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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.
The most important aspect of active listening is reflecting back what the speaker says. Make eye contact while the other person speaks. In general, you should aim for eye contact about 60-70% of the time that you are listening. Lean toward the other person, and nod your head occasionally.