In this inspiring video, CAP President Donald S. Karcher, MD, FCAP, shares his remarkable journey—from growing up in a middle-class family to becoming a physician, Army medical leader, and national advocate for pathology, lab medicine, and patients. As he prepares to pass the gavel to Qihui “Jim” Zhai, MD, FCAP at CAP25 (September 13-16), Dr. Karcher reflects on his presidency with pride and gratitude.