The last two articles here have focused on the numerous significant and important roles that CPOE projects call upon physicians to play. These include, inter alia, the Physician Champion, serving on a Physician Advisory Committee (PAC), acting as a Subject Matter Expert (SME), becoming a physician trainer and participating in the various design, testing, validation, go‐live and support activities. However, these and other roles represent only the building blocks in the CPOE physician edifice. How they fit together and interact with each other and other stakeholder roles, how they are organized temporally, how the members deal with each other and the executive and project team members, essentially what is the blueprint for the assembly of these building blocks – that is the province of project governance. Let’s explore this crucial topic a bit.