An overview of 5 major issues facing higher education and their implications for physical therapy education is presented. The issues are access to higher education/lifelong learning, technology/the digital divide; the changing professorate, accountability, and globalism and democracy. The implications of these issues are discussed from the contexts of threats, opportunities, and strategies based on feedback of participants who attended a presentation given by the authors at the 2001 Combined Sections Meeting of the American Physical Therapy Association. All of the issues will result in various degrees of change. Many of the changes may result in new ways of thinking and doing in our educational preparation of physical therapists. Key Words: Education, professional; Higher education; Physical therapy; Physical therapy eduation. INTRODUCTION This article is based on a presentation given by the authors at the 2001 Combined Sections Meeting of the American Physical Therapy Association (APTA). We provide an overview of issues in higher education and a synthesis of the threats, opportunities, and strategies to address these challenges by the physical therapy profession. In addition, the authors offer some observations about the process of change itself. OVERVIEW OF ISSUES IN HIGHER EDUCATION There are 5 issues identified as major change issues effecting higher education. They are: access, technology, the changing professorate, accountability, and globalization. While all of these issues do overlap, they will be presented individually. Access Not since World War II and the passage of the GI Bill of Rights for US veterans has there been more unprecedented access to higher education than there is today. This access is due to several factors. First, there is a growing recognition that more professional positions are going to require postsecondary training. Second, the most diverse populations of Americans than ever before are going to college. A big population will be fueling enrollment, rising immigration will boost campus populations, and older students are going to colleges and universities in greater numbers than ever before. America's college population has grown substantially since WWII. Before then, college graduates were not a common phenomenon. Many states enlarged their university systems, and enrollments at private colleges and universities also grew.1(p15) By 1963, enrollment had risen to 4.3 million students. Over the next 2 decades, US college enrollments tripled to more than 12 million students. This was due to the number of baby boomers, children born right after World War II, from 1946 to 1960. Higher college enrollment also presented a gradual shift in the US economy from blue-collar to white-collar jobs.1(p13) Between 1982 and 1995, college growth continued, but at a slower pace. Nontraditional students aged 25 years and older accounted for much of the campus population growth. Now, as the children of the baby boomers reach college age, they are drawing the enrollment numbers up again. They are known as Y. The 18- to 24-year-olds from generation Y will account for roughly two thirds of the increase in the number of undergraduates by 2015, or 1.7 million out of the 2.6 million additional students. A dramatic rise in immigration is also increasing campus growth. In the 3 decades between 1960 and 1980, about 450,000 immigrants legally came to the United States each year. By 1980, that number had soared to 800,000 annually. Four of the 5 states projected to have the largest increases in undergraduates by 2015-California, Texas, Florida, and New York-also top the list of states with the highest number of immigrants since 1980.1(p15) Older students again will flock to higher education in the 21st century. This population will include baby boomers on sabbatical, mature workers returning to school for more midcareer education. …