title: The next challenge-adapting to change.
authors.forename: James L
authors.initials: JL
authors.lastname: Monro
mesh_terms: D003625:Data Collection / Q000379:methods; D004503:Education, Medical, Graduate / Q000639:trends; D005060:Europe; D006298:Health Services Administration / Q000639:trends; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D012106:Research / Q000193:education / Q000639:trends; D013903:Thoracic Surgery / Q000193:education / Q000458:organization & administration / Q000639:trends*; D006113:United Kingdom