Welcome to the latest episode of the CSA Podcast, Vital Times. Today's guest is likely a well-known name to many in the California Society of Anesthesiologists - Dr. Ed Mariano who happens to be the current President of the CSA. If you have not met him in person, you may feel you know him from his prolific digital presence, web-blogs, and through various social media platforms. Dr. Mariano is Professor and Senior Vice Chair of Clinical Operations and Value in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine and Chief of the Anesthesiology and Perioperative Care Service at the Veterans Affairs Palo Alto Health Care System. During our conversation Dr. Mariano shares with our listeners his vision of the physician anesthesiologist, physician leadership and finally some discussion of his hopes for his year as President of the California Society of Anesthesiologists.