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 before coming to the relatively unknown medical school at Duke University in 1949 for an internship in general and thoracic surgery. He stayed on, first as a resident, then as a staff surgeon. By 1961, he was a full professor of surgery. In 1964, Anlyan was named dean of the medical school, the first in a series of administrative posts at the medical school and hospital. Anlyan's role in the transformation of the Duke University Medical Center into an internationally renowned health system is manifest: he restructured the medical school and hospital and supervised the addition of almost four million square feet of new or renovated space. He hired outstanding administrators and directed a staff that instituted innovative programs and groundbreaking research centers, such as the Cancer Center and the Physician's Assistant Program.
Anlyan describes a series of metamorphoses in his own life, in the world of medicine, in Durham, and at Duke. At the time of his prep school upbringing in Egypt, medicine was a matter of controlling infectious diseases like tuberculosis and polio. As he became an immigrant medical student and then a young surgeon, he observed vast advances in medical practice and changes in the financing of medical care. During his tenure at Duke, Durham was transformed from a sleepy mill and tobacco town into the "City of Medicine," a place where patients routinely travel for open-heart surgery and cutting-edge treatments for cancer and other diseases.
Anyone interested in health care, medical education, and the history of Duke University will find Anlyan's memoir of interest.
Dr. William G. Anlyan is Chancellor Emeritus of Duke University and a Trustee of The Duke Endowment. In his half-century of service to Duke, he has been a surgeon and professor of surgery, Dean of the School of Medicine, and Executive Vice President for Health Affairs. Among his many honors are the Abraham Flexner Award, the highest honor given by the Association of American Medical Colleges; the Lifetime Achievement Award given by the Duke University Medical Alumni (an award now renamed in his honor); and the North Carolina Award, the highest accolade the State of North Carolina can bestow. Dr. Anlyan lives in Durham.
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