1. The biggest issue is when in combat , I hit the 1 key. they run in to melee.. argghh. Then they either die to some aoe or get silenced.
2. I use pallypower addon for buffing, but its still a giant time consuming hassle.
frankly right now they are more of a liability, than the powerhouse they are supposed to be in raiding.
see my post about editing the pallies. to prevent this from happening.