Whereas it's relatively safe to generalize that most technologies improve with each new iteration and user feedback yields changes that customers ultimately appreciate, one has to wonder if today's crop of electronic health records software are among the exceptions to that pattern of progress. Yes, the top-tier EHR vendors are for the most part improving certain aspects of their products, notably usability, workflow, UI, load and response times as well as other features designed to improve both the user experience and productivity. But do the clinicians, physicians, nurses and specialists actually using the software like EHRs any more than they did five years ago?