I consider it an honour to have been appointed as the Director of the All India Institute of Medical Sciences, (AIIMS) Bhubaneswar, one of the Institutions of National Importance (INIs) in India established by an Act of Parliament and modeled on AIIMS New Delhi. AIIMS, Bhubaneswar, is one of the fastest growing INIs that have clearly modeled the way medical institutions can be run, thanks to the efforts of the Founder Director, Prof. A.K. Mahapatra. Medical Institutions such as the INIs can no longer be considered isolated ivory towers of academic excellence, where learning and skill development...