@article{296dc34020154f88acd7ce632bc91fcd,
title = "Presidential address: Changing boundaries",
author = "Cox, \{James L.\}",
note = "Funding Information: As important and effective as these efforts are in maintaining the standards of excellence in developed countries, they do not effectively address the lack of cardiac surgical care in underdeveloped countries. Such a problem requires both strategic and tactical thinking and planning. For example, it is clear that without the active support of government and quasi-government organizations such as the Agency for International Development, the World Bank, the International Monetary Fund, and perhaps even the United Nations, this effort is likely to fail. It is equally clear that the leaders in our specialty must assume their leadership mantles in this effort or else those who are not leaders will quickly lose interest. In addition, surgeons who are not usually thought of as leaders in our specialty also have the opportunity and the obligation to contribute. In many cases, these surgeons, most of whom are in private practice, are superb technical surgeons who do not often have the chance to teach others their skills. Without the assistance of this large group of surgeons, it will be virtually impossible to reach our goals internationally.",
year = "2001",
doi = "10.1067/mtc.2001.118489",
language = "English",
volume = "122",
pages = "413--418",
journal = "Journal of Thoracic and Cardiovascular Surgery",
issn = "0022-5223",
number = "3",
}