As Chief Executive Officer of Wake Forest Baptist Health and Dean of Wake Forest School of Medicine, Julie Ann Freischlag, MD, RACS, FRCSEd (Hon), DFSVS, has a unique perspective on the effects of the COVID-19 pandemic on how health care is delivered, how health care systems can adapt their operations, and how medical education can readjust to rapidly changing circumstances. She discusses her observations and insights in this interview with American College of Surgeons Regent Steven D. Wexner, MD, PhD (Hon), FACS, FRCS (Eng), FRCS (ED), FRCSI (Hon), Hon FRCS (Glasg).