There were definitely teachers who made a huge impact. I think about a woman whose name was Mrs. Fish who was my seventh grade English Language Arts teacher. What I remember about her was just how hard she pushed. I thought I was a perfectly strong student at this point, but she just pushed everyone to their limits. That was very instrumental for me. In fact, all the teachers I remember had that same thing: they just had such high expectations and wouldn’t stop pushing. I think she just conveyed the idea that good wasn’t good enough, and I think the skill development and critical thinking skills that that year developed were also instrumental. But I also think, I don’t know, there’s something about that year that probably instilled within me that ethic that you just have to keep pushing to get better and better, and that if you work hard enough it will pay off.

My parents inspired me by their example. They both grew up in the Depression, and both of them had to quit school when they were quite young to work, because there actually was no choice. So, though they’re intelligent people — and my father in particular is interested in books and has subsequently, since his retirement, attended classes at the University of Buffalo — nonetheless, they didn’t have any opportunity to be educated. So they’ve always impressed me with their resilience, their good spirits, their courage. It wasn’t an easy life, and I won’t go into details, but there were a lot of problems. And yet they were never defeated. Somebody else might have been defeated. Someone else might have been really depressed, or become an alcoholic or something, because there were personal problems and economic crises. But I just remember them carrying on and just doing their lives. They really made a strong impression on me.

One in particular, Mrs. Gordon. I hated her. I took AP English. The AP courses were just starting in the ’50s. And you could take a maximum of two. I took Chemistry and AP English. Today, the kids come into Duke, they have ten, 12, 15 AP courses. They start taking AP courses in their first year of high school. It’s absolutely amazing. Mrs. Gordon taught AP English. And she took a disliking to me for some reason early on, and she didn’t like the way I wrote, so she gave me very bad grades on all my essays. She pounded into me about how to write clear, effective, succinct English. And I learned those lessons well. But what I remember — and I pay her a tremendous tribute for that because there’s no more important skill, certainly for a scientist, but really for almost any profession, than to be able to express yourself clearly and succinctly. And I think she really taught me that.

Oh, yes, I had teachers at Wheaton. A community high school history teacher named Elizabeth Duncan who taught American history and was a great teacher. Very forceful, very insistent that we write essays to answer questions, and not short answers. Somebody who through force of personality made history interesting and important.

And some of the things that we saw in the ’80s, really, they were failures, because patients died. But they allowed us to diagnose the systems’ problems and say, “This is where we need a community health worker system. This is where we need to make sure patients have food support while they’re getting these medicines,” et cetera. So those are examples of tragedies that certainly lead to — not just personal epiphanies — but collective epiphanies, where you say, “You know what? We can do this better if we have the system fixed.”

I had lots of teachers encourage me. And I still know some of them, my high school teachers. But one of them encouraged me. She said, “Well, what do you want to do?” I said, “I want to be a doctor.” And she asked me where I wanted to go to school, and so I named all the Florida public universities which seemed within reach, financially. And she said, “Well, maybe you ought to apply to Duke, and maybe you’ll get a scholarship.” And I did both those things. I applied and got a scholarship.

I think a lot of people, when they’re really young, and in their 20s, they are on their own quest for personal efficacy. And I understand that. ... But the sooner that people can discover that it’s really about building teams, and not about personal efficacy, I think the better — the more quickly — we can move forward. I believe that.