The gastrointestinal (GI) pathophysiology course is a 2.5-week required preclinical course at the end of medical school’s second-year pathophysiology organ system blocks. In 1993, I was appointed co-course director of this course. One year later, I was appointed sole course director and continued in that position for the next 22 years. In 2000, after 6 years of directing the course, I was confident that I was an excellent teacher, but the anonymous medical student evaluations of my teaching and the overall course ratings did not agree.