dr. john noseworthy at this table. with el come. >> thank you charlie.ivilege to be here. >> rose: thank you. for those who don't know i think everybody has some appreciation that the mayo clinic, and it waí the first break medical institution that reputation precedes you and goes a long way back. tell me about it. what is it that makes it distinctive in your judgment? >> well as you said it's 150th year. we were the first and howsi thed multidisciplinary group practice of medicine. rooted in research and education. and essentially the guiding purpose of thet%sm÷ clinic is te needs of the patient comes first and we do our work with teamwork. and that's essentially what we've done for these 150 years. we have a wonderful staff completely committed to the patients. and our research and education movers that anything forward to meet the needs of our measures and to predict the future needs where our healthcare needs need to go. we have some features that i'm sure you know. our physician are salary, the institution is physician lead but every physician leade