“It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change.” – Charles Darwin

The processes guiding cardiovascular medicine have developed rapidly in the past decade. From the developments of appropriate use criteria which set a national standard for reviewing patterns of care to the seamless transfer of information across systems to the focus on performance-based maintenance of certification (MOC), the cardiovascular profession continues to advance in areas which support excellence in patient care. Through the insights of our membership, the ACC has been able to more clearly understand the perspective that our clinicians have on some important processes affecting cardiology.

In these times of rapid change, we should never be afraid to look at processes which guide practice excellence with a critical eye, and as ACC President, John G. Harold, MD, MACC, has said, “let us play the hard pieces, rise to our full potential and enrich our country for the good of all of us.”