Current changes in health care require that physicians more than ever take on leadership roles, focusing more attention to decision-making at the individual physician/patient level and examining problems broadly and systematically, something that many of us never practice during our training. Clinically, the number of outpatient surgeries continues to increase, with almost two-thirds of all surgeries being performed on an outpatient basis. This represents a dramatic shift in the paradigm of medicine, rapidly changing the role of health care providers, specifically anesthesiologists. Non-clinical responsibilities include changes in perioperative management for patient optimization, more effective criteria in selecting appropriate patients for outpatient surgery and reducing delays/cancellations, as well as managing O.R. staffing to improve hospital efficiency. In the past, our placement into leadership roles has generally been based on our clinical track records instead of measures of...

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