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consider it a great privilege and honor to have been selected to receive the 1989 James B. Herrick award. James Bryan Herrick was born on August 11, 1861, in the Chicago suburb of Oak Park, and he interned at Cook County Hospital.2 His remarkable and seminal contribution to our understanding of myocardial infarction is well known. He recognized the importance of science in medicine, and in his essay entitled "N.S. Davis", he described the value and importance of hard work and of new knowledge and its application to our ability to provide better care to our patients.2 He was also aware, however, that the new technology and financial competition could have a deleterious effect on the humane care of patients.3 Dr. Herrick was president of the Association of American Physicians in 1923 and received the Kober medal in 1930. He was a great clinician and investigator of his time; the current sad plight of the clinician-clinical investigator is the main theme of my Herrick Lecture. At the 1976 Herrick Lecture, James Warren first pointed out that the clinical investigator was an endangered species,4 a theme that subsequently has been emphasized by many other recipients of the Herrick Award, essayists, and editorialists.5-9 The problem is only getting worse, so we have to ask

James B. Herrick lecture. The sad plight of the clinician-clinical investigator. "Don't boil the frog in the pot".