An edifying discussion with York Hsiang–a powerfully independent-minded, highly educated, skilled and experienced professor of medicine–on the lamentable state of Canadian medical education, practice, and ethics. Speaking from his own early experience as a student of medicine, first in New Zealand and then in Canada, and from his later experience as an internal medicine specialist, surgeon, and professor of medicine at the University of British Columbia–York Hsiang provides a fascinating account of his own personal medical journey, and an unsettling indictment of the state of Canadian medical education today.