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Dr. Mary Ann Fuchs, DNP, RN, stepped down as Vice President of Patient Care and System Chief Nurse Executive for Duke University Health System, and the Associate Dean of Clinical Affairs for Duke University School of Nursing in 2022. During her 2 decades as a chief nursing leader for the Duke University Health System, Fuchs maintained and expanded Duke's reputation as a site for excellence in clinical care, patient experience, education, and research. Notably, she led successful efforts to achieve magnet designation for the health system from the American Nurses Credentialing Center. Among her many contributions to the field, she acts as Region 3 Director for the American Organization of Nurse Executives Board of Directors and serves on the Board of Trustees of the American Hospital Association. Fuchs was made a Fellow in the American Academy of Nursing in 2011. This collection contains 1 oral history interview conducted on October 31, 2022 by Josephine McRobbie. In the interview, Fuchs discusses her background and education; research and care at Duke Hospital; career paths for nurses, healthcare mentors, and colleagues; and the challenges of the COVID-19 pandemic. The themes of this interview include nursing, nursing education, and healthcare leadership.