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Using culture and climate to optimize care.

What a fascinating time to be in family medicine. Not since the inception of the discipline have we seen such vision and reflection about who we are, who we serve, and how we can enhance our relevance in a dysfunctional health care system.1 Never before have we had such easy access to so much information (and misinformation) and such powerful tools to use for purposes ranging from diagnosis to documentation. Terms like personal medical home, evidence-based medicine, and quality improvement are now part of our daily discourse. It is clear that we and our practices must transform in a meaningful way to provide the highest quality care to our patients and communities, but the way to do this is murky at best.