using phone as pager

No known remedies at the present time but you may want to wait for the soon to be released next iPhone update which may (may being emphasized) include such an option. This update should be released today or tomorrow.

Several other physicians, myself included, have posted about the problems with text message alerts. The alert is very "soft" and I can have my phone in my purse or pocket and not even know that I have received a text/page. If there is ambient noise, etc, it is a problem. I have gone back to using my beeper more. I have submitted suggestions several time on the apple link. I know that S. Jobs said this thing is for personal use not business, but I think that receiving texts ought to be something that we can hear, hear consistantly, and not worry about missing. I have also missed an important personal text from one of my teenagers.

I LOVE my iphone but have issues with the volume of texts, the volume of the ring (have missed calls from my answering service as well as texts) and still have problems with volume from the speaker and the ear volume. It continues to make no sense to me, as I can crank up the ipod volume until it is way too loud.

The ability to hear alerts adequately or based on different preferences is not an enterprise issue alone and I don't believe anyone has said the iPhone is not for enterprise in any way but it is obvious that the iPhone was not specifically designed for enterprise as is a Blackberry or Palm.

All we can do is provide Apple feedback but we have no way of knowing Apple's priority list order with known bug fixes likely above user requested features/options provided via the Feedback link but the more feedback Apple receives regarding a specific feature request, the more likely it will be included with a future update or if already on the priority list, moved up closer to the top.

I believe the speaker phone volume during a call compared to the speaker volume with playing music or video has to do with feedback issues with the speaker and microphone being so close to the other but I'm only guessing.

I have the earpiece volume set at the maximum which is adequate for me only but should not be normal. Maximum should be maximum - really loud so I'm expecting this will be addressed relatively soon.

that's exactly why the SMS alert was the most important issue for me.
1.1.1 fixed it a little with louder sound and different choices.
Before I modded it and put a ringtone for the alert which was great. of course now the modd does not work anymore.
Anyone aware here when you buy a ringtone for Apple if you can choose that one with 1.1.1 for SMS alerts?

While I'm not a doctor, my work does require me to be notified via SMS 24/7. If they had only allowed incoming SMS messages to play the "alarm" ringtone, then I'd be fine. As it is, the new choices are just too brief and low to wake me up.

I'd suggest giving Apple more feedback on this and maybe we'll get there on the next update.

yes, feedback them!
http://www.apple.com/feedback/iphone.html

The update that Apple posted today will allow you to change the text message sound and they do seem to be louder.