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i'm chris stanford a second-year resident and the university of wisconsin family medicine residency program in madison and I'm here with John Beasley dr. Beasley is a professor of family medicine and coordinator of the I practice collaborative which is an initiative that spans the university of wisconsin department of industrial and systems and engineering and the school medicine public health rec john we spend a lot of time training future physicians in medical knowledge and procedural skills but not a lot of time teaching information mastery or how to use the new technologies that are really integral to patient care with the result that there might be rapid changes in the way that we deliver care that happened in an unexamined way and there might be efficient and effective technologies like for example dictation that are lost I know you're a big proponent of dictating in the presence of the patient why is that well I think there are two parts to that really and the first part and ma...