Biros TAKING THE LEAD and expand the limits of our expertise. Emergency physicians are trained to think, decide, act, and move on. Continued rapid growth in a favorable direction will require proaction, as well as our action and reaction. In a changing, often unfriendly, and usually unpredictable socioeconomic medical environment, we must decide now what is acceptable to us and acceptable for our patients, and take the lead to bring us there.-MICHELLE BI-
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Susan Alpert (1999) studied this question.