This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. William Levine, Frank E. Stinchfield Professor and Chair, Orthopedic Surgery Department, Chief, Shoulder Service, and Co-Director, Center for Shoulder, Elbow and Sports Medicine, NewYork-Presbyterian Columbia University Medical Center. He discusses navigating financial and operational pressures in academic medicine, expanding ambulatory care, and the leadership principles that help organizations adapt and thrive during times of constant change.