It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change. – Leon C. Megginson

“Marcus Welby, M.D.” was a top-rated television show during the 1970s. I recall Dr. Welby as a wise and caring physician whose clear mission in life was to help another human being in his or her hour of need. However, Dr. Welby was also a nonconformist who often went out on a limb – he was a “system” unto himself.

The health care environment is much different today than it was four decades ago. Uncertainty and volatility are prevalent, and medicine is transforming at warp speed. Individualized care based on interpretation of the best evidence and intuitive decision-making is being replaced by disease-based protocols and standardization. Medical decisions...

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