I am in a group of 50 or so Physicians. Most of us work very very hard. There are occasionally things that come up that do need to be addressed. But this can easily be done in an email. We did have one manager for 2 years who felt that most if not everything should be communicated in an email. Everyone agrees that this was the best way to do it. But I have gone through six or seven managers now who now like to present their ideas as new and innovative but it is deja vu all over again. For example we have gone as a cohesive group split up to 3 different groups back to a cohesive group and now back to three different groups. They present their ideas as revolutionary but it's all been done before.