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Alpha Omega Alpha Honor Medical Society Winter 2014 the PHAROS of Alpha Omega Alpha Honor Medical Society Winter 2014 Alpha Omega Alpha Honor Medical Society Winter 2014 THE PHAROS of Alpha Omega Alpha honor medical society Winter 2014 “Be Worthy to Serve the Suffering” Alpha Omega Alpha Honor Medical Society Founded by William W. Root in 1902 Officers and Directors at Large Editor Richard L. Byyny, MD John Tooker, MD, MBA President Philadelphia, Pennsylvania Editor Emeritus (in memoriam) Robert J. Glaser, MD C. Bruce Alexander, MD Immediate Past President Associate Editor and Helen H. Glaser, MD Birmingham, Alabama Managing Editor Douglas S. Paauw, MD (in memoriam) President-Elect Seattle, Washington Managing Editor Debbie Lancaster Joseph W. Stubbs, MD Secretary-Treasurer Art Director and Illustrator Albany, Georgia Robert G. Atnip, MD Designer Erica Aitken Hershey, Pennsylvania Eve J. Higginbotham, SM, MD Editorial Board Philadelphia, Pennsylvania Richard B. Gunderman, MD, PhD Indianapolis, Indiana Jeremiah A. Barondess, MD Faith T. Fitzgerald, MD Eric Pfeiffer, MD Sheryl Pfeil, MD New York, New York Sacramento, California Tampa, Florida Columbus, Ohio David A. Bennahum, MD Daniel Foster, MD William M. Rogoway, MD Albuquerque, New Mexico Dallas, Texas Stanford, California Alan G. Robinson, MD John A. Benson, Jr., MD James G. Gamble, MD, PhD Shaun V. Ruddy, MD Los Angeles, California Portland, Oregon Stanford, California Richmond, Virginia Wiley Souba, MD, DSc, MBA Richard Bronson, MD Dean G. Gianakos, MD Bonnie Salomon, MD Hanover, New Hampshire Stony Brook, New York Lynchburg, Virginia Steven A. Wartman, MD, PhD John C.M. Brust, MD John S. Sergent, MD Jean D. Gray, MD Washington, DC New York, New York Halifax, Nova Scotia Nashville, Tennessee Charles S. Bryan, MD David B. Hellmann, MD Marjorie S. Sirridge, MD Columbia, South Carolina Baltimore, Maryland Kansas City, Missouri Medical Organization Director Robert A. Chase, MD Pascal James Imperato, MD Clement B. Sledge, MD Carol A. Aschenbrener, MD Stanford, California, and Brooklyn, New York Marblehead, Massachussetts Association of American Medical Colleges Jaffrey, New Hampshire John A. Kastor, MD Jan van Eys, Ph.D., MD Washington, DC Henry N. Claman, MD Baltimore, Maryland Nashville, Tennessee Denver, Colorado Michael D. Lockshin, MD Abraham Verghese, MD, DSc Councilor Directors Fredric L. Coe, MD New York, New York (Hon.) Stanford, California Lynn M. Cleary, MD Chicago, Illinois Kenneth M. Ludmerer, MD Steven A. Wartman, MD, PhD State University of New York Upstate Medical Jack Coulehan, MD St. Louis, Missouri Washington, DC University Stony Brook, New York J.Joseph Marr, MD Gerald Weissmann, MD Mark J. Mendelsohn, MD Ralph Crawshaw, MD New York, New York University of Virginia School of Medicine Portland, Oregon Stephen J. McPhee, MD David Watts, MD San Francisco, California Alan G. Wasserman, MD Peter E. Dans, MD Mill Valley, California Baltimore, Maryland Francis A. Neelon, MD George Washington University School of Lawrence L. Faltz, MD Durham, North Carolina Medicine and Health Sciences Sleepy Hollow, New York Coordinator, Residency Initiatives Suzann Pershing, MD Stanford University Student Directors www.alphaomegaalpha.org Christopher Clark, MD University of Mississippi Medical School Tonya Cramer, MD Manuscripts being prepared for The Pharos should be typed double-spaced, submitted in triplicate, and conform to the format Chicago Medical School at Rosalind Franklin outlined in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org. They are also available University of Medicine & Science from The Pharos office. Editorial material should be sent to Richard L. Byyny, MD, Editor, The Pharos, 525 Middlefield Road, Suite Laura Tisch 130, Menlo Park, California 94025. Medical College of Wisconsin Requests for reprints of individual articles should be forwarded directly to the authors. The Pharos of Alpha Omega Alpha Honor Medical Society (ISSN 0031-7179) is published quarterly by Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Menlo Park, California 94025, and printed by The Ovid Bell Press, Inc., Fulton, Administrative Office Missouri 65251. Periodicals postage paid at the post office at Menlo Park, California, and at additional mailing offices. Copyright Richard L. Byyny, MD © 2012, by Alpha Omega Alpha Honor Medical Society. The contents of The Pharos can only be reproduced with the written Executive Director permission of the editor. (ISSN 0031-7179) Menlo Park, California Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All correspondence relating to circulation should be directed to Ms. Debbie Lancaster, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: [email protected] Menlo Park, California 94025 Telephone: (650) 329-0291 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Fax: (650) 329-1618 Menlo Park, CA 94025. E-mail: [email protected] The Pharos • Volume 77 Number 1 • Winter 2014 In This Issue DEPARTMENTS On the cover Alpha Omega Alpha Honor Medical Society Winter 2014 Editorial See page 11. 2 Teaching and learning in medicine Alan G. Robinson, MD Richard L. Byyny, MD 2013 Robert J. Glaser 31 Distinguished Teacher Awards The physician at the movies 34 Peter E. Dans, MD Blue Jasmine Enough Said Call Northside 777 (1948) Reviews and reflections ARTICLES 39 I Wasn’t Strong Like This When I Started Out: True Stories of Fall from grace Becoming a Nurse 8 Reviewed by Judy Schaefer, RN, MA J. Joseph Marr, MD Forgive and Remember: Managing Medical Failure Reviewed by Jack Coulehan, MD Plagiarism of ideas Guidebook for Clerkship Directors, 14 Benjamin Rush and Charles Caldwell— 4th edition Reviewed by Deepti Rao, MD a student–mentor dispute What Doctors Feel: How Emotions Charles T. Ambrose, MD Affect the Practice of Medicine Reviewed by Johanna Shapiro, PhD Last days National and chapter news 25 44 Richard C. Reynolds, MD INSIDE New program POETRY BACK COVER So Long AΩA Fellow in Leadership Award 24 Thomas J. Balkany, MD, FACS, FAAP Negatives 30 Alexander Fortenko O.E.D. 38 Henry N. Claman, MD 49 49 Editorial Teaching and learning in medicine Alan G. Robinson, MD Dr. Robinson (AΩA, University of Pittsburgh, 1988) is How People Learn: Brain, Mind, Experience, and School.1 The the Distinguished Professor, Associate Vice Chancellor, report’s major points were: and Senior Associate Dean at the David Geffen School of • Individual learning is built on one’s own prior knowledge Medicine at UCLA. He is a member of the board of direc- from instruction and experience. tors of Alpha Omega Alpha. • Learners differ in styles of learning, prior instruction, previous experience, and other factors. Introduction • Learning is facilitated by formative evaluation with feed- Richard L. Byyny, MD back for understanding of concepts. Executive Director, Alpha Omega Alpha • Learning requires reflection, awareness, and self- I recently had a discussion with close friend Dr. Alan questioning of one’s understanding and learning process. Robinson about the importance of teaching and learning in • Learning is enhanced for those who value the knowledge medicine. We shared our ideas and worries, including the learned. problems of not having adequate funding for teaching in • Active learning results in better understanding and re- medicine and the dearth of medical teachers with a full un- tention of knowledge and information. derstanding of educational research in pedagogy and learning. • Learning is a continuum from novice to expert, where I subsequently asked Al to write an editorial for The Pharos knowledge and information can be effectively retrieved, un- on the topic. derstood, and applied. Like many teachers in medicine I learned to teach by ob- The most effective medical teaching requires not only serving my teachers and adopting or rejecting their teaching medical and scientific knowledge, but also the knowledge of methods and style. I also used the “see one, do one, teach one” education science and the ability to apply these educational pedagogy described by Al and others. I spent one summer principles. Most basic science courses in medical school could with Dr. Kelley Skeff at the Stanford Faculty Development utilize the principles of education science to organize their Center for Medical Teachers to learn how to become a bet- courses, or could apply the principles of education science to ter bedside teacher and worked hard to become an excellent course organization. This involves changing the perspective physician, teacher, and scholar. I was surprised and flattered to from what is often instructor-centered teaching to student- receive some teaching awards and excellent evaluations from centered learning. Incorporating instruction around student medical students, residents, and patients. engagement with a case or problem early in medical education However, it wasn’t until I served as the Chancellor of the and then pursuing this during the clinical education experi- University of Colorado at Boulder that I really learned about ences enhances learning and motivation. This shifts learning the science of teaching and learning. There, distinguished from the model of teaching of facts followed by application to research faculty applied what has been called “scientific teach- one of inductive teaching that begins with a case or clinical ing” in their courses for undergraduate students, using the problem and students learning the relevant concepts and facts principles set forth in
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