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Neil O. Ward, MD

Arch Otolaryngol Head Neck Surg. 2003;129:677.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In an age of rapidly advancing technological changes, Dr Casler has done us a great service by reminding otolaryngologists of the history of safety measures instituted by the US Congress through the FDA. Compliance with these regulations can be burdensome but the ultimate outcome is a safer environment for patients, and for that we should be grateful.

Figure appears in full text version. Neil O. Ward, MD

The article is more descriptive than prescriptive and I eagerly await "version 2," which hopefully will urge us to place the patient's best interest foremost and to eschew our preoccupation with the return on investment. Too frequently today, in my opinion, one is left to wonder if the patient has fallen to third place in priority—behind the plan's or practice's bottom line and the practitioner's notoriety.

Not only the American College of Surgeons' adopted guidelines, with their call for "scientific assessment of the safety, efficacy, . . . [Full Text of this Article]

Alexandria, Va

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