This report looks at the reasons why the uptake of clinical information technology systems is so slow to take hold. There is a culture of blame being passed from the physicians to the vendors and also from the vendors to the physicians. This session examines the facts and fallacies surrounding this environment. While this report focuses on primary care physicians in the United States; it also contrasts that environment with other health care settings. In this session we will look at underlying issues such as the culture of medical training and the subsequent thought processes (short term thinking vs. long term planning) of primary care physicians. In conclusion this report points out how open source and open content business models can overcome many of the issues causing the disconnect between physicians and technologists. - Timothy W. Cook - USA