John Askew, Sr., a patient/actor, left gives feedback to third-year Georgetown medical student Gregory Shumer after a training session in an examining room on the Georgetown Medical School campus in Washington, Friday, March 16, 2012. As the nation moves to paperless medicine, doctors are grappling with an awkward challenge: How do they tap the promise of computers, smartphones and iPads in the exam room without losing the human connection with their patients? Are the gadgets a boon, or a distraction? (AP Photo/Kevin Wolf)