I only build my outline in Word then paste it into Accordance. When I have it in Accordance, I then add pictures or other extra notes. I present from my screen so having the ability to show my outline with pictures and a Bible ready at the click of a button is great for people to follow along.
Unfortunately, I've invested too much on my main Bible Software that most of my resources English and Spanish are there and not in Accordance. Besides, Accordance is extremely limited in the Spanish department, hence, the why it is not my main software, but my second main software. I love the Paper feature and it blows the competition out of the water! Great software for presenting from your screen and lightning fast too!