Each year the National Center selects 4-5 IPE thorny issues for consideration as a Conversation Café at the Nexus Summit. Co-facilitators plan the café goals, outcomes, and structure with the National Center. Phase I cafés identify the issues, what is working and not working, and explore recommendations for action. Based upon the recommendations, the National Center determines whether the topic is ready for an Issues Champion to take it to the next level of analysis and development. The following is a summary of this year’s Conversation Cafés tackling big ideas across the Nexus of Practice and Education.