RESPONDING TO CHANGE - THE CHALLENGE OF THE 1990S - THE 1995 PRESIDENTIAL-ADDRESS

In 1995, neurosurgery in the United States is facing challenges and th reats never before imagined. In its attempts to respond as a relativel y small specialty, the neurosurgical community can no longer afford to remain a house divided. Neurosurgical unity has now become a critical matter. In particular, our neurosurgical leadership must minimize dup lication of efforts and efficiently allocate its resources. Most impor tantly, it must unify its energies in directing the numerous joint Ame rican Association of Neurological Surgeons/Congress of Neurological Su rgeons activities, as well as serving as a direct liaison with the eme rging representative assembly under the Joint Council of Stare Neurosu rgical Societies. The unification of the neurosurgical leadership will clearly enhance our ability to deal with all of our present challenge s and future changes, but more importantly it will permit our specialt y to truly speak with one voice.