title: Presidential address: Reflections.
authors.affiliation: Oregon Health Sciences University, Portland 97201-3098, USA. porter@ohsu.edu
authors.forename: J M
authors.initials: JM
authors.lastname: Porter
mesh_terms: D002568:Certification; D016520:Entrepreneurship; D017048:Health Care Costs; D006801:Humans; D007396:Internship and Residency; D017063:Outcome Assessment, Health Care; D012051:Reimbursement Mechanisms; D012955:Societies, Medical; D014481:United States; D014656:Vascular Surgical Procedures / Q000191:economics / Q000193:education