Academic institutions vary widely in size, organizational structure, and aspirations.  The Oregon Health Sciences University is a rich mix of clinical care, clinical research, and basic neuroscience research.  Dr. Story Landis visited January 12, 2015, to participate in an external review and to make recommendations for strategies and planning.  Such a review requires the capacity to gauge strengths and weaknesses in individuals, and to understand interactions within a complex organization that will foster continued growth.