 So, as we get started, I want to foster some conversation throughout the day about what you see as some of the current challenges that the field faces, not necessarily negative challenges, but challenges nonetheless. The obvious being this sort of onslaught of technologies that provide more choices and resources but also more complications to practice. We also just had a training program directors retreat that Lori and I attended in Denver and one of the main topics of conversation was workforce issues. We all believe we're probably on the cusp very much maybe even just over the cusp of having more job openings than we are graduating trained genetic counselors and we anticipate that that will escalate. So some brainstorming, just very beginning brainstorming about what needs to be done to meet needs and how we do that without compromising quality and standards and how we can be a little bit more innovative about training counselors. So I'd love to hear some conversation about that. And then you guys can all make fun of me, but I'm a very huge fan of this new article that Janine Austin just published in the Journal of Genetic Counseling. It will not surprise you because the title is something to the effect that it's the psychotherapeutic aspects of genetic counseling that are going to maintain our profession in the era of genomics. She said it more succinctly. And she just came and talked at our clinical supervisors meeting and we just had a fantastic dynamic discussion about that article and the themes that she's putting forward. But obviously there are many challenges related to that as well. Does anybody want to, oh and we can't ignore although I always like to try billing and reimbursement because finances are a big part of our future. Does anybody want to throw out a couple more before Julie gets started? I have one that I think might be good to have in the background. So I'm on the practice guidelines committee for NSGC and I would say that Christina Palmer from UCLA is doing some really, really amazing things in collaboration with DeepD, Babu too, on the guidelines committee to move the field towards actual evidence-based guidelines that are actually about genetic counseling. And this is a really great idea, but the shortage is with the evidence, right? And so what's probably going to happen for several years is that we won't have any guidelines. We'll have a lot of hopefully systematic evidence reviews that can feed guidelines. But I think this is a really great group to be making a contribution to thinking about how we're going to get to the point of actually having evidence-based guidelines that inform the practice of genetic counseling.