Alpha Omega Alpha Honor Medical Society WINTER 2016 THE PHAROS of Alpha Omega Alpha honor medical society Winter 2016 Alpha Omega Alpha Honor Medical Society “Be Worthy to Serve the Suffering” Founded by William W. Root in 1902 Editor Richard L. Byyny, MD Officers and Directors at Large Robert G. Atnip, MD President Managing Editors Debbie Lancaster and Dee Martinez Hershey, Pennsylvania Joseph W. Stubbs, MD Art Director and Illustrator Jim M’Guinness President-Elect Albany, Georgia Designer Erica Aitken Douglas S. Paauw, MD Immediate Past President Seattle, Washington In memoriam Wiley Souba, Jr., MD, DSc, MBA Robert J. Glaser, MD, Editor Emeritus Secretary-Treasurer Helen H. Glaser, MD, Associate and Managing Editor Hanover, New Hampshire Eve J. Higginbotham, SM, MD Philadelphia, Pennsylvania Editorial Board Holly J. Humphrey, MD Chicago, Illinois Jeremiah A. Barondess, MD Daniel Foster, MD Philip A. Mackowiak, MD Richard B. Gunderman, MD, PhD New York, New York Dallas, Texas Baltimore, Maryland Indianapolis, Indiana David A. Bennahum, MD James G. Gamble, MD, PhD J. Joseph Marr, MD Sheryl Pfeil, MD Albuquerque, New Mexico Stanford, California Broomfeld, Colorado Columbus, Ohio John A. Benson, Jr., MD Dean G. Gianakos, MD Aaron McGuffn, MD Alan G. Robinson, MD Portland, Oregon Lynchburg, Virginia Huntington, West Virginia Los Angeles, California Richard Bronson, MD Jean D. Gray, MD Stephen J. McPhee, MD Stony Brook, New York Halifax, Nova Scotia San Francisco, California John Tooker, MD, MBA John C.M. Brust, MD Lara Hazelton, MD Janice Townley Moore Philadelphia, Pennsylvania New York, New York Halifax, Nova Scotia Young Harris, Georgia Steven A. Wartman, MD, PhD Charles S. Bryan, MD David B. Hellmann, MD Francis A. Neelon, MD Washington, DC Columbia, South Carolina Baltimore, Maryland Durham, North Carolina Bonnie Salomon, MD Robert A. Chase, MD Pascal James Imperato, MD Medical Organization Director Peterborough, New Hampshire Brooklyn, New York Deerfeld, Illinois Griffin P. Rodgers, MD, MBA Therese Jones, PhD John S. Sergent, MD Henry N. Claman, MD National Institute of Diabetes and Digestive and Denver, Colorado Aurora, Colorado Nashville, Tennessee Kidney Diseases, National Institutes of Health Lynn M. Cleary, MD John A. Kastor, MD Clement B. Sledge, MD Bethesda, Maryland Syacuse, New York Baltimore, Maryland Marblehead, Massachussetts Jan van Eys, PhD, MD Fredric L. Coe, MD Henry Langhorne, MD Nashville, Tennessee Chicago, Illinois Pensacola, Florida Councilor Directors Abraham Verghese, MD, DSc (Hon.) Jenna Le, MD Regina Gandour-Edwards, MD Jack Coulehan, MD Stanford, California Stony Brook, New York New York, New York University of California, Davis, School of Steven A. Wartman, MD, PhD Medicine Peter E. Dans, MD Michael D. Lockshin, MD Washington, DC Baltimore, Maryland New York, New York David Watts, MD Charles Griffith III, MD, MSPH Lawrence L. Faltz, MD Jerome Lowenstein, MD Mill Valley, California University of Kentucky College of Medicine New York, New York Larchmont, New York Gerald Weissmann, MD Mark J. Mendelsohn, MD Joseph J. Fins, MD Kenneth M. Ludmerer, MD New York, New York University of Virginia School of Medicine New York, New York St. Louis, Missouri Faith T. Fitzgerald, MD C. Ronald Mackenzie, MD Sacramento, California New York, New York Coordinator, Residency Initiatives Suzann Pershing, MD Stanford University www.alphaomegaalpha.org Student Directors Jeremy T. Bolin Uniformed Services University of the Health Manuscripts being prepared for The Pharos should be typed double-spaced and conform to the format outlined in the manuscript Sciences F. Edward Hébert School of Medicine submission guidelines appearing on our website: www.alphaomegaalpha.org/contributors.html. Editorial material should be sent Richard Latuska, MD to Richard L. Byyny, MD, Editor, The Pharos, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: thepharos@ Vanderbilt University School of Medicine alphaomegaalpha.org. Laura Tisch, MD Requests for reprints of individual articles should be forwarded directly to the authors. Medical College of Wisconsin 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, Missouri 65251. Periodicals postage paid at the post office at Menlo Park, California, and at additional mailing offices. Copyright Administrative Office © 2016, by Alpha Omega Alpha Honor Medical Society. The contents of The Pharos can only be reproduced with the written Richard L. Byyny, MD permission of the editor or managing editor. (ISSN 0031-7179). Executive Director Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All Menlo Park, California correspondence relating to circulation should be directed to Ms. Debbie Lancaster, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: [email protected]. 525 Middlefeld Road, Suite 130 Menlo Park, California 94025 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Telephone: (650) 329-0291 Menlo Park, CA 94025. Fax: (650) 329-1618 E-mail: [email protected] The Pharos • Volume 79 Number 1 • Winter 2016 In This Issue News and features ARTICLES 2015 Robert J. Glaser 2 AΩA Fellow in Leadership Award 55 Distinguished Teacher Awards An innovative program for developing physician Reviews and reflections leaders 58 The Worm at the Core: On the Role of Death in Life Joshua Hartzell, MD, Nathan Goldstein, MD, Reviewed by John L. Wright, MD and Monica Vela, MD p53: The Gene That Cracked the Cancer Code 10 Reviewed by Thoru Pederson, PhD A syllabus on healing Doctors of Another Calling: Physicians Francis A. Neelon, MD Who Are Best Known in Fields Other than Medicine Reviewed by Jack Coulehan, MD 14 The physician condolence letter and the role of compassion and healing in National and chapter news modern medicine 62 Minutes of the 2015 Board of Directors Meeting Gregory L. Fricchione, MD, and Marielle J. Fricchione, MD Alpha Omega Alpha elects new officers and directors 24 First principles Robert B. Hinton, MD Poetry On the significance of the To Fall and Rise Again 28 23 Henry Langhorne, MD Circle of Tugo Luis Nicolas Gonzalez Castro, MD, PhD The Aging Soloist 27 Raymond C. Roy, MD, PhD INSIDE BACK Warfare 36 A recruit enters the COVER64 Danielle Wallace Epidemic Intelligence Service Harry W. Haverkos, MD Correction 44 Bosch and Bruegel We misspelled an author’s name Disability in sixteenth-century art in the Table of Contents of the Autumn 2015 issue. The author Gregory W. Rutecki, MD of “Sestina for a Father” is Ting Gou, not Tina. We apologize for the error. AΩA Fellow in Leadership Award An innovative program for developing physician leaders Joshua Hartzell, MD, Nathan Goldstein, MD, and Monica Vela, MD Introduction • Leading from within—Leading oneself is about creating Richard L. Byyny, MD, Executive Director access to a broader range of ways of being, thinking, and act- Leadership in medicine, medical education, and health care ing to become more effective in dealing with the challenges for is more complex in the twenty-first century than ever before. which the usual solutions are inadequate. Unlike most existing Escalating costs, unequal access, less than ideal outcomes, and programs that teach leadership by imparting someone else’s political challenges facing health care legislation have contrib- knowledge (a third-person approach), this fellowship em- uted to an unprecedented level of uncertainty in the delivery of phasizes creating leaders using a first-person “as-lived/lived- health care and medical education. through” methodology. In working with Fellows to “unpack” The medical profession and the country are in need of their hidden beliefs and frames of reference, new contexts will leadership that is inspiring, insightful, engaging, and humble— emerge that give them more space and more degrees of free- leadership that both understands and represents the needs of dom to lead effectively as their natural self-expression. patients, physicians, medical educators, and trainees. Because • AΩA’s professional values, enumerated in the society’s of their unique knowledge of the practice of medicine and un- motto—“Be Worthy to Serve the Suffering”—and its mission derstanding of medicine’s core professional values, physicians statement: are ideally suited to serve as leaders in this period of change. Alpha Omega Alpha—dedicated to the belief that in the The integral parts of the professional life of a physician are the profession of medicine we will improve care for all by values affirmed in the Medical Professionalism Charter that – recognizing high educational achievement emphasizes the principles of patient welfare, patient autonomy, – honoring gifted teaching and social justice. – encouraging the development of leaders in academia and Encouraging the development of leaders in academia and the community the community has been, and continues to be, one of AΩA’s – supporting the ideals of humanism important missions. In 2013, AΩA developed and implemented – promoting service to others. a Fellow in Leadership Award and selected the first group of • The concepts of servant leadership—Servant leadership Fellows in 2014. is based on specific core values, ideals, and ethics, in much the The AΩA Fellow in Leadership Award recognizes