Today we live at an inflection point. For many, it's a world where things change at amazing speeds, from a patient's clinical status to a global position on risk mitigation. And it's this rate of change that has caught us either unprepared or unaware. While this notion of speed is far from new, in today's context, this speed is being defined by the emergence of COVID‐19. Instant gratification is becoming less about gratification and more about a new normal driven by social and clinical necessity. Thus, I want what I when when i want it (IWWIWWIWI) may become a new clinical abbreviation that competes with the good old PRN. In this case, it's I want what I want when I want it. Perhaps we can even extend this from I want to I need.

Some clinicians may remember the early days of arterial blood gas testing. The puncture of the radial artery with glass syringe, the bag of ice, and the rapid trip to the laboratory in the basement of the hospital defined an element of both technological sophistication and foot speed. Today, the glass syringe and quick footwork has, in many instances, been replaced by technology. But the story is much richer than a simple advancement of technology. This transformation has moved beyond just this blood test to the new reality of patient and consumer empowerment. Pulse oximetry has become the domain of both the physician and the consumer. Yes, I can check my oxygen partial pressure while I'm typing on my keyboard.

Technology is becoming less an option and more of an imperative. From robotic microsurgery to artificial intelligence used to read chest x‐rays, traditionally human tasks are being supported‐‐if not replaced‐‐by technological advances. Technology now offers us the opportunity to enhance many aspects of clinical practice from physical agility to cognitive function. As technology and artificial intelligence advance, the burden of many aspects of care can shift, freeing up the clinician for a higher and richer level of patient engagement. The heavy cognitive lifting of medicine may very well be transformed from medical school and on up revealing a new dynamic that facilitates adaptive thinking versus that conventional element of bookish memorization.

Innovation and technology are now part and parcel of the practice of medicine. In many ways, has made us more human and these advantages extend to everyday tasks. Technology allows us to expand the richness of life to experience more sights, sounds, thoughts, and perhaps other senses that we have not even discovered. And it's these same advances that will allow medicine to evolve the personal relationship that exists between clinician and patient, and even the relationship between clinician and technology itself. And these profound changes, driven by technological advances, that create a new and richer reality, expanding our perceptions and introducing new sensory and computational skills to our human armamentarium.

At the heart of our technological revolution are data. Some may argue that data are the new oil or even the new currency. But it might be better to consider data as a fundamental window into humanity. Just as the telescope and the microscope provided a new and eye‐opening view of the universe, data will allow us to see vast connectivity and complexity that can define humanity. One simple comparison to today's COVID‐19 pandemic and we can quickly see how the role of data allows us to tackle this disease. From bench science to social distancing, data are our best shot to understand and mitigate this disease. Yet the tsunami of information is simply beyond the comprehension of any human, even that uber‐human in the white coat. The solution is not to work harder but to work smarter, and shift the burden to technology and AI. When the shift happens, another magical event will emerge to the surprise of clinicians and patients alike,the rise of empathy and engagement. Clinical senses—partnered with human sensory activity—will allow clinicians to touch with robotic exactness, see with electronic lens clarity, hear with digital fidelity, and listen with exacting sensitivity. What emerges is nothing even close to robotic but the advancement and extension of human capability.

Today's technology dynamic forces the clinician to engage with a computer screen with their backs turned to the patient. Tomorrow's reality is that technology will drive aspects of care, like the physical exam, or peering into a microscope, and allow physicians to discover a richer and deeper relationship with medicine and mankind. And it's this realization that allows us to discover that innovation and technology aren't our masters, but tools to enhance our skills and improve care. In the final analysis, innovation is infectious and there is no cure.

今天，我们生活在一个转折点。对于许多人来说，这个世界的变化速度惊人，从患者的临床状况到降低风险的全球立场。正是这种变化速度使我们措手不及或毫无意识。尽管这种速度概念远非新鲜，但在当今的背景下，这种速度是由COVID-19的出现定义的。即时满足感不再是满足感，而是越来越多的社会和临床需求驱动的新常态。因此，当我想要的时候，我想要的东西（IWWIWWIWI）可能成为一种新的临床缩写，可以与旧的PRN竞争。在这种情况下，我想要的就是我想要的。也许我们甚至可以从我想要的扩展到我需要的。

一些临床医生可能还记得动脉血气测试的早期。用玻璃注射器刺穿radial动脉，装满冰袋以及迅速到达医院地下室的实验室，既决定了技术的先进性，又决定了脚速。如今，玻璃注射器和快速步法在许多情况下已被技术取代。但是，这个故事比简单的技术进步要丰富得多。这种转变已经超越了这种验血的范围，而成为了患者和消费者授权的新现实。脉搏血氧饱和度已成为医师和消费者的共同领域。是的，我可以在键盘上打字时检查氧气分压。

技术正在变得越来越少，当务之急。从机器人显微外科手术到用于读取胸部X光片的人工智能，传统上人类的任务（如果不被取代）都被技术进步所支持。现在，技术为我们提供了从物理敏捷性到认知功能的许多方面增强临床实践机会。随着技术和人工智能的发展，护理的许多方面都可能发生变化，从而为临床医生腾出了更多，更多层次的患者服务。医学上沉重的认知提升很可能是从医学院转变而来的，并且揭示出一种新的动力，它促进了适应性思维与书本式记忆的传统元素相比。

现在，创新和技术已成为医学实践的组成部分。在许多方面，这些使我们变得更加人性化，并且这些优势扩展到了日常任务中。科技使我们能够丰富生活，体验更多的视觉，声音，思想以及也许我们还没有发现的其他感觉。正是这些相同的进步使医学能够发展临床医生与患者之间存在的个人关系，甚至发展临床医生与技术本身之间的关系。在技​​术进步的推动下，这些深刻的变化创造了一个新的更丰富的现实，扩大了我们的认识，并为我们的人类军备库引入了新的感觉和计算技能。

技术革命的核心是数据。有人可能会争辩说数据是新的石油，甚至是新的货币。但是，最好将数据视为通向人类的基本窗口。就像望远镜和显微镜为宇宙提供了崭新的视野一样，数据将使我们看到可以定义人类的巨大连通性和复杂性。与当今的COVID-19大流行病进行简单的比较，我们可以很快看到数据的作用如何使我们能够应对这种疾病。从基础科学到社会隔离，数据是了解和缓解这种疾病的最佳选择。然而，信息海啸完全超出了任何人的理解力，甚至连穿白大褂的超级人也无法理解。解决方案不是更努力地工作，而是更聪明地工作，并将负担转移到技术和人工智能上。发生转变时 另一个神奇的事件将出现，使临床医生和患者都感到惊讶，换位思考和参与的兴起。临床感官与人类的感官活动相辅相成，将使临床医生能够以机器人的精确度进行触摸，以电子镜头的清晰度进行观察，以数字保真度进行聆听并以严格的灵敏度进行聆听。出现的东西甚至与机器人都没有，而是人类能力的提高和扩展。

当今的技术动态迫使临床医生将计算机屏幕背对患者，并向后倾斜。明天的现实是，技术将推动医疗保健方面的工作，例如身体检查或窥视显微镜，并使医生发现与医学和人类之间更丰富，更深入的关系。正是这种认识使我们发现创新和技术不是我们的主人，而是增强我们的技能和改善护理的工具。归根结底，创新具有感染力，无法治愈。