One of our most frequently asked questions concerning the Medical versions of Dragon Naturally Speaking is:  What's the Difference between the Full Medical Version and the Small Practice Edition (SPE)?  A very valid question, so we have included a breakdown of the main differences. 

I find that the most important differences are that the Small Practice Edition does not include the Radiology or Pathology Vocabularies and that it does not support a Citrix Network. FeatureMatrix

Pathology and radiology vocabularies included Pathology and radiology vocabularies included among the nearly 80 specialty vocabularies provided.
Use in Citrix environment Use in Citrix environment on machines not ordinarily capable of running Dragon
"Push" install capacity Install to multiple machines at once
Roaming user capacity Have your voicefiles available on any machine in the network.
EMR support Medical professionals can navigate and dictate inside 3rd-party EMR application software
Hidden Mode Users can dictate while reviewing lab or radiology test results and save when finished anywhere in the EMR
Improved Auto-Transcription The Auto-Transcribe Folder Agent now creates a synchronized audio file along with the automatic transcript for deferred correction
Improved Enterprise Security Features (disable creating, changing, or running of scripting commands to prevent VBA-viruses) More configuration options provide administrators with better control of Dragon in the enterprise. Control the access to VBA-style custom commands to prevent potential viruses.
Correction-only profile Correctionists can create a "No dictation available profile" without any audio setup, so third-party correction is easier than ever
File encryption supporting HIPAA regulations Protects patient confidentiality and helps provider organizations meet HIPAA (Health Insurance Portability and Accountability Act) standards
FIPS-140 file encryption Meets FIPS 140-2 IT security standards followed by healthcare, financial services and government
PowerMic integration Program your PowerMic buttons to run any Dragon function or user voice command
MyCommands Show user commands only in Command Browser
Dragon Templates with Voice Fields Quickly automate form-filling applications
Medical formatting rules Smart software expands medical abbreviations and follows capitalization rules of medical terms