The American College of Medical Informatics (ACMI) is an honorary society established to recognize those who have made sustained contributions to the field. Its highest award, for lifetime achievement and significant contributions to the discipline of medical informatics, is the Morris F. Collen Award. Dr. Collen's own efforts as a pioneer in the field stand out as the embodiment of creativity, intellectual rigor, perseverance, and personal integrity. Once a year, when appropriate, the College gives its highest recognition to those whose attainments have, throughout their careers, substantially advanced the science and art of medical informatics. In 2004, the College was proud to present the Collen Award to Dr. Clement J. McDonald (Fig. 1). Dr. McDonald has been an innovative, hands-on, and operationally oriented contributor to the field of informatics. In addition, he has proved himself the traditional academic triple threat of educator, clinical care provider, and researcher. Figure 1 Clement J. McDonald, MD. ### Early Days Clem McDonald grew up on Chicago's West Side. His father was an engineer and his mother was a schoolteacher. Of the five McDonald children, all three boys grew up to become physicians. As a five year old, Clem first displayed the ingenuity that would become a hallmark of his life and career. He and a couple of buddies took the “El” or elevated train downtown but lacked sufficient funds to return home; young Clem panhandled for change to pay the return fare for himself and his kindergarten comrades. It was in the fifth grade that Clem read the entire World Book Encyclopedia after he contracted polio requiring a long recuperation at home. Clem enrolled at Notre Dame where he graduated in three years with majors in chemistry, physics, and biology before attending the University of …