look into purchasing the product called dragon naturally speaking 9 medical edition
http://www.dragon-medical-transcription.com/dragon_naturally_speaking_medical.html for $1039
http://www.shopping.com/xPC-Nuance_Dragon_Naturally_Speaking_9_0_Medical?CLT=T5P6 shows the recorders and they are around $1000
I also checkon recorders and digital is the way to go not tape sysem