List of Illustrations  viii

Prologue  xii

Acknowledgments  xv

1. The Road to North Carolina  3

2. Becoming a Doctor  11

3. Intern and Resident  27

4. First Years as a Surgeon and Administrator  49

5. Building the Duke Medical School Faculty  67

6. Changing the Institution  82

7. Transforming Medical Education  93

8. Raising the Money  103

9. Building for Excellence  121

10. Evolving With The University  144

11. Building Links to the Community in Durham and Beyond  153

12. The Changing National Scene   161

13. The Changing World  176

14. Transitions: On Presidents and Chancellors  200

15. Effecting Change Beyond Duke  208

16. Family Bonds  215

Epilogue: Lessons of Experience  226

"This book is written in a warm, personal style and is an easy read. . . . It seems clear that Duke University Medical Center was a leader in recognizing the need for change, as well as an effective force at working out certain problems to implement change. Dr. Anlyan's enlightened leadership is clearly evident in this transformation."—Norton J. Greenberger, Journal of the History of Medicine

"This book is written in a warm, personal style and is an easy read. . . . It seems clear that Duke University Medical Center was a leader in recognizing the need for change, as well as an effective force at working out certain problems to implement change. Dr. Anlyan's enlightened leadership is clearly evident in this transformation."—Norton J. Greenberger, Journal of the History of Medicine

“Bill Anlyan has been one of the most outstanding leaders in academic medicine. Knowing him has been one of the great pleasures of my life and career. This book is not only about his metamorphoses but also the metamorphoses of American medicine and medical education.”—David Satcher, M.D., Ph.D., Sixteenth U.S. Surgeon General and Director, National Center for Primary Care

“Bill Anlyan’s memoir documents Duke’s development as a highly regarded academic medical center in the words of one who helped guide it for five decades. I have often been grateful for his straightforward advice during my years as president; historians, members of the Duke and Durham communities, and anyone who enjoys candid autobiographies by interesting people will now be grateful for this book.”—Nannerl O. Keohane, President, Duke University (1993–2004)

“Bill Anlyan has been a giant at Duke University and an important leader of twentieth-century academic medicine. This extraordinary book, written in a warm personal style, details the development and accomplishments of a remarkable human being. It is a fascinating read and provides an important perspective on Duke Medical Center’s development under his leadership.”—Dr. Ralph Snyderman, Chancellor for Health Affairs, Duke University (1989–2004)

“Anyone interested in how the Duke Medical Center climbed into the top echelon of such institutions during the last thirty years or so of the twentieth century will certainly want to read Bill Anlyan’s memoir. While amply recognizing the valuable help that many of his predecessors and colleagues gave, he piloted the ship during the crucial years—and in this book he explains clearly how he did it."—Robert F. Durden, author of Bold Entrepreneur: A Life of James B. Duke

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