When I returned from a campus visit for what became my first academic job, highway construction forced us to get to the airport by detouring through the downtown. Along the way, the man who would become my department chair pointed out important sites. Somewhere between another university and a revitalized downtown area was the Cleveland Clinic. He told me that the Cleveland Clinic was a world-class hospital, on par with the Mayo Clinic. I listened politely, but could not imagine that I, a healthy 27 year old, would need to know much about a big hospital.