I am looking to market my practice to local physicians and finding a pen that was of high quality but affordable was my main concern. This pen wow'ed me from the minute I opened it. The gold accents are eye catching and the red color I chose looks like a shiny patent leather. It would honestly be the kind of pen I may hold on to and forget to give it back. It has a nice weight to it that is balanced by the shape of the pen and I have not experienced hand fatigue. It writes smoothly with no clotting, as of yet. The only deterrent on this pen could be cost. For me, this pen is a couple of dollars more per pen than the other one I am considering. With that, this pen looks much more expensive and I think it is one the doctor will probably keep versus referral staff. I may end up purchasing some of these and balancing them with some of the less expensive option. Either way, I think they will do the trick.