We are struggling at work with trying to retrofit a new medical school curriculum using a traditional medical school faculty. My non-medical reading is occasionally about the cathedrals of Europe; my favorite fictional account of that time is”The Pillars of the Earth.” While looking for resources to help in our struggle with the retrofitting problem I ran across my friend, Paul Grundy’s, explanation of how care delivery will change, found here. Informing my colleagues that Paul says the Master Builder model of education has been found wanting and showing them the movie may not help with the struggle (change is hard). Picturing the Dean as Tom Builder might help make the meetings go faster for me.