title: From my perspective. Of all the changes occurring within our health care system, perhaps the ones that affect surgeons the most are the cultural shifts that seem to be shaking the very foundation of our profession.
authors.affiliation: fmp@facs.org
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Russell
mesh_terms: D018864:Cultural Diversity; D003695:Delivery of Health Care; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration; D014481:United States