An earpiece for use in voice dictation includes a speaker disposed within the earpiece housing, a microphone, and a processor disposed within the earpiece housing and operatively connected to the microphone and the speaker, wherein the processor is adapted to capture a voice stream from the microphone. The earpiece may further include a wireless transceiver disposed within the earpiece housing, the wireless transceiver operatively connected to the processor. The earpiece is configured to be controlled by a user through a plurality of different user interfaces to perform voice dictation.