Coastal Pacific Doctor Associates (CPDA) is a multi-physician medical practice located along the west coast. CPDA decided to replace their inadequate and outdated medical office system during a time of tremendous restructuring in the medical software industry. In their impatience, CPDA chose an electronic medical record (EMR) and practice management (PM) system that would better accommodate the needs of a hospital rather than a medical clinic. The system that they chose to purchase was under development and had not been fully tested before it was hurriedly installed as CPDA's main system during a cutover implementation. EMR/PM software representatives failed to live up to their original promises as deadlines passed and the employees were trained in the last days before the go live date. Training took place on a portable network brought in by the sales representatives using manufacturer's test data. After the problems started to escalate, the manufacturer's help line stopped providing assistance and CPDA was left to solve its own problems. The organization in this case faces a number of project management and technology implementation issues. These issues can be addressed in multiple courses including: enterprise architecture, project management, systems analysis and design as well as systems implementation.