The approach outlined in this video could be viable, if you take a spare-no-expense approach.  And in truth it wouldn't be that costly, just to get a semi-decent Windows server up and running (without any concurrent clients you just need a basic Windows Pro license).  Whether (and how well) vanilla DMPE 4.3 lends itself to this networked interface is something you can poke around in the DMPE forum to find out.

Better yet, you may be able to run Windows 365 on Mac, once the wrinkles have been ironed out.

That seems to be the current ticket price for entering the "one-laptop-to do-it-all" club.

 

P.S., the Dragon Medical Embedded I use on Meditech Expanse and which I adapted to use as a dictation window for my own EMR is a workflow one can easily emulate on a Macbook, presumably through Applescript/Automator (if using Meditech's own built-in keyboard shotcuts for mic control), or userscript add-ons such as Tampermonkey on Chrome (going the Javascript route ... notwithstanding that monkey could use a less dodgy name).  

 

Except Dragon Medical Embedded is currently only an "Enterprise product".  I see a business opportunity for someone to license a version of this "SDK" stuff, and make it work in a "Select-and-Say" dictation window, which it already does in Chrome on a Macbook, and drum up a quick transfer method by voice (which I do through VoiceMacro on Windows), and stitch up a couple of hotkeys for mic control (including emulating PTT) and to backup voice transfer - basically the elementary stuff that could be done through AHK on Windows.  There will be a market for such a product/service among medical Mac users.  That I know to be a fact because colleagues who are currently using DME on Windows have said no less.

 

This is also way easier and less maintainance than coming up with a "native" DMO app for Macbook.

 

But then who knows, given that speech recognition will increasingly be a cloud service, something tailor-made for Apple diehards could be just around the corner.