Paul Griner is an Emeritus Professor of Medicine at the University of Rochester School of Medicine & Dentistry, Rochester, N.Y. He was also a Senior Lecturer at Harvard and Consultant at the Massachusetts General Hospital and the Institute for HealthCare Improvement in Cambridge, Mass. Paul is a graduate of Harvard College and the University of Rochester School of Medicine & Dentistry (with honor). He took his residency training at the Massachusetts General Hospital and was then Chief Resident and Hematology Fellow at Strong Memorial Hospital in Rochester. He served as a Captain in the United