James E. Cain, MD

James Cain, MDDr. James Edgar Cain, III has worked with internationally acclaimed surgeons at some of the largest medical facilities in the United States. He found his true calling, though, when he returned to his rural roots to become a family doctor in a small town.

Dr. Cain is FMC’s co-owner (along with Dr. Mark Lane) as well as its president and medical director.

He followed a winding path that led him from a rural farming community to the oilfields to major medical institutions in Houston and eventually to Lampasas. He has practiced medicine in Lampasas since 1998 and feels at home in rural central Texas.

Dr. Cain was reared along the banks of the Mississippi River in the small town of Eudora in southeast Arkansas. He grew up on property his family had owned since his ancestors bought a few hundred acres directly through the Louisiana Purchase.

Dr. Cain’s hometown is a deeply Southern, agrarian place shaped by farming, the river, and many families’ multigenerational roots to their land.

His mother, a native of Birmingham, Alabama, was an elementary schoolteacher. His father, a retired professional football player, raised bird dogs and worked for an agricultural lender, Delta Production Credit Association. He also ranched until his son was about 14 or 15 years old.

Dr. Cain also had some familiarity with medicine because his best friend’s father, Dr. William was the only doctor in a 30- to 40-mile radius of Eudora. Dr. Weaver’s work showed him what primary care was like. To this day, Dr. Cain remains close friends with Dr. Weaver’s family.

Inspired to pursue medicine by Dr. Weaver and by his own interest in science, Dr. Cain looked for to enter the medical field.

He made deliveries every Friday from a laboratory in Texas City to Hermann Hospital in Houston. Through that service, he encountered Dr. Red Duke.

He became a nurse assistant for Dr. Duke on the post-surgical floor and continued the job for a year-and-a-half or so while also going to college full-time. Dr. Duke got him a job in the operating room. Cain became a trauma surgical technician, a position he held about a year-and-a-half.

Dr. Cain was selected for an internship with Dr. Denton Cooley at the Texas Heart Institute. Dr. Cooley had performed the first successful human heart transplant in the United States in 1968. In 1969, he became the first heart surgeon to implant a total artificial in the heart in a human. Dr. Cain worked with Cooley’s surgical team.

Dr. Cain was then hired as an anesthesia research assistant, and he continued his research work until he graduated from Houston Baptist in 1989 with a Bachelor of Science degree in chemistry/biology.

He then studied at Baylor College of Medicine in Houston, where he earned his doctor of medicine degree in 1994.

In his first year of medical school, he worked at Ben Taub Medical Center as a research assistant. He bosses were Dr. of Ken Mattox, a trauma and thoracic surgeon, and Dr. Paul Pepe.

Dr. Cain’s work experiences gave him a fascination with cardiovascular surgery and a love for research. In his final year of medical school, however, he worked two rotations that changed his life.

The first was with Dr. Michael DeBakey, who, like Dr. Cooley, is considered one of the great heart surgeons in history. Among those who sought Dr. DeBakey’s advice, according to the U.S. National Library of Medicine, were the Duke of Windsor, the Shah of Iran, King Hussein of Jordan, and U.S. Presidents John F. Kennedy, Lyndon B. Johnson, and Richard Nixon.

The next month, Dr. Cain worked in a family practice residency in the impoverished barrios near the Houston Ship Channel. The physician he worked with, Dr. Sanro Kirsch, had escaped from Cuba during the Cold War and was taking care of the poorest of the poor.

After experiencing the consuming nature of cardiovascular surgeons’ work, Dr. Cain was impressed not only with Dr. Kirsch’s care for his patients but also with how he balanced his career and family responsibilities.

Dr. Cain decided to pursue work that would allow him to grow close to patients’ families, as Dr. Kirsch and his childhood physician, Dr. Weaver had.

Dr. Cain wanted to make long-term personal contact with people and that’s when he changed to family practice. He was selected to Southwest Memorial Hermann’s Residency Program.

Dr. Cain has no question that Lampasas was the right decision for him.

Dr. Cain has two daughters, Claire and Emily. It was important to him to move to Lampasas so that they could experience the kind of small town life he enjoyed in his youth.

Family Medicine Clinic has grown significantly since Dr. Cain’s arrival in 1998 when the clinic had two doctors and one other primary-care provider. The Lampasas clinic now has seven family doctors, two family nurse practitioners, and a physician assistant.

Patients benefit from FMC’s diverse group of providers, which includes men and women, longtime doctors and newer ones, and different types of personalities.

Family Medicine Clinic started more than 80 years ago under the leadership of Dr. H.B. Rollins and Dr. W.M. Brook. The mantle of leadership for the clinic then passed to Dr. Alton Bishop, Dr. Rush McMillin, and Dr. Morris K. Patteson, Sr. Those physicians, in turn, were succeeded by the clinic’s current senior physicians, Dr. Morris K. Patteson, Jr., Dr. Mark Lane, and Dr. Cain. For 80 years, there’s been a continuous connection of one doctor to the next.

While he stays busy with his practice, Dr. Cain appreciates the flexibility he has to be with his family. He is proud of his two daughters, and he said his favorite activity is spending time with them.

Dr. Cain also enjoys hunting, fishing, camping, soil conservation, and wildlife management. His other interests include photography, playing the guitar, and collecting antiques.

In addition to serving patients, Dr. Cain has been involved in the community in other ways. He served on the Spring Ho Festival Committee from 2004-2006 and was chair in 2006. He has volunteered as a softball coach and as a member of the finance committee at First United Methodist Church in Lampasas.

With his roots firmly planted in Lampasas County, Dr. Cain is excited about the future for FMC and the rural community he loves.

Dr. James Cain’s CV


  • Citi-GCP Training — 2014
  • Family Practice Residency — 1995-1998
    UT Memorial Hermann Southwest Residency Program, Houston, Texas
  • MD, Baylor College of Medicine — 1990-1994
    Houston, Texas
  • BS, Chemistry/Biology, Magna Cum Laude — 1986-1989
    Houston Baptist University, Houston


  • Owner, President and Principal Investigator — 2013-present
    FMC Science, Central Texas Clinical Trials
    Lampasas, Texas
  • Owner, President and Medical Director — 1998-present
    FMC Medicine (“Family Medicine Clinic”)
    Lampasas and Copperas Cove, Texas
  • Primary and Urgent Care Physician — 1995-1996
    Industrial and Family Medicine Clinic
    Hugo R. Gonzalez, Md, Julian J. Gonzalez, MD & Associates, Houston, Texas
  • Laboratory Assistant, Anatomy Lab — 1990
    Baylor College of Medicine, Houston, Texas
  • Research Assistant, MAST Trouser Clinical Device Trial — 1989-1990
    PI, Ken Mattox, MD, World Renown Trauma & Thoracic Surgeon
    Ben Taub Medical Center
    Baylor College of Medicine, Houston
  • Research Assistant, Data Analysis for Multiple Clinical Trials — 1988-1989
    Southwest Center of Hospital & Health Care, Houston
  • Research Assistant, Prothrombin Reversal Clinical Trial — 1987-1988
    Keats & Associates Anesthesiology Group, Houston
    Exclusive Anesthesiology Group for CV Surgery Pioneer, Denton Cooley
  • Laboratory Assistant — 1986-1989
    Anatomy Lab
    Houston Baptist University, Houston, Texas
  • Operating Room Technician — 1985-1987
    Dr. Red Duke’s Post Surgical Floor
    Hermann Hospital, Houston, Texas
  • Nursing Assistant — 1983-1985
    Medical/Surgical/Critical Care
    Hermann Hospital, Houston, Texas
  • Contract Delivery Service — 1981-1983
  • Pipeline Laborer — 1980-1981


  • Rollins Brook Community Hospital, Lampasas, Texas
  • Metroplex Health System, Killeen, Texas
  • Seton, Harker Heights, courtesy privileges


  • Chief of Staff, Rollins Brook Community Hospital, Lampasas, Texas — 1998-present
  • Member, Metroplex Hospital Executive Committee, Killeen, Texas — 1998-present
  • Member, Metroplex Hospital Credentialing Committee, Killeen, Texas — 1998-present


  • Testimony: “Overview of the Competitive Effects of Specialty Hospitals”
    Hearing before the Committee on Homeland Security and Governmental Affairs, US Senate, May 24, 2005


  • Lampasas United Methodist Church, Finance Committee — 2013-present
  •  Softball Coach, Lampasas Badgers — 2012-present
  • Lampasas Spring Ho Festival, Committee Chair — 2006
  • Lampasas Spring Ho Festival, Committee Member — 2004-2006


  • Member Southwest Memorial Hermann Bio-Ethics Committee — 1995-1996
  • Resident Memorial Hermann Selection Committee — 1994-1996
  • Editor Memorial Hermann Resident Handbook — 1995-1996
  • Medical Education Conference Memorial Hermann Coordinator — 1995-1996
  • Baylor College of Medicine Resident Recruitment Committee — 1994-1996
  • Keynote Speaker to BCMFP Club “Life of a Resident” — 1995
  • National Youth Leadership Forum on Medicine, Speaker — 1994-1996


  • CRC Press National Freshman Chemistry Award
  • Endowed Academic Scholarship
  • National Dean’s List (four years)
  • Membership in AED (Pre-Med Honor Society)
  • Summer Internship, Texas Heart Institute, sponsored by Dr. Denton Cooley
  • Student Senator, College of Health & Science, Houston Baptist University
  • Student Body Vice President


  • American Board of Family Medicine, Board Certified, 2014
  • American Academy of Family Physicians
  • Texas Medical Association
  • Texas Academy of Family Physicians
  • Lampasas/Burnet County Medical Society


  • Hunting, fishing, camping, guitar, photography, collecting antiques, soil conservation, wildlife management, and raising two wonderful children.