I just listened to the AMIA closing keynote by Robert Wachter, MD. He presented a compelling argument for use of user-centered design in health information technology. Using powerful examples, he really hammered home the need for understanding work, users, and the transformative nature of switching the work of health to a technological platform. I’m encouraged that a prominent physician really “gets” the critical need for user-centered methods in technology design and development. That he was chosen to deliver a keynote challenging the status quo gives me hope for where the field is headed.