December arrived with bitter cold, a touch of snow, and my first holiday season as part of a married couple. This included the usual trips across the great state of Ohio, the places where we grew up, met, and started our life together.

Conversations with friends and family shifted from wedding planning to family building and career goals as we took a moment to reflect on 2017, refresh mentally, and turn an eye toward the future. I did the same with the professional side of my life, recounting to my father-in-law all that AVA and the Journal of the Association for Vascular Access accomplished during 2017 and the great discussions the team conducted regarding the future. Sensing excitement and earnestness in my voice, he asked a simple question: What's next?

Next is a primary focus on the Journal's priorities, among them constant improvement...

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