What’s on my mind this month is the State of the School Address, which I delivered on September 25th. The theme of this year’s address was “Purposeful Actions, Promising Results: Relentlessly Advancing.” Considering the myriad challenges that we as an academic medical institution faced this year—from sequestration and reduced funding for research from the National Institutes for Health, to the Maryland Health Services Cost Review Commission voting against increased rates and forcing hospitals to absorb the 2% cut in Medicare reimbursement—we nevertheless made considerable progress, continued with our plans to support major capital projects, and launched our new plan Shared Vision 2020 for UM Medicine.