title: Tougher at the top.
authors.affiliation: Department of Clinical Pharmacology, Oxford University.
authors.forename: David
authors.initials: D
authors.lastname: Kerr
mesh_terms: D000846:Anniversaries and Special Events; D003284:Contract Services; D006666:History of Medicine; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007857:Leadership; D012017:Referral and Consultation; D013038:Specialization; D013222:State Medicine / Q000266:history* / Q000458:organization & administration; D006113:United Kingdom