Formal education in America has been fortunate over the years in attracting a select number of physicians to the post of president or chancellor of some of our great universities. The promotion to the top rung of the academic ladder has been through the deanship of the medical school in some instances; in other schools the advancement has been from the headship of a clinical or basic science department. From whatever source the talent is sought, performance has been notable and the university has reaped the reward of outstanding leadership. The majority of university presidents, however, have not been medically trained and have had no choice but to learn by conference and contact in a relatively short time about this one division of the university which is unique and different from all of the others. An example of uniqueness is the annual budget.
The financial burden imposed by a medical