Okay, VR experts help me solve this one:) - dropadime

I am open to VR and have done it before at my previous job with the same software, dictatphone, and do not find dictaphone bad to do VR at all. The problem is, with this job that I have now, I have been killing myself, I cannot get over 500 lines per day doing VR, and all the accounts are VR.  The reason I cannot get above 500 lines is for every job that is a letter, consult, DS, PT, memo, or review, I have to create a new visit ID, look up the physicians ID and location, create that visit ID, put in the DOS, then go into the report because you cannot hear the VR until you go into the report and no matter how fast I try to make this process easier, it is not happening, and it is time consuming to do this for practically every job.  Example:  Get job, see that it is one of the above, which is practically every job, go to the F8 function create a new visit ID, then find the physician that is dictating and put his ID in the visit ID and his location from the account specs, which you must keep open in order to locate this information, go into the report, then go back into the heading after you open the job because the voice will not start until you open the job, but you have to go back out of the report to verify the demos are correct,  wheew!!   

So VR experts, how do you get faster if this is what I have to do day in and day out--thanks