In 1919 a 5 million dollar Rockefeller Foundation gift to certain Canadian medical schools, coupled with a major donation from Sir John Craig and Lady Eaton, helped bring Canadian medical education into the twentieth century. Marianne Fedunkiw charts how this significant gift affected the universities, their instructors, and teaching. Fedunkiw focuses on three recipients - the University of Toronto (the leading Ontario medical school), McGill University ("Canada's medical school"), and Dalhousie University (the struggling Maritime school) - to demonstrate how the money made possible the introduction of full-time clinical teaching and encouraged greater public and private support for medical education. The shift to full time, although advocated by progressive educators, also led to a backlash in Toronto resulting in a provincial inquiry in Ontario that threatened to return the University of Toronto to government control. Her book not only provides a history of Canadian medical education and large-scale philanthropy in North America but also analyses the effects of philanthropic giving, the practice of matching fund gifts, and accountability.