The American Austrian Foundation ...... edical In M st n it e u p t e O 1993 2013

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Medical Education Beyond Borders 2 Open Medical Institute ......

Table of Contents

FOREWORD 3 ambassador william vanden heuvel

A MARSHALL PLAN FOR MEDICINE 4 GEORGE SOROS WOLFGANG AULITZKY, M.D.

OPEN MEDICAL INSTITUTE 6 OMI SEMINARS – KNOWLEDGE TRANSFER 8 OMI OBSERVERSHIPS – EXPERIENCE EXCHANGE 10 OMI Distance learning – capacity building 12 20 years in pictures 14 MILESTONES 18 ACADEMIC PARTNERS 24 GOVERNANCE 28 awards 29 Open Medical Institute 30 NEW DEVELOPMENTS 31 the AMERICAN AUSTRIAN FOUNDATION 32 STIFTUNG of the AAF 33 ACKNOWLEDGEMENTS 34

Imprint: Publisher: The American Austrian Foundation, Inc. and the Salzburg Stiftung of the AAF Content: Katharine Eltz-Aulitzky Production: Rubik Creative Supervision Printed by: Gerin Druck © November 2013 ...... Open Medical Institute Foreword 3

location and inviting young, English-speaking physicians to participate in seminars conducted by doctors from then New York Hospital – Cornell Medical College.

Initially, seminars targeted the “major killers” – heart disease, stroke and infectious diseases. Each year new topics were added and today AAF and its academic partners conduct 38 seminars in Salzburg annually, covering all Ambassador William J. vanden Heuvel important areas of adult and pediatric medicine, as well as medical education, quality management and patient safety.

When The American Austrian Foundation (AAF) Seminar alumni have moved into leadership was founded in 1984 by a group of statesmen, positions and are designing their national businessmen and artists, including Secretary healthcare systems based on the models of State Cyrus Vance, Ambassador Milton introduced during their seminars. Faculty travel A. Wolf, John Leslie and Billy Wilder, no one to the region to visit hospitals and meet with expected that the Berlin Wall would be a thing physicians to determine how best to tailor the of the past by 1989. Thus, the AAF’s initial seminars to support local needs. mission was a bilateral one, to strengthen ties between and the United States. We believe that “medical diplomacy” will play a major role in promoting health and In the early 1990s, when it was evident that prosperity in the region. The American Austrian access to medical education and technologies Foundation is honored to have a significant was very limited in Austria’s neighboring role in the success of this program. countries to the East, the American Austrian

Foundation board members were persuaded ambassador william vanden heuvel that the AAF could play a role in improving Chairman, AAF; former United States Ambassador the situation, by using Austria as a neutral to the United Nations 4 A Marshall Plan for Medicine Open Medical Institute ......

A Marshall Plan for Medicine

Western, Central and Eastern Europe – even

the United States. After World War II, Austria

was able to rebuild its healthcare system

thanks to funding from the Marshall Plan and

prospered, but this was not the case in the

communist countries to the east of Austria.

George Soros In the early 1990s, after the fall of the Iron

Curtain, when Austria regained its historical

position as the gateway between East and

In the late 19th and early 20th centuries, the West, the Austrian Government matched

Vienna School of Medicine was renowned funds with the Open Society Institute

throughout the world, attracting students from (now Open Society Foundations) to support

...... a program for medical knowledge transfer An important body of evidence demonstrates that, over and experience exchange. A medical the long run, there is a positive association between Marshall Plan was born, organized by The economic prosperity and health of a population. American Austrian Foundation (AAF) and Health, Nutrition and Economic Prosperity: A Microeconomic Perspective initially conducted by doctors from Weill by Duncan Thomas, RAND and UCLA ...... Cornell Medical College and Austrian hospitals ...... Open Medical Institute A Marshall Plan for Medicine 5

fostering brain gain. The Viennese municipal

government provided additional funds for

observerships, which enabled two thousand

of these 15,000 doctors to spend one-month

observerships in Austrian hospitals, fostering

academic exchanges between individual

physicians and building professional networks

Wolfgang Aulitzky, M.D. between institutions.

Knowledge transfer and experience exchange who donated their time to teach colleagues are key to jump starting healthcare systems from countries in transition. in country in transition and we are committed

to expanding the Open Medical Institute to all

2013 marks the 20th anniversary of this parts of the world where help is needed. program, which over the past two decades has become the largest of its kind, training more than 15,000 physicians in week-long seminars at Schloss Arenberg in Salzburg, the majority George Soros of whom have remained in their countries, Wolfgang Aulitzky, M.D. 6 Open Medical Institute Open Medical Institute ......

Open Medical Institute

Open Medical Institute (OMI) is a global Nobel Laureate in chemistry states that all educational initiative founded in 1993 by successful scientists had at least one mentor physicians from Weill Cornell Medical and that most discoveries were made by a College, The Open Society Foundations and “scientific family”. The American Austrian Foundation to share medical knowledge with doctors and healthcare The OMI is run under the auspices of The providers from countries in transition to foster American Austrian Foundation and funded by their professional growth and prevent brain drain. The Austrian Federal Government, The Open Society Foundations, corporations, foundations Leading American and European institutions and individuals. including Weill Cornell Medical College and its affiliated hospitals (NewYork-Presbyterian OMI shares knowledge and experience, fosters Hospital, The Hospital for Special Surgery, friendships and alliances across borders, Memorial Sloan-Kettering Cancer Center and enabling physicians to improve their skills and Methodist Hospital Houston), The Children’s deliver the best possible care to their patients. Hospital of Philadelphia, Duke University Medical Center, Cleveland Clinic Foundation, ...... The College of Physicians and Surgeons • OPEN AND FREE ACCESS TO THE LATEST of Columbia University and the Medical MEDICAL INFORMATION AND RESEARCH Universities of Vienna, Graz, and • OPEN AND FREE ACCESS TO ADVANCED Salzburg provide the academic leadership for TRAINING AND TREATMENT PROTOCOLS the seminars, with all faculty members • OPEN ACCESS TO COLLEAGUES AND serving pro bono. PROFESSIONAL ORGANIZATIONS • OPEN AND FREE ACCESS TO THE BEST Faculty continue to mentor fellows after PREVENTIVE PRACTICES the conclusion of the seminar and such ...... mentoring has led to joint publications and research projects. Roger Y. Tsien, MEDICAL EDUCATION BEYOND BORDERS ...... Open Medical Institute Open Medical Institute 7

testimonials:

...... The Weill Cornell Seminars in Salzburg are an In 1994 we organized the first outpatient service for example of Weill Cornell at its best: education which family medicine based on what I learned in Salzburg. advances clinical care, and with an international Now the whole hospital works according to these reach. I am very proud of what we have accomplished guidelines and we have nine outpatient services for together in the past 20 years. 140,000 patients. Your seminars helped us alot and our services are much better now. Dr. Laurie H. Glimcher Stephen and Suzanne Weiss Dean Dr. Dzehemma Dzhafarova Weill Cornell Medical College Prince Leo Hospital, Lviv, Ukraine ...... The mission of Children’s Hospital of Philadelphia is The impact of the Weill Cornell Seminars in Salzburg to improve the health and wellbeing of children around has been significant in improving the level of medical the world. Our partnership with the AAF – OMI has care and education provided in many parts of the enabled us to move toward realizing that goal. We world, reaching out to over 15,000 doctors. applaud the work of the OMI and have valued our I have seen firsthand evidence of this with my own longstanding and productive relationship. international colleagues. Congratulations on your 20th anniversary. Sanford Weill Dr. Steven Altschuler Chairman Chief Executive Officer Weill Cornell Board of Overseers The Children’s Hospital of Philadelphia ...... The Salzburg Medical Seminars is the perfect format to This educational program not only changed my life, educate our colleagues from Eastern Europe on the concept it saved the lives of many of my newborn babies who and latest techniques of Multidisciplinary Cancer Care. otherwise would not have had a chance. It is also an example of “Medicine – the best diplomacy”,

Dr. Peter Krcho, PhD. bringing together physicians from at least 20–30 Head of the Neonatal Department different countries at each Seminar. Children’s Hospital of Kosice, Slovakia Dr. Thomas J. Fahey, Jr. Senior Vice President for Clinical Program Development, Emeritus Memorial Sloan-Kettering Cancer Center 8 OMI Seminars Open Medical Institute ......

www.aaf-online.org Schloss Arenberg & The Milton and Roslyn Wolf Park, Home of the OMI Seminars

OMI Seminars

Knowledge Transfer

The first step in OMI’s educational program University Medical Center, The College of consists of knowledge transfer through Physicians and Surgeons of Columbia seminars, which are organized by The University, The Cleveland Clinic and leading American Austrian Foundation under Austrian and European academic centers. the academic leadership of Weill Cornell Medical College (NewYork-Presbyterian All faculty members serve pro bono and Hospital, The Hospital for Special Surgery, spend one week sharing knowledge and Memorial Sloan-Kettering Cancer Center and experience with colleagues from countries Methodist Hospital Houston), The Children’s in transition, thereby fostering brain gain Hospital of Philadelphia (CHOP), Duke and preventing brain drain...... Open Medical Institute OMI Seminars 9 ...... FELLOWS BY COUNTRY (1993 – June 2013)

The program is directed by Drs. Wolfgang Afghanistan 2 Malawi 1 Albania 392 Malaysia 17 Aulitzky, Michael Stewart and Nancy Wolf, Argentina 6 Mauritius 2 Armenia 777 Mexico 97 and is funded by a direct grant from the Australia 9 Moldova 432 Austria 105 Mongolia 364 Open Society Foundations (formerly Open Azerbaijan 374 Montenegro 157 Bangladesh 3 Morocco 3 Society Institute), matched by the Austrian Belarus 210 Mozambique 1 Belgium 8 Myanmar 2 government and other donors. Belize 2 Namibia 2 Bhutan 1 Nepal 9 Bosnia Herzegovina 275 Netherlands 10 Botswana 1 New Zealand 2 Brain Gain versus Brain Drain Brazil 5 Nigeria 28 Bulgaria 364 Norway 7 Burkina Faso 1 Pakistan 5 Cambodia 7 Papua New 2 Highly qualified, English-speaking physicians Cameroon 2 Peru 10 Canada 5 Philippines 7 from Central and Eastern Europe, Central Chile 4 Poland 451 China 32 Portugal 43 Asia, Russia, Africa, Mexico and other Colombia 2 Qatar 29 Romania 580 countries in transition, who undergo a Congo 2 Croatia 509 Russia-Moscow 339 Russia-Nizhny- Novgorod 189 rigorous application process, are invited to Cyprus 2 Czech Republic 590 Russia-Novosibirsk 223 Salzburg for a one-week seminar in their Denmark 4 Russia-Rostov-on-Don 98 Egypt 10 Russia-Samara 292 Russia-St. Petersburg 457 Estonia 405 medical specialty. Each seminar is limited Russia-Vladivostok 111 Ethiopia 2 Saudi Arabia 2 Finland 5 to 36 participants, allowing for intense 2 France 11 Serbia 588 interaction and knowledge transfer through Gabon 1 Singapore 3 Gambia 1 Slovakia 607 lectures, discussions, case presentations, Georgia 414 Slovenia 332 32 South Africa 22 hands-on training, simulations, and grand Ghana 3 Spain 14 Great Britain 25 Sri Lanka 2 rounds via video-conferencing. Greece 16 Sudan 10 Hungary 479 Suriname 2 India 20 Sweden 8 All applicants must apply through the OMI Indonesia 18 Switzerland 35 Iran 11 Tajikistan 240 coordinator based in their home country or Iraq 18 Tanzania 95 Ireland 2 Thailand 11 a locally based partner organization or NGO. Israel 1 Trinidad & Tobago 1 39 Turkey 36 Fellowships are awarded according to a non Jamaica 3 Turkmenistan 4 Japan 2 Uganda 15 discriminatory selection process. From 1993 Jordan 2 Ukraine 1,125 Kazakhstan 493 United Arabian Emirates 6 to June 2013, more than 15,000 doctors from Kenya 20 Uruguay 1 Kosovo 250 USA 81 over 120 countries and regions have attended Kyrgyzstan 311 Uzbekistan 335 Laos 4 Venezuela 2 447 seminars. Latvia 345 Vietnam 12 Lebanon 1 Yemen 5 Lithuania 598 Zambia 3 Luxembourg 1 Zimbabwe 3 Colleagues help Colleagues Macedonia 368 Total 15,177 ...... 10 OMI Observerships Open Medical Institute ......

www.aaf-online.org The University Hospital of Vienna (Allgemeines Krankenhaus), Vienna, Austria

OMI Observerships

EXPERIENCE EXCHANGE as well as modern hospital and healthcare management. Observers rotate through The second step in OMI’s educational departments at hospitals in Vienna, Innsbruck, program consists of practical training in Graz, Linz and Salzburg. Austrian hospitals. All seminar participants are eligible for up to three one-month In 2008, Vienna opened all its municipal observerships to update their clinical skills, hospitals for OMI observerships, increasing learn new techniques and treatment protocols the number of slots from 60 to 200 per year...... Open Medical Institute OMI Observerships 11

...... At the conclusion of their observership, OBSERVERS BY COUNTRY fellows must submit a comprehensive report Afghanistan 2 and case presentation, prepared in conjunction Albania 62 with their mentor. Armenia 188 Azerbaijan 78 Belarus 8 ...... Bosnia & Herzegovina 34 “Thanks to this program I had a chance to meet with Bulgaria 76 colleagues, participate in experience exchange, in short Congo 1 Croatia 45 I received all that is impossible to receive in my Czech Republic 48 country. We from the former Soviet Union consider Estonia 31 this experience instrumental and very useful”. Georgia 97 Great Britain 1 Irina Gasanov, MD, PhD, Azerbaijan Hungary 31 ...... Iraq 3 Kazakhstan 60 Kosovo 22 Several observerships have led to joint Kyrgyzstan 35 research projects and collaborative studies Latvia 36 Lithuania 60 between the host institutions and the fellows’ Macedonia 67 home institutions. Moldova 73 Mongolia 63 Montenegro 11 Train the Trainers Nigeria 3 Papua New Guinea 1 ...... Poland 31 Romania 101 “This Observership stimulated me to rise up my Russia – Moscow 71 professional level, to enlarge my horizon, to be Russia – Nizhny Novgorod 39 Russia – Novosibirsk 46 enthusiastic and to be willing to implement novel Russia – Rostov-on-Don 26 techniques for diagnosis and treatment in my country.” Russia – Samara 32 Russia – St. Petersburg 47 Nadejda Sapojnic, MD, Moldova Russia – Vladivostok 15 ...... Serbia 71 Slovakia 74 Slovenia 15 FACTS AND FIGURES Tajikistan 36 Tanzania 29 Uganda 1 From September 1998 through June 2013, Ukraine 172 1,990 seminar alumni were awarded 2,735 Uzbekistan 48 Total 1,990 observership months...... 12 OMI Distance Learning & Capacity Building Open Medical Institute ......

www.aaf-online.org

OMI Distance Learning

Capacity building CD-Roms and Online CASE LIBRARY Satellite Symposia & VISITING PROFESSORSHIPS

After attending seminars and observerships This is accomplished by using electronic in Austria, OMI’s distance learning module publications available on CD-ROM, the takes place in the respective countries, worldwide web and through site visits building capacity locally. conducted by OMI faculty in the region...... Open Medical Institute OMI Distance Learning & Capacity Building 13

CD-ROMs & ONLINE CASE LIBRARY ...... SATELLITE SYMPOSIA During each seminar, lectures are recorded BY COUNTRY and together with the related PowerPoint ALBANIA 2 presentation, transferred to CD-ROMs and ARMENIA 8 AZERBAIJAN 5 given to each seminar fellow at the conclusion CROATIA 4 of his/her seminar, which enables fellows CZECH REPUBLIC 5 to share their newfound knowledge with ESTONIA 2 colleagues as soon as they return home. 350 GEORGIA 5 CD-ROMs, including 7,280 state-of-the-art HUNGARY 2 lectures, have been produced and published KAZAKHSTAN 3 on the AAF’s website as online handbooks. KOSOVO 2 KYRGYZSTAN 5 LATVIA 5 The most interesting cases are selected by LITHUANIA 6 the faculty for publication in the online case MACEDONIA 2 library. MEXICO 2 MOLDOVA 5 SATELLITE SYMPOSIA AND VISiTING MONGOLIA 2 MONTENEGRO 1 PROFESSOrSHIPS POLAND 4 QATAR 2 OMI and OMI seminar alumni jointly ROMANIA 12 organize regional symposia and visiting RUSSIA 29 professorships conducted by an American/ SERBIA 6 Austrian faculty to reach a larger audience SLOVAKIA 8 of physicians and healthcare providers in the SLOVENIA 3 UKRAINE 11 countries served by the seminars. Per June UZBEKISTAN 1 2013, OMI faculty have conducted 142 satellite TOTAL 142 symposia and visiting professorships...... 14 20 Years in Pictures Open Medical Institute ......

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1. President Jimmy Carter visits Salzburg 5. Hands on Training 2. Dr. Herwig Swoboda with OMI Observers 6. First Salzburg CHOP Seminar 1995 3. George Soros receives Austrian Cross of Merit 7. First Salzburg DUKE Seminar 1996 with Thomas J. McGrath, Ambassador Kathryn 8. Drs. Joseph Tenenbaum and Stephen Scheidt, Hall and Minister Caspar von Einem Ambassador Gerhard Pfanzelter 4. Weill Cornell Cardiothoracic Surgery Faculty led by Dr. David Skinner, 1998 ...... Open Medical Institute 20 Years in Pictures 15

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9. First Salzburg Cornell Seminars Benefit at 13. First Salzburg Cornell Seminar Rockefeller University 1997 in Oncology, 1997, led by Memorial edical In 10. First Salzburg Cornell Seminar in Sloan-Kettering Cancer Center M st n it e u p t Bone and Joint Surgery 1995 14. First ESU Weill Cornell Master e O 11. Thomas J. McGrath, AAF President Class in Urology, 2004 1993 2013 2

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16. Roslyn and Ambassador Milton A. Wolf 17. Dennis and Gisela Alter, Dr. Richard Polin, Dr. Steven Altschuler 18. OMI Observer reading MRI 19. Salzburg Cornell Seminar in Cardiology Workshop 1994 20. Alberto Vilar, Benita Ferrero Waldner, Heinz Schaden (Mayor of Salzburg) 21. Weill Cornell/HSS Bone and Joint Surgery Workshop 22. Weill Cornell Dean Emeritus Dr. Antonio M. Gotto, Dr. Herbert Pardes, former CEO NYPH, Dr. Willibald Nagler 23. Tanzanian Fellow and Dr. Ulrich Dorn ...... Open Medical Institute 20 Years in Pictures 17

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24. ESU-Weill Cornell Urology Faculty and AAF Trustees Thomas J. McGrath and Donald Tober 25. Weill Cornell Rehabilitation Medicine Seminar Lecture edical In 26. Katharine Eltz-Aulitzky, Jeanne Andlinger M st n it e u p t 27. Schloss Arenberg e O 28. Beatrix and Gregor Medinger 1993 2013 2

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SALZBURG CORNELL SEMINAR

CARDIOLOGY SALZBURG, SCHLOSS LEOPOLDSKRON NOVEMBER 14th–19th, 1993

THE AMERICAN AUSTRIAN FOUNDATION, INC.

1993 First Salzburg Cornell Seminar in Cardiology; Course Directors: Dr. Stephen Scheidt (New York) and Dr. Max Pichler (Salzburg) 20 Years OMI – Milestones

1993 • George Soros and Erhard Busek, Austrian 1995 • First Salzburg CHOP Seminar in Pediatrics Vice Chancellor, provide seed money to • First Salzburg HSS Seminar in Bone and start a postgraduate educational program Joint Surgery for physicians from Central and Eastern • First Salzburg Duke Seminar for Family Europe Medicine • First Salzburg Cornell Seminar in 1997 • First Salzburg Weill Cornell Seminars Cardiology takes place at Schloss Benefit Concert at Rockefeller University Leopoldskron in Salzburg performed by members of the Vienna • The Austrian Ministry of Science and Philharmonic Orchestra Research agrees to match funds with • First Salzburg Memorial Sloan-Kettering the Open Society Institute (OSI) Cancer Center Seminar in Oncology ...... Open MedicalOpen Institute Medical Milestones Institute 19

1998 • The Observership Program begins. 2006 • The Cleveland Clinic Foundation joins Seminar fellows spend one to three the OMI faculty months training at Austrian hospitals • Dr. Wolfgang Aulitzky is appointed 1999 • George Soros and Austrian Minister the first Gerhard Andlinger Professor Caspar von Einem sign the Memorandum for Distance Learning and International of Understanding guaranteeing funds Medicine at Weill Cornell Medical for the program through 2004 College 2001 • The Salzburg Stiftung of the AAF 2007 • Methodist Hospital Houston joins the purchases Schloss Arenberg OMI faculty • First Salzburg Columbia Seminar • The McCaw and Touch Foundations 2003 • George Soros and Austrian Minister join forces with OMI to invite physicians Elisabeth Gehrer renew the from Tanzania Memorandum of Understanding 2008 • OMI and The Viennese Hospital through 2009 Association establish the Vienna Open 2004 • Gerhard Andlinger Chair for International Medical Institute and commit to hosting Medicine and Distance Learning at Weill up to 200 observers in Vienna per year Cornell endowed 2009 • Schloss Arenberg is destroyed by fire • European Urological Association joins 2010 • Schloss Arenberg reopens the OMI faculty. First joint seminar with • George Soros and Austrian Minister Weill Cornell for Western and Eastern Johannes Hahn renew the Memorandum European Urologists of Understanding for an unspecified 2005 • Chancellor Wolfgang Schüssel and length of time George Soros launch the Open Medical • AMSA founded to fund Mexican Institute doctors participation in OMI seminars • Schloss Arenberg opens 2011 • Salzburg Weill Cornell Seminars Benefit • The Austrian Ministry of Health and the income reaches $ 500,000 Viennese Municipal Government support 2012 • The Austrian Development edical In M st n it an OMI/World Health Organization Agency partners with OMI e u p t e O program in Gender, Neonatal Care and 2013 • Würth Sculpture Garden 1993 2013

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31. Paul and Daisy Soros 35. OMI coordinators in the Soros Computer Library 32. Dr. Peter Krcho and patient at Schloss Arenberg 33. Stacy Rosenwaks, Steven Wechsler, 36. ESU-Weill Cornell Urology Workshop with Dr. Zev Rosenwaks at Schloss Arenberg Dr. Günther Janetschek dedication ceremony, 2005 37. Dr. Mathias Bostrom lecturing 34. Oliver Porsche, Ashley von Perfall 38. Ambassador Susan McCaw and Gerhard Andlinger 39. Clemens Hellsberg, Ambassador William vanden Heuvel, Chancellor Wolfgang Schüssel ...... Open Medical Institute 20 Years in Pictures 21

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40. OMI Seminar Fellow shows his Armenian 44. Dr. Michael Stewart and Anne Ford colleague a new procedure 45. CHOP Medical Education Seminar edical In 41. Alexander von Perfall, Katharine Eltz- 46. Dr. Alan Cohen from The Children’s M st n it e u p t Aulitzky, Pablo and Almudena Legorreta Hospital of Philadelphia e O 42. Schloss Arenberg is destroyed by fire, 47. Concert in Yerevan to benefit 1993 2013 2

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48. Workshop during Salzburg Cleveland Pathology Seminar 49. Dr. Wolfgang Aulitzky at the Dept. of Urology at Kyrgyz Medical University 50. WHO Seminar at Schloss Arenberg 51. Barbara Tober, Diahn McGrath 52. Professor Reinhold Würth at the opening of the Würth Sculpture Garden at Schloss Arenberg 2013 53. Laura Giadorou Koch, Donald Fox 54. Yefim Bronfman and Sanford Weill 55. Weill Cornell Anesthesiology Faculty ...... Open Medical Institute 20 Years in Pictures 23

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56. Jim Thompson and Sigourney Weaver 57. Weill Cornell Infectious Diseases Faculty edical In 58. Michael Koch, Karl-Heinz Faber M st n it e u p t 59. Johannes Moy de Sons, Amb. William vanden Heuvel, Dr. Nancy Wolf, Dr. Wolfgang Aulitzky, e O Heinrich Spängler, Christian Struber; Dedication of the Milton and Roslyn Wolf Park, 2010 1993 2013 2

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A a n s 61. Angelika and Gerhard Seebacher niver 62. Dr. Cindy Christian conducts a Visiting Professorship in Pediatrics in Kazan, Russia 63. Marifé Hernández, Dr. Thomas and Cynthia Sculco 24 Academic Partners Open Medical Institute ......

NewYork-Presbyterian Hospital and The Hospital for Special Surgery Academic Partners

SALZBURG Weill CORNELL SEMINARs are the physicians who work at these hospitals experts in their respective fields, they are also philanthropically minded and willing to share Weill MEDICAL their knowledge and expertise. COLLEGE OF CORNELL UNIVERSITY The first seminars in the early 1990s focused on Weill Medical College of Cornell University the major killers – cardiac infarction, stroke and and its affiliated hospitals – NewYork- infectious diseases. Over the years, the number Presbyterian Hospital, The Hospital for Special of seminar topics has increased, based on the Surgery, Memorial Sloan-Kettering Cancer needs of the participating fellows. Center and Methodist Hospital Houston – are ranked among the top ten clinical and medical research centers in the United States. Not only ...... Open Medical Institute Academic Partners 25

...... Hospital for Special Surgery (HSS) is the oldest orthopedic hospital OMI SEMINAR TOPICS in the United States and is ranked Anesthesiology Bone and Joint Surgery number one in orthopedics by U.S. Cardiac Imaging News and World Report. HSS is the Cardiology Cardiothoracic Surgery world-leader in joint replacement surgery, Dermatology pioneering total knee replacement and Family Medicine Diabetes minimally invasive spinal surgical techniques. Imaging Dr. Thomas P. Sculco, Surgeon-in-Chief, Infectious Diseases Internal Medicine conducted the first OMI seminar in Bone and Maternal and Infant Health Joint Surgery in 1994. Lipid Metabolism Medical Education Medical Quality and Safety Neonatology Neurology Neurosurgery Obstetrics and Gynecology Oncology (2 per year) Memorial Sloan-Kettering Cancer Center Ophthalmology (MSKCC) is the leading oncology center in the Otolaryngology Pathology world. Each year, doctors from MSKCC treat Behavioral Pediatrics & Child Development more cancer patients annually than most General Pediatrics Pediatric Anesthesiology & Critical Care physicians treat in their entire career. Pediatric Allergy/Immunology Dr. Thomas J. Fahey, Senior Vice President, Pediatric Cardiology Pediatric Emergency Care Clinical Development Program, Emeritus and Pediatric Endocrinology/Nephrology Dr. David G. Pfister, Chief, Head and Neck Pediatric Gastroenterology Pediatric Hematology/Oncology Oncology Service, coordinate faculty from MSKCC Pediatric Infectious Diseases to conduct two oncology seminars annually. The Pediatric Neurology & Endocrinology Pediatric Orthopedics first MSKCC Seminar took place in 1997. Pediatric Pulmonology Pediatric Radiology/Clinical Correlation Pediatric Urology Psychiatry Rehabilitation Medicine Spinal Surgery Methodist Hospital Houston’s focus on Surgery Trauma and Emergency Surgery groundbreaking translational and clinical Urology research makes them an excellent partner...... 26 Academic Partners Open Medical Institute ......

The Children’s Hospital of Philadelphia

SALZBURG CHop SEMINARS

The Children’s Hospital of Philadelphia

Founded in 1855, The Children’s Hospital In 1995, the AAF recognized the need to include of Philadelphia is the oldest hospital in the pediatrics in the OMI seminars and United States dedicated exclusively to Drs. Steven M. Altschuler, CEO, and Alan Cohen, pediatrics. then Physician-in-Chief, agreed to provide academic leadership for this seminar series. Children are the most vulnerable members CHOP conducts six pediatric seminars per of society and millions die each day in year covering all the pediatric subspecialties the developing world due to poor over a three year period. CHOP also conducts environmental conditions and lack of annual seminars in medical education and adequate medical treatment. quality and patient safety...... Open Medical Institute Academic Partners 27

AUSTRIAN FACULTY SALZBURG DUKE SEMINARS

DUKE UNIVERSITY MEDICAL CENTER

Physicians from leading Austrian medical In 1995, OMI approached Duke University institutions including the University Hospitals Medical Center to cover public health and of Vienna, Graz and Innsbruck and the healthcare management issues. Duke’s General Hospitals of Salzburg and Linz serve as Department of Community Health Sciences co-course directors and faculty members of is a leader in healthcare management and the OMI seminars. The Medical University hospital networks. Dr. Lloyd Michener and of Vienna (MUW) and the Vienna Open Medical his faculty conduct a seminar in Family Institute provide substantial academic and Medicine and Healthcare Management financial support. every year.

SALZBURG COLUMBIA Seminars

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FACTS AND FIGURES (1993 – June 2013) In 1998, through the merger of the New York and Columbia Presbyterian Hospitals, the College of 260 Salzburg Weill Cornell Seminars Physicians and Surgeons joined the OMI faculty 86 Salzburg CHOP Seminars and conducts annual seminars in Maternal and 14 Salzburg Duke Seminars Infant Health and Internal Medicine. 22 Salzburg Columbia Seminars 15 Salzburg Cleveland Seminars SALZBURG CLEVELAND SEMINARS 41 OSF Seminars 9 WHO Seminars 447 OMI SEMINARS In 2006, the Cleveland Clinic, ranked # 1 by 15,177 Fellows U.S. News and World Report in Cardiology and 122 Countries and Regions Cardiac Surgery, joined the OMI faculty and 1,455 Faculty Members conducts Cardiac/Cardiothoracic Surgery and 2,821 Faculty Weeks Pathology seminars each year...... 28 Governance Open Medical Institute ......

Governance ...... OMI is governed by a steering committee comprised of course directors of the OMI seminars......

Dr. Steven M. Altschuler Dr. Richard D. Granstein Dr. David G. Pfister Dr. Wolfgang Aulitzky Dr. Roy Gulick Dr. Richard A. Polin Dr. Mathias P. Bostrom Dr. Roger Härtl Dr. Mark I. Rosenblatt Dr. Frank A. Chervenak Dr. Hugh C. Hemmings, Jr. Dr. Zev Rosenwaks Jonathan Cohen Marifé Hernández* Dr. Michael H. Sacks Dr. Donald J. D‘Amico Dr. Paul D. Kligfield Dr. Peter N. Schlegel Cathy Easter Dr. William J. Ledger Dr. W. Shain Schley Katharine Eltz-Aulitzky* Dr. Michael D. Lieberman Dr. Thomas P. Sculco Dr. Thomas J. Fahey, Jr. Dr. Stephen Ludwig Dr. Joel Stein Dr. Matthew E. Fink Dr. Vinod Malhotra Dr. Michael G. Stewart Dr. Kathleen M. Foley Thomas J. McGrath* Dr. Joseph Tenenbaum Dr. Laurie Glimcher Dr. J. Lloyd Michener Dr. David W. Trost Dr. Scott J. Goldsmith Dr. Willibald Nagler Dr. Nancy G. Wolf, PhD Dr. Antonio M. Gotto, Jr. Dr. Michael O‘Dell * ex officio ...... Open Medical Institute Awards 29

Awards

The Decorations of Honour in Gold and Silver for Services to the Republic of Austria are conferred by the Republic of Austria to honor people who have rendered meritorious services to the country.

The Austrian Cross of Honor for Science and Art, First Class is conferred upon individuals who have distinguished themselves in the areas of the sciences or the arts.

Nominees for the awards are proposed by the government and submitted to the Austrian President for approval, in accordance with the respective laws...... OMI faculty members who received awards are: Dr. Steven M. Altschuler Dr. Willibald Nagler Dr. Wolfgang Aulitzky Dr. Herbert Pardes Dr. John Caronna Dr. Richard Polin Dr. Alan Cohen Dr. Stephen Scheidt Dr. Thomas J. Fahey, Jr. Dr. W. Shain Schley Dr. Kathleen Foley Dr. Thomas P. Sculco Dr. Antonio M. Gotto Dr. E. D. Vaughan Dr. David Mininberg ...... 30 Vienna OMI Open Medical Institute ......

L-R: Dr. W. Marhold (VHA), Dr. F. Kainberger (VSP), Dr. W. Schütz (MUV), Dr. G. Stingl (AAS), Dr. W. Aulitzky (AAF), Dr. H. Leitner (VMA)

Vienna Open Medical Institute

The Vienna Open Medical Institute is a joint but all include a series of workshops on initiative of the Vienna Hospital Association, the Austrian and Viennese Healthcare The American Austrian Foundation, The System, Clinical Research and Biomedical Medical University of Vienna, The Viennese Fundamental Research and the History Society of Physicians, The Vienna Chamber of the Vienna School of Medicine. of Doctors and The Austrian Academy of Sciences providing state-of-the-art scientific Observers become members of the Viennese and clinical rotations in Viennese hospitals. Society of Physicians for the duration of their observership, which includes free use of the These rotations follow a specific curriculum facilities and access to a large selection of depending upon the medical specialty, medical publications and journals...... Open Medical Institute New Developments 31

New Developments

WEILL BUGANDO, TANZANIA WEILL CORNELL, QATAR Based on our success in stemming the brain From 2008 to June 2013, 29 physicians from drain tide in Central and Eastern Europe Qatar attended a seminar in Salzburg. and the former Soviet Union, we began OMI faculty has conducted two satellite inviting physicians from Weill Bugando in symposia in Doha. Weill Cornell Qatar faculty Mwanza, Tanzania to participate in the OMI has also served as OMI faculty in Salzburg. seminars and observerships. Whereas it is still too early to determine the program’s success in ALIANZA MÉDICA PARA LA SALUD preventing brain drain, the response has been L-R: Dr. W. Marhold (VHA), Dr. F. Kainberger (VSP), Dr. W. Schütz (MUV), Dr. G. Stingl (AAS), Dr. W. Aulitzky (AAF), Dr. H. Leitner (VMA) (AMSA), MEXICO overwhelmingly positive to both the seminars AAF Trustee, Pablo Legorreta, established and observerships. AMSA to facilitate Mexican physicians’ ...... participation in the OMI seminar and When I returned from Austria impressed by the low observership program. From 2010 to June rates of cervical cancer due to screening I met with the 2013, 111 physicians attended director of my hospital, the medical oncologist and some an OMI Seminar. gynecologists and in January 2009 we started the cervical cancer screening program at Bugando Medical ...... Centre. The majority of patients – 80 % – come too late Since I received so much from the seminar, it’s now my for successful treatment, but with proper screening could turn to share with our physicians and residents all my new have been cured. Up to August 2010, 420 women were knowledge for which I have planned group sessions and screened and 52 (12.38 %) were positive. We were discussions during patient rounds. The seminar’s goal able to organize a bus and went to four rural hospitals is not only to train the people who come, but also that for 4 days and screened 1,776 women. At each location these skills be applied and replicated in our environment we trained local teams who will continue this work and in order to give our children the best care in every way: refer those with anomalies to Weill Bugando. clinical, diagnosis, treatment and research.

Dr. Jackson Kahima Dr. Enid Alejandra Nava Ruiz Bugando Medical Centre Hospital Infantil de Mexico Federico Gomez Mwanza, TANZANIA Mexico City, MEXICO ...... 32 The American Austrian Foundation, Inc. Open Medical Institute ......

The American Austrian Foundation ...... The American Austrian Foundation is a non-profit, non-governmental organization established in 1984 to enhance the relationship between the United States and Austria through exchanges in medicine, media and the arts......

Officers AND TRUSTEES Stephen M. Harnik, Esq. Marifé Hernández Chairman: Michael I. Koch Amb. William J. vanden Heuvel* Pablo Legorreta President: Amb. Susan McCaw Thomas J. McGrath* Thomas J. McGrath* Secretary: Gregor Medinger* Stephen M. Harnik, Esq. Elisabeth Muhr* Treasurer: Willibald Nagler, M.D. Karl-Heinz Faber* Zev Rosenwaks, M.D. Executive Director: Peter N. Schlegel, M.D. Katharine Eltz-Aulitzky** Cynthia Sculco Gerhard Seebacher Medical Program Directors: Daisy M. Soros Wolfgang Aulitzky, M.D. Michael G. Stewart, M.D. Michael G. Stewart, M.D. Nancy G. Wolf, M.D., PhD Donald G. Tober Amb. William J. vanden Heuvel* Trustees: Ashley R. von Perfall Gerhard R. Andlinger Nancy G. Wolf, M.D., PhD * Executive Committee Member Wolfgang Aulitzky, M.D.* ** ex officio Michael D. F. Deck, M.D. Honorary Trustees: Lee MacCormick Edwards, PhD Amb. W. L. Lyons Brown, Jr. Katharine Eltz-Aulitzky** Peggy Sanford Carlin Karl-Heinz Faber* Amb. Ronald S. Lauder Thomas J. Fahey, Jr., M.D. David Rockefeller Antonio M. Gotto, Jr., M.D., DPhil Amb. Kathryn Walt-Hall ...... Open Medical Institute Salzburg Stiftung of the AAF 33

Salzburg Stiftung of the AAF ...... The Salzburg Stiftung is an Austrian non-profit organization established in 1995 to facilitate AAF‘s programs operation in Austria. Each year AAF and the Salzburg Stiftung award more than 1500 fellowships to qualified professionals......

Officers and Trustees Dr. Karin Rehn-Kaufmann Dr. Heinrich Dieter Kiener Chairman: Christine Lang Johannes Moy de Sons Dr. Helmut List Vice Chairs: Ilsa-Amalia Lübbert-Campeau Ilsa-Amalia Lübbert-Campeau Dkfm. Dr. Helmut Mally Catharina Clary-Aldringen Thomas J. McGrath Dr. Susanne Nolte-Schön Dr. Gregor Medinger Presidents: Johannes Moy de Sons KR Heinrich Spängler Dr. Susanne Nolte-Schön Dr. Wolfgang Aulitzky Johannes Orsini-Rosenberg Vice-Presidents: Dr. Ferdinand Oliver Porsche Thomas J. McGrath Gertraud Ruckser-Giebisch Dr. Reinhard Salhofer Ing. Christian Struber Dr. Franz Salm-Reifferscheidt Dr. Eberhard Sasse Trustees: Elisabeth Scheicher-Doll Dr. Kurt Adelsburg KR Alfons Schneider Dr. Rudolf Aichinger Dr. Walter Schwimbersky Gerhard R. Andlinger Regine Sixt Dr. Wolfgang Aulitzky KR Heinrich Spängler Dr. Susanne Binder Bettina Steigenberger Catharina Clary und Aldringen Ing. Christian Struber Katharine Eltz-Aulitzky Dr. Rainer Ullmann Francesca von Habsburg-Lothringen Dr. Dieter Usner William E. Hayward Dr. Astrid Wimmer Dr. Clemens Hellsberg Dr. Egon Winkler Dr. Hans Rainer Heubach Mag. Waltraud Wöhrer 34 Acknowledgements Open Medical Institute ......

Acknowledgements ...... Special thanks to the members of the Vienna Philharmonic Orchestra, who have donated their time and talents performing at the Music for Medicine annual benefit concert in New York since 1997, raising more than $ 5,000,000 for the Open Medical Institute......

The American Austrian Foundation wishes to Salzburg for their generous financial support. acknowledge the Open Society Foundations We would also like to thank our corporate (formerly Open Society Institute), the Austrian sponsors: Austrian Airlines, CSL Behring, Federal Ministry of Science and Research, Eli Lilly, Leica, Medtronic SA, Olympus, the Austrian Ministry of Foreign Affairs, the Royalty Pharma, Porsche Design, Siemens, Austrian Development Agency, the European Swarovski, UniCredit Group and Würth School of Urology, the Haimoff Foundation, Group, as well as board members and International Atherosclerosis Society, the friends of The American Austrian Foundation Max Kade Foundation, The Medtronic and the Salzburg Stiftung of the American Foundation, the city of Vienna, the city of Austrian Foundation for their substantial Salzburg and the regional government of contributions...... Open Medical Institute Acknowledgements 35

THE HUMES VISITING PROFESSORSHIPS AND THE ANDLINGER RESIDENCY EXCHANGE PROGRAM ACADEMIC PARTNERS

The Humes Visiting Professorship The Open Medical Institute’s success is due program was established to strengthen to the support of our academic partners the relationship between the U.S. and and to the enthusiastic participation of their Austrian academic institutions, which have physicians who donate their time. participated in the Open Medical Institute’s seminars. • Weill Medical College of Cornell University • NewYork-Presbyterian Hospital We thank the 41 Humes professors for their • The Children’s Hospital of Philadelphia efforts to foster the relations between the • The Hospital for Special Surgery OMI academic partners. • Memorial Sloan-Kettering Cancer Center • Methodist Hospital Houston The Visiting Professorships are a bequest • Duke University Medical Center by the estate of late AAF Trustee and • University Hospitals of Vienna, Graz and Cornell Medical University graduate Innsbruck Dr. Jean Humes in memory of her husband, • Salzburg and Linz General Hospitals John P. Humes, a former US Ambassador • College of Physicians and Surgeons of to Austria and the first president of The Columbia University American Austrian Foundation. • The Cleveland Clinic Foundation • European Association of Urology The Humes Visiting Professorships led to the establishment of the Andlinger Residency Without their time and energy it would not Exchange Program in 2001. Thanks to the have been possible to conduct this program. generosity of Gerhard Andlinger, over 100 They have improved patient care in Central residents have benefited from this unique and Eastern Europe, Russia, Central Asia, exchange. Africa and Mexico......

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New York Salzburg Vienna

The American Austrian Foundation, Salzburg Stiftung der Verein der Freunde der Inc. American Austrian Foundation American Austrian Foundation c/o UniCredit Group Schloss Arenberg Palais Todesco 150 East 42nd Street, 28th Floor Arenbergstraße 10 Kärntner Straße 51/II New York, N.Y. 10017, USA 5020 Salzburg, Austria 1010 Vienna, Austria

Phone: +1 (212) 856-1075 Phone: +43-662-640 101 Phone: +43-1-533-8658 Fax: +1 (212) 856-1226 Fax: +43-662-640 101 110 Fax: +43-1-533-8658-10 [email protected] [email protected] [email protected] www.aaf-online.org ......

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