With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study metrics included provider<br/>satisfaction and perceptions regarding opioid prescription. Mayo Clinic transitioned its EHR<br/>system from Cerner to Epic in October 2018. This study aims to understand if provider perceptions<br/>about COT changed after the EHR transition and the reasons underlying those perceptions.

Conversations between immigrant parents and their Americanized children are often difficult conversations to approach. Children are expected to know what they want to do with the rest of their lives from a young age. Sometimes, what the child wants to do does not align with what their parents want them to do. It is hard to approach those conversations about pursuing higher education, especially when the response is an unknown variable. This research study aims to determine how those conversations about higher education were viewed from the standpoint of the young adult child. It investigates young adults whose ages span from 18 to 24 and how those conversations they had when they were younger impacted who they became. Using data collected from twelve interviewees whose gender, age, and ethnicity varied, this study examines specific instances in those conversations about higher education between the young adult and their immigrant parents and the main factors behind some shared experiences. I discuss those factors, as well as limitations within the study, and provide future direction recommendations.