I am very computer savvy, and have worked with other EMR's in the past. After using NextGen for a while, two things become apparent: A) It was designed in pieces by numerous teams of programmers, none of whom actually talked with one another to come up with a consistent, unified system; and B) The designers had very limited input from physicians. The problems are far to numerous to outline below, but here are a few examples of the insanity I deal with on a daily basis. -Templates exist for many problems, but not for some really common problems. So they have pre-made templates for Sjogren's and Peyronie's, but not conjunctivitis, or anxiety, or pre-operative history/physical. -The medication prescribing module does not list the patient's drug allergies. The system will alert you to allergies/interactions/contraindications, but not when you select a medication; you have to wait until you have entered all the data and instructions and submitted it before you find out about a potential problem. And it will flag interactions and contraindications for any med that has EVER been prescribed to the patient with the system, even if he hasn't taken it in a year! Finally, it flags everything imaginable (like a warning against using Advair in asthmatics!) -Some things just don't match up, so the part that allows you enter comments may accept 1000 characters, but the screen to read the comments only displays the 1st 300! Also, depending on where you enter data, it may or may not actually show up in the visible chart. As before, I could go on and on and on, but you get the idea. Let me leave you with these final pearls, which speak volumes. In 2008, the American Academy of Family Practice surveyed family doctors about their EMR's. NextGen ranked #10 out of 13 (not quite the worst, but pretty bad!) Of NextGen users, only 37% said they'd choose the same system again (I'll bet they never tried another system to know how good it could be!), and only 34% felt the system was worth the cost.