It also makes a difference if you have the same dictators a lot, or if you have different ones all the time. But still, phrases like "alert and oriented x3" and "The patient was prepped and draped in normal sterile fashion." can be done with just a few keystrokes.
Are you staying in your chair, and staying focused on your work, not checking emails, etc.? (This is a problem I have, I get distracted easily, especially if I hit a hard or boring part!)