Providing physicians the capability of verbally dictating a patient’s chart, dictation software poses an alternative in clinical documentation. Medical transcription has evolved tremendously from handwritten notes on papyrus in BC times to electronic health records (EHR) in the 21st century. One of the more notable changes to medical transcription has come with the introduction of dictation software. Dragon Dictate, released by the company Dragon in 1990, was the world’s first speech recognition software for consumers (Kikel). Since then, it has undergone countless updates, incorporating more personal voice recognition and cookie-cutter templates for ease in filling out the necessary data for each patient. Yet, with all technological innovations comes reluctance at the adjustment. The use of dictation in clinics leads to more thorough documentation of encounters. At the same time, issues have arisen regarding the interpretation of accents or transcription of homophones. The decision to implement dictation software as a norm in clinical settings requires extensive research to understand how the changes affect a physician’s approach to writing as well as the effectiveness as a tool.