Peter Cram MD MBA is the Chair of the Department of Internal Medicine at the University of Texas Medical Branch (UTMB) in Galveston, TX.  He was on faculty at the University of Iowa (2002-2013) and Director of the Division of General Internal Medicine and Geriatrics at Sinai Health System and University Health Network at the University of Toronto (2014-2021).  His research focuses on variation in utilization, outcomes, and cost for hospital-based services.  Dr. Cram is the co-founder of the international health system research collaborative (see: IHSRC) with Bruce Landon from Harvard, which is devoted to comparing treatments and outcomes of adults hospitalized in various high-income countries.