title: Changing cycles: the necessary rupture to achieve excellence.
authors.affiliation: President (2015), Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, São Paulo, SP, Brazil. Electronic address: selaimen@gmail.com.
authors.forename: Sady Selaimen da
authors.initials: SS
authors.lastname: Costa
mesh_terms: D001938:Brazil; D055811:Journal Impact Factor; D010036:Otolaryngology; D010506:Periodicals as Topic