The year 2000- Surgeon - "This is the implant system that I want to use and my rep will handle everything."
The year 2015 - Surgeon - "This is the implant system that I want to use but I first have to get it through the review system at the hospital."
The year 2020 - Surgeon - "If you can get your implant through the VAC committee then I will use it."
The year 2024 -Surgeon - "I no longer have influence over the VAC committee. I don't even know who the 3rd party VAC group is. Good luck!"...