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Alpha Omega Alpha Honor Medical Society Winter 2015 Alpha Omega Alpha Honor Medical Society Winter 2015 THE PHAROS of Alpha Omega Alpha honor medical society Winter 2015 “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 Douglas S. Paauw, MD President Seattle, Washington Editor Emeritus (in memoriam) Robert J. Glaser, MD Robert G. Atnip, MD President-Elect Associate Editor and Helen H. Glaser, MD Hershey, Pennsylvania Managing Editor John Tooker, MD, MBA (in memoriam) Immediate Past President Philadelphia, Pennsylvania Managing Editor Debbie Lancaster Joseph W. Stubbs, MD Secretary-Treasurer Art Director and Illustrator Jim M’Guinness Albany, Georgia Eve J. Higginbotham, SM, MD Designer Erica Aitken Philadelphia, Pennsylvania Holly J. Humphrey, MD Chicago, Illinois Editorial Board Richard B. Gunderman, MD, PhD Indianapolis, Indiana Sheryl Pfeil, MD Jeremiah A. Barondess, MD Faith T. Fitzgerald, MD Stephen J. McPhee, MD Columbus, Ohio New York, New York Sacramento, California San Francisco, California Alan G. Robinson, MD David A. Bennahum, MD Daniel Foster, MD Janice Townley Moore Albuquerque, New Mexico Dallas, Texas Young Harris, Georgia Los Angeles, California John A. Benson, Jr., MD James G. Gamble, MD, PhD Francis A. Neelon, MD Wiley Souba, MD, DSc, MBA Portland, Oregon Stanford, California Durham, North Carolina Hanover, New Hampshire Richard Bronson, MD Dean G. Gianakos, MD William M. Rogoway, MD Steven A. Wartman, MD, PhD Stony Brook, New York Lynchburg, Virginia Stanford, California Washington, DC John C.M. Brust, MD Jean D. Gray, MD Shaun V. Ruddy, MD New York, New York Halifax, Nova Scotia Richmond, Virginia Medical Organization Director Charles S. Bryan, MD David B. Hellmann, MD Bonnie Salomon, MD Griffin P. Rodgers, MD, MBA Columbia, South Carolina Baltimore, Maryland Deerfeld, Illinois National Institute of Diabetes and Digestive and Robert A. Chase, MD Pascal James Imperato, MD John S. Sergent, MD Peterborough, New Hampshire Brooklyn, New York Nashville, Tennessee Kidney Diseases, National Institutes of Health Bethesda, Maryland Henry N. Claman, MD John A. Kastor, MD Clement B. Sledge, MD Denver, Colorado Baltimore, Maryland Marblehead, Massachussetts Fredric L. Coe, MD Henry Langhorne, MD Jan van Eys, PhD, MD Councilor Directors Chicago, Illinois Pensacola, Florida Nashville, Tennessee Lynn M. Cleary, MD Jack Coulehan, MD Jenna Le, MD Abraham Verghese, MD, DSc State University of New York Upstate Medical Stony Brook, New York New York, New York (Hon.) University Stanford, California Ralph Crawshaw, MD Michael D. Lockshin, MD Charles Griffith III, MD, MSPH Portland, Oregon New York, New York Steven A. Wartman, MD, PhD Washington, DC University of Kentucky College of Medicine Peter E. Dans, MD Kenneth M. Ludmerer, MD Gerald Weissmann, MD Mark J. Mendelsohn, MD Baltimore, Maryland St. Louis, Missouri New York, New York University of Virginia School of Medicine Lawrence L. Faltz, MD J. Joseph Marr, MD David Watts, MD Larchmont, New York Broomfeld, Colorado Mill Valley, California Coordinator, Residency Initiatives Suzann Pershing, MD Stanford University Student Directors www.alphaomegaalpha.org Christopher Clark, MD University of Mississippi Medical School Richard Latuska Manuscripts being prepared for The Pharos should be typed double-spaced, submitted in triplicate, and conform to the format Vanderbilt University School of Medicine outlined in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org. They are also available Laura Tisch from The Pharos office. Editorial material should be sent to Richard L. Byyny, MD, Editor, The Pharos, 525 Middlefield Road, Suite Medical College of Wisconsin 130, Menlo Park, California 94025. 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 Administrative Office Medical Society, 525 Middlefield Road, Suite 130, Menlo Park, California 94025, and printed by The Ovid Bell Press, Inc., Fulton, Richard L. Byyny, MD Missouri 65251. Periodicals postage paid at the post office at Menlo Park, California, and at additional mailing offices. Copyright Executive Director © 2015, by Alpha Omega Alpha Honor Medical Society. The contents of The Pharos can only be reproduced with the written Menlo Park, California permission of the editor. (ISSN 0031-7179) Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All correspondence 525 Middlefeld Road, Suite 130 relating to circulation should be directed to Ms. Debbie Lancaster, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: Menlo Park, California 94025 [email protected] Telephone: (650) 329-0291 Fax: (650) 329-1618 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, E-mail: [email protected] Menlo Park, CA 94025. The Pharos • Volume 78 Number 1 • Winter 2015 In This Issue DEPARTMENTS On the cover Alpha Omega Alpha Honor Medical Society Winter 2015 Editorial See page 8 2 Are we appropriately preparing physicians to care for patients throughout their life journeys? Phillip A. Pizzo, MD 2014 Robert J. Glaser 42 Distinguished Teacher Awards Alpha Omega Alpha elects 44 honorary members ARTICLES The physician at the movies 46 Peter E. Dans, MD Ida The electronic health record Calvary 8 The 39 Steps (1935) Are we the tools of our tools? Reviews and reflections K. Patrick Ober, MD, FACP, and William B. Applegate, MD, MACP 52 Bursting With Danger and Music Reviewed by Jenna Le, MD The Ethos of Medicine in Postmodern America: Philosophical, Cultural, and Social The diverse and promising world of Considerations animal-derived medications Reviewed by Jack Coulehan, MD 16 Varaz Bozoghlanian, MD, and Matthew Butteri, MD National and chapter news 56 59 Letters to the editor Training surgery residents to write for 23 publication Robert H. Glew, PhD POETRY The missionary and the peasant Open Up, Baby 15 Richard F. Gillum, MD 26 Two women who helped bring modern medicine to Korea Wounded 45 Bryan Cheyne Young S. Kwon, MPH, and Don K. Nakayama, MD, MBA This Is Not A Bill 51 Adam Possner, MD A Life After Cancer Christmas with Stashu 55 Matthew Mossanen, MD 35 Lauren Ciszak, MD Chemotherapy 60 Barnett Zumoff, MD Inside Elegy for a Gust of Wind Back 60Cover Jana Lichtenfeld, MD Illustration by Jim M’Guinness 2 The Pharos/Winter 2015 Editorial Are we appropriately preparing physicians to care for patients throughout their life journeys? A personal perspective reflected through the lens of the Institute of Medicine Philip A. Pizzo, MD Introduction Dr. Pizzo (AΩA, University of Rochester, 1970) is the Richard L. Byyny, MD David and Susan Heckerman Professor and Professor of Executive Director, Alpha Omega Alpha Microbiology and Immunology, former Dean of Stanford AΩA’s motto is “Be worthy to serve the suffering.” When University School of Medicine, and the Founding Director suffering is primarily caused by a disease, using specific and of the Stanford Distinguished Careers Institute. He is effective treatment may relieve most of the suffering. But, as the co-chair of the Institute of Medicine Committee on we all know, many times there isn’t an effective, certain, or Approaching Death: Addressing Key End of Life Issues, rapid intervention. This may be most important at the end of which recently issued its report, Dying in America: life. For dying patients, the care for the patient and the relief Improving Quality and Honoring Individual Preferences Near of suffering is paramount. the End of Life. Dr. Phillip Pizzo, Dean Emeritus at the Stanford School of Medicine, was the co-chair of the Institute of Medicine t is understandable that most of us do not spend great report Dying in America: Improving Quality and Honoring amounts of time dwelling on our own death, even though Individual Preferences Near the End of Life. After I read the we know it is inevitable. Because the experience of death report and followed some of the news coverage, I thought Iis so personal, when we do think about it, those reflections about how AΩA and our members could participate in this are shaped by both discrete and aggregate experiences—the important discussion on a subject that requires broad and en- loss of a parent, spouse, sibling, friend, and, in the case of gaged participation and leadership from physicians individu- physicians, the death of patients and the impact of their loss ally and our profession as a whole. on their families and loved ones. Regardless of our medical One of AΩA’s important missions is communicating with knowledge and expertise, the feelings and thoughts about our members and disseminating information so that more of us in own eventual death are also influenced by the biological, psy- medicine learn about important issues. The recommendations chological, societal, and spiritual forces common to all of us. in this report are vital to the profession in finding the best These views evolve during our life journeys and can vary by the approaches in this difficult aspect of patient care and com- communities we inhabit, the nature of our medical practices, munity service. I asked Dr. Pizzo to write this issue’s editorial. whether we are healthy or have developed an illness that might In his words, “We all will die. As professionals we must be be serious or life
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