title: Response to environment changes and challenges.
abstract: This article explores the challenges in today's hospital environment for professional growth and is also the second article in this issue which discusses concurrent review activities on the units. The author advocates that one stop reviewing effectively serves many purposes.
mesh_terms: D003211:Concurrent Review; D003953:Diagnosis-Related Groups; D006748:Hospital Departments / Q000458:organization & administration*; D008500:Medical Records Department, Hospital / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D012922:Social Change; D014481:United States; D014600:Utilization Review