A Piece of My Mind
June 27, 2012

To Isaiah

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Senior Editor.

Author Affiliations: Former President and CEO, Institute for Healthcare Improvement; former Administrator, Centers for Medicare & Medicaid Services; and Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts (donberwick1@gmail.com).

JAMA. 2012;307(24):2597-2599. doi:10.1001/jama.2012.6911

Thank you for letting me share this glorious day with you and your loved ones. Feel good. Feel proud. You’ve earned it.

In preparation for today, I asked your dean of students what she thinks is on your mind. So, she asked you. The word you used—many of you—was this one: Worried. You're worried about the constant change around you, uncertain about the future of medicine and dentistry. Worried about whether you can make a decent living. You’ve boarded a boat, and you don't know where it's going.

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