Use some type of aid to help with sign out if you don't already.
Either some type of shortcut phrase, word express, dragon dictation, or something like that.
Typing out Nodular basal cell carcinoma vs .bcc <enter> makes a difference over time.
Make your basic phrases and alter them as needed. For example, I have a whole paragraph that spits out when I type in .sponge. It talks about eczematous vs med reactions and so forth. I just alter what I need to tailor it to the specific case.
Plus, that helps with keeping your sign outs consistent.