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Mayo Alumni Summer 2006 Volume 42 Number 3

Features 2 Standing room only Can a classroom without desks affect childhood obesity? That is what two Mayo Clinic researchers wanted to find out. With the cooperation of the Rochester, Minn. school district, the researchers created a class room to study their theory.

6 When opportunity knocks, be sure to open the door Robert Nesse, M.D. discovered early on that stepping in when something interesting came along could lead to a satisfying and multifaceted career.

12 Training in real-life situations A new simulation center in Rochester provides training opportunities for physicians, allied health staff and students in a setting where everything is real except the patients.

16 Honoring excellence in patient care, research and education The Mayo Clinic Distinguished Alumni Award was established in 1981 by the Mayo Foundation Board of Trustees to recognize and show appreciation for the exceptional contributions of Mayo alumni to the field of medicine, including medical practice, research, education and administration. This year’s honorees, Hubert Frohmüller, M.D., Robert Hyatt, M.D. and Phillip Low, M.D., are profiled.

Mayo Update

Mayo Clinic 22 News briefs 24 Professional meetings Distinguished 24 Postgraduate meetings Alumni 26 Alumni news Awards 27 Staff news 28 Fellow, resident and student news 28 Obituaries 32 Mayo Clinic Resource Central 84899 Page 1 TOC 8/23/06 10:36 AM Page 2

Letter from the President

n the face of busy schedules, staying in touch these days with old friends is sometimes a challenge. Our alumni magazine serves as one way to provide a link between you and Mayo I Clinic and former classmates and colleagues. Our new and enhanced Mayo Clinic Alumni Association web page (you will be hearing more about it this fall) will be another link to keep you connected to alumni friends and colleagues, as well as Mayo Clinic. Alumni stay connected to Mayo and support our Mayo Clinic Alumni Association programs in many ways. The “Life After Fellowship or Residency program,” that helps our young Mayo trained physicians transition from their training programs to the real world and the business of medicine, is actively supported by

Summer 2006 Mayo Alumni many of you. Without the dedication and expertise of our external alumni, this program could not happen. The following physicians have been instrumental in making this program a success, and we are grateful for their continued and enthusiastic participation:

Roberta Adams, M.D. Allison Mc Larty, M.D. Macaran Baird, M.D. M. Mark Melin, M.D. Edward Creagan, M.D. Melissa Merideth, M.D. Joseph Drazkowski, M.D. Bruce Morgenstern, M.D. Michael Ebersold, M.D. Roger Nelson, M.D. Standing room only in classroom of the future Thomas Habermann, M.D. Ruel Scott, M.D. David Herman, M.D. Elizabeth Shuster, M.D. Cover Carol Juergens, M.D. Carl Soderstrom, M.D. Students test a theory: will Kyle Kircher, M.D. David Teegarden, M.D. standing during school S. Mark Laney, M.D. Thomas Viggiano, M.D. decrease childhood obesity? The “Heritage Program” is another excellent example of how the Mayo Clinic Alumni Association programs create a connection with new medical staff members joining Mayo Clinic Rochester, Jacksonville, and Arizona. This program occurs in Rochester three times each year at new staff orientation and brings our emeritus alumni and our new Mayo Correction: On page 26 of the Spring 2006 issue, Clinic Staff together. At a Foundation House luncheon, emeritus alumni share stories of we used the wrong staff their days at Mayo and officially congratulate our new staff, passing on the responsibility photo. The correct photo of for the continued excellence created by those who have gone before them. We are especially Michael Ackerman, M.D, grateful for their willingness to keep us connected to our history even as we look ahead Ph.D. is shown here. We with new staff. regret our error. An important connection is our annual Alumni Association meeting. The next one, our 65th meeting, is in Rochester October 18-22, 2007, and I hope you will join us then to keep connections strong. I also hope you will continue to offer suggestions for ways in which we can continue to provide you a strong link to Mayo Clinic.

Best regards,

Scott Litin, M.D. President Mayo Clinic Alumni Association 84899 Pages 2-5 8/23/06 10:40 AM Page 1

A classroom with no desks and lots of computers? NEAT! 84899 Pages 2-5 8/23/06 10:40 AM Page 2

STANDING ROOM ONLY in classroom of the future

ook around a typical class- Dr. Levine and Dr. Lanningham- A collaborative effort room today, and you’ll Foster study obesity and the role of notice a few things have NEAT (non-exercise activity thermo- Developing the classroom of the changed over the years: genesis) in regulating body weight. future was a team effort. With more Lcomputers have become common- They have found that increasing than 10 years of research into NEAT, place, DVD players have replaced NEAT activities — such as parking Dr. Levine and Dr. Lanningham- film projectors and a larger number your car a few extra blocks from work Foster provided credibility and a plan of students are, well … larger. More to squeeze in a short walk, climbing a of action. The Rochester Public than 15 percent of children in the flight of stairs rather than taking an Schools were enthusiastic partners, United States are now overweight, elevator, or doing dishes by hand willing to try creative approaches to and that number is on the rise. rather than loading them into a education. Apple Computers provided The problem isn’t simply one of dishwasher — has a greater impact students with iBook wireless note- aesthetics: obesity poses a serious on weight control than does formal book computers and iPods for the threat to children’s health. Children exercise. duration of the project. America on who are overweight are at higher “We began discussing the the Move, a nonprofit organization risk of developing type 2 diabetes, possibility of creating an alternative that advocates physical activity and metabolic syndrome, high blood school environment that would allow healthy eating habits, promoted the pressure, asthma and other respirato- children to be more active and concept. And the Rochester Athletic ry problems, sleep disorders, liver increase their NEAT levels,” says Club provided space for the project. disease, early puberty or menarche, Dr. Lanningham-Foster, whose “I was amazed by the over- eating disorders and skin infections. research focuses on NEAT in children. whelmingly positive response to this In addition to physical consequences, “We knew we’d have to do something project,” says Dr. Lanningham-Foster. overweight children are often teased radical to make a difference.” One of the most enthusiastic respons- or bullied and tend to have more That “something radical” became es came from Phil Rynearson, whose anxiety and poorer social skills than known as the classroom of the future. fourth and fifth grade classroom at their normal-weight peers. Its most striking feature: a lack of Elton Hills Elementary School was Finding a way to reverse the traditional desks and chairs. selected to test the classroom of the trend of childhood obesity has cap- “Lean people stand an average future. tured the attention of many parents, of 150 minutes more each day than “I didn’t hesitate for a minute teachers and school administrators. those who are obese,” says Dr. when my superintendent and princi- Earlier this year, it captured the Lanningham-Foster. “That alone pal asked me to be part of this study,” attention of two Mayo Clinic enables them to burn an additional says Rynearson. “I was excited about researchers as well: endocrinologists 350 calories a day. We wanted to find the chance to do something new and James Levine, M.D., Ph.D., and a way to get the students up on very different.” Lorraine Lanningham-Foster, Ph.D. their feet.”

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Rynearson’s students were enthused says Dr. Lanningham-Foster. “I inhibiting his ability to teach or his as well. drafted a protocol that was quickly students’ ability to learn. “They were excited to be doing approved by our Institutional Review Among the innovations designed something different from their peers,” Board, and the project began at the to get students moving in the class- he says. “They were especially inter- beginning of March.” room of the future were: ested in the technology piece of the project. In addition, Dr. Levine Creating an optimal learning ■ Podiums in place of desks stressed to the students that they environment ■ Video-streamed “pod-casting,” were going to be part of something which allowed students to watch that no other students had done The research team worked to create a lessons on iPods while walking before. He told them that the results learning environment that would be ■ Wireless technology of the study could have lasting innovative and engaging without ■ Vertical magnetic work spaces that effects on the future of education. being distracting. doubled as projection screens The students took that to heart, which “We knew we needed to find ■ Personalized white boards helped set the tone for the project.” ways for kids to incorporate more (instead of a single large black Support for the project was so movement into their daily routines, board for the room) great that it went from concept to but at the same time we couldn’t do reality in a month. anything that would be disruptive to The researchers spent a week “We had our first meeting with their learning,” says Dr. Lanningham- collecting baseline measurements of the school district and Rochester Foster. Rynearson was told he could the students’ movements in their Athletic Club in early February 2006,” end the project any time he felt it was original classroom. Each student wore

The “classroom without desks” not only keeps students moving, it also makes teacher-student interaction easy. When it is necessary to work with a small group, the students simply pick up their laptops and gather together in a space apart from the other students.

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“This demonstrates that kids crave movement. What’s more, they need movement for proper development. We need to find ways to give children more opportunities to move, whether it’s at school or at home.”

— Dr. Lanningham-Foster

a small device, called an accelerometer open space, making it difficult to hear. who might be distracting or bothering that recorded his or her movements. In addition, other noises throughout them. This led to much less bickering “The accelerometers are incredi- the facility would sometimes drown and fewer distractions from class work.” bly sensitive,” says Dr. Lanningham- out Rynearson’s voice. Rynearson also applauded the Foster. “They record 10 measurements With three days left in the three- increased amount of space available per second and gave us an incredible week experiment, Rynearson told the in a classroom without desks. amount of data to study.” researchers he wanted to take his “It was easy to maneuver in the The second week of the experi- students back to his classroom at classroom and get to individual ment, students were bused to the Elton Hills Elementary School. But students when I needed to,” he says. Rochester Athletic Club, where the he wasn’t ready to give up on the “Also, it was easy to work with classroom of the future had been set classroom of the future. He asked to students in groups because they just up on an unused hockey rink. continue the experiment back at had to pick up their podiums and move “The kids’ faces absolutely lit up Elton Hills. to a part of the room where they could the first day they saw the classroom,” “Phil and the students loved gather in a circle.” says Dr. Lanningham-Foster. “They the design of the new classroom, so Dr. Levine and Dr. Lanningham- were so excited by the space.” we arranged to extend the original Foster are still analyzing the data they Researchers anticipated that the experiment through the rest of the collected during the course of the students’ excitement would cause school year,” says Dr. Lanningham- experiment, but early results show them to move more than usual their Foster. Rynearson’s classroom was that students were in fact more mobile first few days in the new classroom, cleared of its traditional desks and when they didn’t have the option of so chose not to record their move- replaced with podiums. Apple sitting at desks. ments the first week at the Rochester Computers extended the loan of its “This demonstrates that kids crave Athletic Club. iBooks and iPods, so students were movement,” says Dr. Lanningham- By week three of the experiment, able to continue to take advantage of Foster. “What’s more, they need the novelty of the new classroom had mobile technology. movement for proper development. We diminished and the accelerometers While there has been no formal need to find ways to give children more were again recording the students’ assessment of the impact the class- opportunities to move, whether it’s at movements. Students were engaged room of the future had on the aca- school or at home.” in lessons, such as making their own demic performance of his students, Dr. Lanningham-Foster and podcasts or creating music mixes on Rynearson says he is convinced that Dr. Levine are continuing to meet with their laptop computers. They were mobile classrooms would prove to representatives from the Rochester listening to lectures Rynearson had have a positive impact on academic Public School system to plan additional downloaded on their iPods. And they results. studies on nontraditional classrooms. were moving. “I noticed several major changes Dr. Lanningham-Foster says it’s “It was exactly what we had in my students once we implemented important that the group not lose hoped to see,” says Dr. Lanningham- the more mobile classroom,” says momentum; the time for the classroom Foster. “It showed us that when given Rynearson. “There was less movement of the future is here. the opportunity to move, kids will for movement’s sake — fewer trips to “The obesity rate is predicted to be move.” the bathroom or water fountain. close to 50 percent by 2010,” she says. Though he shared the researchers’ Students shifted their bodies and “Finding ways to increase activity levels enthusiasm for his students’ activity changed positions when they needed in children and adults is going to be levels, Rynearson became frustrated to in order to stay focused. And essential to curbing the trend.” by some of the classroom conditions. students were able to move them- The classroom was set up in a large, selves away from other students — Nicole Brekke-Sisk

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Guided by early advice, Robert Nesse M.D., has never passed up an opportunity to contribute

EEarly in the medical career of Robert whom are currently leaders within Nesse, M.D., he heeded advice that Mayo Clinic and Mayo Health System. helped shape his career path. His Greg Angstman, M.D., was a eagerness to share that advice with recipient of the handed-down advice. his resident physicians helped shape “Rob passed on Dr. Avant’s advice to their careers, in turn, and made his me when I was one of his residents. path one to follow. As a result, I’ve never turned down an It was Robert Avant, M.D., then opportunity Mayo presented since I department chair of Family Medicine joined in 1990,” he says. Dr. Angstman at Mayo Clinic Rochester, who is president and chief executive officer dispensed the humble advice. of Cannon Falls Medical Center and “Dr. Avant said, ‘If they ask you former chief executive officer of Lake to do something and you find it inter- City Medical Center, Wabasha Clinic esting and are willing to give your and Cannon Valley Clinic in Faribault time, do it. They will give you the — all part of Mayo Health System. support you need,’” says Dr. Nesse, “Over the years, I saw where that then an instructor of Family Medicine philosophy took Rob in his career, at Mayo Medical School and consult- and I became a member of an informal ant in Family Medicine at Mayo group of physicians who look to his Family Clinic Kasson (Minnesota). career as an example. Wherever he “I’ve never forgotten that advice. I leads, we’ll follow.” took it very seriously, and my career Included in that group is David has been multifaceted as a result. I Heine, M.D. — another of Dr. Nesse’s pass the same advice on to young former residents and now a leader in physicians because it has served me Mayo Health System. “Dr. Nesse has so well.” served as one of my formative men- tors beginning in medical school and Opportunity’s first knock — continuing through residency. He mentored becomes mentor guides me regularly in my current role,” says Dr. Heine, chief medical Shortly after receiving the advice, officer at Winneshiek Medical Center Dr. Nesse was asked to become the in Decorah, Iowa, and a Mayo Health residency director for Family System physician at Decorah Clinic Medicine at Mayo Clinic Rochester. Physicians. “He is the type of physi- During the six years he served in that cian who can return enthusiasm to the position, Dr. Nesse mentored almost picture when the complexity of health 40 resident physicians — many of care is overwhelming. It is clear from

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his accomplishments that he is a visionary.” Steve Adamson, M.D., also a former resident of Dr. Nesse, saw the effects of the Avant advice in action. “Way back early in our careers, we could see Rob’s potential for leader- ship ascension,” says Dr. Adamson, department chair of Family Medicine at Mayo Clinic Rochester. “He looks for and embraces opportunity. When he gets opportunities, he succeeds at them. He isn’t shy about seeking out opportunities he is qualified for. He is motivated by the spirit of wanting to contribute, not the spirit of self-fulfillment.”

The seeds of change — health care quality improvement focus

Dr. Nesse’s knack for answering when opportunity knocks led to a “Dr. Avant said, ‘If they ask you to do shift in his career in 1991. Mayo Clinic something and you find it interesting had become involved in helping and are willing to give your time, do it. Deere & Company set up on-site clinics for its employees in the Quad They will give you the support you Cities. Robert Waller, M.D., then need.’ I’ve never forgotten that advice. president of Mayo Foundation, asked I took it very seriously, and my career Dr. Nesse to lead the project. For two has been multifaceted as a result. I years, he met regularly with his Deere & Company counterparts to identify pass the same advice on to young ways to improve the health of Deere physicians because it has served me employees. so well.” “We devoted significant time to the health of this population group, — Robert Nesse, M.D. during which we developed the

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concept for disease management thinking physicians, employers, DMS — conceptualized by strategies (DMS) — providing age payers and health plans that founded Dr. Nesse and his colleagues at Mayo and gender-appropriate preventive the Minnesota-based Institute for Clinic, Deere & Company and ICSI — services to keep people healthy, and Clinical Systems Improvement (ICSI) continues to be a guiding principle closely managing existing diseases — a collaborative whose cornerstone throughout the Mayo enterprise and and conditions,” says Dr. Nesse. was DMS principles. is an emerging force in U.S. health care. Within a year or two, the concept Today, ICSI is a catalyst for health of developing specific strategies to care quality improvement by medical Broad perspective tapped for manage disease and improve patient groups, hospitals and health plans that leadership outcomes caught fire across the provide health care services to people country. Dr. Nesse and Douglas who live and work in Minnesota and Dr. Nesse’s initiative, broad thinking Wood, M.D., then a consultant in the surrounding states. Its member organi- and pioneering efforts in health care Department of Cardiology at Mayo zations represent more than 7,600 quality improvement didn’t go unno- Clinic Rochester and currently depart- physicians. ICSI has become involved ticed. Robert Hattery, M.D., chair of ment vice chair of Internal Medicine, in national and international outreach the Rochester Board of Governors, were among a group of forward- with other quality-oriented health care tapped him to join the board in 1996. collaboratives and institutions. In 1999, Hugh C. Smith, M.D., Dr. Hattery’s successor, needed to appoint a vice chair. “It was important that a vice chair have value, wisdom and judgment I could count on. Rob was a natural choice,” says Dr. Smith. “Rob has very sound perspective about health care that goes beyond one patient at a time. He looks at population health — what are the most cost-effective and efficient ways of delivering quality health care to whole populations? How do we maintain health instead of spending all the money on treating people in late disease stages? He is unusually forward thinking in that way. In board discussions, he would remind us to think outside the hospital, to think about people in the community, to have broader perspective.” During their time on the Board of Governors, Drs. Smith and Nesse logged many hours of “windshield At a recent family wedding, Rob and Rebecca Nesse gathered with their children. time.” Daughter Sonja is a senior at UW Madison majoring in fashion design and will spend “We traveled between Rochester next year in New York City at the Fashion Institute of Design. Son Lucus, between his parents, is in law school and is a legislative aid to a state senator from Rochester. Son and the Twin Cities an average of six John Art, an attorney in Saint Paul, was a member of his cousin’s wedding party. times a year for about a dozen years

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going to ICSI, BHCAG (Buyers Health ahead as external forces changed Care Action Group — a prominent health care,” says Dr. Nesse. employer health care purchasing coalition) and other organizations’ Another opportunity, another meetings,” says Dr. Smith. “That gave career shift us a lot of time to discuss the future of health care and how to deliver and As external forces caused health care provide the best value. Rob rolls up to change, Mayo changed too. One his sleeves and really engages when change was the development and he’s involved in anything. He always increasing importance of Mayo Health delivers. He approaches things with System as a referral base to Mayo an energy and intellect that is refresh- Clinic Rochester. Dr. Nesse saw an ing. It is a great pleasure to work with opportunity. such an outstanding person who is so “I saw tremendous potential for concerned about his patients and staff growth and development in the health as well as the future of medicine.” system, and I wanted to be part of it,” Dr. Nesse’s former family he says. “For the health system to medicine residents were especially truly be part of Mayo, we need for proud when he was appointed to patients to feel like they’re at a Mayo the Mayo Clinic Rochester Board of organization whether they’re in Governors and the Mayo Clinic Board La Crosse or Eau Claire or Owatonna. of Governors and Board of Trustees in It’s the quest for One Mayo Clinic “For the health system to 2004 — more firsts in his career. we’re involved in.” truly be part of Mayo, we “We were absolutely thrilled The opportunity Dr. Nesse seized when he was appointed to the Boards was to request the chief executive need for patients to feel like of Governors,” says Dr. Adamson. officer position of a Mayo Health they’re at a Mayo organization “He’s the first — and only — family System organization — Franciscan whether they’re in La Crosse physician to have served on the Skemp Healthcare in La Crosse, Wis., or Eau Claire or Owatonna. boards. That’s a significant accom- a network of three hospitals and 12 It’s the quest for One Mayo plishment. If a family physician was clinics that serve western Wisconsin, going to be the first to accomplish southeastern Minnesota and north- Clinic we’re involved in.” something like that, it was going to eastern Iowa. He assumed that be Rob.” position in 2003. — Robert Nesse, M.D. During the 1990s, Dr. Nesse’s “I knew Mayo Clinic Rochester vision and expertise also were tapped pretty well by that time, and I realized for other projects — teaching Mayo that Mayo Clinic could learn a great Clinic Rochester staff about managed deal from Mayo Health System — the care and becoming the chair of strate- nuts and bolts about patient flow and gic plan coordination for Mayo Clinic efficiency of delivering care,” says Rochester. Dr. Nesse. “How do 13 groups with “The common element in the different cultures come together with work I did during that period was a single board and learn to work keeping Mayo’s values intact and together? providing patient care the right way “Mayo Health System organiza- while balancing the pressure to move tions have learned how to effectively

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Dr. Rob Nesse’s wife Rebecca sometimes played host to patients in the early days of Dr. Nesse’s practice in Kasson. “I was the only physician living in town for the first eight years, so my home and the nearby clinic served as the default urgent care clinic and emergency room triage at times,” says Nesse, pictured here with his wife Rebecca.

compete in their markets — providing be,” says Dr. Nesse. “As I have gone high-quality care is a necessity,” says in and out of various roles within Dr. Nesse. “There is an abundance of Mayo, I have gained appreciation of innovation and creativity in the health the different organizations and the system, and its leaders have gained work being done.” vast experience in the last 12 to 15 years. What a wonderful potential Bringing the outside in to reform there is if we take that energy and health care creativity and channel it toward new caregiving systems for the entire Dr. Nesse greatly values gaining Mayo enterprise. perspective and appreciation through “Today, tremendous efforts are non-Mayo, nonmedical experiences. being made to collaborate throughout “My claim to fame is probably Mayo. The more we understand each my penchant for going off and getting other, the better the enterprise will information about useful things to

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Mayo from outside the medical reimbursement. Good primary care community — looking outward for saves money in the health care system, knowledge, applying it inward, but that isn’t reflected in reimburse- looking outward, applying inward,” ment; the perceived value is in proce- he says. “I received executive educa- dural care. That isn’t in the best interests of patients. tion from the Wharton School at the obert Nesse, M.D. University of Pennsylvania to increase “Providing patient care and having R a personal relationship with patients is my knowledge about business and President and chief executive officer, a joy,” says Dr. Nesse. “I practiced at strategy. I like to bring a broader Franciscan Skemp Healthcare — Mayo Mayo Family Clinic Kasson for 23 knowledge base to Mayo about Health System — La Crosse, Wis. years and was the only physician who change management, implementation Member, Mayo Clinic Board of lived in town for the first eight years. of strategy, efficiency and speed.” Governors, Mayo Clinic Board of Trustees My home and the nearby clinic served Dr. Nesse’s thirst for knowledge Associate professor, Family Medicine, as the default urgent care clinic and about change strategy, implementa- Mayo Clinic College of Medicine emergency room triage at times. tion and management is born of Consultant, Department of Family Patients bleeding from injuries necessity. Medicine, Mayo Clinic Rochester “Much as we may be comfortable dropped by the house so often that my wife, Rebecca, put a piece of rug providing health care the way we Certificate of Professional down so they wouldn’t bleed on our currently do, it isn’t sustainable for Development: carpet. I loved practicing in a small the long term,” he says. “The current Wharton School of Executive community, and patients liked it and health care system and its financing Education, University of the town liked it.” are unstable. Mayo’s future depends Pennsylvania on our ability to change and adapt to Dr. Nesse’s formative career advice was to seize opportunities financial systems that pay for value Board Certified: American Board of Mayo offered him. What drives him and quality — high value care at a Family Practice reasonable cost. now is making sure similar opportu- nities exist for physicians yet to come. “Mayo’s expertise, reach and Residency — Family Practice: “It’s important to me that future reputation can be the agent that Oakwood Hospital, Dearborn, Mich. implements change. We must be physicians have the opportunities I have had at Mayo in the past 25 proactive, not reactive, if we want the Medical school: Wayne State years,” he says. “That’s what moti- new health care system to encompass University, School of Human vates me to work on the big picture of Mayo’s values,” says Dr. Nesse. Medicine, Detroit, Mich. “Leading health care reform is health care and to contribute as much as I can in the time I am given.” hard work and conflict ridden. The Undergraduate: St. Olaf College, rewards are not immediate. We must Northfield, Minn. have a long-term view, but the goal is — Melissa Abrams worth it.” Native of: Toledo, Ohio And what is that goal? “I hope the things I’m working Family: Wife, Rebecca; three grown on now will make it possible for children — John Arthur, Lucas, Sonja physicians to practice in a health care system that rationally supports what they’re doing,” says Dr. Nesse. “Fewer medical school students are pursuing primary care because of

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When training is in progress, monitors in the simulation center show physiologic change just as they would occur in real patients. Here anesthesiologist and team member Marshall Holifield “cares for a patient” while one of the monitors in the background records the team’s activities. 84899 Pages 12-15 8/21/06 10:23 AM Page 2

Mayo Multidisciplinary Simulation Center providing real-life situations

SITTING IN THE VIEWING booth strated competency and scholarly behind one-way glass, a visitor to the analysis of efficacy via scientific SMayo Multidisciplinary Simulation methods.” Center in Rochester can easily feel as Opened last fall, the 10,000- if he’s on the set of a television movie, square-foot simulation center is in the perhaps a high-energy medical show Stabile Building on the Mayo Clinic with beeping monitors, perceptible Rochester downtown campus. It tension about the patient’s condition, contains a range of learning areas, and anxious, darting looks from including four specialty simulation medical caregivers circled around the rooms: endovascular, intensive care, patient’s bedside. emergency and operating. But it’s not make-believe at all. The high-tech center contains 42 It’s real-life training at the new Mayo cameras for recording the activities, Multidisciplinary Simulation Center allowing participants to review their “We believe medical where the learning takes place in sessions on their own and with a simulation has settings where everything is real group. Debriefing rooms adjoin each except the patient. area and are equipped for reviewing important lessons The center uses devices that are the sessions. The control rooms allow and applications for similar in concept to flight simulators instructors to manipulate high-tech used by the airline industry to train mannequins to respond to treatments all involved in the pilots. Simulation is increasingly in ways that create real-life conditions. risk-laden approach being used to educate and train Different scenarios can be implement- to patient care.” physicians and allied health person- ed depending on how the individual nel throughout the world. or teams respond to each situation. “We believe medical simulation Yet, situations can be replicated, – William Dunn, M.D. has important lessons and applica- which allows for more standardized tions for all involved in the risk-laden training. approach to patient care,” says “Monitors show physiologic , William Dunn., M.D., medical director change just as they would occur in of the Simulation Center. “We also real patients,” says Dr. Dunn. “Chaos believe it is imperative that in addition can now be created on demand, and to taking on the mantra of simulation we can train within it — what a utilization, centers of excellence must powerful tool for team and individual rise to the challenges of both demon- training in our most difficult settings.”

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“We work as a team in the clinical practice, so we shouldn’t train in isolation,” says nursing instructor Jacqueline Arnold. In the simulation center there are opportunities to practice communication and leader- ship skills as well as diagnostic and surgical procedures.

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There are three types of simula- Team training tion learning at the center: The simulation center is an ideal setting for Mayo’s Emergency ■Task trainers allow students to Response Teams to practice together. experience how it looks and feels Each month the teams work across to perform a surgical or endo- specialties to prepare for any possible scopic procedure. This virtual emergency. training enables students to “We work as a team in clinical repeat many times procedures practice, so we shouldn’t train in such as colonoscopy or cardiac isolation,” says Jacqueline Arnold, catheterization without risk to a MSN, RN, instructor of nursing at patient. the center. “The Emergency Response ■High-tech mannequins allow Teams train together and learn impor- students to re-create scenarios in tant team principles that they can an operating room, emergency apply in practice to improve team room or intensive-care unit setting. performance during crisis situations.” “Simulation technology ■ Standardized patients are either The center offers students learning offers a great opportunity patient volunteers or actors who opportunities in areas such as com- play a role in educating the munication, teamwork, emergent for participants to get students or health care workers, conditions, leadership, diagnostics hands-on experience.” allowing them to enhance their and surgical procedures. communication skills. The focus on simulation technolo- — Kurtis Judson, M.D. gy isn’t meant to replace patient “Simulation technology offers a contact, but rather to enhance it. It is great opportunity for participants to expected to provide a critical element get hands-on experience,” says Kurtis in educating medical professionals to Judson, M.D., a Mayo Clinic resident reduce medical errors and improve in emergency medicine. “This helps patient care and comfort. you to feel more comfortable in real- The establishment of the center life situations.” gives Mayo Clinic a unique opportu- Dr. Dunn says the center, founded nity to become a leader in medical in Mayo’s team approach to patient simulation technology, research and care, will allow Mayo to apply its innovation. With its combination of collaborative practice model to explore standardized patients and simulation and advance simulation education experiences, the new facility is one in new ways, across specialties and of the largest centers in the U.S. in professional roles (physicians, both physical size and scope of residents and fellows, nurses and programming. health care specialists), to better educate practitioners and strengthen Portions of this story included material patient care. from an article in Mayo Today.

— Michael Dougherty

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Honoring excellence in patient care, research and education: Mayo Clinic Distinguished Alumni Awards

The Mayo Clinic Distinguished Alumni Award was established in 1981 by the Mayo Foundation Board of Trustees to acknowledge and show appreciation for the exceptional contributions of Mayo alumni to the field of medicine, including medical practice, research, education, and administration. Individuals who have received the past awards have been recognized nationally and often internationally in their respective fields. The Distinguished Alumni Award recognizes the outstanding attributes and accomplishments of individuals who have served at high levels in all aspects of their fields. Hubert Frohmüller, M.D., Robert Hyatt, M.D., and Philip Lee, M.D., were awarded the 2006 Mayo Clinic Distinguished Alumni Awards, adding their names to a select group of individuals who have exemplified Mayo Clinic’s ideals and mission. Mayo Clinic Distinguished Alumni Awards are presented at the annual Mayo Clinic College of Medicine commencement ceremony, scheduled for May 19, 2007, in Rochester. Alumni are encouraged to nominate candidates for the 2007 award. The nomination must be made by a member of the Mayo Clinic Alumni Association and include a letter summarizing the attributes and accomplishments of the alumnus/alumna along with a copy of the candidate’s curriculum vitae and bibliography. Additional letters (five or more) in support of the candidate strengthen the nomination. Supporting letters do not have to be written by members of the Mayo Clinic Alumni Association.

16 Mayo Alumni Summer 2006 84899 Pages 16-21 8/21/06 10:24 AM Page 2

Dr. Hubert Frohmüller Hard work, integrity and a generous dose of humility

A s a young man, Hubert The Frohmüller resectoscope member of eight international Frohmüller, M.D., thought he would led one of his mentors and friends, organizations, and has served as follow in his father’s footsteps and Dr. David C. Utz to call him from president of six urology organizations, train to become a dentist. He did so Washington, D.C. “When David told including the German Urological for two semesters, and then respond- me he was calling from the White Association from 1985 to 1986. In 1992, ed to a restlessness for something House, I replied: ‘Just tell the truth, he was awarded the Bronze Medal of with broader vistas: medicine. where are you calling from?’ He the University of Helsinki, Finland, He came to Mayo Clinic in 1958 replied, ‘I am being serious and I and in 1993, he received the Moses as a fellow in internal medicine. After wanted to let you know that I used Swick Award at the Mount Sinai two quarters, he switched to urology. your instrument in surgery on the Medical Center, New York. In 1995, He characterizes the training he president.’” he was given the Maximilian Nitze received as “excellent” and with Dr. Frohmüller has published Medal, the most prestigious award “staff consultants who were kind and more than 250 journal articles, and of the German Urological Association. helpful.” During his training at Mayo authored and translated several For his distinguished and continuing he heard an adage, “The master word urologic textbooks. In 1975, he was contributions to urology practice, edu- in life is ‘work.’” Adherence to that admitted to corresponding member- cation and research, Dr. Frohmüller motto yielded a distinguished career ship of the American Association of was honored with the Mayo Clinic in urology. Genito-Urinary Surgeons. In 1994, he Distinguished Alumni Award for 2006. Dr. Frohmüller led a successful became an honorary member of the A former colleague nominating urology program in the medical American Urological Association, the him for the award wrote: “Maybe the school of the Julius-Maximilians first German urologist to receive the most important lesson I learned came University in Würzberg, Germany, honor after World War II. He is a from the stature of Professor where he served as the first professor Frohmüller. He lived a type of honest and chairman of the newly established integrity that I had rarely experienced Department of Urology, from 1971 before and that has stimulated me to to 1997. His specific interest was in live my professional life in a similar urologic oncology, that is the diagnosis way.” Dr. Frohmüller serves as and treatment of malignancies of the associate editor of the Mayo Clinic prostate, the urinary bladder, the Health Letter (German edition) and is ureters, the testicles, the kidneys and a founding member of the Mayo the adrenals. Alumni German Speaking Chapter. He modified and improved Of all his career achievements, the resectoscope for treatment of Dr. Frohmüller says that caring for prostatic adenoma and carcinoma, patients was the most fulfilling work. which had originally been developed “I learned at Mayo the patient comes by Dr. Gershom Thompson at Mayo first, then everything else,” says Clinic. He became also known for the Dr. Frohmüller. Many former patients Hubert Frohmüller, M.D. development of the “Frohmüller still continue to call him for medical irrigation balloon catheter” used advice. following transurethral or surgical treatment of prostatic disease. — Beverly Parker

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Mayo Clinic Distinguished Alumni Awardee

Dr. Robert Hyatt Propelled by a spirit of inquiry

S ome major decisions are made He joined Mayo Clinic in 1962 In 1995, he was honored by the early in life. When Robert Hyatt, as a Consultant in Physiology. He American Thoracic Society with the M.D., was just two years old, his continued his basic work on expiratory Scientific Accomplishment Award. The father was diagnosed with tuberculosis. flow limitation, while having many FV curve is today used throughout the As he watched his father pass through important collaborations with his world in virtually every pulmonary treatments and relapses, he decided to clinical colleagues, which he greatly function laboratory. find a cure. valued. In 1971, he founded the In the late 1990s, he returned to This childhood hope set him on Thoracic Diseases Research Unit at Mayo and played a major role in the course of a distinguished research Mayo. The group he assembled convincing the NIH to fund research career that spans five decades and became one of the leading lung in lung volume reduction surgery, continues today. mechanics laboratories in the world. resulting in the National Emphysema In 1953, Dr. Hyatt joined the In 1987, he took early retirement Treatment Trial (NETT). National Heart Institute. Working to establish a solo internal medicine For these and other achievements, with Dr. Donald Fry, a senior investi- practice in Vandalia, Illinois. It was a Dr. Hyatt was honored with the Mayo gator and mentor, they defined the bold move given that he had not seen Clinic Distinguished Alumni Award interdependence of transpulmonary patients in 25 years. “It was probably for 2006. pressure, expiratory flow, and lung not one of the smartest career moves The spirit of inquiry that propelled volume. This work led to their seminal I made,” he says, “but it was one of him through his early career continues. paper describing the Flow-Volume the most rewarding. I enjoyed the On many days he can be found in the (FV) curve. Their 1960 paper on patients and the challenge of diagnosis Plummer Building talking with pulmonary mechanics is compulsory and treatment.” younger colleagues, and revisiting reading for most graduate level scientific premises with the goal of pulmonary physiology courses. In unearthing new ideas. 1958, Dr. Hyatt took a position with “The goal of my career,” says the United Mine Workers at the Dr. Hyatt, “was to make scientific Beckley Memorial Hospital in West contributions that could stand the test Virginia, where his laboratory docu- of time and contribute to the well-being mented the interaction of smoking of mankind.” and underground mining as a major cause of miners’ respiratory — Beverly Parker impairments.

Robert Hyatt, M.D.

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Mayo Clinic Distinguished Alumni Awardee

Dr. Philip Lee In service to patients, students, and country

Philip Lee, M.D., has never shied These were times of sweeping policies were soon adopted by most away from a challenge or an opportu- change. “To comply with the Civil of the nation’s medical schools.” nity. For nearly six decades, he has Rights Act, all hospitals had to Until 1993, he was Professor of invested himself in making changes become desegregated if they wished Social Medicine at UCSF’s School of that will better the lives of individuals, to participate in the Medicare Medicine. In 1972, he started its as well as society as a whole. program,” he recalls. “This heralded Institute of Health Policy, an experience Dr. Lee received his M.D. degree a momentous nation-wide change in that readied him for a second high- from Stanford University in 1948. the health care system.” ranking public service role — After completing a residency at The opportunity to create Assistant Secretary for Health in the Stanford, he served on active duty in change in medical education came U.S. Department of Health and the Navy, including one year in the in 1969 as he became Chancellor Human Services. Since 1997, Dr. Lee Korean theater. This was followed by of the University of California — has been teaching in UCSF’s a fellowship at the Institute for San Francisco (UCSF), a post he held Postdoctoral Health Services Research Physical Medicine and Rehabilitation for three years. “The faculty had been Training Program. He has taught School of Medicine in New York; he working toward a goal of admitting undergraduate students in Human then joined Mayo as a Fellow. 25 percent of the entering class from Biology at Stanford since 1997. “The years 1953 to 1955 were under-represented minorities,” he He has been recognized with excellent for me,” he recalls. “While says. “The goal was achieved in dozens of awards for his leadership in most medical schools focused solely March 1969, making UCSF’s medical medicine, public health and academia. on hospitalized patients, at Mayo we school the first academic institution to He continues to do research and saw patients in the clinic and hospital, achieve this goal. Affirmative action author articles on the nation’s health, which exposed us to complex cases.” public policy, Medicare and values In 1956, he became an assistant and diversity in medical education. clinical professor in the Stanford Throughout his career he has University School of Medicine, and served on numerous national boards joined the Palo Alto Medical Clinic, a and committees, including the Mayo multi-specialty group practice found- Foundation Board of Trustees from ed by his father in 1930. In 1963, he 1971 to 1975. In 2006, he was honored took a leave of absence to join the with the Mayo Clinic Distinguished ranks of public service. Alumni Award. “Public service was an opportunity “The challenge that lies before to do something more broadly based,” medicine today,” he says, “is that he says. From 1963 to l965 he served health care is now a market good, not as Director of Health Service in the a public good. What Mayo taught me Office of Technical Cooperation and is that a professional puts the needs Research, Agency for International of the patient first, and there is no Development/U.S. Department of Philip Lee, M.D. interest in personal gain. Mayo stays State. In 1965, he became Assistant great because it is still teaching new Secretary for Health and Scientific physicians that ideal: the needs of Affairs in the U.S. Department of the patient come first.” Health, Education and Welfare. — Beverly Parker

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Mayo Clinic Distinguished Alumni 1999 1990 Awardees Donato Alarcón-Segovia, M.D., MS (I) ‘64 H. Corwin Hinshaw, Ph.D., M.D. (I) ‘36 Mexico City, Mexico Belvedere, California 1981 – 2006 Leonard T. Kurland, M.D., Dr.P.H. (N) ‘53 Edward H. Lambert, M.D. (Phys) ‘43 Rochester, Minnesota Rochester, Minnesota John E. Woods, M.D., Ph.D. (Pls) ‘68 Kenneth G. Berge, M.D. (I) ‘55 Rochester, Minnesota Rochester, Minnesota

1998 1989 2006 Shahbudin H. Rahimtoola, MB, FRCP, John P. Utz, M.D. (I) ‘52, Washington, D.C. Hubert Frohmüller, M.D. (U) ‘63 MACP (Phys) ‘66, Los Angeles, California Charles A. Owen, Jr., M.D. (I) ‘50 Würzberg, Germany Edward C. Rosenow, III, M.D., M.S. Rochester, Minnesota Robert Hyatt, M.D. (ThD) ‘87 (Thd,I) ‘65, Rochester, Minnesota Rochester, Minnesota Robert J. White, M.D., Ph.D. (NS) ‘59 1988 Cleveland, Ohio Crowell Beard, M.D. (Oph) ‘43 Philip Lee, M.D. (I) ‘55 Redwood City, California Ventura, California 1997 Hillier L. Baker, M.D. (R) ‘56 Arnold S. Anderson, M.D. (Pd) ’50 Rochester, Minnesota 2005 Scandia, Minnesota Sir Brian G. Barratt-Boyes, M.D. (S) ‘55 John R. Blinks, M.D. (Phar) ’68 1987 Milford, New Zealand Friday Harbor, Washington Jesse E. Edwards, M.D. (Path) ‘46 Robert A. Kyle, M.D. (I) ‘59 Richard J. Reitemeier, M.D. (I) ’54 St. Paul, Minnesota Rochester, Minnesota Rochester, Minnesota Collin S. MacCarty, M.D. (NS) ‘44 Richard K. Winklemann, M.D., Ph.D. Rochester, Minnesota (Derm) ‘56, Fountain Hills, Arizona 1996 E. J. Walter Bowie, M.D. (I) ‘61 1986 2004 Rochester, Minnesota Charles C. Edwards, M.D. (S) ‘56 Howard A. Andersen, M.D. (S) ‘49, (I) ‘51 Juan Ramon de la Fuente, M.D. (P) ‘80 La Jolla, California Rochester, Minnesota Mexico City, Mexico Oliver H. Beahrs, M.D. (S) ‘50 Edmund Y. S. Chao, Ph.D. (OR) ‘72 Alexander J. Walt, M.D. (S) ‘56 Rochester, Minnesota Catonsville, Maryland Huntington Woods, Michigan Kenneth G. Mann, Ph.D. (Hem) ‘72 (posthumously) 1985 Grand Isle,Vermont John T. Shepherd, M.D. (Phys) ‘54 1995 Rochester, Minnesota 2003 Hugh R. Butt, M.D. (I) ’38 Mark B. Coventry, M.D. (Or) ‘42 Francis J. Haddy, M.D., Ph.D. (I) ‘51 Rochester, Minnesota Rochester, Minnesota Rochester, Minnesota Harold O. Perry, M.D. (Derm) ’53 F. Henry Ellis, Jr., M.D. (TS) ‘53 Gertrude M. Tyce, Ph.D. (Bioc) ‘63 Rochester, Minnesota Burlington, Massachusetts Rochester, Minnesota Jack P. Whisnant, M.D. (I) ‘53, (N) ‘55 1994 1984 Rochester, Minnesota Martin A. Adson, M.D. (S) ’57 Griff T. Ross, M.D., Ph.D. (I) ‘60 Rochester, Minnesota Houston, Texas 2002 Robert J. Ryan, M.D. (Bioc) ’67 Earl H. Wood, M.D., Ph.D. (Phys) ‘42 Valentin Fuster, M.D., Ph.D. (I) ’72, Rochester, Minnesota Rochester, Minnesota (CV) ‘74, New York, New York Harold J. C. Swan, M.D. (Phys) ’55 Vay Liang W. Go, M.D. (I) ’67, (GI) ‘71 Beverly Hills, California 1983 Los Angeles, California L. Emmerson Ward, M.D. (Rheu) ‘50 Kai Rehder, M.D. (I) ’58, (Anes) ‘61 1993 Rochester, Minnesota Vail, Colorado Norman L. Browse, M.D. (S) ’65 Shervert H. Frazier, Jr., M.D. (P) ‘57 London, England Concord, Massachusetts 2001 Howard B. Burchell, M.D. (I) ’40 Robert W. M. Frater, MB, ChB, MS St. Paul, Minnesota 1982 (Surg. Min) FRCS, FACS (S )‘60, (TS) ’61 Edward D. Henderson, M.D. (Or) ’51 Thomas W. McElin, M.D. (ObG) ‘50 Bronxville, New York Rochester, Minnesota Chicago, Illinois Alan F. Hofmann, M.D. (GI) ’77 David C. Dahlin, M.D. (Path) ‘48 La Jolla, California 1992 Rochester, Minnesota John W. Joyce, M.D. (I ) ‘63 William M. Manger, M.D., Ph.D. (I) ’55 Rochester, Minnesota New York, New York 1981 B. Lawrence Riggs, M.D. (I) ’62 Vernon R. Mattox, Ph.D. (Bioc) ’52 John W. Kirklin, M.D. (S) ‘50 Rochester, Minnesota Rochester, Minnesota Birmingham, Alabama Ross H. Miller, M.D. (NS) ’54 Dwight C. McGoon, M.D. (S) ‘57 2000 Hilton Head Island, South Carolina Rochester, Minnesota Suzanne T. Ildstad, M.D. (MMS) ‘78 Louisville, Kentucky 1991 William H. Remine, Jr., M.D. (S) ‘45 James C. Hunt, M.D. (I) ‘58 Ponte Vedra Beach, Florida Memphis, Tennessee John A. Washington, M.D. (M) ‘67 Robert W. Jamplis, M.D. (TS) ‘53 Cleveland, Ohio Palo Alto, California 84899 Pages 16-21 8/21/06 10:25 AM Page 6

Selection Criteria For 2006: Mayo Clinic Distinguished Alumni Award • Nominee must be an active member of the Mayo Clinic Alumni Nomination Form Association. • Recipient must be able to attend the Mayo Foundation Graduation Please print or type and return this form and supporting material to the address Ceremony in Rochester, May 19, 2007. given below by December 30, 2006. • The criteria to be taken into consideration when selecting your nominee include: Nominator Information – National or international peer Name______recognition of accomplishments in Title ______education, research, clinical practice or administration Address______– Scientific publications Phone number______– Leadership in their field Fax number ______– Community service – Integrity E-mail address ______• The institution selection process will be coordinated and supervised by the Mayo Clinic Alumni Association and Nominee Information the Mayo Foundation Director for Name______Education. Title ______

Instructions: Address______• Each alumnus/alumna of the Phone number______Mayo Clinic Alumni Association may Fax number ______nominate one candidate each year. Individuals may resubmit the name of E-mail address ______a previously nominated candidate. • The nomination packet must include Each nomination packet must include: a letter of nomination along with Letter of nomination (Please describe in detail how this nominee meets the criteria) curriculum vitae and bibliography of Curriculum vitae and bibliography the nominee. Packet must be received Supporting letters (five are recommended) at the Mayo Clinic Alumni Association office by December 30, 2006. • Support letters (five or more are Name recommended) do not need to be 1.______written by a Mayo alumnus/alumnae. 2.______Support letters must be received at the Mayo Clinic Alumni Association 3.______office by December 30, 2006. 4.______• Nomination letters should be 5.______addressed to Terrence L. Cascino, M.D., Director for Education, and 6.______mailed to: Bindy Fachin Send nomination to: Mayo Clinic Alumni Center Bindy Fachin Siebens 5 Mayo Clinic Alumni Center 200 First Street, SW Siebens 5 Rochester, MN 55905 200 First Street, SW Tel: (507) 266-4197 Rochester, MN 55905 Fax: (507) 538-7442 Tel: (507) 266-4197 E-mail: [email protected] Fax: (507) 538-7442 E-mail: [email protected] 84899 Pages 22-32 8/21/06 10:26 AM Page 1

Mayo Update

News briefs

Mayo Trustees honor new named professors

From the left Frederic B. Meyer, M.D., Terrence L. Cascino. M.D., director of The Mayo Clinic Board of Trustees education and chair of the Named Professorship Committee, Edith A. Perez, honored three awardees with named M.D., and Phillip A. Low, M.D. professorships at its quarterly meeting on May 16. Named professorships at Mayo joined Mayo Clinic in 1976 after 150 research articles in journals and Clinic represent the highest academic receiving his formal training in books and is the recipient of numer- distinction for a faculty member. Australia. Dr. Low’s research has ous professional and community Faculty are appointed to a professor- focused on autonomic and peripheral awards. Dr. Perez has been a member ship through nomination and nerve disorders. He has lead several of the Mayo Clinic Institutional endorsement of their peers and then NIH-funded research programs on Review Board and the National confirmed by Mayo Clinic senior autonomic disorders. He is the author Cancer Institute (NCI) Central leadership. Appointed individuals of over 300 publications and three Institutional Review Board. She is are recognized for distinguished classic textbooks on clinical autonom- actively involved in activities with achievement in their specialty areas ic disorders and is the past president the NCI and National Institutes of and service to the institution. of the American Autonomic Society. Health (NIH). Frederic B. Meyer, M.D., Professor Dr. Low has mentored over 37 of Neurosurgery at Mayo Clinic, research trainees and was the first received the Alfred Uihlein Family recipient of the Mayo Foundation New molecular basis identified Professorship in Neurologic Surgery. Clinical Research Committee for atrial fibrillation Dr. Meyer joined Mayo’s staff in the Mentorship Award (2001) in recogni- Department of Neurosurgery in 1989. tion for this lifelong commitment to Mayo Clinic investigators have Dr. Meyer’s research has focused on teaching and mentoring. discovered a gene mutation causing the pathophysiology of stroke and Edith A. Perez, M.D., Professor of chaotic electrical activation of the epilepsy with an emphasis on calcium Medicine, Mayo Clinic, received the heart muscle and atrial fibrillation, a metabolism. Dr. Meyer has served as Serene M. and Frances C. Durling common heart-rhythm disturbance co-investigator on numerous NIH Professorship. Dr. Perez directs the affecting millions of Americans. The grants and is an author of approxi- Breast Clinic and Cancer Clinical Mayo Clinic discovery is published in mately 200 publications in peer- Study Unit at Mayo Clinic in the July 15 issue of the journal Human reviewed journals, three books, 50 Jacksonville, Fla. Dr. Perez has devel- Molecular Genetics. book chapters, 10 editorials and over oped and helps direct a wide range “The discovery underscores the 110 abstracts. He is also a nine-time of clinical trials exploring the use significance of heredity in susceptibility winner of the Neurosurgery Resident of new therapeutic agents for treating to atrial fibrillation,” explains Timothy Teaching Award. and preventing breast cancer. She also M. Olson, M.D., director of the Cardio- Phillip A. Low, M.D., Professor has recently developed studies to vascular Genetics Laboratory at Mayo of Neurology, Mayo Clinic, received evaluate the role of genetic markers Clinic. the Robert D. and Patricia E. Kern in the development of breast cancer. “Identification of a new molecular Professorship in Neurology. Dr. Low Dr. Perez has authored more than basis for atrial fibrillation provides a

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critical step toward individualized Park, Ph.D.; Leonid Zingman, M.D.; patients for age and gender. Results diagnosis and treatment of arrhyth- Martin Bienengraeber, Ph.D.; showed that persons with longer mia,” adds Andre Terzic, M.D., Ph.D., Srinivasan Sattiraju, M.D.; Jeffrey lengths of a DNA segment that pro- director of Mayo Clinic’s Marriott Ballew; and Arshad Jahangir, M.D. motes the activity of a gene known as Heart Disease Research Program. Their work was supported by grants alpha-synuclein had a 1.5 times This study provides new insight from the National Institutes of Health, greater risk for Parkinson’s disease. into a previously unrecognized mech- Marriott Heart Disease Research Explains Dr. Maraganore, “Our anism for electrical instability in the Program, Marriott Foundation and study provides compelling evidence human heart. The Mayo multidiscipli- Mayo Clinic. that variability in the alpha-synuclein nary team is the first to identify a gene is a risk factor for Parkinson’s specific genetic mutation of the ion disease worldwide. The common channel gene KCNA5 that leads to a DNA variants that increase Parkinson’s disease-causing condition called a International collaboration disease risk cause the gene to produce channelopathy, an abnormality of provides strong evidence of a too much alpha-synuclein protein in specific miniature transportation common genetic risk factor for a process known as overexpression. tubes in cell membranes. The KCNA5 Parkinson’s disease Our findings support the development mutation causes loss of function of an of therapies that reduce alpha-synu- atrial-specific potassium ion channel, A Mayo Clinic-led international clein gene expression. Such therapies disrupting electrical synchronization. research collaboration — one of the have the potential to prevent or delay This leads to susceptibility for atrial largest studies of its kind — provides the onset of Parkinson’s disease or to fibrillation. strong evidence that a genetic risk halt or slow its progression.” The Mayo investigation used factor may account for 3 percent of Earlier, small studies showed that comprehensive genetic analysis to the cause of Parkinson’s disease. rare variations (mutations) in the identify a mutation in the DNA of a “This is an important step forward alpha-synuclein gene caused sibling pair with atrial fibrillation in because the contribution of common Parkinson’s disease in a few isolated the absence of known risk factors for genetic risk factors to the development families. Further small studies the disease. This genetic anomaly was of Parkinson’s has long been suspected, suggested that common variations in not present in the DNA of individuals but the high quality of data needed to the gene, while not sufficient to cause without atrial fibrillation. make such discoveries has been miss- Parkinson’s, make people susceptible The atrial fibrillation mutation ing,” says Demetrius Maraganore, to the disease. occurred in the KCNA5 gene, which M.D., Mayo Clinic neurologist and “However, the results of those produces a key heart protein known lead study investigator. “This well- small studies were inconsistent,” says as Kv1.5. Loss of Kv1.5 function, in designed and large study provides Dr. Maraganore. “What was lacking turn, made the atria — the upper evidence that common genetic variants was a well-designed, large study to pumping chambers of the heart — contribute to the cause of Parkinson’s.” see if common variations in the more vulnerable to stress-induced The collaboration included alpha-synuclein gene contribute to chaotic rhythms, and atrial fibrillation. researchers from 11 countries. Their Parkinson’s risk worldwide. The To validate the finding, the researchers findings were published in the Aug. 9 current study provides this much- reproduced the disease features at the issue of the Journal of the American needed evidence. Alpha-synuclein molecular, cellular and organism levels Medical Association. gene variability was associated with and corrected the mutation, restoring In their study, the researchers Parkinson’s disease across several the defective ionic current. analyzed clinical and genetic data populations.” The Mayo Clinic collaborative from 2,692 Parkinson’s disease team also included Alexey Alekseev, patients and 2,652 healthy subjects Ph.D.; Xiaoke Liu, M.D., Ph.D.; Sungjo who were matched to the Parkinson’s

Summer 2006 Mayo Alumni 23 84899 Pages 22-32 8/21/06 10:26 AM Page 3

Mayo Update

Association of American Medical Professional meetings Colleges, Oct. 29, 2006, Postgraduate meetings Seattle, Wash. American Association for the Study Mayo Clinic Alumni Association of Liver Diseases, Oct. 30, 2006, For more information, please complete Receptions Boston, Mass. and return the tear-out card in this issue. American Society of Therapeutic Or you may call 507-284-2509 or American Academy of Radiology and Oncology, 800-323-2688. Otolaryngology-Head and Neck Nov. 5-9, 2006, Philadelphia, Pa. Surgery, Sept. 17-20, 2006, American Academy of Physical Internal Medicine Review for Nurse Ontario, Canada Medicine and Rehabilitation, Practitioners and Physician American Academy of Family Nov. 10, 2006, Honolulu, Hawaii Assistants, Sept. 13-15, 2006, Physicians, Sept. 28, 2006, American College of Rheumatology, Rochester, Minn. Washington, D.C. Nov. 12, 2006, Washington, D.C. Practical Surgical Pathology, American Society of Plastic and American Academy of Ophthalmology, Sept. 14-16, 2006, Rochester, Minn. Reconstructive Surgery, Nov. 11-14, 2006, Las Vegas, Nev. Cardiology Lecture Series: Atrial Oct. 8, 2006, San Francisco, Calif. Minnesota Nephrology Collaborative Fibrillation – The Pesky Congress of Neurological Surgeons, Group (American Society of Arrhythmia That Will Not Leave Oct. 9, 2006, Chicago, Ill. Nephrology), Nov. 14-19, 2006, Us Alone, Sept. 14, 2006, Mesa, AZ American College of Surgeons, San Diego, Calif. Primary Care Update 2006: Oct. 9, 2006, Chicago, Ill. Radiology Society of North America, A Four Corners Experience, American Academy of Maxillofacial Nov. 26-Dec. 1, 2006, Chicago, Ill. Sept. 15-16, 2006, Durango, CO Prosthetics, Oct. 12, 2006, American Society of Hematology, Mayo Cardiovascular Review Maui, Hawaii Dec. 9-12, 2006, Orlando, Fla. Course for Electrophysiology Infectious Diseases Society of Society of Thoracic Surgeons, Boards and Recertification, America, Oct. 13, 2006, Jan. 29-31, 2007, San Diego, Calif. Sept. 16-18, 2006, Rochester, Minn. Ontario, Canada American Academy of Dermatology, Mayo Interventional Cardiology American Society of Feb. 2-6, 2007, Washington, D.C. Board Review, Sept. 16-18, 2006, Anesthesiologists, Oct. 14, 2006, American Academy of Orthopedic Rochester, Minn. Chicago, Ill. Surgeons, Feb. 14-18, 2007, Mayo Cardiovascular Review Society for Neuroscience, San Diego, Calif. Course for Cardiology Boards Oct. 14-18, 2006, Atlanta, Ga. Society of Critical Care Medicine, and Recertification, American College of Gastroenterology, Feb. 17-21, 2007, Orlando, Fla. Sept. 17-22, 2006, Rochester, Minn. Oct. 20-25, 2006, Las Vegas, Nev. American College of Cardiology, Mayo Clinic Pediatric Days 2006, American College of Chest Mar. 11-14, 2007, Atlanta, Ga. Sept. 18-19, 2006, Physicians, Oct. 24, 2005, U.S. and Canadian Academy of Coronado Island, CA Salt Lake City, Utah Pathology, Mar. 24-30, 2007, Faculty Development Workshop – American Academy of Child and San Diego, Calif. New Tools for the Practice of Adolescent Psychiatry, Evidence-Based Medicine, Oct. 24-29, 2006, San Diego, Calif. Sept. 19, 2006, Rochester, Minn. State-of-the-Art in Thrombophilia, Sept. 21-23, 2006, Rochester, Minn.

24 Mayo Alumni Summer 2006 84899 Pages 22-32 8/21/06 10:26 AM Page 4

2006 State-of-the-Art Multidisciplinary Faculty Development Workshop – Cardiology Lecture Series: Town vs Care of Breast Disease, Residents As Educators, Gown – Carotid Stenting: Sept. 22-23, 2006, Rochester, Minn. Oct. 17, 2006, Rochester, Minn. State-of-the-Art, Nov.9, 2006, Minimally Invasive Surgery Series – Geriatric Update for the Primary Mesa, AZ Laparoscopic Colon Surgery, Care Provider, Oct. 19, 2006, 2006 Practical Spirometry Course, Sept. 22, 2006, Scottsdale, AZ Rochester, Minn. Nov. 14-15, 2006, Rochester, Minn. ERCP A-to-Z: A Live Case Course, Ninth Annual Mayo Clinic Internal Minimally Invasive Surgery Series – Sept. 25-26, 2006, Rochester, Minn. Medicine Update: Sedona 2006, Laparoscopic Colon Surgery, Mayo Clinic Nutrition in Health and Oct. 19-22, 2006, Sedona, AZ Nov. 17, 2006, Scottsdale, AZ Disease, Sept. 28-29, 2006, Clinical Reviews 2006, October 23-25, Faculty Development Workshop – Minneapolis, Minn. 2006, Rochester, Minn. Lessons From Simulation: Minimally Invasive Surgery Series: 19th Annual Techniques in Debriefing the Learner and Laparoscopic Nephrectomy, Advanced Gynecologic, Debriefing the Debriefer, Sept. 28-29, 2006, Scottsdale, AZ Endoscopic and Laparoscopic Nov. 21, 2006, Rochester, Minn. Annual Update in Nephrology, Surgery, Oct. 24-28, 2006, Faculty Development Workshop – Hypertension, and K/P Scottsdale, AZ Improving Cultural Competence Transplant, Sept. 29-30, 2006, Prevention for Cardiovascular for Physicians-Educators, Minneapolis, Minn. Disease: Putting Prevention into Dec. 19, 2006, Rochester, Minn. Human Factors in Healthcare: Practice, Oct. 26-27, 2006 Fourth Mayo Clinic State-of-the-Art Practical Applications to Rochester, Minn. Symposium on Hematologic Improve Patient Safety, Real Time PCR for the Clinical Malignancies, Jan. 14-18, 2007, Oct. 4-6, 2006, Rochester, Minn. Microbiology Laboratory, Wellington, New Zealand Current Issues in Clinical Research Oct. 26-27, 2006, Rochester, Minn. Hematologic Malignancies Nursing Latest Trends in Clinical Second Mayo Clinic Angiogenesis and Pharmacy Symposium, Research, Oct. 4-5, 2006, Symposium: Pathways to Jan. 15, 2007, Wellington, Minneapolis, Minn. Therapeutic Angiogenesis in New Zealand Ninth Annual Mayo Clinic Internal Cancer, Oct. 27-29, 2006, Hematologic Malignancies Patient Medicine Update: Sedona 2006, Rochester, Minn. Symposium – “Living With My Oct. 5-8, 2006, Sedona, AZ Current Concepts in Primary Eye Disease,” Jan. 16, 2007, 2006 Mayo Clinic Alumni Care, Nov. 2, 2006, Wellington, New Zealand Association International CME Rochester, Minn. Mayo Clinic International Spine Program, Oct. 10-13, 2006, OB/GYN Clinical Reviews, Nov. 2-3, Surgery Symposium, Dubrovnik, Croatia 2006, Rochester, Minn. Jan. 21-25, 2007, Big Island, Hawaii A Practical Asthma Workshop for the 2006 19th Annual Epilepsy Update Arrhythmias and the Heart, Primary Care Provider, (Joint-Sponsored with the Jan. 22-25, 2007, Big Island, Hawaii Oct. 13, 2006, Rochester, Minn. Epilepsy Foundation of Pain Medicine: A State-of-the-Art 2006 Annual Nursing Conference – Arizona), Nov. 3-4, 2006, Course in Pain Management for Nursing in the 21st Century, Scottsdale, AZ the Non-Pain Specialist, Oct. 13, 2006, Scottsdale, AZ 16th Annual Mayo Clinic Jan. 25-28, 2007, Key West, Fla. Practical Course in Dermoscopy and Symposium on Sports Medicine, Psychiatric Pharmacogenomics, Update on Malignant Melanoma, Nov. 3-4, 2006, Rochester, Minn. Feb. 2-3, 2007, Kauai, Hawaii October 15-17, 2006, Scottsdale, AZ Clinical Reviews 2006 – November Mayo Clinic Interactive Surgical Third Annual Spit Tobacco Summit, Session, Nov. 6-8, 2006, Symposium, Feb. 4-9, 2007, October 16-18, 2006, Rochester, Minn. Maui, Hawaii Rochester, Minn. Update in Hospital Medicine, Nov. 8-11, 2006, Tucson, AZ

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Mayo Update

Gastroenterology and Hepatology 1970s 2007, Feb. 5-9, 2007, Alumni news David V. Feliciano, received the Grand Bahama Island Best Clinical Attending Physician Intensive Ethics CME Course: award from the Emory University Transplant Ethics, Feb. 7-9, 2007, 1950s Medical Class of 2006, the Papageorge Rochester, Minn. E. Richard Ensrud, was elected to Distinguished Teaching Award from Selected Topics in Internal Medicine, Mastership by the American College the Emory University Medical Alumni Feb. 12-16, 2007, Big Island, Hawaii of Physicians Board of Regents. Dr. Association and the J. Richard Amerson Mayo Clinic Symposium on Ensrud completed a Mayo Graduate Teaching Award from the Emory Anesthesia and Perioperative School residency in Internal Medicine. University chief residents, Department Medicine, Feb. 21-24, 2007, William M. Manger, recently of Surgery. Dr. Feliciano completed a Scottsdale, AZ published “Our Greatest Threats: Mayo Graduate School fellowship in Fifth Annual Mayo Clinic in Live Longer, Live Better,” which Surgery in 1977 and is currently Chief Scottsdale’s Winter provides guidelines and tips on the of Surgery at Emory University School Gastroenterology Meeting: importance of a healthy lifestyle. In of Medicine. Gastroenterology Linked to addition, Dr. Manger is involved in Frederick W. Hahn Jr., Endoscopy and Hepatology, research on the mechanism of salt- received the Missouri State Medical Feb. 26-March 2, 2007, induced hypertension and combating Association’s 2004 Citizenship and Scottsdale, AZ childhood obesity through preventive Community Service Award, which Menopausal Medicine: Care of the measures. Dr. Manger completed a recognizes community service that Mature Woman, March 1-3, 2007, Mayo Graduate School fellowship in reaches beyond the practice of San Diego, Calif. Internal Medicine and is currently medicine. Dr. Hahn received the CA Electromyography and chair of the National Hypertension Truman Heartland Community Electroencephalography in Association and a professor of medi- Foundation’s Humanitarian of the Clinical Practice, March 7-11, 2007, cine at NYU Medical Center. He was a Year Award for 2006 and will be Amelia Island, Fla. past Distinguished Mayo Alumnus honored in September for his Multiple Sclerosis 2007: Update and recipient. philanthropic and humanitarian Practical Management, service. He has also written a book March 10-11, 2007, Scottsdale, AZ “The Art of Medicine,” which is a Mayo Clinic Presents: Update 1960s memoir of one man’s choice of Gynecology, March 16-17, 2007, Richard D. Smith, recently medicine as a profession and his Walt Disney World, Fla. published “The Circus of Medicine,” education through the process of 10th Mayo Clinic Endocrine Course, Wyndham Hall Press. Dr. Smith specialty training. Dr. Hahn completed March 18-23, 2007, completed a Mayo Graduate School a residency in Otorhinolaryngology at Big Island, Hawaii fellowship in Internal Medicine. Mayo Clinic. He is currently involved Clinical Reviews 2007 – A Primary Enrique B. Wolpert, serves as with volunteer work. Care and Internal Medicine the president of the Interamerican Update, March 21-24, 2007, Association of Gastroenterology and Scottsdale, AZ the organizing committee of the 1980s Emergency Medicine: Moving Thirtieth Panamerican Congress of Nadey Hakim, was awarded an Forward, Mar. 25-28, 2007, Gastroenterology. Dr. Wolpert honorary professorship from Baksent Scottsdale, AZ completed a Mayo Graduate School Ankara University in Turkey. Dr. Hakim 16th Annual Urogynecology and residency in Gastroenterology. completed a Mayo Graduate School Disorders of the Female Pelvic residency in Surgery. Floor, March 29-31, 2007, Scottsdale, AZ

26 Mayo Alumni Summer 2006 84899 Pages 22-32 8/21/06 10:26 AM Page 6

W. James Phillips, was elected William C. Logan Jr., was Sherine Gabriel received the chief of staff at the University of appointed head of the Division of 2006 Distinguished Educator Award Mississippi Medical Center. He is an Geriatric Care Services at Greenville for the Association for Clinical associate professor of Anesthesiology Hospital System in Greenville, S.C. Research Training. Dr. Gabriel also and assistant professor of Emergency after completing a fellowship in was designated a McCann Scholar by Medicine. Dr. Phillips was a Mayo geriatrics at Duke University. Dr. Logan the Joy McCann Foundation. Clinic Staff physician in Anesthesiology. completed a Mayo Graduate School Joseph Hung was appointed to a Steven S. Saliterman, published residency in Surgery. fifth term as chair of the Committee “Fundamentals of BioMEMS and on Pharmacopeia, Society of Nuclear Medical Microdevices,” the first textbook Medicine. in this emerging field. Dr. Saliterman 2000s Judith Kaur was selected by the is a graduate of Mayo Medical School Maher A. Abbas, was elected Intercultural Cancer Council as the and completed a Mayo Graduate chief of colon and rectal surgery at Dr. LaSalle D. Leffall Jr. Cancer School fellowship in Internal Medicine. Kaiser Permanente Los Angeles and Prevention Award recipient at the 10th Janette Hansen Strathy, was regional head of colon and rectal Biennial Intercultural Cancer Council elected chair of the Clinical Board of surgery for the Southern California Symposium. Governors of Park Nicollet Health Permanente Medical Group. Dr. Abbas Edward Laskowski was named Services. Dr. Strathy completed a completed a Mayo Graduate School by President Bush to the President’s Mayo Graduate School fellowship in residency in Colon and Rectal Council on Physical Fitness for a Obstetrics and Gynecology. Surgery. two-year term. Abdullah Hamad, recently Karl Nath was a Visiting received certifications from the Professor on Research Day at the 1990s Hypertension Board and the Department of Medicine at the David G. Brodland, was elected American Board of Nutrition in University of Minnesota and was president of the American College of addition to his board certifications in awarded the Department of Mohs Micrographic Surgery and Internal Medicine, Nephrology and Medicine’s Distinguished Alumnus Oncology for 2006. Dr. Brodland was Transplantation. Dr. Hamad completed Career Achievement Award. a Mayo Clinic Staff physician in Mayo Graduate School residencies in Gregory Poland received The Dermatology. Transplant Medicine and Nephrology. Dr. Charles Mérieux Award from the Briggs E. Cook Jr., was elected National Foundation for Infectious secretary of the North Carolina Society Diseases. of Eye Physicians and Surgeons. Glenn Roberts was elected Dr. Cook completed a Mayo Graduate President-Elect for the Medical School fellowship in Ophthalmology. Staff news Mycological Society of the Americas. William R. Laney, was presented Michael Silber was elected the first Distinguished Service Award president of the American Academy from The Academy of Osseointegration Mark Dahl was named the 2006 of Sleep Medicine. in recognition of his twenty years of recipient of the Master Dermatologist Emanuel Strehler was appointed service as editor of the “International Award from the American Academy to the editorial board of the Journal of Journal of Oral & Maxillofacial Implants.” of Dermatology. Biological Chemistry for a five-year This award is conferred upon an Steven Eckert was elected to the term. individual in recognition of outstand- position of vice president elect of the Zelalem Temesgen was elected ing contributions, performance and American Academy of Maxillofacial treasurer, chair of the finance commit- commitment to the field of implant Prosthetics. He was also elected tee, and member of the executive dentistry. Dr. Laney was a Mayo Staff president-elect for the Academy of committee of the American Academy physician in Prosthodontics. Osseointegration. of HIV Medicine.

Summer 2006 Mayo Alumni 27 84899 Pages 22-32 8/21/06 10:26 AM Page 7

Mayo Update

a one-year sabbatical to teach at Children’s Services, first in the Fellow, resident and Massachusetts General Hospital in Minnesota Department of Welfare student news Boston. Dr. Bacon moved to Santa and later the Health Department. Barbara, Calif., in 1979 where he In retirement, she worked at the joined a private practice. He was Faribault State Hospital. Dr. Indritz Mayo Clinic’s delegation to the president of the Rocky Mountain was a member of the Minnesota American Medical Association — Radiology Society and a member of Medical Association and received the Medical Student Section was awarded the American College of Radiology, American Academy of Pediatrics “AMA Chapter of the Year” for 2006. where he served two terms on the Distinguished Service Award. Mayo’s student delegation is lead by board of directors and was appointed co-presidents Nick Zane and vice-president in 1979. Russell C. Long, 88, died Jan. 18, Joy Hardison. 2006, in Charlotte, N.C. Dr. Long Mayo Medical School students Herman J. (Doc) Bearzy, 94, died received his medical degree from the Amy Fothergill and Nick Zane March 18, 2006, in Kettering, Ohio. University College of Medicine in authored a resolution regarding access Dr. Bearzy received his medical degree Cincinnati, Ohio, and completed a to reproductive health which was from the University of Pittsburgh Mayo Clinic fellowship in Surgery in accepted as national policy of the School of Medicine and completed a 1945. He was in the Army Medical American Medical Association — Mayo Clinic residency in Physical Corp of the 101st Airborne at Fort Medical Student Section. Medicine and Rehabilitation in 1946. Campbell, Ky. Dr. Long practiced Priyanka Gupta was elected to Dr. Bearzy was team physician at the surgery in Mansfield, Ohio, for 30 the new position of Regional U.S. Military Academy at West Point years. He was a former medical Community Service Coordinator for until 1952. In 1952, he moved to director of the Ohio State Reformatory the American Medical Association — Dayton, Ohio, where he was a pioneer and a Federal Aviation Medical Medical Student Section, and will in the development of the Physical Examiner. Dr. Long was a member of work with other regional officers to Medicine Department at Miami Valley the Flying Physicians Association and develop a community service project Hospital. Dr. Bearzy retired in 1976. the Civil Aviation Medical Association. for a multi-state region, including He received the President’s Award for He was treasurer for Missions Minnesota, Wisconsin and Iowa. Physician of the Year in Physical International, Inc., and was involved Medicine. in medical mission work where he assisted in The Polyclinic Adventiste Mildred (Norval) Indritz, 93, Hospital expansion in Haiti. died March 6, 2006, in Minneapolis, Obituaries Minn. Dr. Indritz received her medical Charles A. Short Jr., 85, died degree from the University of Illinois Dec. 6, 2005, in San Jose, Calif. Medical School and completed a Dr. Short received his medical degree 1940s Mayo Clinic pediatric residency in from Northwestern University John F. Bacon, 91, died Jan. 12, 1945. She received a master’s of Medical School and completed a 2006, in Santa Rosa, Calif. Dr. Bacon Pediatrics from the University of Mayo Clinic fellowship in Surgery in received his medical degree from the Minnesota in 1948 and a master’s in 1949. He was a general surgeon and University of Pennsylvania and Public Health from Harvard founding member of the San Jose completed Mayo Clinic residencies in University School of Public Health in Medical Group. Dr. Short was a Otorhinolaryngology and Radiology 1958. Dr. Indritz was a Mayo Clinic member of the American Academy of in 1944 and 1947, respectively. staff physician in the Department of Medical Directors and the American Dr. Bacon joined McFarland Clinic in Pediatrics from 1947 to 1951. She Red Cross. He was named one of San Ames, Iowa in 1949. In 1962, he took was director of the former Crippled Jose’s 10 outstanding citizens in 1960.

28 Mayo Alumni Summer 2006 84899 Pages 22-32 8/21/06 10:26 AM Page 8

Agatha M. Wilhelm, 97, died Oliver H. Beahrs, 91, died Herbert W. Johnson, 84, died Sept. 14, 2005, in South Bend, Ind. Jan. 7, 2006, in Rochester, Minn. March 21, 2006, in St. Paul, Minn. Dr. Wilhelm received her medical Dr. Beahrs received his medical Dr. Johnson received his medical degree from Northwestern University degree from Northwestern University degree from the University of Medical School and completed a and completed a Mayo Clinic fellow- Minnesota Medical School and Mayo Clinic fellowship in Internal ship in Surgery in 1950. He was a completed a Mayo Clinic residency Medicine in 1943. She opened an Mayo Clinic staff physician from 1950 in Internal Medicine in 1951. He internal medicine private practice in until his retirement in 1979. Dr. Beahrs served as an Army physician in South Bend, which she maintained supervised the surgical team that World War II. Dr. Johnson was in until her retirement in 1982. Dr. Wilhelm operated on President Reagan at private practice in St. Paul until his was president of the St. Joseph County Bethesda Naval Hospital in Maryland retirement in 1985. He was president Medical Society in 1963. In 1965 she in 1987. He was former section head of the Minnesota Association of was honored as the Woman of the of Head, Neck, and General Surgery. Internists and an officer in the Year in South Bend. She was a He was a member of the Mayo Clinic Ramsey County Medical Society. member of the American Medical Board of Governors, vice-chair of the He was a clinical associate professor Association, American Society of Board of Governors, chair of the of Medicine at the University of Clinical Pathologists, American Mayo Clinic Council, member of the Minnesota Medical School. Society of Internal Medicine, and the Board of Trustees of Mayo Foundation American College of Physicians. and was named teacher of the year Robert R. Jones, 93, died Dec. 21, in 1976. He served on the Board of 2005, in Wabasha, Minn. Dr. Jones Directors at Rochester Methodist received his medical degree from the 1950s Hospital. He received the American University of Illinois Medical School Leonard A. Aaro, 79, died Cancer Society’s Humanitarian Award and completed a Mayo Clinic Dec. 11, 2005, in Rochester, Minn. in 1995. fellowship in Anesthesiology in 1950. Dr. Aaro received his medical degree He served in the U.S. Army during from Northwestern University John T. Burroughs, 78, died World War II and became consulting Medical School and completed a Nov. 10, 2004, in San Diego, Calif. anesthesiologist for the U.S. Army Mayo Clinic fellowship in Obstetrics Dr. Burroughs received his medical Hospitals in Europe in 1953. Dr. Jones and Gynecology in 1957. He served degree from Harvard Medical School was a Mayo Clinic staff physician three years in the U.S. Air Force. and completed a Mayo Clinic residen- from 1954 until his retirement in 1977. Dr. Aaro was a Mayo Clinic staff cy in Surgery in 1956. He served in physician from 1957 until his Korea with the Navy Reserves and Howard L. Saylor Jr., 88, died retirement in 1992. He introduced was stationed with the First Marine April 10, 2006, in Rochester, Minn. the clinical use of two-dimensional Division. Dr. Burroughs’ professional Dr. Saylor received his medical degree diagnostic ultrasound at Mayo Clinic. credits include his roles in the devel- from Northwestern University and He also developed a technique to opment of the heart-lung machine, completed a Mayo Clinic residency in evaluate infertility problems using cardiopulmonary resuscitation (CPR), Surgery in 1950. He was a captain fluoroscopy. He was former section and both open heart surgery and during World War II and served as head in Medical Gynecology and vice- coronary bypass surgery. He retired battalion surgeon. He practiced in chair of Obstetrics and Gynecology. from medical practice in 1976 and Huron, S.D., until his retirement in Dr. Aaro served as president of the obtained a law degree in legal medi- 2000. Dr. Saylor was a fellow of the Minnesota Obstetrical and Gynecologic cine, which he practiced for 20 years. American College of Surgeons and a Society and was a member of the diplomate of the American Board of Fitzgerald Society. Surgery. He was chief of staff, hospital

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Mayo Update

board member, and chair of the of Peace and Sacred Heart Health and 1960s surgical committee at Huron Regional PeaceHealth Systems. He was the first Ralph D. Ade, 75, died April 15, Medical Center, past president of the recipient of the Mother Theresa Moran 2005, in Moline, Ill. Dr. Ade received South Dakota State Medical Association, Award from the Sisters of St. Joseph his medical degree from the University a member of the Priestly Society of Peace. of Illinois-Chicago and completed a (Mayo Surgical Society) and a member Mayo Clinic residency in Gastro- of the Advisory Council. He was G. Keith Stillwell, 87, died enterology in 1961. At his retirement regional trauma chair of the American Sept. 2, 2005, in Rochester, Minn. Dr. in 1999, Dr. Ade was in private College of Surgeons. Stillwell received his medical degree practice and was a member of the from Queen’s University in Canada Moline Public Hospital, where he Grier F. Starr, 79, died Feb. 20, and served in the Canadian Army. served as chief of staff. He was 2006, in Eugene, Ore. Dr. Starr He was a Mayo Clinic staff physician president of the Rock Island County received his medical degree from from 1954 until his retirement in 1983. Medical Society and a member of the Northwestern University Medical Dr. Stillwell was chair of the Department board of directors for the Heritage School and completed a Mayo Clinic of Physical Medicine and Rehabilitation National and Quad Cities Health Plans. Pathology residency in 1955. He from 1973 to 1981. received a master’s degree in Edward “Paul” Didier, 81, died Pathology from the University of John P. (Jack) Utz, 83, died May 30, 2006, in Rochester, Minn. Minnesota in 1956. He served in the April 4, 2006, in Naples, Fla. Dr. Utz Dr. Didier received his medical degree U.S. Navy as a hospital corpsman received his medical degree from from Temple University School of from 1944 to 1946. Dr. Starr was a Northwestern University Medical Medicine in Philadelphia. He served Mayo Clinic staff physician in the School and completed a Mayo Clinic in the U.S. Army Air Corps in Saipan Division of Surgical Pathology from Internal Medicine residency in 1952. during World War II. Dr. Didier was a 1956 to 1959. He moved to Eugene in He was commissioned a first Mayo Clinic staff physician from 1960 1959 and started his medical practice. lieutenant in the U.S. Army and later to 1995 as head of the Critical Care- He was a founding member of the transferred to the U.S. Public Health Respiratory Therapy section and chair Lane Memorial Blood Bank and was a Service. Dr. Utz was chief of the infec- of the Division of Intensive Care and staff member at Sacred Heart General tious disease service at the National Respiratory Therapy. He initiated Hospital and McKenzie-Willamette Institutes of Health in Bethesda, Md., resuscitation teams for Mayo Clinic Hospital. He served as chief of staff from 1952 to 1965. He was a visiting and Gold Cross Ambulance. Dr. Didier at Sacred Heart General Hospital. professor at the Pasteur Institute in was a member and chair of the board Dr. Starr was a member of the American Paris, from 1962 to 1963. He was chief of trustees of the International College of Pathology, American Society of the Division of Immunology and Anesthesia Research Society, chair of Clinical Pathologists, International Infectious Diseases at the Medical of the Ninth World Congress of Academy of Pathologists, American College of Virginia in Richmond from Anesthesiologists’ Art Exhibit and Society of Dermatopathology, Oregon 1973 to 1978, and he served as dean of referee for the Joint Review Committee Society of Pathologists, Lane County the School of Medicine at Georgetown for Respiratory Therapy Education. Medical Society, and Pacific Northwest University Hospital from 1973 until He was the first dean and medical Society of Pathologists. He was presi- retirement in 1995. Dr. Utz founded director of the Rochester Community dent of Pathology Consultants, P.C., the National Foundation for Infectious College/Mayo Clinic School of from 1973 to 1986 and chief executive Diseases and served on its board of Respiratory Therapy, where a lecture officer of Oregon Clinical Laboratories, directors for more than 25 years. series is named in his honor. He was now Oregon Medical Laboratories. He He also served as the Foundation a member of the Society of Medical served on the boards of Oregon Blue president from 1991 to 1994. He was a Consultants to the U.S. Armed Forces Cross-Blue Shield, Sisters of St. Joseph member of the Academie de Medicins and retired as a colonel in the U.S. Francais. Army Reserves.

30 Mayo Alumni Summer 2006 84899 Pages 22-32 8/21/06 10:26 AM Page 10

Ralph N. Feichter, 73, died 1970s 1980s March 2, 2005, in Waynesville, N.C. Charles S. Field, 59, died Subhash C. Ray, 61, died Dr. Feichter received his medical June 11, 2005, in Rochester, Minn. April 24, 2005, in Bonita Springs, Fla. degree from Northwestern University Dr. Field received his medical degree Dr. Ray received his medical degree Medical School and completed a from the University of Minnesota and from the University of Kolkata and Mayo Clinic residency in Internal completed a Mayo Clinic fellowship completed a Mayo Clinic residency Medicine in 1961. Following his in Obstetrics and Gynecology in in Cardiovascular Surgery in 1986. residency, he served two years in the 1977. Dr. Field was a Mayo Clinic Dr. Ray was a cardiovascular and U.S. Navy as a lieutenant commander staff physician from 1977 until his thoracic surgeon at Our Lady of at the Charleston, S.C., Naval Hospital. retirement in 2004. He was a former Lourdes Medical Center in New Dr. Feichter returned to Haywood chair of the Division of Obstetrics and Jersey until his retirement in 1999. County and practiced Internal vice-chair of the Department of Medicine until retiring in 1996. He Obstetrics and Gynecology. He was was a founding physician of Mountain past president of the Minnesota State 2000s Medical Associates in Clyde, N.C. Obstetrical and Gynecological Society. Geza I. Mozes, 37, died Dec. 14, Dr. Feichter was a founding member 2005, in Rochester, Minn. Dr. Mozes of the Haywood Regional Medical Joseph W. Segura, 66, died received his medical degree from Center Foundation and was its first May 23, 2006, in Rochester, Minn. Semmelweis Medical College and lifetime honorary trustee. He served Dr. Segura received his medical completed a Mayo Clinic fellowship on the first National Air Pollution degree from Northwestern University in Vascular Surgery in 2005. He was a Control Board. Medical School and completed a Mayo Clinic staff physician from 2005 Mayo Clinic residency in Urology in until his death. Dr. Mozes received the Manuel R. Gomez, 77, died 1972. He was a consultant in the Kaare K. Nygaard Travel Award in Jan. 21, 2006, in Rochester, Minn. Department of Urology from 1972 to 2002, which is presented annually to a Dr. Gomez received his medical 2006 and was a supplemental staff resident in the Department of Surgery degree from the Universidad de la consultant in the Department of who has demonstrated excellence in Habana in Havana, Cuba. He was a Urology at his death. He was named clinical research during surgical Mayo Clinic staff physician from the Carl Rosen Professor of Urology in training. 1964 until his retirement in 1994. 1983. Dr. Segura was secretary-elect of Dr. Gomez was a founding member the American Urological Association, of the Child Neurology Society and president of the International Chapter the International Child Neurology of the American College of Surgeons Association. The National Tuberous and general chairman of the Eighth Sclerosis Society established a research World Congress on Endourology and award in his honor, and he received Shock Wave Lithotripsy. He received The Hower Award from the Child the AUA Distinguished Service Neurology Society, its highest honor. Award, the Mayo Clinic Distinguished Clinician’s Award, honorary fellow- ship in the Royal College of Surgeons of Edinburgh, the AUA Hugh Hampton Young Award, the Ferdinand Valentine Medal Award and the Karl Storz Lifetime Achievement Award from the Endourological Society.

Summer 2006 Mayo Alumni 31 84899 Pages 22-32 8/21/06 10:26 AM Page 11

Mayo Clinic Resource Central

Resources to help you Regional Visiting Faculty Program Alumni Center Rochester 507-284-2242 stay connected with Information Jacksonville 904-953-2944 Arizona 480-301-7348 Mayo Clinic and Mayo Clinic Alumni Center 507-284-2317 Mayo Clinic Alumni Visiting Clinician Program Karen Skiba Rochester 507-284-3432 Administrator Association Jacksonville 904-953-2944 507-538-0162 Arizona 480-301-4338 E-mail: [email protected] Continuing Medical Education Alumni Relations Coordinators: Rochester 800-323-2688 Betsey Smith Jacksonville 800-462-9633 507-538-1164 Arizona 480-301-4580 www.mayo.edu/cme/ Debbie Oscarson 507-538-1663 www.mayo.edu/alumni

Mayo Clinic Rochester Employment The Doctors Mayo Society 200 First Street SW Robert Giere Opportunities Rochester, MN 55905 800-297-1185 507-284-2511 Mayo Clinic Human Resources For information about employment Physician Referral Information opportunities at Mayo Clinic visit: Mayo Clinic Jacksonville Rochester 800-533-1564 www.mayo.edu or e-mail: 4500 San Pablo Road Jacksonville 800-634-1417 [email protected] Jacksonville, FL 32224 Arizona 800-446-2279 904-953-2000 www.mayoclinic.org/medicalprofs You will be asked to specify Rochester, Jacksonville or Arizona for employment opportunities. Executive Health Program Mayo Clinic Arizona Rochester 507-284-2288 13400 East Shea Boulevard Jacksonville 800-634-1417 Mayo Health System Scottsdale, AZ 85259 Arizona 480-301-8088 John Shonyo 480-301-8000 www.mayoclinic.org/executive-health 507-284-9114 www.mhs.mayo.edu

For Mayo Clinic and health Mayo Medical Laboratories information on the Web: 800-533-1710 www.mayo.edu www.mayoreferenceservices.org/mml/ Medical Journal www.mayoclinic.org www.mayoclinic.com Mayo Clinic MedAir, Mayo One Mayo Clinic Proceedings 800-237-6822 800-707-7040 www.mayomedicaltransport.com www.mayo.edu/proceedings

32 Mayo Alumni Summer 2006 84899 Backcover 8/21/06 10:27 AM Page 1

Mayo Clinic Alumni Editorial staff Association Executive Editor — Priscilla Russell

Officers Managing Editor — Priscilla Russell Scott C. Litin, M.D., Rochester, Minn. President David K. Teegarden, M.D., Tyler,Texas Art Director — Mary Ayshford President Elect S. Mark Laney, M.D., Fort Worth, Texas Feature Writers — Melissa Abrams, Michael Dougherty, Beverly Parker, Vice President Nicole Brekke-Sisk Eric S. Edell, M.D., Rochester, Minn. Secretary-Treasurer T. Paul O’Donovan, M.D., Chicago, Ill. Mayo Update Contributors — Traci Klein, Lisa Lucier, Margaret Dougherty, Past President Susan Fargo Prosser Karen D. Skiba, Rochester, Minn. Administrator Editorial Assistant — Patricia Voerding

Executive Committee Photographers — Joseph Kane, Richard Madsen, Siddiqi Ray, Randy Ziegler Kara E. Bliley, Rochester, Minn. (MGS Representative) Proofreader — Michael McDaniel David R. Farley, M.D., Rochester, Minn. Michael B. Farnell, M.D., Rochester, Minn. Advisory Board — Steven Altchuler, M.D., Ph.D., Eric Edell, M.D., Chair, Elena (Ellie) J. Jelsing, Rochester, Minn. (MMS Representative) Colum Gorman, M.D., Ph.D., Nancy Henry, M.D., Ph.D., Scott Litin, M.D., Shamane K. (Kimara) March, M.D., Patricia Martin, Ph.D., Priscilla Russell, Robert Safford, M.D., Ph.D., Karen Skiba, Rochester, Minn. Thomas Spelsberg, Ph.D., William Stone, M.D., Dietland Wahner-Roedler, M.D., (MSGME Representative) Amy Williams, M.D. Thomas J. McDonald, M.D., Rochester, Minn. Roger L. Nelson, M.D., Rochester, Minn. ex officio member Mayo Alumni Center e-mail address: [email protected] Stephen J. Riederer, Ph.D., Rochester, Minn. Web site: http://www.mayo.edu Carl W. Soderstrom, M.D., Peoria, Ill. Alumni Association Internet address: http://www.mayo.edu/alumni/ Daniel N. Wochos, M.D., Scottsdale, Ariz. Mayo Alumni magazine is published quarterly and mailed free of charge to Board of Directors 2005 – 2007 physicians, scientists and medical educators who studied and/or trained at David R. Baines, M.D., Anchorage, Ala. Mayo Clinic, and to Mayo consulting staff. The magazine reports on Mayo Clinic Jaime G. Laventman, M.D., alumni, staff and students, and informs readers about newsworthy activities Huixquilucan, Mexico throughout Mayo Clinic. Please send correspondence to: Mayo Alumni, Charles D. McPherson, M.D., Las Vegas, Nev. Mayo Clinic, 200 First Street S.W., Rochester, MN 55905; or via e-mail to Kristina I. Rother, M.D., Kensington, Md. [email protected]; or telephone 507-284-2450; or fax 507-284-8713. Elizabeth A. Shuster, M.D., Jacksonville, Fla. Send address changes to the Mayo Clinic Alumni Association office at the Robert S. Wooten, M.D., Germantown, Tenn. Thomas W. Daugherty, M.D., Winchester,Va. preceding address or e-mail to [email protected]. Gary Gitnick, M.D., Los Angles, Calif. Bernard A. Harris, M.D., Houston, Texas Mayo Clinic is committed to creating and sustaining an environment Melissa A. Merideth, M.D., Bethesda, Md. that respects and supports diversity in staff and patient populations. Robert J. Spinner, M.D., Rochester, Minn. Torrence M. Wilson, M.D., Rochester, Minn. Kenneth H. Brookler, M.D., New York, N.Y. Nancy L. Elwess, M.D., Plattsburg, N.Y. Robert P. Kazan, M.D., Chicago, Ill. 2006 Peter H. Layer, M.D., Hamburg, Germany MC44090806 David W. Romness, M.D., Arlington,Va. Robert L. Van Dervoort Jr., M.D., Nashville, Tenn. DIVISION OF COMMUNICATIONS Non-Profit Organization MAYO CLINIC U.S. Postage ROCHESTER, MINNESOTA 55905 PAID Rochester, MN 55905 Permit No. 135 ADDRESS SERVICE REQUESTED 84899 OBC 8/21/06 10:26 AM Page 1 Page AM 10:26 8/21/06 OBC 84899