The physician designated by the governing body, usually after nomination by the medical staff, to be responsible for management of the medical staff and for carrying out policy promulgated by the board. The term “chief of staff or “president of the medical staff” usually refers to an unpaid person, while a paid physician with either of these same duties is likely to be called the “medical director,” “vice president for medical affairs,” “director of medical affairs” (DMA), or some like title.