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Alpha Omega Alpha Honor Medical Society Spring 2019

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Alpha Omega Alpha Honor Medical Society Spring 2019 Alpha Omega Alpha Honor Medical Society Spring 2019 Joseph W. Stubbs, MD, MACP Illustration by Claire Gilmore THE PHAROS of Alpha Omega Alpha honor medical society spring 2019 Alpha Omega Alpha Honor Medical Society “Be Worthy to Serve the Suffering” Founded by William W. Root in 1902 Officers and Directors at Large Editor Richard L. Byyny, MD, FACP Alan G. Robinson, MD Managing Editor Dee Martinez President Los Angeles, California Art Director and Illustrator Jim M’Guinness Sheryl Pfeil, MD Designer Laurie Goss President Elect Columbus, Ohio Eve Higginbotham, SM, MD Editorial Board Immediate Past President Philadelphia, Pennsylvania Jeremiah A. Barondess, MD Faith T. Fitzgerald, MD Kenneth M. Ludmerer, MD Columbia Univ Mallman School Univ of CA, Davis, Hospital Washington Univ SOM in St. Wiley Souba, Jr., MD, ScD, MBA of Pub Hlth; Weill Cornell Med and SOM Louis Secretary-Treasurer College Lester D. Friedman, PhD C. Ronald Mackenzie, MD Hanover, New Hampshire David A. Bennahum, MD Hobart and William Smith Colleges Universal Notes: Lynn M. Cleary, MD Univ of New Mexico SOM James G. Gamble, MD, PhD MedCouragement Syracuse, NY John A. Benson, Jr., MD Stanford Univ Hosp & Clinics; Philip A. Mackowiak, MD Holly J. Humphrey, MD Oregon Health & Sci Univ; Univ of Packard’s Children’s Hosp at Univ of Maryland SOM Chicago, Illinois Nebraska Med Ctr; and Amer Bd Stanford Ashley Mann, MD Richard B. Gunderman, MD, PhD of Internal Med Michael J. Gerber, MD Univ of Kansas Indianapolis, Indiana Denver, Colorado Jonathan F. Borus, MD J. Joseph Marr, MD Joseph W. Stubbs, MD, MACP Harvard Medical School; Dean G. Gianakos, MD Broomfield, Colorado Albany, Georgia Brigham and Women’s Hosp Centura Health Aaron McGuffin, MD John Tooker, MD, MBA Richard Bronson, MD Jean D. Gray, MD King’s Daughters Med Ctr Philadelphia, Pennsylvania Stony Brook Univ Med Ctr Dalhousie Univ Stephen J. McPhee, MD Steven A. Wartman, MD, PhD John C.M. Brust, MD Richard B. Gunderman, MD, PhD Univ of CA, San Francisco Washington, DC Columbia Univ College of Indiana Univ Physicians & Surgeons Janice Townley Moore Lara Hazelton, MD Young Harris College Medical Organization Director Charles S. Bryan, MD Dalhousie Univ Univ of South Carolina Francis A. Neelon, MD Atul Grover, MD David B. Hellmann, MD Duke Univ SOM; Duke Association of American Medical Colleges Lynn M. Cleary, MD Johns Hopkins Univ SOM; Johns Regional Hospital Washington, DC SUNY Upstate Hopkins Bayview Med Ctr Fredric L. Coe, MD Douglas S. Paauw, MD, MACP Pascal J. Imperato, MD, MPH&TM Univ of Washington Councilor Directors Univ of Chicago SUNY Downstate Med Ctr John S. Sergent, MD J. Mark Kinzie, MD Jack Coulehan, MD Therese Jones, PhD Oregon Health and Science University School Stony Brook Univ Med Ctr Vanderbilt Univ SOM Univ of Colorado of Medicine Audrey Shafer, MD Gregory Davis, MD Henry Langhorne, MD Jill Omori, MD Univ of Kentucky College of Med Stanford Univ SOM Pensacola, Florida University of Hawaii John A. Burns School of Jan van Eys, PhD, MD Lawrence L. Faltz, MD Jenna Le, MD Medicine Phelps Hospital/Northwell Vanderbilt Univ SOM Geisel SOM at Dartmouth Kathleen F. Ryan, MD Health; Zucker SOM at Hofstra/ Abraham Verghese, MD, DSc (Hon.) Northwell Michael D. Lockshin, MD Stanford Univ Medical School Drexel University School of Medicine Weill Cornell Medicine Joseph J. Fins, MD, MACP, FRCP Steven A. Wartman, MD, PhD Coordinator, Residency Initiatives Weill Cornell Med College; Jerome Lowenstein, MD Assn of Academic Health Ctrs NY Presbyterian Hosp Weill New York Univ SOM Suzann Pershing, MD Gerald Weissmann, MD Cornell Med Ctr; Weill Cornell Stanford University New York Univ SOM and Rockefeller Univ; Yale Law School Student Directors Sean Christensen, MD www.alphaomegaalpha.org University of South Carolina School of Medicine Samantha Dizon, MD University of Maryland School of Medicine Manuscripts being prepared for The Pharos should be typed double-spaced and conform to the format outlined Dagoberto Estevez-Ordoñiez, MD in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org/contributors.html. Vanderbilt University Editorial material should be sent to Richard L. Byyny, MD, FACP, Editor, The Pharos, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045. E-mail: [email protected]. Administrative Office Requests for reprints of individual articles should be forwarded directly to the authors. Richard L. Byyny, MD, FACP The Pharos of Alpha Omega Alpha Honor Medical Society (ISSN 0031-7179) is published quarterly by Alpha Executive Director Omega Alpha Honor Medical Society, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045, and printed by The Aurora, Colorado Ovid Bell Press, Inc., Fulton, Missouri 65251. Periodicals postage paid at the post office at Aurora, Colorado, and at additional mailing offices. Copyright © 2019, by Alpha Omega Alpha Honor Medical Society. The contents 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045 of The Pharos can only be reproduced with the written permission of the editor or managing editor. (ISSN 0031- Telephone: (720) 859-4149 7179). E-mail: [email protected] Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All correspondence relating to circulation should be directed to Ms. Dee Martinez, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045. E-mail: [email protected]. POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045. 2 Editorial I Private Practice: The backbone of community health care Joseph W. Stubbs, MD, MACP; introduction by Richard L. Byyny, MD, FACP 8 Now cancer is in the room Debra Kiva 9 Carlos Montezuma, MD: A Yavapai American hero Leon Speroff, MD 17 Follow your gut: The illustrious career of John G. Bartlett, MD Petros C. Karakousis, MD 24 Wisdom stories for medical students on graduation day: A gift from alumni Daniel R. Lucey, MD, MPH, and Joseph F. O’Donnell, MD 27 Peacocks and the Red Wolf Katherine C. Silver, MD, MSCR, and Richard M. Silver, MD, MACR 33 Improving rural health and health care through medical education: The Maine Track Peter W. Bates, MD, and John Tooker, MD, MBA 41 Frostbite Joel Savishinsky, PhD 42 Are we teaching our students to think? Guido Santacana-Laffitte, MD pring 2019 46 In reflection: A shared experience of cancer and womanhood S • Anne Knisely, MD 50 Reflections 53 Letters to the Editor 54 First beads of daylight Nathaniel J. Brown, MD, PhD olume 82 Number 2 Number 82 olume V 55 Book reviews • 57 Medicine on the big and small screen 60 2018 Honor Roll of Donors The Pharos Inside IN THIS ISSUE back National and Chapter news cover Private Practice: The backbone of community health care The Root residence in Slaterville Springs, New York, where Dr. William Root, founder of AΩA, and his wife, Anna, raised their four children, ran his private practice, and housed the AΩA national office. His medical practice was in one of the back rooms. Joseph W. Stubbs, MD, MACP; introduction by Richard L. Byyny, MD, FACP Dr. Stubbs (AΩA, Emory University, 1978) is President Alpha Omega Alpha Honor Medical Society (AΩA) of Albany Internal Medicine, LLC, a private practice in was founded by a group of medical students 117 years ago. Albany, Georgia. Since then, medical education and the practice of medi- cine have drastically changed. In 1902, most medical schools were proprietary with Introduction variable quality curricula that included apprenticeship by Richard L. Byyny, MD, FACP training by fellow physicians. Farming was the major in- dustry, and production was increasing with the Industrial Revolution. Health care was unstructured, and doctors “Medicine is always the child of its time and cannot escape primarily worked as the only physician in a community, being influenced and shaped by contemporary ideas and hanging out a shingle for a private practice run out of their social trends.” home. Payment was fee-for-service, doctors often bartering — G. Gayle Stephens, MD1 with patients and accepting goods and services—chickens, pies, and other fair trades—in exchange for care. 2 The Pharos/Spring 2019 William Root, MD, the physician credited with estab- practice ownership was no longer the majority. According lishing AΩA, was a community physician who for several to data from that year’s survey, only 47.1 percent of physi- decades cared for the people of Slaterville Springs, New cians were practice owners, of which 27.9 percent were York, and surrounding communities. under the age of 40, and 36.6 percent were females with Medical residency training in hospitals began in the some ownership stake.3 late 19th century to provide more experiential education The report indicated, “most physicians—55.8 percent and training with increasing responsibilities for physicians. in 2016—continue to work in practices that are wholly Residencies in medicine became structured and institu- owned by physicians.” 3 The report also showed that 13.8 tionalized for the principal specialties in the early 20th percent of physician work at practices with more than 50 century, but even by mid-century only a minority of physi- physicians; however the majority, 57.8 percent, practice cians participated. After World War I, the medical doctor in offices with 10 or fewer physicians. The most common degree was given upon graduation from medical school, practice type is the single specialty group. but the license to practice was administered by each state Multispecialty group practices are more likely to be board. Doctors-in-training became known as interns. By wholly or partially hospital owned. The number of phy- the mid-1920s the internship had become required of all sicians working in practices owned by a hospital or in- United States medical graduates to get a medical license.
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