Lawrence Chin, MD, FAANS, FACS got into medicine through a leap of faith. “It was really an uninformed decision,” he recalls, one that was more about instinct than planned preparation. Today, potential physicians have so much information about specialties and careers that they often decide not to take that leap. Thus, part of Dr. Chin’s job as a leader and mentor is to encourage others to follow their curiosities and passions without a full picture of what to expect.   In this Impactful Leaders Podcast episode, part of our Academic Medicine Dean Insights special series, Dr. Chin, Dean of the College of Medicine at SUNY Upstate Medical University, shares his journey from neurosurgery to academic leadership—and the lessons learned along the way—with WittKieffer's Valerie Weber, MD, herself a former dean. His story is one of curiosity, mentorship, and a deep commitment to institutional impact.  Reflecting on his early influences, Dr. Chin recalls, “I didn’t realize it at the time but my chair during residency was a mentor and a sponsor,” Dr. Chin recalls. “He was the kind of person I wanted to be, the doctor I wanted to be, the leader I wanted to be.” For deans and aspiring deans, his path offers insight into how formative relationships shape leadership identity.  Dr. Chin offers a candid look at the realities of leading in today’s academic medicine environment. From financial pressures and shifting public policy to the emotional demands of serving students, faculty, and health systems, he describes the dean’s role as “an extreme job.” His recent co-authored study on dean tenure reveals that most deans leave their roles within 3–4 years—often before a student completes their degree. “It can’t be good if you think stability plays any role in how a dean can be effective,” he says. “I don’t see how 3 to 4 years is ideal in any circumstance.”  Throughout the conversation, Dr. Chin shares his philosophy on aligning personal fulfillment with institutional mission. His approach centers on understanding what drives each member of the academic community and creating conditions for them to thrive—an essential mindset for deans shaping culture and strategy. For current and future deans, Dr. Chin’s reflections offer practical wisdom for navigating complexity with clarity, compassion, and purpose.