Employees of Massachusetts General Hospital were asked in the spring if they wished to become patients of a new clinic called the Ambulatory Practice of the Future ( APF), a pilot project that aims to solve some of the challenges facing primary care. The APF, which opened in June, is led by David Judge, MD, an internist at the Bulἀnch Medical Group at MGH, where he is assistant medical director; he is also co-program leader in Clinical Systems Innovation at the Center for the Integration of Medicine and Innovative Technology (CIMIT).