Particulalry in rural settings, access to specialty sevrices, with an aging complex popultaion is so unstable, fragmented and difficult that the related records are likewise and the impacts of these siloed systems stressful and diminish time and quality of care and connection with my patients. Furthermore the fundamental paradigm within the Interior Health authority electronic medical record system is predictably about collecting “measureables”, for management to analyze and attempt to interpret and engineer further budget efficiency and quality of care. These are of course totally inaccurate proxy-measureables. If of any interest, I have an old SINGLE PAGE, printed overview originating from an university family medicine program that truly covers the important variables in the overview context for each patient. This makes the information so much easier to find and also to update over time, than the scattered constantly “New and Improved” current tools, with constantly changing acronyms, links, buttons and tabs. I was by the way, an examiner and exam co-ordinater for the CFPC simulated office orals for several years.