Alpha Omega Alpha Honor Medical Society Summer 2014

Alpha Omega Alpha Honor Medical Society Summer 2014 THE PHAROS of Alpha Omega Alpha honor medical society Summer 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 Janice Townley Moore Sheryl Pfeil, MD New York, New York Sacramento, California Young Harris, Georgia Columbus, Ohio David A. Bennahum, MD Daniel Foster, MD Francis A. Neelon, MD Albuquerque, New Mexico Dallas, Texas Durham, North Carolina Alan G. Robinson, MD John A. Benson, Jr., MD James G. Gamble, MD, PhD William M. Rogoway, MD Los Angeles, California Portland, Oregon Stanford, California Stanford, California Wiley Souba, MD, DSc, MBA Richard Bronson, MD Dean G. Gianakos, MD Shaun V. Ruddy, MD Hanover, New Hampshire Stony Brook, New York Lynchburg, Virginia Richmond, Virginia Steven A. Wartman, MD, PhD John C.M. Brust, MD Jean D. Gray, MD Bonnie Salomon, MD Washington, DC New York, New York Halifax, Nova Scotia Charles S. Bryan, MD David B. Hellmann, MD John S. Sergent, MD Columbia, South Carolina Baltimore, Maryland Nashville, Tennessee Medical Organization Director Robert A. Chase, MD Pascal James Imperato, MD Marjorie S. Sirridge, MD Carol A. Aschenbrener, MD Stanford, California, and Brooklyn, New York Kansas City, Missouri Association of American Medical Colleges Jaffrey, New Hampshire John A. Kastor, MD Clement B. Sledge, MD Washington, DC Henry N. Claman, MD Baltimore, Maryland Marblehead, Massachussetts Denver, Colorado Henry Langhorne, MD Jan van Eys, Ph.D., MD Councilor Directors Fredric L. Coe, MD Pensacola, Florida Nashville, Tennessee Lynn M. Cleary, MD Chicago, Illinois Jenna Le, MD Abraham Verghese, MD, DSc State University of New York Upstate Medical (Hon.) Jack Coulehan, MD New York, New York University Stony Brook, New York Stanford, California Michael D. Lockshin, MD Mark J. Mendelsohn, MD Ralph Crawshaw, MD New York, New York Steven A. Wartman, MD, PhD Washington, DC University of Virginia School of Medicine Portland, Oregon Kenneth M. Ludmerer, MD Gerald Weissmann, MD Peter E. Dans, MD St. Louis, Missouri Alan G. Wasserman, MD New York, New York Baltimore, Maryland J.Joseph Marr, MD George Washington University School of David Watts, MD Lawrence L. Faltz, MD Medicine and Health Sciences Mill Valley, California Larchmont, New York Stephen J. McPhee, MD San Francisco, California 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 © 2014, 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 3 • Summer 2014 In This Issue DEPARTMENTS On the cover Editorial See page 8 2 Rethinking leadership development Wiley W. Souba, Jr., MD, ScD, MBA The physician at the movies 38 Peter E. Dans, MD Jack Ryan: Shadow Recruit The Grand Budapest Hotel Grand Hotel Reviews and reflections Detroit Institute of Arts. Bridgeman Images 42 A Condition of Doubt: The Meaning of Hypocondria Far from the Tree: Parents, ARTICLES Children, and the Search for Identity What Matters in Medicine: Lessons The surgery panel in Diego Rivera’s from a Life in Primary Care 8 Detroit Industry Murals Eugene Braunwald and the Rise of Don K. Nakayama, MD, MBA Modern Medicine Minimally Invasive: peoms on a life in surgery Vital amines, purple smoke Scissored Moon 18 Was a Doctor A select history of vitamins and minerals Common Illness Stanley Gutiontov 2014 Helen H. Glaser Student 49 Essay Awards An obstetric story 2014 Pharos Poetry 25 J. Allan Wolf, MD, FACOG 49 Competition winners 2014 Medical Student The mysterious illness of Emma Lazarus, 50 Service Leadership Project Lady Liberty’s poet Awards 28 Robert S. Pinals, MD Letters to the editor 56 2014 Carolyn L. Kuckein The most memorable patient I never saw 58 Student Research Fellowships 34 Arthur Lazarus, MD, MBA Changes to the Pharos 61 editorial board INSIDE BACK The Robert H. Moser Pharos Editor’s Prize COVER POETRY Sonnet for a Last Dance 07 George Young, MD Corrections Spring 2014 issue We misspelled Dr. Owsei Temkin’s name in the article “Healing, Harming, and Hippocrates” A Guest at Communion 33 Richard Bronson, MD (pp. 20-25) on page 24. We apologize for the poor proofreading. In the introductory material to “Dennett’s Echo” (pp. 5-13) we erroneously indicated that Sharon Spaulding is the great- On the Trail granddaughter of Mary Ware Dennett. She married into the family and is working to archive the 64 Myron F. Weiner, MD materials about Dennett. Illustration by Laura Aitken 2 The Pharos/Summer 2014 Editorial Rethinking leadership development Wiley W. Souba, Jr., MD, ScD, MBA Dr. Souba is Vice-President for Health values provide us with a solid founda- health care challenges is not an option. Affairs, Dean of the Geisel School of tion for leadership. The result is im- We need more effective ways of being, Medicine at Dartmouth, Professor of plementation of our new AΩA Fellow thinking, and collaborating in order to Surgery at Dartmouth, and a member in Leadership award and program that deal successfully with those challenges of the Board of Directors of Alpha provides an important opportunity for for which traditional strategies are not Omega Alpha. rethinking leadership development and enough. But exactly how we broaden our what it means to be a leader. AΩA’s leadership bandwidth is often unclear. Fellow in Leadership Award is based We’ve all experienced how difficult it Introduction on the premise that the principles of is to let go of and transcend our deep- Richard L. Byyny, MD leadership from within can be taught, rooted, familiar ways of leading. Executive Director, Alpha Omega experienced, and learned by those who Recently, the AΩA Board of Alpha aspire to become great leaders. Directors introduced the AΩA Fellow in eadership has long been a core I asked Dr. Wiley Souba, an experi- Leadership Award as a testament to their value of Alpha Omega Alpha Honor enced leader and teacher in medicine, continued commitment to developing MedicalL Society (AΩA). New and ef- medical education, and health care—and leaders in medicine. Because health care fective leaders in medicine, health care, a member of the AΩA board of direc- transformation efforts are often unsuc- and medical education are vital to our tors—to write the editorial for this issue cessful because they overlook the im- profession to serve patients and society. of The Pharos. His editorial, “Rethinking portance of personal transformation, the We asked the question: How can AΩA leadership development” is informative fellowship emphasizes the inner work as an interdisciplinary honor medical and provocative. of leading oneself. Fellows learn what society best support and contribute to it is to be a leader and what it means to leadership promotion and development exercise leadership effectively by making as part of our mission and as one of our Rethinking Leadership use of a model that distinguishes being a core values—to improve care for all by Development leader as the foundation for the leader’s encouraging the development of leaders Wiley W. Souba, MD, DSc, MBA actions. Why is the being of leadership in medicine, academia, community, and anagement consultant and author foundationally primary? An illustration society? Peter Drucker once said that “the is helpful. We recognize that leadership in med- greatestM danger in times of turbulence Suppose I were to ask you, “What icine, medical education, and health care is not the turbulence; it is to act with is an Accountable Care Organization is more complex in the twenty-first cen- yesterday’s logic.” 1 Yet, the past is what (ACO)?” You answer, “An ACO is a tury than ever before.

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