dr. lazarus and congratulating him for his leadership this year. say hello to dr. madeira, your ceo whoever chris for a number of years and recognize following knee this morning on a piano, you'll hear from one of your former leaders who we get the opportunity to work with each and every day, that nancy nielsen, a former ama president, who is now part of our centers for an invasion, hoping to promote and drive a lot of the very exciting work going on in the delivery system and also hopefully throughout the course of the day you have a chance to talk to dr. mandy cohen, a great health later at hhs who does a lot of outreach with the physician community. i told dr. lazarus as i was coming in, i think it is a very opportune time to have a psychiatry sleep the ama. the law may need his personal help and support, but also, i think the country is behind for an important dialogue. there's no question the reason tragedy in newtown broke the hearts of the nation, but also gives us an important opportunity to address issues that have gone unaddressed for too long. gun safety