When using Dragon Medical One, punctuation must be spoken. While the system can automatically add periods and commas at the appropriate places in your dictation some of the time, it's most effective if the user says the punctuation out loud. Tables 1–3 outline how to properly dictate punctuation.
Table 1. Dictating Common Punctuation.| Saying | Action |
| Comma | Adds a comma ( , ) |
| Period | Adds a period ( . ) |
| Hyphen | Adds a hyphen ( - ) |
| Colon | Adds a colon ( : ) |
| Exclamation mark | Adds an exclamation mark ( ! ) |
| Question mark | Adds a question mark ( ? ) |
Table 2. Starting and Ending New Lines and Paragraphs.| Saying | Action |
| New line | Starts a new line |
| New paragraph | Stars a new paragraph |
| End paragraph | Ends the paragraph |
Table 3. Navigating Through Text.| Saying | Action |
| Next field | Jumps to next set of brackets ( [ ] ) |
| Accept defaults | Removes all brackets within that text |
| Field complete | Removes brackets from that current field/item and jumps to the next item |
| Previous field | Puts cursor in the previous field |
| First field | Puts cursor in the first field |
| Last field | Puts cursor in the last field |
| Delete That / Scratch That | Deletes the last dictated phrase |
| Undo That | Executes Ctrl+Z to undo the last action |
| Select [word] | Selects the word |
| Select [word] through [word] | Selects a phrase/sentence |
| Cap / Capitalize [word] | Puts the word in all caps |
| Go to top | Moves to the top of the text |
| Go to bottom | Moves to the bottom of the text |
| End of sentence | Moves to the end of the sentence |
| Resume with [word] | Deletes text up to a given word |
| Go back | Returns to the previous point after Select and Replace has been executed |
| Insert before [word] | Moves to before [word] |
| Insert after [word] | Moves to after [word] |
