title: Adapting to change.
authors: H David
authors: HD
authors: Crombie
mesh_terms: D000223:Adaptation, Psychological; D020811:Biomedical Technology / Q000639:trends; D015510:Clinical Medicine / Q000639:trends*; D016265:Conflict of Interest; D006801:Humans; D008329:Managed Care Programs; D009936:Organizational Innovation; D013131:Spine / Q000601:surgery