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Published: 14 October 2016
DOI: 10.1215/9780822373933-003
EISBN: 978-0-8223-7393-3
... enterprise in which clinical practice, research, and medical education began to fuse. The leading site of this fusion was the American academic medical center, which began at such leading institutions as Johns Hopkins, Harvard, and the University of Pennsylvania. Duke University joined the trend in 1924...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... History of Medicine Pathophysiology Flexner Report Medical Education Academic medical centers ...
Published: 14 October 2016
DOI: 10.1215/9780822373933-004
EISBN: 978-0-8223-7393-3
... The Duke University Medical Center when Ralph Snyderman took over as Chancellor of Health Affairs in 1989 was a well-recognized academic medical center, a sprawling, complex, and large academic, clinical, and educational institution. But, like similar institutions with the development of managed...
Published: 14 October 2016
DOI: 10.1215/9780822373933-011
EISBN: 978-0-8223-7393-3
... One of the discrete institutional innovations of Dr. Snyderman’s tenure as Chancellor was the creation of the Duke Clinical Research Institute (DCRI). Looked down upon by top-tier medical schools and academic medical centers, clinical research and trials nevertheless seemed to Dr. Snyderman...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... of 1910, which facilitated the transformation of medicine into a science-based enterprise in which clinical practice, research, and medical education began to fuse. The leading site of this fusion was the American academic medical center, which began at such leading institutions as Johns Hopkins, Harvard...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... Genentech Inc. Duke University Medical Center Leadership in academic medicine Integrative Medicine Personalized Medicine ...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
DOI: 10.1215/9780822373933-001
EISBN: 978-0-8223-7393-3
... perspective on leadership principles. Genentech Inc. Duke University Medical Center Leadership in academic medicine Integrative Medicine Personalized Medicine ...
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... and academic medical centers, clinical research and trials nevertheless seemed to Dr. Snyderman an inherently important function of academic medicine and one bound to grow in importance and prestige. This prediction proved true as Duke became the leader in academic clinical research and garnered multiple NIH...
Published: 14 October 2016
DOI: 10.1215/9780822373933-005
EISBN: 978-0-8223-7393-3
... Dr. Snyderman describes his view of the operation of the medical center when he arrived in 1989 and his establishment of plans to maintain and enhance the functions of the institution. He learns the details of all the departmental structure, operating units, develops strategic planning...
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
...Relationships, Leadership, and Lessons Dr. Snyderman did not initially look forward to asking others for money on behalf of Duke medical center, but fund raising came with the job, and so he determined to do his best. He soon came to realize that philanthropy is about establishing...
Published: 14 October 2016
DOI: 10.1215/9780822373933-016
EISBN: 978-0-8223-7393-3
... Leading a major institution like the Duke University Medical Center and Health System necessarily involved both communication and reputational issues both within and beyond the institution. Under his tenure, Duke rose to be perceived as among the most innovative medical institutions...
Published: 14 October 2016
DOI: 10.1215/9780822373933-006
EISBN: 978-0-8223-7393-3
... 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...
Published: 14 October 2016
DOI: 10.1215/9780822373933-007
EISBN: 978-0-8223-7393-3
... a comprehensive analysis of threats and opportunities in all areas of the medical center, identified investment opportunities, set performance expectations, and developed resource priorities that transcended the interest of any single department or entity within the institution. Dr. Snyderman became increasingly...
Published: 14 October 2016
DOI: 10.1215/9780822373933-009
EISBN: 978-0-8223-7393-3
..., racial and gender equity were identified and addressed. The concept and eventual implementation of Duke University Health System was the center of a coherent approach for clinical operations. DUHS expanded the medical center to include regional hospital and physician networks thereby creating...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... Duke University Medical Center Lessons Learned ...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... Genentech Inc. Biomedical Research Education Clinical Care Duke University Medical Center Organization ...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
EISBN: 978-0-8223-7393-3
... Strategic Planning Creating an institutional vision Duke Hospital Duke Medical Center operations Racial Inequities ...
Book Chapter

By Ralph Snyderman
Published: 14 October 2016
DOI: 10.1215/9780822373933-018
EISBN: 978-0-8223-7393-3
... Dr. Snyderman expresses his gratitude to Duke University for the opportunity to serve and to grow in his tenure as Chancellor of Health Affairs and shares two broad lessons learned from his journey. Duke University Medical Center Lessons Learned ...
Published: 14 October 2016
DOI: 10.1215/9780822373933-008
EISBN: 978-0-8223-7393-3
... The changes to the Duke University Medical Center launched during Dr. Snyderman’s first term as Chancellor, however necessary, generated much resistance from a key area with the Department of Medicine threatened by change. This resistance coalesced to make Dr. Snyderman’s reappointment...
Published: 14 October 2016
DOI: 10.1215/9780822373933-015
EISBN: 978-0-8223-7393-3
... Dr. Snyderman did not initially look forward to asking others for money on behalf of Duke medical center, but fund raising came with the job, and so he determined to do his best. He soon came to realize that philanthropy is about establishing and nurturing mutually beneficial relationships...