The biggest challenge that I've faced in my last job was balancing the number of reports that I was tasked not only to manage but also was tasked in creating some new reports while also serving our front-end interests and that's getting patients checked in patients checked out answering the phone those sorts of things and balancing those two and basically I found that what helped me was writing out a task list a daily and weekly task list and trying to you know manage that to the best of my abilities things often would come up and it would kind of you know cause the necessity to change things around but because I had it down on paper or in an email to myself I knew how to prioritize things and so everything was able to get done and so that resolved kind of like an overall just operational challenge that I had and that needed to be managed for the betterment of our team and also of our practice.