Whether one is a learner or an educator, the current and potential impacts of legistlative trends from Washington are tremendous. As collaborations between academia, industry, and the government become increasingly complex, advocates of quality improvement in medical education must learn to navigate new challenges in key areas such as conflicts of interest, healthcare reform, physician-patient communications, and healthcare technologies. Joining host Alicia Sutton to discuss this important topic is John F. Kamp, Executive Director of the Coalition for Healthcare Communication.