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Before the season began, Fran McCaffery received a contract extension through the 2019–2020 season.

Patrick McCaffery joined his brother Connor by committing to Iowa in 2018. He is considered a top 100 recruit for the class of 2019.

The 2017–18 season was a disaster for the Hawkeyes. After losing the Big Ten leading scorer, Peter Jok, a young Iowa team struggled to find their identity. Coach McCaffery's eldest son, Connor, joined the team as an ESPN four-star recruit out of local Iowa City West, but battled a series of ailments, including mononucleosis, which lead to being granted a medical redshirt year. Iowa finished the season 14–19, 4–14 in Big Ten play in a three-way tie for 11th place. As the No. 12 seed in the Big Ten Tournament, they defeated Illinois before losing to Michigan in the second round.

After the 2015–16 season graduated 4 senior starters Iowa got off to a rocky start to the 2016-17 campaign, going 3–5 with losses to Seton Hall (91-83), Virginia (74-41), Memphis (100-92), Notre Dame (92-78), and Nebraska-Omaha (98-89). The Hawkeyes turned things around in December and ended non-conference play with five straight victories, including wins over in-state rivals #25 Iowa State (78-64) and UNI (69-46). Iowa finished non-conference play 8–5 on the year. The Hawkeyes went 10–8 in conference play, with wins over Michigan (86-83), #17 Purdue (83-78), Ohio State (85-72), #24 Maryland (83-69), Indiana (96-90), and #22 Wisconsin (59-57). McCaffery's Hawkeyes were invited to the NIT post-season tournament and defeated South Dakota (87-75) before losing in overtime to eventual champion TCU (94-92), finishing their season 19–15. Senior Peter Jok lead the Big Ten in scoring (19.9 ppg) and was first-team all-conference.

At Lehigh, McCaffery led to a 49–39 record in his three-year term with the Mountain Hawks. In the 1987–1988 season, McCaffery led Lehigh to its second NCAA Tournament Appearance in program history.

McCaffery posted a 90–87 record in six seasons. In his first year at the helm, Greensboro compiled a 15–13 record overall and a 9-7 Southern Conference mark, good for third place in the North Division. It was the 18th-most improved record nationally among NCAA Division I teams.

In McCaffery's second season, he guided the Spartans to unprecedented heights with a 19–12 record and the 2001 SoCon Tournament Championship. The Spartans defeated Chattanooga, 67–66, in the finals and received the SoCon's automatic bid to the NCAA Tournament. The following year (2001-2002) McCaffery led the Spartans to their first 20-win season since joining the conference. It marked the first time the program claimed a share of the SoCon North Division title as well. After falling to eventual tournament champion Davidson in the conference tournament semifinals, the Spartans were awarded a berth into the 2002 NIT, where they lost to eventual champion Memphis.

In his final year in Greensboro, McCaffery brought the Spartans to the brink of the NCAA Tournament before a SoCon Championship game loss to Chattanooga. He led UNCG to a victory over Davidson in the semifinals, defeating a team that had been 16–0 in conference play. A big part of that success was SoCon Freshman of the Year Kyle Hines. Hines set UNCG and SoCon records for blocked shots, and also broke several other UNCG single-game and freshman single-season marks.

McCaffery guided Siena to a 20–12 record in 2007. The Saints began the season with an 11–10 record. However, the team went on a late-season winning streak and won 9 of 10 games. Season highlights included a 76–75 double-overtime victory over rival Albany. Siena was one of the youngest teams in the conference with five underclassmen. The Saints reached the 2007 MAAC championship game and lost to Niagara 83–79.

In the first round of the NCAA Tournament, Siena defeated Ohio State 74–72 in double overtime to reach the round of 32 for the second straight season. The Saints led #1 ranked Louisville 63–59 midway into the 2nd half before losing 79–72 to end their season at 27–8. Siena finished ranked 28th in the final ESPN/USA Today coaches poll, the school's highest ranking.

McCaffery led the Iowa Hawkeyes to 4 wins over ranked opponents – twice against Wisconsin, once against Michigan, and once against Indiana. The Hawkeyes won 3 conference road games in a season for the first time since 2006. For the second consecutive season, attendance increased at Iowa home basketball games.

Iowa beat Illinois in the first round of the Big Ten tournament. The Hawkeyes then lost to eventual tournament champion Michigan State. At 17–16, Iowa earned a bid to the NIT postseason tournament. The Hawkeyes were seeded seventh in their region, but due to a scheduling conflict, they hosted the second seeded Dayton Flyers. Iowa won the contest 84–75, the first postseason win for Iowa since 2004. The NIT bid showed the enthusiasm building around the program, over 13,000 tickets were sold in under twenty-four hours.

Iowa finished the non-conference schedule with an 11–2 record, including wins over in-state rivals Iowa State and UNI. It was the best non-conference record since the 2004–2005 season, and the best by a McCaffery team at Iowa. Iowa finished the regular season with a 20–11 record including 9–9 in conference play, resulting in an NIT bid. Iowa ended up as the NIT runners-up. McCaffery also picked up his 300th career win as a head coach on March 9 when Iowa beat Nebraska 74–60.

Iowa finished the non-conference season with a record of 11–2. The two non-conference losses were to Villanova (88–83 in overtime, in the Battle for Atlantic Title Game) and in-state rival Iowa State (85–82). McCaffery then led his Hawkeyes to a Big Ten record of 9–9 with quality wins at #3 Ohio State (84–74) and at home versus Michigan (85–67). Iowa received the sixth seed in the Big Ten Tournament. After beating Northwestern two times during the regular season, Iowa lost to Northwestern (67–62) in the first round of the Big Ten Tournament. On Selection Sunday, McCaffery's team was put as the 11th seed having to play a play-in game versus Tennessee. Fran's son was diagnosed with a thyroid tumor in his neck, which eventually became cancer towards the end of the regular season. McCaffery flew home from the play-in game for his son's surgery then flew back to Dayton, Ohio to coach his team to a heartbreaking loss (78–65). The Iowa Hawkeyes ended the season with a record of 20–13.

The Hawkeyes finished their non-conference schedule 9–4, with losses to #10 Texas (71–57) and #23 Syracuse (66–63) in the 2K Classic. Additional non-conference losses came at the hands of rivals #14 Iowa State (90–75) and UNI (56–44). McCaffery lead Iowa to a 12–6 record in the Big Ten, including memorable wins over #20 Ohio State (71–65) and #17 Maryland (71–55). McCaffrey's Hawkeyes were upset in the second round of the Big Ten tournament by Penn State (67–58), but still finished tied for third in the conference. Iowa earned a 7th seed in the NCAA tournament and beat Davidson (83–52) in the Round of 64 before bowing out to Gonzaga (87–68) in the third round. McCaffery's Hawkeyes finished 22–12 on the year.

Iowa finished their non-conference schedule 9–3, with losses to Dayton (82-77), #17 Notre Dame (68-62), and rivals #4 Iowa State (83-82). Coach McCaffery opened Big Ten play with a victory over #1 Michigan State (83-70). The Hawkeyes finished conference play 12-6 for the second straight season, with two wins over ranked Purdue, two wins over Michigan, and a second win over Michigan State, this time ranked #4, 76–59. McCaffrey's Hawkeyes lost to Illinois (68-66) in the first round of the Big Ten Tournament, but finished tied for third in the conference for the second straight year. Iowa earned a 7th seed in the NCAA tournament, also for the second straight year, and beat Temple (72-70) in the Round of 64. The Hawkeyes lost in the third round of the tournament for the second year in a row, this time to eventual champion Villanova (87–68). In a year where history seemed to repeat itself, McCaffery's Hawkeyes again won 22 games en route to a 22–11 season.

A young Iowa team won the 2K Sports Classic early in the season, defeating #13 Oregon (77-69) and UCONN (91-72) in back-to-back nights at Madison Square Garden. The Hawkeyes would go undefeated in non-conference play, with wins over in-state rivals Iowa State (98-84) and UNI (77-54). They also scored a whopping 68 points in the first half of a 105–78 win over Alabama State and beat Savannah State by 46 (110-64). Iowa's season featured several thrilling contests, including a 1-point victory over Pitt (69-68), and buzzer-beating wins in back-to-back games against Northwestern (80-79) and Rutgers (71-69). Iowa just missed a chance to make it three last-second victories in a row, but a shot as time expired rimmed out against #24 Maryland (66-65). Other notable regular season victories for Iowa included wins over #24 Nebraska (93-84), #16 Ohio State (72-62), and #5 Michigan (74-59). The Hawkeyes ended the regular season on a 4-game losing streak. In the Big Ten Tournament, Iowa defeated Illinois before falling to Michigan. The Hawkeyes earned the No. 10 seed in the South Regional in the NCAA Tournament. In the first round, the Hawkeyes came from behind to upset seventh-seed Cincinnati (79-72). Then, Iowa faced off against second seed Tennessee in the Round of 32. The Hawkeyes came back from a 25-point deficit in the first half to send the game to overtime, which was won by Tennessee.

In his five seasons at Siena, McCaffery guided the Saints to four 20-win seasons, including three consecutive MAAC Regular-Season and Conference Tournament Championships. These resulted in three consecutive berths to the NCAA Tournament, in which they defeated both Vanderbilt and Ohio State in the first rounds. McCaffery's tenure at Siena is considered the greatest in program history as he revived a program that had a record of 6–24 prior to his arrival. He also maintained a 100% graduation rate for players completing their NCAA eligibility. McCaffery was introduced as the head coach of the Iowa Hawkeyes on March 29, 2010.

McCaffery was hired by the University of Iowa on March 28, 2010, to replace Todd Lickliter. He was introduced during a press conference and a public ceremony in Carver-Hawkeye Arena on March 29, 2010.

McCaffery lost his first game as head coach at Iowa on November 16, 2010, when the Hawkeyes lost to South Dakota State. His first conference win with the Hawkeyes came against Indiana in Iowa City on January 23. His first win versus a ranked team as the head coach of Iowa came on March 5, when Iowa defeated No. 6 Purdue, 67–65. That win snapped a 25-game losing streak against ranked opponents for the Hawkeyes.

Siena entered the 2009–10 with the highest expectations in program history. After a slow start, the Saints won 15 straight games and 21 of 23 games to capture the school's third consecutive MAAC tournament championship, defeating Fairfield in overtime 72–65. Siena lost to Purdue 72–64 in the first round of the NCAA tournament to end their season at 27–7. McCaffery was also honored by the national coaches' association as an all-district coach.

Siena was ranked highly in preseason publications entering the 2008–09 season. The Saints convincingly won their first two games against Boise State and Cornell.McCaffery guided Siena to victories in 25 of their final 30 games. Siena won games against St. Joe's, Northern Iowa, Albany and Buffalo along the way. Siena's 16 MAAC wins tied a league record for regular season wins. Siena would go on to win the MAAC championship (and clinch a second straight NCAA tournament bid) by defeating Canisius, Fairfield and Niagara. McCaffery led the Saints to the most single season wins in their Division I history and earned the 2009 MAAC coach of the year.

On November 17, 2007, McCaffery guided Siena to a 79–67 victory over #20 ranked Stanford at the Times Union Center in Albany. The win was Siena's first over a ranked opponent since their first-round victory against the Cardinal in the 1989 NCAA tournament. Siena finished the regular season at 19–10 and 13–5. They tied with Rider for first place in the MAAC. The Saints defeated Manhattan, Loyola and Rider on their way to winning the MAAC championship and an automatic NCAA tournament bid. It was the Siena's fourth trip to the NCAA Tournament and their first under the guidance of McCaffery. In March 2008, the 13th seeded Saints soundly defeated #4 Vanderbilt 83–62 in the first round of the NCAA Tournament in the Midwest Region. Siena's season ended one game short of the sweet sixteen in an 84–72 loss to 12th seeded Villanova. Siena finished the season at 23–11. It was the most wins for a Siena team since the 1999–2000 season.

In 2005, the Siena Saints were picked to finish last in preseason polls for the Metro Atlantic Athletic Conference. However, McCaffery orchestrated the fifth greatest turnaround in all of Division 1 and guided Siena to a 15–13 record. The team earned several memorable victories in the regular season, including an 82–74 win against cross-town rival Albany, and an 82–76 triumph at eventual MAAC champion Iona. The Saints clinched a first-round bye in the MAAC tournament with a 98–92 double-overtime victory over Niagara on the team's senior day. Siena's season ended with a 63–62 loss to St. Peter's in the MAAC quarterfinals.

McCaffery coached three consecutive rookies of the year in their respective leagues. Kyle Hines won the award in the Southern Conference in McCaffery's final year in UNC Greensboro. Kenny Hasbrouck captured the MAAC rookie of the year for the 2005–06 Saints, and Edwin Ubiles shared the award with Canisius' Frank Turner for the 2006–07 season.

He began his college coaching career with a stint at Penn as an assistant coach. McCaffery became an assistant coach at Lehigh in 1983. He was the youngest head coach in Division I when he was promoted to head coach in 1985. Following his career at Lehigh, McCaffery spent 11 years as an assistant at Notre Dame. In 1999, he became the head coach of the UNC Greensboro Spartans. McCaffery had a 90–87 record through six seasons. He led the Spartans to the Southern Conference Championship and the NCAA Tournament in 2001.

Francis John McCaffery (born May 23, 1959) is an American college basketball coach and the current men's basketball head coach at the University of Iowa. He has taken four Division I programs to postseason tournaments, including the Iowa Hawkeyes, who reached the finals of the 2013 National Invitation Tournament.