If we have a large Clinical Note that we are spell-checking, that note will likely contain a large # of abbreviations, each of which will likely come up as an 'instance' requiring a spell-check 'action'. Most of the time, I find myself adding each abbreviation to my Dictionary because they are abbreviations I use all the time. It would help speed things up if there were an "Add All" button...there are already "Ignore All" and "Change All" buttons: why not add a "Add All" button to speed things up? Otherwise, the User has to sit there and run thru Adding each instance 1 by 1 to the Dictionary.