Introduction 191 ii. Diminished Accuracy 192 iii. Setup Options 192 iv. Execution 193 v. Extras Toolbar 193 4. Verify Microphone 193 5. Accuracy Tuning 194 i. Introduction 194 ii. Running the Optimizer 195 6. Speed vs. Accuracy Slider 196 11

7. Reset Audio Calibration 197 K. Custom Voice Commands 199 1. Voice Command Overview 199 i. Text & Graphics aka Auto-Text 199 ii. Step-by-Step 199 iii. Macro Recorder 199 iv. Advanced Scripting 200 2. MyCommands Editor Dialog Box 200 i. MyCommands Overview 200 ii. Maintaining a List of Commands 202 3. Text & Graphics aka Auto-Text Commands 202 i. Introduction 202 ii. Simple Text 202 iii. Lists 204 iv. Voice Fields 205 v. Open-ended Text 207 4. Step-by-Step Commands 208 i. Introduction 208 ii. Keystrokes 209 iii. iv. Open (application) 209 Wait 211 v. Type Text 211 vi. vii. viii. Send Keys 211 Stop Listening 212 Microphone On 212 ix. Microphone Off 212 x. Completing the Command 212 5. Macro Recorder Commands 212 6. Advanced Scripting Commands 215 7. Viewing Custom Commands 215 8. Editing, Duplicating & Deleting Custom Commands 216 i. Editing a Command 216 12 Dragon Medical Practice Edition Training Workbook Version 4

ii. Creating a New Copy of a Command 216 iii. Deleting a Command 217 9. Sharing Commands 217 i. Rationale 217 ii. Exporting Commands 217 iii. Importing Commands 218 iv. Changing the Group & Availability of Multiple Commands 219 L. User Profile Maintenance 221 1. Backing up Your User Profile 221 i. Rationale 221 ii. Automatic User Profile Backup & Restore 221 iii. Manual User Profile Backup (Dragon Export) 223 iv. Manual User Profile Backup (From Hard Drive) 224 v. Backup Frequency & Organization 224 vi. Known Good User Profile 224 vii. User Profile Import 225 2. Computer Use Tips & Maintenance 226 i. Restarting Your Computer 226 ii. Try Turning It off and on Again 226 iii. Multiple Monitors 226 iv. Eliminate Unnecessary Applications 226 v. Antivirus 226 vi. Defragmenting & Updating 226 vii. Scheduled Maintenance Summary 227 3. Achieving Maximum Accuracy 227 i. Short Term Summary 227 ii. Long Term Summary 227 4. Achieving Maximum Productivity 227 5. Incorporating Speech Recognition Into Your Routine 228 M. Tips for Frequently Used Applications with Dragon 229 1. Introduction 229 2. Microsoft Windows Explorer 229 3. Open & Save Dialog Boxes 230 13

4. Web Browsers & HTML Interfaces 230 5. Microsoft Office 232 6. Microsoft Word 233 7. Microsoft Outlook 233 8. Microsoft Excel 233 9. Microsoft PowerPoint 234 10. Gmail, Yahoo Mail, & Outlook.com 234 N. Multicomputer Setups 235 1. Dragon Edition Workflow 235 2. Roaming User Profile 235 i. Introduction 235 ii. Specifics of Use 235 iii. Implementing 236 3. Remote Desktop Connection 236 O. Saving Your Recorded Speech 237 1. Introduction 237 i. Why Save Your Recorded Speech 237 ii. Setup Options 237 2. Creating & Saving Documents with Recorded Speech 237 i. Rules & Conventions 237 ii. DragonPad 238 iii. Microsoft Word 238 iv. Speech File Handling 239 3. User Proofreading 239 4. Assistant (Correctionist) Proofreading 239 i. Introduction 239 ii. Playing Back Dictated Audio Associated with Text 239 iii. Editing versus Correcting 241 iv. Correcting Via Specific Selection 241 v. Correcting Via Continuous Playback 243 vi. Editing 244 5. Saving a User Profile 244 6. Vocabulary Refining & Correction Concepts 244 14 Dragon Medical Practice Edition Training Workbook Version 4

7. Correctionist Only Editing 245 8. Correctionist Summary 245 9. Speakeasy Solutions Training 245 P. Digital Audio Recorder 247 1. Supported Audio File Formats 247 2. Setting up the Digital Audio Recorder 247 3. Process Overview 247 4. Creating & Using an Appropriate User Profile for Transcription 247 i. User Profile with Microphone & Audio Recording 247 ii. One-Off Transcription of Audio Recording 248 iii. Regular Transcription of Audio Recording without Microphone Use 249 5. Fine-tuning Your User Profile 251 6. How to Dictate for Dragon Transcription 251 i. Microphone Position 251 ii. How to Speak (Quick, Clear, Complete & Continuous) 252 iii. Dictating New Lines & Paragraphs 252 iv. Dictating Punctuation 252 v. Dictating Numbers 253 vi. Dictating Unusual Names 253 vii. Dictating in Different Environments 253 viii. Dictating Capitalization 253 7. Downloading Dictation Files from the Digital Voice Recorder 254 8. Transcribing Dictation 254 i. Initiating Transcription 254 ii. Choose a File or Files and Destination Folder 254 iii. Transcription Options 255 iv. Transcription 256 9. Correcting & Editing Transcribed Digital Voice Files 257 i. General 257 ii. Keyboard & Mouse Correction in DragonPad 257 iii. Playback Correction 258 iv. Editing 259 v. Saving the Document & Dragon 259 15

10. Editing after Correction 260 11. AutoTranscription 260 i. Introduction 260 ii. Setup 260 iii. Using the ATFA 263 Q. Additional Vocabularies 265 1. Why Use This Feature 265 2. Creating Additional Vocabularies 265 3. Improving Your New Vocabulary's Performance 266 4. How to Open Your Desired Vocabulary 266 5. Export & Import Your Vocabulary 267 6. Additional Vocabulary Summary 269 R. Managing Microphones & User Profiles 271 1. Introduction 271 2. Choosing Additional Microphones 271 3. Additional User Profiles 271 i. Introduction 271 ii. Create a New User Profile 271 iii. Setting Up Your New User Profile 271 iv. Multiple User Profiles 272 v. Renaming & Deleting a User Profile 272 vi. Additional User Profile Summary 273 S. Additional Tips & Tricks 275 1. Healthy Voice Computing 275 i. Water 275 ii. Speech 275 iii. Your Body 275 iv. Stretching 275 2. Using Dragon When Sick 276 i. Introduction 276 ii. Solution 276 3. Speakeasy Solutions Blog 276 4. Speakeasy Solutions Newsletter 276 16 Dragon Medical Practice Edition Training Workbook Version 4

5. Troubleshooting 277 i. Introduction 277 ii. Audio 277 iii. Constant Misrecognition 278 iv. Accuracy Issues 279 v. A Slow Dragon 280 T. What Now? Activities After Speakeasy Solutions' Training 281 1. Save Now, Save Often 281 2. Make Regular Backups of Your User Profile 281 3. Learn from Specific Documents 281 4. Refine Your Vocabulary 281 5. Perform Accuracy Tuning 281 6. Create Custom Commands 282 7. Remembering Commands 282 8. What Happens If /How Can I? 282 Reference Sheets 283 1. International Communications Alphabet 283 2. Summary of Punctuation & Characters 284 3. Speakeasy Solutions Top Commands 285 4. Dragon Commands 286 5. Windows Explorer Commands 291 6. Internet Explorer Commands 291 7. Mozilla Firefox Commands 292 8. Google Chrome Commands 293 9. Microsoft Word Commands 293 10. Microsoft Outlook Shortcut Commands 295 11. Microsoft Outlook Main Commands 295 12. Microsoft Outlook Express Commands 297 13. Facebook & Twitter Commands 297 14. Gmail & Hotmail Commands 297 15. Microsoft Excel Commands 297 16. Microsoft PowerPoint Commands 299 Index 301 17

Use Dragon to perform two very important tasks: Transcribe your voice into text. Voice automate computer functions. 18 Dragon Medical Practice Edition Training Workbook Version 4

Questions, Concerns, How To? training@speakeasysolutions.com Email your questions any time and Speakeasy Solutions will be happy to guide you. 19