People who show adaptability through the Gallup CliftonStrengths are people who view their futures as something that evolves one choice at a time, rather than something that is set in stone. These will no doubt be powerful recruitment assets for years to come, I invite you all to share the videos and graphic in your communications. Additionally, multiple high throughput test platforms enable the evaluation of a large number of samples with high accuracy, with a 24-hour turnaround time enabling informed medical intervention that improves patient outcomes, and blocks further spread of the virus within our hospital system and community. The time between the diagnosis and the present study correlates significantly, in patients undergoing treatment (), with the following FACES factors: disengaged (, ), enmeshed (, ), rigid (, ), and cohesion ratio (, ).The longer the duration of the illness is, the more unbalanced the family relationships become. About adaptability. Read Chinese medicine production area biological adaptability division book reviews & author details and more at Amazon.in. A physician who communicates in a patient-centered way is a physician who adapts his or her communication style to what each patient needs. October 13 – 16, 2020 (Virtual) Register for any or all sessions here: ... Education, Associate Professor of Internal Medicine and Learning Health Sciences Join this session to learn more about how change happens in health sciences education. • To date, UAB has performed 82,295 total molecular tests targeting SARS-CoV-2. A physician who communicates in a patient-centered way is a physician who adapts his or her communication style to what each patient needs. Since 1980 the volatility of business operating margins, largely static since the 1950s, has more than doubled, as has the size of the gap between winners (companies with high operating margins) and losers (those with low ones). Aug. 13, 2020, 8:22 AM. We are pleased to announce that Voices in Bioethics has entered a partnership with Columbia University Libraries. With renewed focus on academic strength, we aim to contribute to the array of bioethics literature by continuing to publish op-eds and research essays that challenge the reader to explore novel viewpoints. Business as usual after COVID-19 or shifting towards a planetary health perspective? The objectives were first to define the relation between RV adaptation and load using allometric modeling, then to compare the prognostic value of different indices of load adaptability in PAH. • UAB Pathology’s ability to scale up to high-throughput testing platforms has allowed the department to support rural and affiliate hospitals throughout Jefferson County and Alabama. Springer, Berlin, Heidelberg. She has a Doctorate in Pharmacy from the University of Texas. 2018. Adaptability, masks, diversity and more takeaways from Leadership Assembly. UAB has long been regarded as a research powerhouse, and our research excellence is once again being recognized by one of the nation’s most prominent medical leaders. I’d also like to share an informative graphic highlighting the excellence of our residency and fellowship programs that our school’s communications team helped produce to assist with our recruitment efforts. The Duration of Treatment and Its Impact on Adaptability and Family Cohesion. adaptability … Adaptability in our world today means a … However, participants demonstrated similar adaptability during the enhanced feedback schedule, regardless of their cognitive ability. Health Experts. With the rapid development of society and technology, personal adaptability is becoming more and more important. (eds) Encyclopedia of Exercise Medicine in Health and Disease. It is open to all trainees, faculty, and staff at UAB. COVID-19 testing was provided free of charge for all students at Alabama colleges and universities prior to the fall 2020 return to campus, making it the largest-scale higher education testing initiative in the nation. / Baker-Ericzén, Mary J.; Brookman-Frazee, Lauren; Stahmer, Aubyn. 1967 Sep 16; 97 (12):705–710. [PMC free article] SOMERS HM, SOMERS AR. Continuous learning is also a key ingredient to adapting to change. We are Medicine Hat's Home Medical Equipment Store. Adaptability has been defined as “H quality of being able to change, without great difficulty, to fit new or changed FLUFaQF.” 1 Adaptability is key to career development and success. publications), projects, infrastructures and units at Lund University An article on MedScape.com about the Future of General Internal Medicine highlights that adaptability has been a hallmark core Value of general internal medicine. Amazon.in - Buy Chinese medicine production area biological adaptability division book online at best prices in india on Amazon.in. At the core of Adapt Mobility's operation is a strong emphasis on trust, reliability, honesty, a true compassion for its clients and their needs. Right ventricular (RV) adaptation to pressure overload is a major prognostic factor in patients with pulmonary arterial hypertension (PAH). Learning how to adapt to a changing world is becoming one of the necessary conditions for success. The importance of inclusion of marginalized groups in hospital policy initiatives, Clear guidelines and advanced directives could ease allocation decisions. Right ventricular (RV) adaptation to pressure overload is a major prognostic factor in patients with pulmonary arterial hypertension (PAH). Herbal medicine research and global health: an ethical analysis Jon C Tilburt a, Ted J Kaptchuk b Introduction. COVID-19 topics sought include the ethics of school reopening, racial disparity in COVID-19 care, educational disparity, the ethics of a rushed vaccine, distribution of a potential vaccine, and the intersection of economics, liberty, and social policies to curb the pandemic. As someone who has experien Adaptability is a central construct of both employability and career development theory. All of us at the School of Medicine have had to learn new ways of living, learning, and working this year, and we’ve had to do it in an atmosphere of great uncertainty. Washington, DC: The National Academies Press. "National Academies of Sciences, Engineering, and Medicine. 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Traveling to a foreign country tests your adaptability. Aug. 13, 2020, 8:22 AM. To err is human, and in the healthcare arena, avoiding errors is crucial. There are three tools that can help a doctor become more adaptable to new surroundings. Adaptability (Latin: adaptō "fit to, adjust") is a feature of a system or of a process. Adaptability is a “now” theme where people live ― and work in the moment. The purpose of this cross-sectional survey was to investigate how family adaptability and cohesion, coping styles and depression affect suicide ideation in patients with malignant tumors. Adaptability: A Prerequisite for Medicine By Priya Misra • In medical school, classes are usually graded on an Honors , High Pass , Pass , or Low Pass scale. There are three tools that can help a doctor become more adaptable to new surroundings. Suggested Citation:"2 Adaptability in an Uncertain World. The concept of time and expectations of services vary greatly among cultures. This includes underserved populations and supporting the Alabama Department of Public Health, as well as community hospitals throughout the state. In: Mooren F.C. Introduction and perspective. • With the help of talented faculty in molecular testing, UAB Pathology launched a laboratory-developed test March 17, placing UAB among the first academic medical centers to offer in-house testing. Each of these areas are discussed within the subsequent results section. Respecting culture while educating communities, Race, Authoritarianism, and a Posse Comitatus Act Violation, The media’s overwhelming indifference to the existence and impact of environmental racism, Global Philanthropy, Sustainability & Privilege, The disingenuous use of free speech by big data and big pharma to the detriment of medical data privacy, Understanding the Role of Traditional Healers and Their Role in Approaching Africa’s Ebola Epidemic, Bioethical perceptions about mourning caused by COVID-19 in Brazil, the priority narrative in public health ignores secondary health effects influenced by the economy, COVID-19 highlights a need for ethical improvements, Lessons from the COVID–19 Pandemic and the Need for Stronger, Ethical Disease Surveillance. Find researchers, research outputs (e.g. At Adaptability University, we define adaptability as the ability to realize optimal outcomes based on recent or future change. The reason why women sustain more soft tissue injury than men during physical activity is unknown. You can read more about the incredible innovation and creativity shown by our pathology professionals around COVID-19 testing here. Adaptability: A Prerequisite for Medicine By Priya Misra • In medical school, classes are usually graded on an Honors , High Pass , Pass , or Low Pass scale. View All. Browse articles in Voices in Bioethics by subject: Voices in Bioethics is currently seeking submissions on philosophical and practical topics, both current and timeless. UAB also encourages applications from individuals with disabilities and veterans. Voices in Bioethics brings together diverse views through an academically rigorous online format and seeks to identify issues and present workable long-term solutions. Innovation, Creativity, & Adaptability in Medical Education . Furthermore, adaptability was no different based on belt assignment for the prosthetic limb during split adaptation walking. National Academies of Sciences, Engineering, and Medicine. UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of race, national origin, age, genetic or family medical history, gender, faith, gender identity and expression as well as sexual orientation. Aim . Make adaptability routine “We have to be master adaptive learners because we're having to deal with different therapies, ... MD, associate professor of medicine at Vanderbilt University School of Medicine, who co-wrote the chapter with Donald E. Moore Jr., PhD, professor of medical education and administration. These are just a few examples of the extraordinary commitment and innovation shown by individuals across the School of Medicine as we continue to meet our missions of medical education, research, and patient care at the highest levels of excellence under difficult circumstances. Her unique way of adapting her career as a pharmacist offers her the freedom to practice medicine while developing meaningful relationships with people all over the world. Invest in the Social Determinants of Health, At the intersection of public and private morality, Compassion-Fatigue and Moral Distress in Health Care During COVID-19, The Need for Stricter Control of Social Media by the US Government During the COVID-19 Epidemic, The precautionary principle in mask-wearing, NY Hospitals Issue Problematic Ban on Birthing Support Persons from Labor & Delivery Units, COVID-19 Testing Should Be Prioritized for Those Most at Risk for Spreading the Disease and Those Interacting with Vulnerable Populations, The High Infant Mortality Among Non-Hispanic White Infants in Appalachia, Working Against Biological Explanations of Racial Difference in the Clinic and Beyond, Creative Commons "Attribution" (CC-BY) License. The present investigation explored the internal and external validity of an hypothesised adaptability scale. Material and Methods . Why Pharmacy And Not Medicine? Adaptability: The Business of Medicine. Cite this entry as: (2012) Adaptability. Hosted by the School of Medicine and the Hugh Kaul Precision Medicine Institute, the COVID-19 Research Symposium will highlight SARS-CoV-2 research and clinical trials on a global, national, and institutional level. Supporting the Surgeon and Selling the Product, Which Role Takes Priority? Adaptability in our world today means a … If you want to volunteer, check out the opportunities your classmates have put together. Learn more. Our pieces cover all aspects of bioethics from clinical to philosophical, addressing timeless ethical dilemmas as well as current challenges. They interact with new colleagues and patients and often work with new tools and processes. Bariatric Medicine Cardiology Family Medicine Gastroenterology Internal Medicine OB/GYN Oncology Orthopedic Surgery Pediatrics View All. Traditional herbal medicines are naturally occurring, plant-derived substances with minimal or no industrial processing that have been used to treat illness within local or regional healing practices. Just How Far Will Employers Go to Avoid Providing Health Insurance? I’d like to highlight just a few examples of the many ways various areas of our school have risen to the challenges of these unprecedented times. Software Adaptability as medicine for Software Ageing Software life cycle is similar to people, start babe with limited capabilities and limited skills and with time become older with more capabilities and more functionalities but after more time, it is capabilities start to decrease until it become useless and die. Newbie Recent Profile Visitors 164 profile views InterinPharm. Important Message from the Chair - Adaptability & Personal Responsibilty in a Challenging Environment . Just look at the numbers. Results revealed that participants with greater motor difficulties showed less adaptability than those with normal motor abilities in the regular feedback schedule; however, all participants demonstrated similar level of adaptability in the enhanced feedback schedule. Furthermore, individuals with lower MoCA scores showed larger after-effects in spatial control during the enhanced schedule compared to the regular schedule, whereas individuals with higher MoCA scores displayed the opposite pattern. A total of 124 patients diagnosed with cancer were included in the research (55 of them with a family history of cancer). Adaptability is proposed as individuals’ capacity to constructively regulate psycho-behavioral functions in response to new, changing, and/or uncertain circumstances, conditions and situations. This definition states that academic adaptability refers to the tendency of individuals to overcome difficulties and … Health care professionals should have awareness and skills to assess verbal and non-verbal cues and adapt individual care to maximize the patient’s comfort and minimise misunderstandings. 2018. 2018. Doesn’t this mean embracing change rather that our natural first reaction, which is to resist it. Adaptability in health care is the ability to integrate a patient’s cultural values and beliefs into any encounter. This is true in sports, medicine, business etc.” Adaptability expands your capacity to handle change, no matter how serious it might be. The study investigated the differences between patients with and without a family history of cancer regarding coping strategies, illness perception, and family adaptability to the disease. 3.2. Carver College of Medicine, University of Iowa, Iowa City, IA 52242; and †Departments of Medicine and Microbiology, University of Washington School of Medicine, Seattle, WA 98195 doi: 10.17226/25016. Connective tissue properties and extracellular matrix adaptability in human tendon were investigated in models that addressed biochemical, physiological and biomechanical aspects of tendon connective tissue in response to mechanical loading. Instead of throwing away your energy trying to change your circumstance, you will change yourself right from within, thus making you thrive in whatever situation you find yourself. With the rapid development of society and technology, personal adaptability is becoming more and more important. • Current capacity of COVID-19 RNA testing is 1,200+ daily with a turnaround time of less than 24 hours. Health care reimbursement is undergoing a fundamental change from volume-driven to value-driven care. Doesn’t this mean embracing change rather that our natural first reaction, which is to resist it. In order to do so, the physician has to (1) accurately assess each patient's states and traits (interpersonal accuracy) and (2) possess a behavioral repertoire … 30, No. She has worked in higher education for over eight years, starting her career off on Air Force Bases teaching Psychology coursework. The reason why women sustain more soft tissue injury than men during physical activity is unknown. Finally, adaptability at the micro-level in relation to gender and livelihoods also influenced the ability of certain population groups to access medicines. Do the Advertising and Risk Disclosures Reflect the True Risk of Complication? × They interact with new colleagues and patients and often work with new tools and processes. Adaptability in the workplace is when an employee can be flexible and have the ability to adapt to changing work conditions. Adaptability is proposed as individuals’ capacity to constructively regulate psycho-behavioral functions in response to new, changing, and/or uncertain circumstances, conditions and situations. adaptability, Chinese scholars mostly cite the definition in the Handbook of Academic Adaptability Test edited by Professor Chou Bucheng, a famous Chinese psycholo-gist. ... Sensory Feedback Medicine & Life Sciences. Caring for Unrepresented Patients with COVID-19, A Rehabilitation of Rape Victims and Offenders, A call for a new approach to global, equitable access. Distributed through Columbia University’s Academic Commons. This study also aimed to examine the potential mechanisms of family adaptability and cohesion in suicidal ideation. × Dr. Michael Roizen, MD Internal Medicine Dr. Daniel G. Amen, MD Psychiatry Mr. Donovan Green Athletic Training, Fitness Dr. Ramani Durvasula, PhD Psychology See All. Stress levels and adaptability in parents of toddlers with and without autism spectrum disorders. Jobs that are ideally suited for people with the Adaptability strength include: Emergency medicine, Journalism, Live television production, Customer service, Crisis management. Dear Members of the Pathology and Laboratory Medicine Community, Every day seems like a new challenge for us, with rapid developments in a dynamic and fluid situation. Adaptability for low SES individuals was rated as significantly lower in India than the United States for the TABS, ILS, and UPSA and significantly lower in China and Mexico than the United States for the UPSA. The objectives were first to define the relation between RV adaptation and load using allometric modeling, then to compare the prognostic value of different indices of load adaptability in PAH. Plans to unite our students, faculty and staff, © 2020 The University of Alabama at Birmingham. Health care reimbursement is undergoing a fundamental change from volume-driven to value-driven care. 4, 01.12.2005, p. 194-204. Conclusions Reactive changes and locomotor adaptation in response to a challenging and novel walking condition were similar in persons … UAB Pathology also launched a second COVID-19 RNA testing platform with less than two hours' turnaround time. Free delivery on qualified orders. Working in these types of roles helps you maintain creativity, focus, and develop your … Please know that I value and appreciate the efforts of every one of our faculty, staff, and students—by continuing to work together and take care of each other, we will will overcome whatever obstacles we encounter during this challenging time. Two important tools are new videos that the school’s communications office helped create. Attendees must register in advance. ... for Health Equity at Vanderbilt University Medical Center and associate dean for Health Equity in the School of Medicine. All content published from 2020 onward is subject to a Creative Commons "Attribution" (CC-BY) License unless otherwise noted. Adaptability of the US Engineering and Technical Workforce: Proceedings of a … Veterinary careers are not a linear continuum with a fixed path. Suggested Citation:"2 Adaptability in an Uncertain World. Currently, UAB performs nearly 900 tests per day for patients, employees, and the community. They’ve used all the platforms available to them, from Twitter chats and takeovers to virtual meet-and-greets with program directors and current residents on Zoom. ... for Health Equity at Vanderbilt University Medical Center and associate dean for Health Equity in the School of Medicine. Our submissions guidelines, requirements, and tips can be found here. Learning how to adapt to a changing world is becoming one of the necessary conditions for success. So, given the importance of developing adaptability, surely the more opportunities there are (or that we are presented with) that invite us to adapt successfully, the better! adaptability definition: 1. an ability or willingness to change in order to suit different conditions: 2. an ability or…. Adaptability is one of the most important qualities a locum provider can possess. The symposium takes place online via Zoom on Wednesday, October 28, from 8 a.m.-12:30 p.m. Doctors who travel to new practices face a host of complex challenges. Instead of throwing away your energy trying to change your circumstance, you will change yourself right from within, thus making you thrive in whatever situation you find yourself. Acceptability. Here’s the thing—if you want to get active right now, go for a walk, start taking online workout classes, or log-in to the free IU School of Medicine virtual workouts. Adaptability in practice Successful businesses give employees the freedom to innovate, while also granting responsibility and autonomy in the daily workplace; this is the opposite of micromanaging. Second Western Conference on Medical Education held in Vancouver, B. C., December 5-7, 1966. If you want to do a project, then please go for it! Reentry would not have been possible this fall without a strategy for comprehensive, fast, and reliable testing, which was led by Pathology Chair Dr. George Netto and Assistant Professor of Laboratory Medicine Dr. Sixto Leal. We learn from day one in Anatomy Lab that things are not always going to go the way we hoped they would; most of the time we are wrong, and just when we think we have the hang of something it slips away from our grasp Washington, DC: The National Academies Press. Innovation, Creativity, & Adaptability in Medical Education . One video highlights our institutional excellence and the many benefits of training at UAB. These data suggest that differences for the overall level of adaptability reflect problems particularly in adaptation to lower SES groups. This word has been put to use as a specialised term in different disciplines and in business operations. Can Med Assoc J. National Academies of Sciences, Engineering, and Medicine. The other video showcases the city of Birmingham as “a place for everyone,” and spotlights many of its most appealing attractions and characteristics. Research Portal. Adaptability of the US Engineering and Technical Workforce: Proceedings of a … Rank. Adaptability (However, the word definitions in these fields are just the starting points for detailed analysis of system adaptability.. With respect to business and manufacturing systems and processes adaptability has come to be seen increasingly as an important factor for their efficiency and economic success. Jan 18 Adaptability: A Prerequisite for Medicine. Robert Provenzano, MD, FASN, is associated with St. Clair Specialty Physicians, DaVita, Inc., in Detroit, MI. 2018. Graham DC. Kristen Heath is a Lead Advisor in the Mentoring & Advising Program at IU School of Medicine. Connective tissue properties and extracellular matrix adaptability in human tendon were investigated in models that addressed biochemical, physiological and biomechanical aspects of tendon connective tissue in response to mechanical loading. By Robert Provenzano. More information and a full agenda is available at go.uab.edu/covid19-symposium. Efforts to address communication-related or “soft skill” failures have been ongoing since about 20 years ago when the Institute of Medicine (IOM) published reports titled To Err Is Human and Crossing the Quality Chasm.When we rely on extrinsic approaches to reducing human errors—such as using only color … She is passionate about lifelong learning and devotion to personal well-being. Even now, seven months after the World Health Organization declared COVID-19 a pandemic, I continue to be impressed and inspired by the resilience and adaptability of our faculty, staff, and students. created this way of understanding human behavior and mobilizing meaningful progress from listening to hundreds of stories and dilemmas faced by committed By Robert Provenzano. All of us at the School of Medicine have had to learn new ways of living, learning, and working this year, and we’ve had to do it in an atmosphere of great uncertainty. Is temperature screening of customers by retailers an ethical and valuable restriction on privacy and freedom? Thanks to the heroic efforts of Dr. Leal and his team, more than 75,000 students received GuideSafe COVID-19 reentry testing prior to returning to campus this fall. The purpose of this research was to develop a taxonomy of adaptive job performance and examine the implications of this taxonomy for understanding, predicting, and training adaptive behavior in work settings. Given travel restrictions and health concerns, candidates for our residency and fellowship programs have not been able to travel to Birmingham for interviews, so our Graduate Medical Education Office and residency and fellowship directors have had to find innovative ways to introduce them to our programs, our academic medical center, and our city from a distance. As always, Voices in Bioethics will publish works by leaders in the field, those with perspectives from other careers, and professionals from the international community. An example provided of this value in action is how general internists willingly to take on newer realms of clinical medicine, such as refuge care and HIV care. Adaptability: The Business of Medicine. Doctors who travel to new practices face a host of complex challenges. As always, we are seeking papers addressing access to healthcare, the bioethical implications of recent Supreme Court rulings, environmental ethics, data privacy, cybersecurity, law and bioethics, economics and bioethics, reproductive ethics, research ethics, and pediatric bioethics. Here are a few of the key achievements: • The UAB Department of Pathology Fungal Reference Lab, directed by Dr. Leal, worked closely with UAB Hospital labs and private sector biomedical companies to scale up and support the GuideSafe Entry Testing program. STAT testing with one-hour turnaround time is available to help rapidly identify and triage infected individuals presenting to the Emergency Department. … Perpetuating Racial Inequalities in Healthcare Delivery and Patient Outcomes, Hospitals Should Determine Their Own Temporary Support Person Restrictions, an ethical framework for aggressive COVID-19 policies, when waiting for explicit scientific evidence is unwise, reducing comorbidity as a tactic for long term preparation for novel viruses. So, given the importance of developing adaptability, surely the more opportunities there are (or that we are presented with) that invite us to adapt successfully, the better! Stephanie Burck, "The Traveling Pharmacist," is an intrepid traveler, healer & writer. Endogenous oxidative stress produces diversity and adaptability in biofilm communities Blaise R. Boles* and Pradeep K. Singh†‡ *Department of Microbiology, Roy J. and Lucille A. Published in partnership with Columbia University Libraries. Adaptability of the US Engineering and Technical Workforce: Proceedings of a Workshop. Globalization, new technologies, and greater transparency have combined to upend the business environment and give many CEOs a deep sense of unease. Travel in itself can be the biggest test of resiliency. Ethical Considerations and Best Practices. Robert Provenzano, MD, FASN, is associated with St. Clair Specialty Physicians, DaVita, Inc., in Detroit, MI. Voices in Bioethics applies a strong process of editing and peer review to produce academic pieces with novel arguments while encouraging students pursuing an MS in bioethics at Columbia University to engage in the research process. Adaptability, masks, diversity and more takeaways from Leadership Assembly. Dr. Mangrulkar will discuss An article on MedScape.com about the Future of General Internal Medicine highlights that adaptability has been a hallmark core Value of general internal medicine. As recently announced, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, is one of two keynote speakers, along with Dr. Kathleen Neuzil, director of the Center for Vaccine Development at the University of Maryland School of Medicine, at the upcoming COVID-19 Research Symposium. An adaptable employee can work independently or work well with a team. "National Academies of Sciences, Engineering, and Medicine. May 19, 2019. The present investigation explored the internal and external validity of an hypothesised adaptability scale. We live in an era of risk and instability. Adaptability of the US Engineering and Technical Workforce: Proceedings of a Workshop. Two studies were conducted to address this issue. Read "Adaptability in Online Democratic Engagement: A Multi-ChannelStrategy to Enhance Deliberative Policies, Communication & Medicine" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Dr. This month, I’m shining a spotlight on our Department of Pathology. Thus they added adaptability as a core value to create a focus for everyone in the organization to proactively prepare for change. Speakers will discuss and present on topics such as the NIH's involvement in research since the onset of COVID-19, global vaccine development, basic science surrounding COVID-19, therapeutics, and population health. Locally owned and operated by Trevor Eichelbaum, who has 20 years of experience in serving clients and the community with mobility solutions. Adaptability is one of the most important qualities a locum provider can possess. In: Research and Practice for Persons with Severe Disabilities, Vol. This is true in sports, medicine, business etc.” Adaptability expands your capacity to handle change, no matter how serious it might be. I realize that adaptability is a huge part in one’s success in medicine. Finally, over the next few Dean’s Messages, I’ll be highlighting different areas of our school that played key roles in the development and rollout of GuideSafe, the COVID-19 reentry platform developed by a team of experts here at UAB. doi: 10.17226/25016. October 13 – 16, 2020 (Virtual) Register for any or all sessions here: ... Education, Associate Professor of Internal Medicine and Learning Health Sciences Join this session to learn more about how change happens in health sciences education. From the plane ride to the taxi and commute to your location, not everything goes exactly as planned.