I like the people and patients I work with everyday. I appreciate the team spirit that is reinforced, as a group we are making a difference. I like that I have been able to develop a generational family medicine practice, the continuity of care is very rewarding as is the continuity of staff. Presbyterian Medical Services has been supportive for many of the efforts I feel strongly about including teaching, delivering quality care, and encouraging me to be active in leadership development. Over the years I have been able to be active professionally at the local, state, and national level. Presbyterian Medical Services has encouraged me to keep up with the changes in health care. My participation nationally had prepared me to develop the Patient Centered Medical Home in Estancia before it had become a goal of the company. I have been able to make practice changes that address clinic flow, health maintenance, chronic disease registries and patient self management goals; now we have the capacity to document this care. Over the years of continuous service to the community I have learned to appreciate the impact that our services have in the lives of all.