The President is the chief executive officer of the university and is responsible for visionary leadership of strategy and effective management of operations, including the academic, research, service, administrative, and auxiliary enterprises.

The Medical College of Georgia was chartered in 1828. Before 1950, the title of the chief administrator of the school was Dean. The first President of MCG was Dr. George Lombard Kelly in 1950. On July 1, 2010, Dr. Ricardo Azziz became the eighth President. The ninth president was elected On July 1 2015, Dr. Brooks Keel

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