Some 15-20 years ago while working on the siding of the mobile home I lived in at the time I needed some leverage to remove some heavy staples that were holding up cables. Rather than go expend the energy of rummaging through my “well organized” tool box I pulled my hunting knife from my back pocket. I recall spending over 80 dollars on this precision instrument of carbon steel, brass and wood. I also recall that I owned it less than one month when I broke it. Fortunately I only broke the first 1/2 inch of the blade. Grinding it down, I created a rounded tip and salvaged it. I still have this knife. Every time I Use it I am reminded to USE THE RIGHT TOOL FOR THE JOB. As primary care providers we face many challenges. The Affordable Care Act and the uncertainty of payments. The need to meet every increasing demands of time and create and foster a patient centered environment. HIPPA, CMS, PPOs, HMOs, ACOs, Pay for Performance, Patient Satisfaction, Prior Authorizations, Gate Keeping, Capitation, Evidence Based and Copay: How many of the anacroyms or phrases even entered primary care providers minds 20 years ago? I look back and wish I had used the pry bar instead of my knife. It still works, but it has never been the same. More vitial today, we need to use the right tools for our job of proving appropriate compassionate care to our clients today. If you have a specific need or question that you have not found the answer to or have a tested practice that works for you in dealing with our challenges let us know.