In 1996, as the president of the Society for Vascular Surgery, I gave a speech titled "Charles Darwin and Vascular Surgery," in which I compared specialties to species and argued that medical specialties, like species, had to evolve and become different from their ancestors if they were to avoid extinction and survive, specifically predicting and recommending that vascular surgeons needed to become competent in all endovascular techniques in order to avoid extinction and this recommendation proved to be prophetic as vascular surgeons have now embraced the endovascular revolution and become endo-competent.
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