In 1982, he began his role in St. Elsewhere which was to earn him four Emmy Award nominations as Outstanding Lead Actor in a TV Series, winning the award in 1983. After a stormy departure from the series in 1987, he returned for two more episodes including the 1988 series finale. During a scene in which Westphall addressed the staff, Flanders began speaking extemporaneously about the quality of art and had to be edited for broadcast. His exit on St. Elsewhere as a regular cast member was titled Moon for the Misbegotten after the play that won him a Tony Award. The episode gained much publicity as Westphall left the hospital after "mooning" his new boss, Dr. Gideon (played by Ronny Cox). Flanders continued his working relationship with executive producer Bruce Paltrow in the short-lived 1994 CBS series, The Road Home.
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