Over the past decade, the cardiovascular profession has endured a vast array of issues that are testing its infrastructure. Declining reimbursements, the rising costs of technological advances and operations, staffing shortages, changes in recertification, and a host of other challenges have served to threaten practice viability, particularly for private practice.

Given the seriousness of these problems confronting cardiovascular professionals today, this edition of the CardioSurve Newsletter is focused on exploring practice transformation from several different perspectives. Our research looks at the view of practice change and ACC quality improvement initiatives from the ACC’s Board of Governors and our members. We then focus on health reform strategies and what specific issues are most troubling to cardiologists and which ones they believe that the ACC can positively impact. Finally, perceptions of the cardiovascular service line within the hospital setting complete our insight into the changing world of CV practice.

It is with an introspective lens that the profession is responding to this wave of change.

"What lies behind us and what lies before us are tiny matters compared to what lies within us." — Oliver Wendell Holmes