William G. Anlyan, a dedicated doctor and gifted administrator, was a leader in the transformation of Duke University Hospital from a regional medical center into one of America s foremost biomedical research and educational institutions. Anlyan s fifty-five-year career at Duke University spanned a period of extraordinary change in the practice of medicine. He chronicles those transformations and his role in them in this forthright memoir.

Born in Alexandria, Egypt, in 1925, and schooled in the British tradition, Anlyan attended Yale University as an undergraduate and medical student...