Knights in White is a novella about the often competitive nature of American academic medicine. While entirely fictional it embodies the sometimes continuous nature of the higher reaches of the profession. This is often not perceived by the public. Given the keen intellect, drive, effort and discipline required to achieve these positions, one might anticipate there would be conflict as between the relatively new Vice Chancellor for Health Affairs (VC) and the long standing Chair of Radiology. At first the VC attempts to control the Radiology Chair which is not effective. Alternatively he attempts to make life so unpleasant that he will voluntarily resign. The Chair has been in academic medicine at other even more esteemed institutions and has resources not known to the VC. These are cleverly employed to implicate the VC in some unsavory and unprofessional conduct. The results are devastating and this tragedy is played out behind doors at a prestigious medical institution.