A number of beneficial sociocultural reforms have occurred throughout our society, including a new work/family balance. This change, and a number of others, are challenging the dynamic balance within our specialty. We must advocate for appropriate social, political, and economic interventions that will realistically mesh with the health care needs of our nation, while preserving that which is best about the culture of American medicine.
The senior leaders of our specialty must recognize factors that impact our discipline to assess their effects and respond appropriately.
Vincent Memorial Obstetrics/Gynecology Department, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
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Received March 28, 2002. Received in revised form June 2, 2002. Accepted June 12, 2002.