Foundations for Excellence is a history of Duke Medicine. Historian Walter E. Campbell tells the story of the many remarkable individuals, and the foundations and corporations, rivalry and cooperation, disappointments and successes, that made the Duke University Medical Center what it is today. Consistently ranked among the top ten medical centers in the United States, Duke University Medical Center plays a leading role in transforming the existing health care system through innovative developments in genomics, integrative medicine, and prospective health care. Its history provides a window into how American medicine has changed in the past seventy-five years.