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so today id like to talk about a few a couple of projects i have been working on in the past four years which primarily centered on the use of electronic medical records how clinicians adapt and appropriate the systems to better fit with their working habits because most of people here are actually students id like to start a little with a little bit of background of biomedical informatics um this is the picture of this years chairman of the american medical informatics association conference and one of the things belfosh actually mentioned in a conference is that we tend to think about the medicine as a health sciences or life science but in many ways its actually information science and when we are producing more and more patient data its becoming more towards information science and why we think this is information sense many of you are here i heard many of you are actually physicians youre taking the mph program we all know that information is the base for us to diagnose and