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Book Chapter

Introduction

Doi:
https://doi.org/10.1215/9780822373933-001
  • Published:
    October 2016
This content is made freely available by the publisher. It may not be redistributed or altered. All rights reserved.

Dr. Ralph Snyderman reflects on the magnitude of changes made at Duke University Medical Center from 1989– 2004 and the strategic and operational plans that brought this about. A description of the format of the book and a brief synopsis of each chapter is laid out as well as a philosophical perspective on leadership principles.

Genentech, Inc., Duke University Medical Center, Leadership in academic, medicine, Integrative Medicine, Personalized Medicine
This content is only available as PDF.

Additional Resources

Chapter 1. From Brooklyn to Duke
Chesanow
,
Neil
. “
Looking Back on Ralph Snyderman’s 15 Years at the Helm
.”
Duke Med Magazine
4
, no.
1
(Spring/Summer
2004
).
https://medspace.mc.duke.edu/dukemed-magazine-vol-4-issue-1
.
Google Scholar
 
Chapter 3. Evolution of Duke University Medical Center
Anlyan
,
William G.
md.
Metamorphosis: Memoirs of a Life in Medicine
.
Durham, NC
:
Duke University Press
,
2004
.
Google Scholar
 
Campbell
,
Walter E.
Foundations for Excellence: 75 Years of Duke Medicine
.
Durham, NC
:
Duke University Medical Center
,
2006
.
Google Scholar
 
Davison
,
Wilburt Cornell
.
Davison of Duke: His Reminiscences
.
Durham, NC
:
Duke University Medical Center
,
1980
.
Google Scholar
 
Gifford
,
James
Jr.
The Evolution of a Medical Center: A History of Medicine at Duke University to 1941
.
Durham, NC
:
Duke University Press
,
1972
.
Google Scholar
 
Williams
,
Sanders
.
The Magic of Medicine at Duke: A History in Our Own Words
.
Durham, NC
:
Duke Medicine Office of Marketing and Creative Services
,
2009
.
Google Scholar
 
Chapter 10. Duke Clinical Research Institute
Snyderman
,
R.
 “
Academic Medicine Can Transform Health Care through Clinical Research
.”
Academic Medicine
74
, no.
11
(
1999
):
1224
–
25
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, ed.
For the Health of the Public: Ensuring the Future of Clinical Research. Vol. 1, Report of the aamc Task Force on Clinical Research
.
Washington, DC
:
Association of American Medical Colleges
,
January
2000
.
Google Scholar
 
Snyderman
,
R.
, ed.
For the Health of the Public: Ensuring the Future of Clinical Research. Vol. 2, Invited Papers
.
Washington, DC
:
Association of American Medical Colleges
,
November
2000
.
Google Scholar
 
Chapter 12. Integrative Medicine
Horrigan
,
Bonnie
.
Voices of Integrative Medicine: Conversations and Encounters
.
London
:
Churchill Livingstone
,
2003
.
Google Scholar
 
Interview with Christy Mack, Harvey Fineberg, md, and Ralph Snyderman, md, on the Institute of Medicine’s Summit on Integrative Medicine
.
The Charlie Rose Show
,
March
28
,
2008
.
http://www.bravewell.org/transforming_healthcare/national_summit/charlie_rose/
Kabat-Zinn
,
Jon
.
Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life
.
New York, NY
:
Hachette Books
,
1994
.
Google Scholar
 
Snyderman
,
R.
, and
Weil
,
A.
 “
Integrative Medicine: Bringing Medicine Back to Its Roots
.”
Archives of Internal Medicine
106
(
2002
):
395
–
97
.
Google Scholar
Crossref
Search ADS
 
Chapter 13. Personalizing Health Care
Burnette
,
R.
,
Simmons
L. A.
, and
Snyderman
R.
. “
Personalized Health Care as a Pathway for the Adoption of Genomic Medicine
.”
Personalized Medicine
2
(
2012
):
232
–
40
.
Google Scholar
Crossref
Search ADS
 
Dinan
,
M.
,
Simmons
L.
, and
Snyderman
R.
. “
Commentary: Personalized Health Planning and the Patient Protection and Affordable Care Act: An Opportunity for Academic Medicine to Lead Health Care Reform
.”
Academic Medicine
85
(
2010
):
1665
–
68
.
Google Scholar
Crossref
Search ADS
PubMed
 
Duke Center for Research for Personalized Health Care
.
http://dukepersonalizedhealth.org/
.
Langheier
,
J. M.
, and
Snyderman
R.
. “
Prospective Medicine: The Role for Genomics in Personalized Health Planning
.”
Pharmacogenomics
5
(
2004
):
1
–
8
.
Google Scholar
Crossref
Search ADS
PubMed
 
Simmons
,
L. A.
,
Dinan
M. A.
,
Robinson
T. A.
, and
Snyderman
R.
. “
Personalized Medicine Is More Than Genomic Medicine: Confusion over Terminology Impedes Progress towards Personalized Health Care
.”
Personalized Medicine
9
(
2012
):
85
–
91
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
Creating Meaningful Health Care Reform
.”
Journal of Clinical Investigation
119
(
2009
):
2855
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
Personalized Health Care in 2013: A Status Report on the Impact of Genomics
.”
North Carolina Medical Journal
74
(
2013
):
478
–
84
.
Google Scholar
PubMed
 
Snyderman
,
R.
 “
Personalized Medicine 2014: Has Health Care Been Transformed?
”
Personalized Medicine
11
(
2014
):
365
–
68
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
The Role of Genomics in Enabling Prospective Health Care
.” In
Genomic and Personalized Medicine
, Vol.
1
, edited by
Willard
Huntington F.
PhD
, and
Ginsburg
Geoffrey S.
MD, PhD
,
378
–
85
.
San Diego, CA
:
Elsevier
,
2009
.
Google Scholar
 
Snyderman
,
R.
, and
Langheier
J.
. “
Prospective Health Care: The Second Transformation of Medicine
.”
Genome Biology
7
(
2006
):
104
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, and
Yoediono
Z.
. “
Prospective Care: A Personalized, Preventative Approach to Medicine
.”
Pharmacogenomics
7
(
2006
):
5
–
9
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, and
Yoediono
Z.
. “
Prospective Health and the Role of Academic Medicine: Lead, Follow or Get Out of the Way
.”
Academic Medicine
83
(
2008
):
707
–
14
.
Google Scholar
Crossref
Search ADS
PubMed
 
Yoediono
,
Z.
, and
Snyderman
R.
. “
Proposal for a New Health Record to Support Personalized, Predictive, Preventative, and Participatory Medicine
.”
Personalized Medicine
5
(
2008
):
47
–
54
.
Google Scholar
Crossref
Search ADS
PubMed
 
Chapter 15. Reputation and Crisis
“
Anatomy of a Mistake: The Tragic Death of Jesica Santillan
.”
http://www.cbsnews.com/news/anatomy-of-a-mistake-16-03-2003/
.
“
A Week in the Life of a Hospital: On the Front Lines of the War between Money and Medicine?
”
Time
,
October
12
,
1998
.
“
Discovery Channel Series Features Duke Doctors and Patients
.”
Chronicle
,
September
2000
.
http://beta.dukechronicle.com/articles/2000/09/20/discovery-channel-series-features-duke-doctors-and-patients
.
“
Government Halts Duke’s Human Research
.”
Chronicle
,
May
19
,
1999
.
http://beta.dukechronicle.com/articles/1999/05/20/government-halts-dukes-human-research
.
“
Snyderman Defends Hospital
.”
Chronicle
,
February
25
,
2003
.
http://www.dukechronicle.com/articles/2003/02/26/snyderman-defends-hospital#.VYsJt_lViko
.
“
US Halts Human Research at Duke
.”
Washington Post
,
May
12
,
1999
,
A1
.
http://www.washingtonpost.com/wp-srv/national/daily/may99/duke12.htm
.
“
What They Said: Statements on Jesica Santillan
.”
Duke Today
,
February
22
,
2003
.
https://today.duke.edu/2003/02/jesicaquotes0203.html
Chapter 16. Stepping Down and Lessons Learned
Sinek
,
Simon
.
Start with Why
.
New York
:
Penguin
,
2009
.
Google Scholar
 
PROCEEDINGS FROM THE PRIVATE (HEALTH) SECTOR CONFERENCE, 1994 TO 2003 (Available at Duke University Medical Center Library)
Snyderman
,
R.
,
Rogers
M.
, and
Saito
V.
, eds.
The Academic Health Center and Health Care Reform
New York
:
Raven Press
,
1994
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
The Academic Health Center in the 21st Century
.
Durham, NC
:
Duke University Medical Center and Health System
,
1995
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Academic Health Systems in Transition
.
Durham, NC
:
Duke University Medical Center and Health System
,
2000
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
The AHC Responds to Health Care Reform
.
Durham, NC
:
Duke University Medical Center and Health System
,
1996
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Beyond Managed Health Care: The Role of the Academic Health Center
.
Durham, NC
:
Duke University Medical Center and Health System
,
1997
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Enabling Prospective Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2002
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Integrating Health Care Delivery Systems
.
Durham, NC
:
Duke University Medical Center and Health System
,
1998
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Integrated Health Delivery Systems
.
Durham, NC
:
Duke University Medical Center and Health System
,
1999
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Prospective Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2003
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Rational Approaches to Quality: Affordable Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2001
.
Google Scholar
 
figures&tables
Figures & Tables
 contents
Contents
 references
References
 related
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Figures & Tables

Contents

A Chancellor's Tale: Transforming Academic Medicine

A Chancellor's Tale: Transforming Academic Medicine

By
Ralph Snyderman
Ralph Snyderman

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

Search for other works by this author on:
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Duke University Press
DOI:
https://doi.org/10.1215/9780822373933
Copyright:
This content is made freely available by the publisher. It may not be redistributed or altered. All rights reserved.
ISBN electronic:
978-0-8223-7393-3
Publication date:
2016
Chapter Contents

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References

Additional Resources

Chapter 1. From Brooklyn to Duke
Chesanow
,
Neil
. “
Looking Back on Ralph Snyderman’s 15 Years at the Helm
.”
Duke Med Magazine
4
, no.
1
(Spring/Summer
2004
).
https://medspace.mc.duke.edu/dukemed-magazine-vol-4-issue-1
.
Google Scholar
 
Chapter 3. Evolution of Duke University Medical Center
Anlyan
,
William G.
md.
Metamorphosis: Memoirs of a Life in Medicine
.
Durham, NC
:
Duke University Press
,
2004
.
Google Scholar
 
Campbell
,
Walter E.
Foundations for Excellence: 75 Years of Duke Medicine
.
Durham, NC
:
Duke University Medical Center
,
2006
.
Google Scholar
 
Davison
,
Wilburt Cornell
.
Davison of Duke: His Reminiscences
.
Durham, NC
:
Duke University Medical Center
,
1980
.
Google Scholar
 
Gifford
,
James
Jr.
The Evolution of a Medical Center: A History of Medicine at Duke University to 1941
.
Durham, NC
:
Duke University Press
,
1972
.
Google Scholar
 
Williams
,
Sanders
.
The Magic of Medicine at Duke: A History in Our Own Words
.
Durham, NC
:
Duke Medicine Office of Marketing and Creative Services
,
2009
.
Google Scholar
 
Chapter 10. Duke Clinical Research Institute
Snyderman
,
R.
 “
Academic Medicine Can Transform Health Care through Clinical Research
.”
Academic Medicine
74
, no.
11
(
1999
):
1224
–
25
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, ed.
For the Health of the Public: Ensuring the Future of Clinical Research. Vol. 1, Report of the aamc Task Force on Clinical Research
.
Washington, DC
:
Association of American Medical Colleges
,
January
2000
.
Google Scholar
 
Snyderman
,
R.
, ed.
For the Health of the Public: Ensuring the Future of Clinical Research. Vol. 2, Invited Papers
.
Washington, DC
:
Association of American Medical Colleges
,
November
2000
.
Google Scholar
 
Chapter 12. Integrative Medicine
Horrigan
,
Bonnie
.
Voices of Integrative Medicine: Conversations and Encounters
.
London
:
Churchill Livingstone
,
2003
.
Google Scholar
 
Interview with Christy Mack, Harvey Fineberg, md, and Ralph Snyderman, md, on the Institute of Medicine’s Summit on Integrative Medicine
.
The Charlie Rose Show
,
March
28
,
2008
.
http://www.bravewell.org/transforming_healthcare/national_summit/charlie_rose/
Kabat-Zinn
,
Jon
.
Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life
.
New York, NY
:
Hachette Books
,
1994
.
Google Scholar
 
Snyderman
,
R.
, and
Weil
,
A.
 “
Integrative Medicine: Bringing Medicine Back to Its Roots
.”
Archives of Internal Medicine
106
(
2002
):
395
–
97
.
Google Scholar
Crossref
Search ADS
 
Chapter 13. Personalizing Health Care
Burnette
,
R.
,
Simmons
L. A.
, and
Snyderman
R.
. “
Personalized Health Care as a Pathway for the Adoption of Genomic Medicine
.”
Personalized Medicine
2
(
2012
):
232
–
40
.
Google Scholar
Crossref
Search ADS
 
Dinan
,
M.
,
Simmons
L.
, and
Snyderman
R.
. “
Commentary: Personalized Health Planning and the Patient Protection and Affordable Care Act: An Opportunity for Academic Medicine to Lead Health Care Reform
.”
Academic Medicine
85
(
2010
):
1665
–
68
.
Google Scholar
Crossref
Search ADS
PubMed
 
Duke Center for Research for Personalized Health Care
.
http://dukepersonalizedhealth.org/
.
Langheier
,
J. M.
, and
Snyderman
R.
. “
Prospective Medicine: The Role for Genomics in Personalized Health Planning
.”
Pharmacogenomics
5
(
2004
):
1
–
8
.
Google Scholar
Crossref
Search ADS
PubMed
 
Simmons
,
L. A.
,
Dinan
M. A.
,
Robinson
T. A.
, and
Snyderman
R.
. “
Personalized Medicine Is More Than Genomic Medicine: Confusion over Terminology Impedes Progress towards Personalized Health Care
.”
Personalized Medicine
9
(
2012
):
85
–
91
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
Creating Meaningful Health Care Reform
.”
Journal of Clinical Investigation
119
(
2009
):
2855
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
Personalized Health Care in 2013: A Status Report on the Impact of Genomics
.”
North Carolina Medical Journal
74
(
2013
):
478
–
84
.
Google Scholar
PubMed
 
Snyderman
,
R.
 “
Personalized Medicine 2014: Has Health Care Been Transformed?
”
Personalized Medicine
11
(
2014
):
365
–
68
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
 “
The Role of Genomics in Enabling Prospective Health Care
.” In
Genomic and Personalized Medicine
, Vol.
1
, edited by
Willard
Huntington F.
PhD
, and
Ginsburg
Geoffrey S.
MD, PhD
,
378
–
85
.
San Diego, CA
:
Elsevier
,
2009
.
Google Scholar
 
Snyderman
,
R.
, and
Langheier
J.
. “
Prospective Health Care: The Second Transformation of Medicine
.”
Genome Biology
7
(
2006
):
104
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, and
Yoediono
Z.
. “
Prospective Care: A Personalized, Preventative Approach to Medicine
.”
Pharmacogenomics
7
(
2006
):
5
–
9
.
Google Scholar
Crossref
Search ADS
PubMed
 
Snyderman
,
R.
, and
Yoediono
Z.
. “
Prospective Health and the Role of Academic Medicine: Lead, Follow or Get Out of the Way
.”
Academic Medicine
83
(
2008
):
707
–
14
.
Google Scholar
Crossref
Search ADS
PubMed
 
Yoediono
,
Z.
, and
Snyderman
R.
. “
Proposal for a New Health Record to Support Personalized, Predictive, Preventative, and Participatory Medicine
.”
Personalized Medicine
5
(
2008
):
47
–
54
.
Google Scholar
Crossref
Search ADS
PubMed
 
Chapter 15. Reputation and Crisis
“
Anatomy of a Mistake: The Tragic Death of Jesica Santillan
.”
http://www.cbsnews.com/news/anatomy-of-a-mistake-16-03-2003/
.
“
A Week in the Life of a Hospital: On the Front Lines of the War between Money and Medicine?
”
Time
,
October
12
,
1998
.
“
Discovery Channel Series Features Duke Doctors and Patients
.”
Chronicle
,
September
2000
.
http://beta.dukechronicle.com/articles/2000/09/20/discovery-channel-series-features-duke-doctors-and-patients
.
“
Government Halts Duke’s Human Research
.”
Chronicle
,
May
19
,
1999
.
http://beta.dukechronicle.com/articles/1999/05/20/government-halts-dukes-human-research
.
“
Snyderman Defends Hospital
.”
Chronicle
,
February
25
,
2003
.
http://www.dukechronicle.com/articles/2003/02/26/snyderman-defends-hospital#.VYsJt_lViko
.
“
US Halts Human Research at Duke
.”
Washington Post
,
May
12
,
1999
,
A1
.
http://www.washingtonpost.com/wp-srv/national/daily/may99/duke12.htm
.
“
What They Said: Statements on Jesica Santillan
.”
Duke Today
,
February
22
,
2003
.
https://today.duke.edu/2003/02/jesicaquotes0203.html
Chapter 16. Stepping Down and Lessons Learned
Sinek
,
Simon
.
Start with Why
.
New York
:
Penguin
,
2009
.
Google Scholar
 
PROCEEDINGS FROM THE PRIVATE (HEALTH) SECTOR CONFERENCE, 1994 TO 2003 (Available at Duke University Medical Center Library)
Snyderman
,
R.
,
Rogers
M.
, and
Saito
V.
, eds.
The Academic Health Center and Health Care Reform
New York
:
Raven Press
,
1994
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
The Academic Health Center in the 21st Century
.
Durham, NC
:
Duke University Medical Center and Health System
,
1995
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Academic Health Systems in Transition
.
Durham, NC
:
Duke University Medical Center and Health System
,
2000
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
The AHC Responds to Health Care Reform
.
Durham, NC
:
Duke University Medical Center and Health System
,
1996
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Beyond Managed Health Care: The Role of the Academic Health Center
.
Durham, NC
:
Duke University Medical Center and Health System
,
1997
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Enabling Prospective Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2002
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Integrating Health Care Delivery Systems
.
Durham, NC
:
Duke University Medical Center and Health System
,
1998
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Integrated Health Delivery Systems
.
Durham, NC
:
Duke University Medical Center and Health System
,
1999
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Prospective Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2003
.
Google Scholar
 
Snyderman
,
R.
, and
Saito
V.
, eds.
Rational Approaches to Quality: Affordable Health Care
.
Durham, NC
:
Duke University Medical Center and Health System
,
2001
.
Google Scholar
 

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