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Medical schools and hospitals often spend huge sums of money purchasing and maintaining facilities and equipment, but relatively little time and effort attempting to understand the people who work with them. In fact, however, the single most expensive and certainly the most important item on the budget of many departments and physician practices is the compensation of the physicians themselves. The organizations alone do nothing. It is not the organizations but the people who work in them who make things happen. When something needs to get done, the crucial question to ask is not, “What lever should I pull?” but “Who can accomplish this?” In order to improve the quality of medical education we offer, we need to better understand the people who do the work.