title: 'Nothin' remains quite the same'.
authors.forename: B R
authors.initials: BR
authors.lastname: Alford
mesh_terms: D002568:Certification / Q000639:trends; D004501:Education, Medical / Q000639:trends; D010036:Otolaryngology / Q000639:trends*; D013043:Specialties, Surgical / Q000639:trends*; D014481:United States