This introductory episode of the Quad A Now podcast features a conversation about the origins, purpose, and impact of Quad A. The conversation highlights the shift from hospital-based to office-based surgery, the need for accreditation to ensure patient safety, and the role of Quad A in setting standards and promoting best practices. The importance of data collection and its impact on patient safety is emphasized, in addition to the expansion of Quad A to include other specialties and its international accreditation efforts. The episode concludes with a discussion on the importance of public awareness of accreditation. The conversation explores the international program of Quad A and its role in establishing consistency and safety standards across different countries. The guests, which include Dr. Robert Singer, Dr. Lawrence Reed and Dr. William Rosenblatt, discuss the efforts to expand certification globally and how Quad A has adapted to the changing face of medicine and the responsibility of physicians in ensuring patient safety.