The document summarizes a typical day for a primary care physician at a clinic located 30 miles from the nearest hospital. The physician sees 20-24 patients per day, conducts 1-3 procedures, attends 1 meeting, and responds to 20-40 asynchronous messages from nurses, patients, and colleagues. They also face 10-15 interruptions from pharmacies, phone calls, and drug representatives. The implementation of an electronic medical record system has helped by eliminating paper chart pulls and creation, allowing instant access to patient records and test results instead of 24-48 hour delays, and reducing phone calls by 1-2 hours per day. However, interruptions remain a challenge and decision support could be improved, such as smarter pharmacy selection