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As technology improves diagnosis and treatment, physicians are either “early adopters” or those who wait to see if a new approach is really better than the current standard. The “adopters” are challenged with becoming proficient in new skills, while those who resist need to be convinced that change is called for, and that it justifies the costs of time and money. Buying new equipment always provokes discussion of who pays for it, and what must be sacrificed.

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