You need to dictate charts, and do it immediately. Some even do it in front of the patient. Actually, that's kind of a patient satisfier. When you have a work-in, always stand, don't sit. Deal with the immediate problem and save the rest for a scheduled visit.
Mechanical things are important.
The dictating equipment must be ready to go. Use what you like best. You've got to have referral forms, patient-information sheets and other papers physically at hand. Be there on time to see the first patient, and stay on time, because being behind schedule is a self-perpetuating problem. Our most productive physicians are our most satisfying ones, because when someone calls with a pressing problem, they find a way to squeeze that patient in.