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I assume you’ll be using Dragon Medical One. Nuance is a well established organization, with users in a broad range of professions, and their medical product is extensively used by many specialists. The health system where I live has been in the process of phasing out transcriptionists in favor of it for a decade or so.
The only potential privacy concerns a hospital would care about would be if they are storing your transcripts on their servers, because that will contain sensitive information about patients. It will be impossible to get any administrator to care about your voice data.
This tide is unlikely one you will be able to stem, but you could stop dictating and type it yourself.
The version of Neuralink we can afford will be ad supported.