Academic medicine in a transformational time.

Public policy and technology are having and will continue to have an extraordinary impact on virtually every aspect of academic medicine. The effects of this combination of policy and technology transformations can hardly be overstated. It is critical to recognize these transformative forces and work to accept and even embrace them enthusiastically. The author examines five major transformative forces affecting academic medicine today: big data, greater transparency, new payment models, emphasis on wellness, and scope of practice. He discusses each of these transformative forces within the context of the current U.S. health care environment and offers suggestions for academic medicine to leverage them. It will take resiliency, innovation, collaboration, engagement in public policy debates, and strong leadership for this country to make the U.S. health care system the success it should be.