Ralph Snyderman, MD, is Chancellor Emeritus, Duke University, James B. Duke Professor of Medicine, and Director of the Center for Research in Personalized Health Care at the Duke University School of Medicine. He previously served as Chancellor for Health Affairs at Duke University and as the founding President and CEO of the Duke University Health System; Dean of the School of Medicine at Duke University; Chair of the Association of American Medical Colleges; Senior Vice President, Medical Research and Development, Genentech, Inc.; Director, Laboratory of Immune Effector Function, Howard Hughes Medical Institute; Chief, Division of Rheumatology and Immunology at Duke; and Senior Investigator, National Institutes of Health. Dr. Snyderman has received numerous honors, including the Personalized Medicine World Conference Pioneer Award (2016), the North Carolina Life Sciences Leadership Award (2014), the Association of American Medical Colleges David E. Rogers Award (2012), the Industr
Getting Down to Business
Not long into his first term, initiatives were developed to enhance the basic sciences through recruiting outstanding chairs and faculty. Major organizational changes were needed to prepare the medical center for managed care. Duke University Medical Center needed be able to act in a coordinated clinical environment necessitating integration of clinical departments, the hospital, and the administration. A new method of evaluating departmental chairs and the process of replacing several key chairs including the chairs of the powerful Departments of Medicine and Surgery ensued. A certain degree of unhappiness and even acrimony accompanied this necessary process, thus setting the stage for confrontation.