This is the first of an ongoing series offering predictions of future changes to the clinical research landscape by John Neal, *CPA, BS, CRCP, founder and CEO of PCRS Network, LLC, and member of the ACRP Board of Trustees… “The first prediction: While major changes will occur, changes will not happen quickly. However, when they do occur, they will be disruptive and many people working in the industry will be displaced…” Follow the ACRP blog for more predictions.