Niall McFadden is a prosperous doctor, married and living a sedate life in the mid-west, but after years of mediocrity he covets a top job in an academic institution. Using guile and deception he reaches his goal, but he is quickly out of his depth, and his limited competence soon has disastrous consequences. A humorous exposure of the world of academic medicine, including Niall's adventures in extra-marital sex, fraud, misconduct and pure hubris.