and Hospital.

Over the years, Hsiang-Ya (a compound of hsiang, denoting Hunan, and ya, denoting Yale-China; transliterated today as Xiangya) developed a reputation for providing the most advanced training in Western medicine in all of central and southern China. More than at other foreign-affiliated institutions, an effort was made early on to bring as many Chinese faculty and administrators on board as possible. By the late 1920s, all major leadership positions were held by Chinese, and Yale-in-China was very much a joint Sino-American