It’s a brisk autumn morning in your busy outpatient clinic. Looking out the window at the changing trees, you remember your niece watching a movie where fairies paint the autumn leaves. It brings a smile to your face as you wonder just how massive a fairy labor force is needed to accomplish that.

But you quickly bounce back from your thoughts, as you have a full schedule today. You take a moment to review the chart of your next patient before stepping into the examination room.