I do not have to prove to this group that this is a changing world. Nor do I have to demonstrate that medicine is also changing. Nevertheless, I want to outline briefly three important areas of change in America that are affecting, and will affect, medicine profoundly.
Population, Social, and Scientific Changes
At the 54th Annual Congress on Medical Education and Licensure last year, we learned from Dr. Dudley Kirk and the workshop session that the United States currently is undergoing the largest absolute increases in population in its entire history. Approximately 3 million persons are being added annually, and in 20 years we may expect to have a national population of 240 million.In addition to pure numbers, our population also is being redistributed. The suburbs are continually outgrowing their boundaries, and now the flight is to exurbia, or to the more open spaces.The age of our population