Carlos Roberto Jaén MD, PhD
According to Merriam Webster’s dictionary, tipping point is “the critical point in a situation, process, or system beyond which a significant and often unstoppable effect or change takes place.” It’s not when the change is fully apparent, it is when it starts irreversibly. As the Affordable Care Act and 2014 loom in the horizon, some of our academic colleagues in the ROAD specialties are describing the local professional scene as one of “suffering” for their colleagues (“They’re losing their shirts”), probably an exaggeration but nevertheless a change. Many of their graduates, after years of “investment” in their training, will be disappointed.
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