title: "The only constant is change".
authors.forename: Karl E
authors.initials: KE
authors.lastname: Misulis
mesh_terms: D006123:Group Practice / Q000639:trends*; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D007348:Insurance, Health; D008511:Medicine; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration / Q000639:trends; D011331:Private Practice / Q000639:trends*; D013038:Specialization