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Leading from Behind: The Art of Empowering the FDA
Successfully navigating the complex world of medical product regulation requires a unique leadership approach. It’s not about being the loudest voice, but about ensuring the right voices – those of the agency’s dedicated scientists and experts - are heard. You might be surprised to learn that sometimes, the most effective leadership means intentionally stepping back from the spotlight.
This philosophy has been a guiding principle throughout my career, and it’s especially crucial in my role overseeing the Center for Biologics Evaluation and Research (CBER) at the food and Drug Management. it’s a obligation I take incredibly seriously.
The Challenge of Visibility
Recently, there’s been discussion about the importance of letting the FDA’s work speak for itself. It’s a conversation I welcome, and one that resonates deeply with my own beliefs.You see,public trust in scientific institutions is paramount. However, that trust is best built not through individual personalities, but through consistent, transparent, and rigorous scientific evaluation.
The temptation to become the public face of complex issues is understandable. But it can inadvertently detract from the core mission: protecting and promoting public health. When the focus shifts to who is saying somthing, rather than what is being said, something vital is lost.
A History of this Advice
This isn’t a new concept for me. Early in my tenure, the need for this approach was highlighted.The core message was clear: my role is to empower the incredible team at CBER,not to overshadow them. It was a valuable lesson, and one I’ve carried with me.
Why “Fading Back” Matters
Let’s break down why this approach is so critical:
Strengthens Institutional Authority: When decisions are presented as the product of the FDA’s collective expertise, it reinforces the agency’s authority as a whole.
Promotes Scientific Integrity: Focusing on the science, rather than the spokesperson, minimizes the potential for personal bias to be perceived.
Builds Public Confidence: Clarity and a commitment to evidence-based decision-making are key to earning and maintaining public trust.
Empowers the Team: It allows the brilliant scientists and researchers within CBER to share their knowledge and insights directly, fostering a culture of innovation and collaboration.
* Reduces Personal Attacks: A lower public profile can shield the agency and its staff from unnecessary scrutiny and personal attacks, allowing them to focus on their critical work.
What This Looks Like in Practice
So, what does this “leading from behind” look like in practice? It means:
- Prioritizing Expert Voices: Actively seeking opportunities for CBER’s scientists to present their findings directly to the public and policymakers.
- Championing Transparency: Ensuring that the FDA’s decision-making processes are clear, accessible, and based on sound scientific evidence.
- Focusing on Data: Emphasizing the data and analysis that underpin regulatory decisions, rather than personal opinions.
- Supporting Internal Dialog: Fostering a culture of open communication and collaboration within CBER, so that all voices are heard.
- Being a Facilitator: My role is to remove obstacles,secure resources,and create an surroundings where the FDA’s experts can thrive.
The Future of CBER
You can expect to see a continued emphasis on these principles at CBER. We are committed to delivering on our mission: ensuring the safety, efficacy, and availability of


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