title: Adaptation and change in gastroenterology.
abstract: Predicting the future is a chancy business. In line with other medical specialties, gastroenterology will be subject to rapid and profound changes in the coming decades and will have to adapt and renew its approach to the way medicine will be practised. The pressures to change will be in several areas. Global demographic, political and economic factors will become more intrusive and rapid communication will end isolationism. Developing EC structures and regulations are likely to increase mobility of medical staff and uniformity in the standards of training and practice. Rapid technological advances will have to be reconciled with finite resources and the ever increasing expectations of our aging population.
authors.affiliation: Dept. of Gastroenterology and Nutrition, Central Middlesex Hospital, London, UK.
authors.forename: J J
authors.initials: JJ
authors.lastname: Misiewicz
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data; D005060:Europe; D005544:Forecasting; D005762:Gastroenterology / Q000191:economics / Q000639:trends*; D006801:Humans; D013677:Medical Laboratory Science