Al Mulley is global managing director at the Dartmouth Institute. Before Dartmouth, he was at Harvard and Massachusetts General Hospital where he served as chief of general medicine for nearly 3 decades. His clinical, training and research interests have spanned from intensive medical care to integration of primary care and population health, always with a focus on the quality of decisions made from the frontlines of care to the leadership level of health systems. He is founding editor of the text, Primary Care Medicine, now in its 7th edition. In his role at Dartmouth, he has forged partnerships around the world to build the capabilities essential to achieve sustainable health care economies. He is a member of the National Academy of Medicine in the US and serves as visiting professor and/or Fellow in multiple countries including the UK and China.