I've been with eClinicalWorks as a Cardiologist for over 4 years, and switched from two other "leading" EMRs before that. I find the content of the negative reviews rather suspect, from a clinician's viewpoint. If you can find a better EMR for your money out there, I'd love to know. From my industry experience, the negative reviews are quite generic, and consistent with "positioned" posts from competitors. Perhaps not, but I trust other industry veterans would agree. ECW was quite open to me speaking with current clients before I became a client. I encourage you to do the same. They're widely used across the US, so you shouldn't have a problem connecting with 4 or 5 in your local area, even without going through eCW to do so. It's unfortunate that, historically, there were a few reputable and dependable review sites for us clinicians, but the troubled vendors in various industries have since found value in diluting the field for cheap reference purposes during their sales pitch.