Pt. I. The Academic Institution. 1. Creating the French Royal Academy of Medicine. 2. The Academy and Its Structures. 3. Academic Functions and Genres: Communication, Evaluation, and Debate. 4. Academic Functions and Genre: Commissions and Prizes. 5. Representation and Memory in the Academy -- Pt. II. Academic Perspectives of Clinical Science. 6. Water Cures and Science: The Academy and Mineral Waters. 7. Academic Debate and Therapeutic Reasoning in the Mid-Nineteenth Century. 8. The Posthumous Laennec: Creating a Modern Medical Hero -- Pt. III. Academic Perspectives on the Parisian Medical Elite. 9. The Self-Made Mandarin: The Eulogies of Pariset. 10. Elite Medical Careers in the Nineteenth and Twentieth Centuries. 11. The Medical Elite in French Society.