I love tech; had subscription to Byte magazine in the 70's. Have worked with NextGen for 10 months now. Work in CHC, primary care. This system is fine for a procedure based practice, or maybe peds or a practice taking care of primarily healthy patients. It is awful, slow and inefficient for caring for typical IM patients. Even my non-medical IT-trained son could immediately understand why this system works so poorly for actual patient care. IMHO, the end-user experience had zero priority in the design of this system, other priorities (sales to admin?) Productivity has plummeted. Avoid this system.