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During the lifetime of an institution, individual leaders become known for their special talents or accomplishments—especially those with long-term impact. Dr. Ray E. Trussell, who served as Director of the Columbia School of Public Health from 1955 to 1968 (the longest tenure of any of the School's leaders other than that of the founding director, Dr. Haven Emerson), was influential in building the School's substantial involvement in the analysis and management of city, state, and federal public health care delivery. The School's abiding interest in urban health care, manifested from its earliest days, experienced its first surge of growth in the area of health care policy during Dr. Trussell's administration. Today, city and state financial support for School of Public Health research and programs; a continuous stream of School graduates into agency positions; numerous joint appointments between the School and government; and educational programs for health department employees are the legacy of a partnership that took shape through the contributions of Trussell and his colleagues. The eventual connections between the Columbia School of Public Health and New York City and State were foreshadowed early in the School's history. Haven Emerson and his successor as director of the School, Harry Stoll Mustard, were New York City health commissioners, as was Ernest Stebbins, a Columbia professor of epidemiology. Willard Rappleye, who served as Dean of the Faculty of Medicine from 1931 to 1958, also served as Commissioner of Hospitals for New York City. In 1939, the then-Institute of Public Health and the City Department of Health entered into a partnership to combine the Institute offices and a district health center in one building. It was designed to bring together public health education with service delivery to the community. The proximity of service to education enhanced the Institute's capabilities in population-based research and teaching; the Health Department benefitted from access to new

New York Models in Medical Care: Research, Education, and Implementation at Columbia during the Trussell Years