Dr. Chaiken has effectively nailed these issues and needs and they are of critical importance. His views come from his indepth knowledge of the industry and systems and they are valid. The industry has been quick to place many individuals in front line roles who lack the perspective and experience to go beyond the top layer of the impact of HIT and thus are unable to identify the gaps and layers of an activity. Plus the rush of curriculums that are being developed for the new wave of 6 month trained IT workers are hardly enough to address the totality of an IT project. Given this is a start; the learning curve is immense and the industry cannot expect this bandaid will meet the industry's needs for some time. The new HIT worker will need considerable support and on-going training which will take place on the job. Thank you Barry for keeping the focus on the challenges of transformation and workflows in the forefront.