{"id":684142,"date":"2025-11-20T14:18:50","date_gmt":"2025-11-20T19:18:50","guid":{"rendered":"https:\/\/www.rochester.edu\/newscenter\/?p=684142"},"modified":"2026-06-15T14:10:52","modified_gmt":"2026-06-15T18:10:52","slug":"leadership-conversation-david-linehan-684142","status":"publish","type":"post","link":"https:\/\/www.rochester.edu\/newscenter\/leadership-conversation-david-linehan-684142\/","title":{"rendered":"URochester Medicine\u2019s next era will be driven by innovation and collaboration"},"content":{"rendered":"<h2>Medical Center CEO David Linehan talks about his vision for care delivery, research and education in an evolving academic health system.<\/h2>\n<figure id=\"attachment_666792\" aria-describedby=\"caption-attachment-666792\" style=\"width: 419px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-666792 size-medium\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2025\/09\/david-linehan-419x630.jpg\" alt=\"David C. Linehan, M.D. University of Rochester, Senior Vice President for Health Sciences, CEO of the Medical Center, and Dean of the School of Medicine and Dentistry\" width=\"419\" height=\"630\" srcset=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2025\/09\/david-linehan-419x630.jpg 419w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2025\/09\/david-linehan-768x1153.jpg 768w, https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2025\/09\/david-linehan.jpg 799w\" sizes=\"auto, (max-width: 419px) 100vw, 419px\" \/><figcaption id=\"caption-attachment-666792\" class=\"wp-caption-text\">David Linehan (provided photo)<\/figcaption><\/figure>\n<p>David Linehan, the CEO of the <a href=\"https:\/\/www.urmc.rochester.edu\/smd\">Medical Center<\/a>, dean of the <a href=\"https:\/\/www.urmc.rochester.edu\/smd\">School of Medicine &amp; Dentistry<\/a>, and senior vice president for health sciences at the <a href=\"https:\/\/www.rochester.edu\/\">University of Rochester<\/a>, is frequently asked how he chose a career in medicine. It\u2019s not something he\u2019s always known (he swears some doctors knew in kindergarten), and he never had some cosmic epiphany. Instead, his decision was steadily shaped by family, school, and Alan Alda.<\/p>\n<p>Linehan received his first doses of healthcare from his mother; she ran a rehabilitation clinic for men addicted to drugs and alcohol, and sometimes\u2014because she was a single parent without alternatives\u2014she brought her son to work. Later, as a high school senior, Linehan had the opportunity to do community service in a small community hospital outside of Boston. Although he was able to see many parts of the hospital, his love of the television war dramedy <em>M*A*S*H <\/em>drew him to the fast-paced, teamwork-intensive environment of the operating room. The combination of these influences\u2014and 13 years of medical training\u2014set Linehan on a course to become an internationally renowned surgical oncologist.<\/p>\n<p>Before Linehan stepped in to lead the Medical Center in February 2024, he spent a decade as chair of the <a href=\"https:\/\/www.urmc.rochester.edu\/surgery\">Department of Surgery<\/a>, specializing in the treatment of cancers and benign conditions of the liver, pancreas, gallbladder, and bile ducts. So, when he sat with more than 400 URochester faculty and staff in a <a href=\"https:\/\/www.rochester.edu\/newscenter\/leadership-conversations\/\">Leadership Conversations<\/a> webinar, it was only natural for someone to ask, \u201cDo you still operate?\u201d<\/p>\n<p>He doesn\u2019t.<\/p>\n<p>Linehan explained that stepping away from the OR was the hardest part of assuming his current role because he loves being a surgeon. \u201cI came to the conclusion that pancreatic and liver surgery aren\u2019t the kinds of things you dabble in,\u201d he said. \u201cIt\u2019s not fair to the patients.\u201d<\/p>\n<p>But he still sees patients and believes maintaining a presence in the clinical world is important for understanding the current challenges care providers face.<\/p>\n<p>The rest of Linehan\u2019s conversation with Joe Testani, the deputy to President Sarah Mangelsdorf, covered a range of issues around his vision for care delivery, research, and education.<\/p>\n<p>Here are five takeaways.<\/p>\n<h3><strong>Resilience still needs support.<\/strong><\/h3>\n<p>Recent reports from the <a href=\"https:\/\/www.aamc.org\/advocacy-policy\/addressing-physician-workforce-shortage\">Association of American Medical Colleges<\/a>, <a href=\"https:\/\/www.aha.org\/aha-center-health-innovation-market-scan\/2024-09-10-5-health-care-workforce-shortage-takeaways-2028\">American Hospital Association<\/a>, and the <a href=\"https:\/\/bhw.hrsa.gov\/sites\/default\/files\/bureau-health-workforce\/state-of-the-health-workforce-report-2024.pdf\">Health Resources and Services Administration<\/a> project severe workforce shortfalls across American health systems during the next 10 years. It\u2019s a scary forecast, but Linehan offered reasons to think UR Medicine will weather whatever lies ahead.<\/p>\n<p>Like all other health systems, UR Medicine had the COVID-19 pandemic as a teacher. As tough as that period was, the real strain came after. Burnout was (and still is) real, and it frequently led to turnover. At one point, up to 30 percent of nurses in UR Medicine facilities were temporary or contract staff, creating a dynamic that drained morale. However, Linehan emphasized the staff was (and still is) incredibly resilient and united in their commitment to the people they serve.<\/p>\n<blockquote><p>\u201cA resilient workforce that feels well-supported is key to achieving our vision.\u201d<\/p><\/blockquote>\n<p>Since the pandemic, UR Medicine has turned the tide through a renewed focus on recruitment and retention. Additionally, Linehan highlighted the Medical Center\u2019s <a href=\"https:\/\/www.urmc.rochester.edu\/news\/story\/urmc-appoints-dynamic-wellbeing-leadership-team\">Wellbeing Leadership Team<\/a>, which is delving beneath surface-level pain points to address systemic issues. The goal is to make the work easier. As an example, Linehan offered the implementation of ambient documentation. It\u2019s an AI-based tool that automates note-taking, allowing physicians to spend less time with paperwork and more time with patients.<\/p>\n<p>Linehan underscored the importance of every employee knowing that, no matter their role, they contribute to the level of care UR Medicine provides. When he says, \u201ceveryone is a caregiver,\u201d he means it.<\/p>\n<h3><strong>Expect to see new training programs, more integration, and AI.<\/strong><\/h3>\n<p>To continuously improve care through research and innovation, as the Medical Center aims to do, Linehan is thinking about where healthcare is headed over the next 10 years and how URochester can expand its educational footprint to meet it.<\/p>\n<p>Linehan sees a future where the ways we train caregivers will be transformed by artificial intelligence, virtual reality, and competency-based education models that value mastery over time to accelerate training. In the short term, the Medical Center will offer new programs, such as a doctorate in physical therapy and a new certified registered nurse anesthetist as well as additional training pathways for radiology and pathology technologists. Linehan emphasized that education isn\u2019t just for those designated as students.<\/p>\n<blockquote><p>\u201cEveryone in our workforce is getting educated every day, me included. We want people to come here, learn, and advance their careers. That\u2019s a good way to retain people.\u201d<\/p><\/blockquote>\n<p>In general, Linehan wants to see the Medical Center take greater advantage of being an academic medical center. Translating science into clinical care should become routine, and it should start in the Medical Center\u2019s education programs. The integration of AI could change a lot of this. We\u2019re already in a time where care can be delivered semi-autonomously, and we\u2019re heading toward automation. Linehan is thinking of AI as a tool that caregivers use, rather than a caregiver-replacement, citing the use of <a href=\"https:\/\/www.rochester.edu\/newscenter\/dr-chat-bot-covid-19-screenings-expanding-to-non-medical-center-employees-students-437752\/\">\u201cDoctor Chat Bot\u201d<\/a> during the pandemic. It\u2019s a simple example, but an early indicator that AI will fundamentally change how medicine is practiced. Linehan wants the Medical Center to be at the forefront of that shift.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Medical Center CEO talks resilience, research, and the future of healthcare at the University of Rochester.<\/p>\n","protected":false},"author":1152,"featured_media":684332,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[42482,42132,42492],"class_list":["post-684142","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-university-news","tag-david-linehan","tag-leadership-conversations","tag-medical-center"],"acf":{"external":"","hide_featured_image":true,"related":"show_related","style":"","content_modules":[{"acf_fc_layout":"media_text_new","anchor":"","class":"","overline":"","title":"<h4><strong>Spend the day with David Linehan<\/strong><\/h4>","content":"\u201cOne of the nice things about this position is that I can have an impact on a much bigger scale.\u201d\r\n\r\nFrom high-stakes meetings to quiet reflection (with Hazel the dog making a cameo), follow along with David Linehan to learn what fuels a URochester leader at the helm of healthcare innovation.","cta":"","bg":"#252525","type":"embed","image":"","embed":"https:\/\/www.youtube.com\/watch?v=xLgpqelZfOg","video":"","layout":"right","animation":"animation-false"},{"acf_fc_layout":"text","anchor":"","css_class":"","title":"<h3><strong>Despite turbulent times, research remains a top priority.<\/strong><\/h3>","content":"The country is emerging from the <a href=\"https:\/\/www.rochester.edu\/newscenter\/leadership-conversation-joshua-farrelman-675102\/\">longest federal shutdown in history<\/a>, and the federal policy landscape has never been less predictable. And when legislation removes $1 trillion from the healthcare ecosystem, things aren\u2019t going to get easier. Still, in a time of big challenges and constant uncertainty, the Medical Center\u2019s commitment to research is non-negotiable.\r\n<blockquote>\u201cWe take care of the patients in our community and train the region\u2019s workforce, but the research we do can change the world.\u201d<\/blockquote>\r\nLinehan highlighted the Medical Center\u2019s unique advantage: it\u2019s part of a world-class research-intensive university. Collaboration between clinicians and basic and translational scientists has the potential to produce \u201cmagic\u201d in the form of bench-to-bedside innovation. In addition to the healthcare benefits, a commitment to discovery makes it easier for the Medical Center to recruit top faculty, keeping it highly competitive.\r\n\r\nThe Medical Center\u2019s unwillingness to take its foot off the gas in terms of research has meant being more strategic about where it invests resources, leaning into strengths such as <a href=\"https:\/\/www.urmc.rochester.edu\/rna-biology\">RNA biology<\/a>, <a href=\"https:\/\/www.urmc.rochester.edu\/del-monte-neuroscience\">neuroscience<\/a>, and <a href=\"https:\/\/www.urmc.rochester.edu\/cancer-institute\/about-us\/nci-designation\">cancer<\/a>. Linehan also noted the recent bet it made on microbiology and immunology by bringing in Tanya Mayadas as the <a href=\"https:\/\/www.urmc.rochester.edu\/news\/story\/tanya-mayadas-appointed-chair-of-microbiology-immunology-and-inaugural-director-of-new-institute\">inaugural director of the Institute for Immunological Sciences<\/a>.\r\n<blockquote>\u201cI\u2019ve worked in a lot of major academic medical centers, but the spirit of collaboration here is very strong.\u201d<\/blockquote>\r\nIt\u2019s easier to invest and make bets when you have great partners. Linehan praised the University\u2019s <a href=\"https:\/\/www.ogcr.rochester.edu\/\">government relations team<\/a>, whose advocacy helped the the Medical Center avoid major cuts to its research portfolio. While he cautioned that additional research funding and staffing (H\u20131B visas) disruptions could still lie ahead, he emphasized the importance of not getting distracted and staying focused on the mission.\r\n<h3><strong>There\u2019s strength in connections.<\/strong><\/h3>\r\nOver the past decade, what started as a couple of community hospitals\u2014<a href=\"https:\/\/www.urmc.rochester.edu\/strong-memorial.aspx\">Strong Memorial<\/a> and\u00a0<a href=\"https:\/\/www.urmc.rochester.edu\/highland.aspx\">Highland<\/a>\u2014has grown into the clinical enterprise UR Medicine, consisting of another six hospitals located throughout the Finger Lakes and Southern Tier regions (<a href=\"https:\/\/www.thompsonhealth.com\/\">F. F. Thompson<\/a>,\u00a0<a href=\"https:\/\/www.urmc.rochester.edu\/noyes.aspx\">Noyes Memorial<\/a>,\u00a0<a href=\"https:\/\/www.urmc.rochester.edu\/jones-memorial-hospital.aspx\">Jones Memorial<\/a>,\u00a0<a href=\"https:\/\/www.urmc.rochester.edu\/st-james.aspx\">St. James<\/a>,\u00a0<a href=\"https:\/\/www.flhealth.org\/services\/inpatient-care\/geneva-general-hospital\">Geneva General<\/a>, and\u00a0<a href=\"https:\/\/www.flhealth.org\/services\/inpatient-care\/soldiers-sailors-memorial-hospital\">Soldiers &amp; Sailors Memorial<\/a>) as well as a medical faculty group, extensive outpatient services, long-term care facilities, home care, and <a href=\"https:\/\/www.urmc.rochester.edu\/locations\/eastman-dental-smh\">Eastman Dental<\/a>. As the network\u2019s flagship teaching hospital, Strong encompasses <a href=\"https:\/\/www.urmc.rochester.edu\/childrens-hospital.aspx\">Golisano Children\u2019s Hospital<\/a>,\u00a0<a href=\"https:\/\/www.urmc.rochester.edu\/cancer-institute\">Wilmot Cancer Institute<\/a>, <a href=\"https:\/\/www.urmc.rochester.edu\/eye-institute\">Flaum Eye Institute<\/a>, and <a href=\"https:\/\/www.urmc.rochester.edu\/locations\/strong-west\">Strong West<\/a>.\r\n\r\nOn top of that, the <a href=\"https:\/\/ahpnetwork.com\/\">Accountable Health Partners<\/a>\u2014a large network of physicians, hospitals, and other care providers that work together to maximize outcomes and minimize costs\u2014has enabled UR Medicine to coordinate high-quality care across a broad region.\r\n\r\nLinehan explained that this extensive network has helped provide relief to Strong Memorial and Highland, where patient demand often exceeds licensed capacity. The collaboration with affiliate hospitals allows UR Medicine to \u201cuse the whole chessboard,\u201d caring for more patients closer to where they live, while reserving tertiary services for those who need them most.\r\n\r\nThe \u201cwhole chessboard\u201d approach not only positions UR Medicine for the national shift toward\u00a0value-based care, but it also positions it to address persistent gaps in health across the region. Linehan lauded the relationships between UR Medicine and its community partners.\r\n<blockquote>\u201cThe great work that goes on in our community around healthcare and keeping people healthier never ceases to amaze me. When I think of community engagement, I think about our challenge to address health inequities.\u201d<\/blockquote>\r\nWith federal policy shifts threatening Medicaid and other safety-net programs, UR Medicine has joined local leaders in helping residents maintain coverage and care. Linehan underscored the regional collaborations focused on preventing coverage losses, particularly in rural communities, where counties have limited resources for outreach and enrollment.\r\n<h3><strong>Stewardship &gt; austerity<\/strong><\/h3>\r\nFinancial strain has pushed health systems to make hard choices, leading to mass layoffs. UR Medicine has avoided that through financial sustainability planning and vacancy management. It\u2019s a current point of pride for Linehan, who is committed to shielding employees from the effects of the current climate. But he acknowledged this isn\u2019t a forever state; layoffs could happen.\r\n\r\nTo further protect employees, the UR Medicine team is pursuing opportunities to \u201cbend the cost curve.\u201d\r\n\r\n\u201cWe spend twice as much of our GDP on healthcare as other developed countries, and our outcomes aren\u2019t better. There\u2019s definitely an opportunity to decrease the total cost of care while maintaining the highest quality and safety.\u201d\r\n\r\nAccess to care is a critical piece of that strategy. If patients can\u2019t reach the care providers they need, then UR Medicine can\u2019t serve its community\u2014or sustain its finances. The system is working to address this by hiring new providers, optimizing the roles of advanced practice providers, and improving scheduling and capacity management.\r\n\r\nTo minimize expenses, the system has engaged in good, old-fashioned belt-tightening. More innovative solutions have come from frontline staff, who proposed more cost-effective practices. Beyond cost-cutting, UR Medicine is seeking revenue sources that reduce the system\u2019s dependence on federal funds, such as private foundations and state grants. Linehan assured that financial sustainability is being looked at from every angle, every day.\r\n\r\n\u201cMy goal is not to shrink to greatness,\u201d Linehan said. \u201cIt\u2019s to grow smart\u2014enhance revenue and decrease costs so that at the end of the day, the outcomes are just as good, if not better. And I think we can do that.\u201d","background_color":"#ffffff","width":"width-medium"},{"acf_fc_layout":"card_grid","anchor":"","css_class":"","title":"","description":"","background_color":"#FFFFFF","width":"width-medium","columns":"1","cards":[{"card_title":"<h5><strong>Leadership conversations<\/strong><\/h5>","card_text":"The University of Rochester is committed to transparency and consistent communication on matters that affect our mission, vision, or values\u2014and how we are responding to them. This recap is part of a series where University leaders share their perspectives and insights on institutional priorities and challenges, the state of higher education and healthcare, and other broad-scale topics.\r\n<p class=\"card_cta\">What they\u2019re saying<\/p>","card_background_color":"#00205b","card_hover_color":"#283faf","card_link":{"title":"","url":"https:\/\/www.rochester.edu\/newscenter\/leadership-conversations\/","target":""},"card_hover_arrow":"","card_image":664392,"card_image_size":"image_thumbnail","card_image_placement":"image_left","card_image_hover_state":"hover_fade","card_image_link":""}]}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>URochester Medicine\u2019s next era will be driven by innovation and collaboration<\/title>\n<meta name=\"description\" content=\"The Medical Center CEO talks resilience, research, and the future of healthcare at the University of Rochester.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rochester.edu\/newscenter\/leadership-conversation-david-linehan-684142\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"URochester Medicine\u2019s next era will be driven by innovation and collaboration\" \/>\n<meta property=\"og:description\" content=\"The Medical Center CEO talks resilience, research, and the future of healthcare at the University of Rochester.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rochester.edu\/newscenter\/leadership-conversation-david-linehan-684142\/\" \/>\n<meta property=\"og:site_name\" content=\"News Center\" \/>\n<meta property=\"article:published_time\" content=\"2025-11-20T19:18:50+00:00\" \/>\n<meta property=\"article:modified_time\" 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