 What was so exciting to me at Kaiser Permanente is when I got here, we did a research project and we changed care practice before the publication actually was published and so what we care about most here is how what we learn from research and science actually changes the practice of medicine and improves the outcomes of the patients that we are called to care for. I really enjoy my two roles. One is an emergency physician and working in the emergency department to treat patients but also working as a research scientist. My experience in the emergency department led to a research opportunity and research work that we have done related to patients with chest pain. Chest pain can be caused by a variety of things. It's the second most common reason people come to the emergency departments. The current evidence in the medical publications would show that there's huge variability in what happens with patients that show up to emergency departments around the country related to symptoms like chest pains. My work aims to make those variabilities and differences in care much smaller. So decision support tools are intended to help physicians remember things they've already been taught or to make decisions that are complicated or complex more simple. Most medical students are told in medical school that 50% of what they're learning won't be right in the future when they're delivering care. They just don't know which 50% and that's where research comes in. Is it helps to identify practices that should be abandoned and it helps to recognize practices that should be increased and used more frequently. We live in the information age where it is impossible to read all of the science that is coming out in all the variety of conditions. And so when we streamline things and bring the most relevant information to the point of care, that's when the best care is delivered. The true metric of success for me as a researcher is not if I've published it, but it's when I see a patient that has had an improved outcome as a result of what we've done. And that's what's exciting about research at Kaiser Permanente.