have much lower temperatures during the summer. However, there are greater daily fluctuations. In the river valleys and interior basins, maximum daytime temperatures are quite high. However, it is usually quite cool at night.

The average precipitation for the area is quite heavy. The central uplands experience the heaviest rain falls. Frequent thunderstorms are caused by the Mediterranean air being uplifted by vertical currents. Torrential downpours and high local winds often accompany these storms. Some of the thunderstorms can be quite heavy locally, with very strong winds and large hail, that can cause local flash-floods and major damage.

Rainfall averages in the lowlands range from 1,000 millimeters to over 1,500 millimeters every year. The higher levels are experienced in the north. Close to 95 percent of the annual rain fallby physician and then entered electronically by secretary

Computers were placed in all six patient examination rooms. In all, three computers were placed in the common work area for the use of 3 attending physicians, 2 nurses, and trainees (fellows and residents). Computers and printers were installed with existing office furniture. The layout of the examination rooms was not changed to accommodate the new workflow.

Physicians received three training sessions (one hour each) on EMR usage and specifically on how to integrate computers into the visit. On-site technical support was available during the 6-week implementation phase. Support by telephone was provided after that. The patient schedule was reduced by 50% for the first 2 weeks of EMR implementation. The schedule was then reduced by 25% for the following 4 weeks