Dr Lamar Duffy had an article published in one of our more prestigious specialty journals this past week. Several years back, we made a decision as a practice to use “e-prescribing” for all of our prescriptions (took away the pads). Lamar and Angela Yiu (among others but they were the main ones) had the vision to begin collecting data before, during , and after this transition. They found a decline in the number of after hours phone calls. Not an earth shattering finding but it proved that we can study the process of care with enough rigor to get papers published. This is important because a lot of our health care mess is due to a broken process that needs to be described and improved in a systematic fashion. Also, it showed that even in a small department like ours we can occasionally keep up with the big boys.