title: Lost in a dark wood.
abstract: Organizations are defined by their missions. When they lose sight of them, they risk losing their identity and purpose. Developments in American academic medicine over the last several years point to a loss of focus on the long-term objectives and the big picture. This nearsightedness is a major threat to our enterprise.
authors.forename: Laurence A
authors.initials: LA
authors.lastname: Turka
mesh_terms: D006801:Humans; D012955:Societies, Medical / Q000458:organization & administration* / Q000592:standards* / Q000639:trends