As the information contained in paper-based records increasingly migrates over to comprehensive computer-based systems, clinical documentation activities also move from paper to electronic form. Direct computerized physician documentation has been implemented in the nation's Veterans Affairs Medical Centers and is likely to become the norm in other institutions over the coming years. Comprehensive systems like the VAMC's Clinical Patient Record system incorporate features that facilitate the creation of clinical notes. The use of these tools and their features may have unanticipated impacts on educational and clinical activities and environments in teaching hospitals, and this deserves study. This study assesses the perceived impacts that CPD has had on one VAMC from the perspective of clinician educators and house staff.