Dr. Sarah Nosal, MD is the president-elect of the American Academy of Family Physicians and a practicing family physician in the Bronx. In this episode, Sarah shares her journey with Lalita and Kelly from her days programming a turtle in kindergarten to becoming the Vice President for Innovation & Optimization and Chief Medical Information Officer at The Institute for Family Health, a federally qualified health center in New York. Lalita, Kelly and Sarah talk about the importance of asking for what you want, designing "user error" to still be the correct outcome, and the importance of having excellent clinical skills to have credibility in making non-clinical decisions.