Evolution is generally defined as a slow progressive change occurring over a prolonged period of time. Conversely, metamorphosis is a dramatic change or even a rebirth occurring over a relatively short period. These forces have been in motion since the beginning of time and throughout all human history, and those of us born in the middle of the 20th century have probably witnessed more technological changes than has any previous generation. Our pharmacy practice model has both evolved slowly and changed rapidly. For many years, I had the opportunity to participate in guiding and stimulating practice model change and have learned, painfully at times, that change often must be evolutionary as it works against cultural and professional norms. However, if we are observant and creative enough, we may see opportunities to stimulate dramatic or even metamorphic change. Alvin Toffler,1 in his landmark book Future Shock, observed that “What joins [everyday matters] . . . is the roaring current of change, a current so powerful today that it overturns institutions, shifts our values and shrivels our roots.” He wrote those words in 1970, when I was using a rotary-dial phone. He may not have been able to predict that almost 40 years later, people would be walking around with minicomputer “smart” phones, but he was aware that changes were occurring at an exponential rate. “Change is avalanching upon our heads and most people are grotesquely unprepared to cope with it,” Toffler1 wrote, with the intention of raising people’s awareness of this phenomenon so that they would not be shocked by the rapid arrival of the future.