With a health care environment defined by complexity, uncertainty, and volatility, one thing is certain – CHANGE is inevitable. Like it or not, the next decade promises change of unprecedented magnitude in health care. Sometimes it is best to resist change, and sometimes to align with change, but always we should rise to the challenge, be leaders, and create the future. We must never forget that the future belongs to those who prepare today.

The discovery of anesthesia changed the world, and our specialty has evolved dramatically over the past few decades. Anesthesia practice and its scope have advanced and improved, in large part as a result of clinical and translational investigation, discovery of new drugs and technologies, and extension of our practice from the OR to the entire course of perioperative care. As a result of these advances, clinical practice has advanced and quality, safety, and outcomes have improved....

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