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Front-end speech recognition is where the provider dictates into a speech-recognition engine, the recognized words are displayed as they are spoken, and the dictator is responsible for editing and signing off on the document.
I start off with a quick background about speech recognition and elite, then a demo of it in action (at 6:30), and finally some tips on how to set it up yourself (at 18:30) so that you can avoid the current problems with the speech recognition engines almost entirely.