The following example was reported by an administrator: “Doctors tend to look at paper before seeing the patient, rather than looking at the last progress note in CPRS. They use paper in the clinics from beginning to end-they would rather kill a tree than look at CPRS every time.” This perceived efficiency gain by using paper instead of CPRS is likely to be illusory, since CPRS is available in both the physicians’ workspace and every patient exam room in primary care. This example was also coded in the ‘sensorimoter preferences’ category