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Dragon Medical One Training - Customizing Vocabulary

Add and train custom words in Dragon Medical One vocabulary so names, drugs, and local terms recognize correctly across devices.

Updated 7/29/2026
A refined dictionary for your field of medicine improves accuracy and reduces how often you need vocabulary training. When you first log into Dragon Medical One, set the appropriate specialty. This tutorial assumes you already have Dragon Medical One installed.

Choose the right specialty

If you are not a physician, choose "Clinical Administration" for a broader vocabulary. Matching specialty at login gives Dragon a stronger starting dictionary for the terms you use most.
Dragon Medical One specialty selection list

What may still need correction

Once you begin dictating, most medical acronyms, words, and phrases are recognized correctly. A few items may still need correction, including:
- New pharmaceuticals - Local hospitals - Names of colleagues or referring clinicians - Terms that may be specific to another specialty As an example, say "Dr. Sarah Lilley" and Dragon may spell the last name as "Lily".
Dictation Box showing Dr. Sarah Lily misspelling

Add a word or phrase to vocabulary

Because you may say "Dr. Sarah Lilley" often, teach Dragon the correct spelling. 1. Say "Select Dr. Sarah Lilley" to highlight the incorrect output. 2. Say "Add that to vocabulary". 3. In the Add Word box, correct the spelling and choose "Use Default Pronunciation". 4. Save it to your custom speech profile. From then on, "Dr. Sarah Lilley" should spell correctly. Your speech profile is stored in the cloud, so the same recognition follows you to other machines.
Dragon Medical One Add Word to Vocabulary dialog

Tips when adding vocabulary

Select the full name to correct, not only "Lily". If you only change "Lily", sentences like "patient is allergic to lily pollen" could incorrectly replace "lily" with "Lilley". Use "Use Default Pronunciation" when the spelling matches how it sounds. If the word does not sound like it is spelled, use the microphone button to record how you say it, or choose "Enter the word as you would pronounce it".
Dragon Medical One word training pronunciation options

Manage Vocabulary

You can also view, add, edit, or train vocabulary from Manage Vocabulary. Open it by saying "Manage Vocabulary", or by using the Dragon menu and selecting the same option.
Dragon Medical One Manage Vocabulary menu

Train a vocabulary word

If a newly added phrase still errors, train it with your voice. In Manage Vocabulary, click the word you need to train, then choose "Train".
Dragon Medical One Train Word options

Record the pronunciation

On the Train Word screen, click the large microphone button. With a handheld microphone such as the Nuance PowerMic III, you do not need to press the physical mic button - the mic is active after you click the icon. The dialog prompts you to speak the word or phrase, then Dragon turns the microphone off when you finish. For best results, train only in a quiet room with minimal background noise.
Dragon Medical One voice train word screen

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