Saturday, December 15, 2007

Dean Kessler

Over the last 24 hours, there has been a flurry of talk about Dean Kessler. David Kessler is a remarkable figure. A pediatrician, lawyer, and administrator, he was FDA Commissioner for an impressive seven year tenure. He pushed for stronger regulation of big tobacco and food labels, cut the time needed to approve AIDS drugs, and increased the agency's efficiency. He then became the Dean of the Yale School of Medicine before coming to UCSF as Dean of Medicine.

His appointment as Dean of Medicine and Vice-Chancellor was terminated by the Chancellor J. Michael Bishop, an equally remarkable figure. I almost see this as a clash of two giants, an FDA commissioner and a Nobel Prize winner. The circumstances around this termination remain obscure and a source of rumor and gossip. Indeed, the Wikipedia page for David Kessler was updated with this news just hours after he sent out an email to the students. The situation seems to involve whistle-blowing and financial irregularities, but it's fairly complex; not only did Kessler initiate an allegation of inadequate financial controls, but an anonymous letter initiated an allegation that Kessler himself was involved in irresponsible spending. After investigation by the University auditor, neither of those allegations were substantiated.

The actual "firing" is fairly interesting. Apparently, the position of dean of the medical school is an "at-will appointment, meaning Dr. Kessler held the appointment at the pleasure of the chancellor" (UCSF Today). Evidently, this position is not protected from whistleblowing. It seems that he was offered a chance to resign and he declined, thus escalating into this termination.

I've heard Dr. Kessler speak on several occasions. He strikes me as a person who fights to the end for his principles, and will not back down until his ethical standards are met. I can't really say who is in the right here (or whether such a thing can be said), but in the capacity of dean, he has been great to us medical students, and I wish him the best of luck whatever happens next.

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