mimitabby,
This is the suggestion I got from the bike fit (on the fit bike) I had done recently:
"Consider road shoe with aline footbeds and larger 3-bolt cleat (instead of spd mtb style) to minimize Q-angle and foot rock."
Q-angle is the angle between the quadriceps muscle (primarily the rectus femoris) and the patellar tendon and affects the knee. I may consider this after I get more proficient at riding clipless and get myself a road bike, but for now I like my Pearl Izumi Vagabonds that I got for $29! I walk my bike through scary traffic crossings and they are easy to walk in even though they have very stiff soles.

