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Mayo Alumni Magazine 2012 Spring - MC4409-0312 - Mayo Clinic

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<strong>Mayo</strong> <strong>Alumni</strong><br />

mayo.edu/alumni | <strong>Spring</strong> <strong>2012</strong><br />

INNOVATION INTO


<strong>Mayo</strong> <strong>Alumni</strong><br />

<strong>Spring</strong> <strong>2012</strong><br />

Features<br />

2 “Innovation Into Action”<br />

At the <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association 67th Meeting in Florida,<br />

participants learned about advances in medicine, research and<br />

health care delivery systems.<br />

4 Speaker Highlights<br />

Speakers at the 67th Meeting included Daniel Brat, M.D., Ph.D.,<br />

John Woods, M.D., Ph.D., Ceci Connolly, Andre Terzic, M.D., Ph.D.,<br />

Mary Grealy, Claire Bender, M.D., and Mike Harper, M.D.<br />

About the Cover<br />

INNOVATION INTO<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s new Center for<br />

Regenerative Medicine is a prime<br />

example of turning innovation into<br />

action — the theme of the recent<br />

<strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association<br />

biennial meeting. At the meeting,<br />

Andre Terzic, M.D., Ph.D. (CV ’95)<br />

(pictured on the cover), medical<br />

director of the Center for<br />

Regenerative Medicine, spoke<br />

about how this rapidly evolving<br />

field of medicine will help repair<br />

damaged heart muscle.<br />

According to Dr. Terzic,<br />

regenerative medicine is a gamechanger.<br />

“It has the potential<br />

to offer definitive, affordable<br />

health care solutions that treat<br />

the underlying causes of diseases<br />

rather than only manage<br />

symptoms,” he says. “Our<br />

approach has the ability to turn<br />

promising laboratory discoveries<br />

into proven treatments — and<br />

make them available to patients<br />

— more effectively and efficiently<br />

than most anywhere else.”<br />

12 Awarding Excellence<br />

Award recipients at the 67th Meeting included C. Robert Stanhope,<br />

M.D., Larry Vukov, M.D., John Wheat, M.D., S. Ann Colbourne,<br />

M.D., Lee Joseph McGhan, M.B., B.Ch., and Peter Gloviczki, M.D.<br />

18 Advancing an Ideal<br />

Wyatt Decker, M.D., vice president and CEO of <strong>Mayo</strong> <strong>Clinic</strong> in Arizona,<br />

sets his sights on the future of health care.<br />

20 Twenty-five years of Caring<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Florida celebrated its 25th anniversary in 2011.<br />

21 <strong>Mayo</strong> <strong>Clinic</strong> Distinguished <strong>Alumni</strong> Award<br />

2011 recipients included Richard Brubaker, M.D., Gene Hunder, M.D.,<br />

Keith Kelly, M.D., and Guillermo Ruiz-Argüelles, M.D.<br />

<strong>Mayo</strong> Update<br />

24 Board of Trustees news, obituaries<br />

<strong>Mayo</strong> <strong>Alumni</strong><br />

Print or digital?<br />

You like potato and I like potahto. No need to choose —<br />

we offer both. The print version has pass-along value,<br />

making it easy to save and share with family members<br />

and patients. The digital version has extras you won’t<br />

find elsewhere — video interviews and event clips,<br />

photo galleries and <strong>Mayo</strong> <strong>Clinic</strong> historical information.<br />

Download the free <strong>Mayo</strong> <strong>Alumni</strong> app (for iPad) in<br />

the iTunes strore. Scan the code at right to go directly<br />

to the download page. The <strong>Spring</strong> <strong>2012</strong> issue will be<br />

live and digital on May 17th.


New <strong>Mayo</strong> <strong>Clinic</strong><br />

<strong>Alumni</strong> Association president<br />

Eric Grigsby, M.D.<br />

Medical Director<br />

Napa Pain Institute<br />

Napa, Calif.<br />

Eric Grigsby, M.D. (S ’86, ANES ’88), was elected the new president of the <strong>Mayo</strong><br />

<strong>Clinic</strong> <strong>Alumni</strong> Association at the group’s biennial meeting in Jacksonville, Fla.<br />

Dr. Grigsby is founding medical director of the Napa Pain Institute and chief<br />

executive officer of Neurovations, a Napa, Calif., based company specializing in<br />

pain and neuroscience research and clinical education.<br />

A native of Knoxville, Tenn., Dr. Grigsby received an undergraduate degree<br />

from Boston University and a medical degree from Boston University Medical<br />

School. He had five years of postgraduate training in general surgery, anesthesiology<br />

and pain management at <strong>Mayo</strong> <strong>Clinic</strong> in Rochester. Currently, he is enrolled in<br />

The Duke MBA—Global Executive program through the Fuqua School of Business.<br />

Dr. Grigsby and his wife, Mary Rocca, D.M.D., operate a foundation, HealthRoots,<br />

which provides care to underserved groups, most recently in Malawi, Africa.<br />

At the recent <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association meeting, Dr. Grigsby led the<br />

organization’s board in voting unanimously to establish the <strong>Mayo</strong> International<br />

Humanitarian Endowment to support programs that provide care to underserved<br />

patient populations around the world.<br />

Dr. Grigsby succeeds Mark Laney, M.D. (PDN ’89), president and CEO of<br />

Heartland Health in St. Joseph, Mo.<br />

Eric Grigsby, M.D., in Malawi, Africa.


2 <strong>Mayo</strong> <strong>Alumni</strong><br />

InnovatIon Into Action


<strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association 67 th Meeting • September 2011 • Florida<br />

The <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association 67th meeting at <strong>Mayo</strong> <strong>Clinic</strong><br />

in Florida attracted 310 alumni and their guests from 26 states<br />

and six countries.<br />

The meeting theme, “Innovation Into Action,” did not disappoint.<br />

Participants learned about advances in medicine, research and health<br />

care delivery systems that expanded and stimulated their thinking<br />

about the future of medicine, engaged them in interactions with fellow<br />

alumni and sparked them to return home to innovate. Highlights<br />

of talks are included in the pages that follow.<br />

Visit the <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association blog,<br />

alumniblog.mayo.edu,<br />

for more coverage of the 6 7<br />

th meeting.<br />

<strong>Spring</strong> <strong>2012</strong> 3


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011<br />

Speaker<br />

h i g h l i g h t s<br />

The tradition of scientific presentations at <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association biennial<br />

meetings is complemented by a lecture program that highlights individuals who<br />

have expertise in medical specialties or areas of research.<br />

Raymond Pruitt Lectureship<br />

Honors Raymond Pruitt, M.D., the first dean of <strong>Mayo</strong> Medical School<br />

Lecturer demonstrates qualities admired in Dr. Pruitt — integrity,<br />

scholarship, humility and the empathy of the truly concerned<br />

Daniel Brat, M.D., Ph.D.<br />

Professor and Vice Chair,<br />

Translational Programs<br />

Department of Pathology and<br />

Laboratory Medicine<br />

Emory University School of Medicine<br />

Mechanisms of Progression in<br />

Glioblastoma: Role of Genetics,<br />

Hypoxia and Stem Cells<br />

Daniel Brat, M.D., Ph.D. (MMS ’94,<br />

PHAR ’94), reviewed his lab’s<br />

research on glioblastoma over the past<br />

decade. He uses multiple approaches,<br />

including traditional cell biology of<br />

gliomas grown in culture, animal<br />

models of disease, human specimens,<br />

and newer bioinformatics approaches<br />

that utilize molecular data sets. Dr. Brat’s<br />

main interest has been in determining<br />

the molecular switches that lead to<br />

the rapid and fatal progression of<br />

glioblastoma.<br />

Dr. Brat has focused on the<br />

emergence of necrosis, together with<br />

its severe hypoxia (low oxygen content)<br />

and angiogenesis (new vessels) since<br />

these are the two critical features that<br />

emerge and drive tumor growth in<br />

this disease.<br />

Dr. Brat emphasized his current<br />

work with the National Cancer Institute’s<br />

Cancer Genome Atlas project<br />

(TCGA), which includes a rich array<br />

of molecular data that can be probed<br />

using sophisticated bioinformatics and<br />

systems biology approaches. TCGA<br />

studies have suggested that the presence<br />

of necrosis and hypoxia lead to the<br />

activation of a specific yet small set of<br />

transcription factors (CEBP-beta and<br />

CEBP-delta) that account for the transition<br />

to an aggressive transcriptional<br />

form of glioblastoma (the mesenchymal<br />

class). They appear to be aggressive<br />

and resistant to therapy.<br />

Dr. Brat’s work also has challenged<br />

the idea that tumors become hypoxic<br />

and necrotic by simply “outgrowing<br />

their blood supply.” He has advanced<br />

the hypothesis — supported it with<br />

his own research — that blood vessels<br />

within malignant gliomas become<br />

dysfunctional and occluded, thereby<br />

leading to the rapid onset of severe<br />

hypoxia and necrosis.<br />

4 <strong>Mayo</strong> <strong>Alumni</strong>


The Doctors <strong>Mayo</strong> Society<br />

Lifetime Achievement Distinguished Lecture<br />

Established to highlight significant achievement by a <strong>Mayo</strong> alumnus/alumna<br />

John Woods, M.D., Ph.D.<br />

Emeritus Professor of Surgery<br />

College of Medicine, <strong>Mayo</strong> <strong>Clinic</strong><br />

Lessons Learned in Attitude<br />

and Integrity<br />

John Woods, M.D., Ph.D. (S ’66,<br />

PLS ’68), shared the lessons he has<br />

learned about integrity and attitude in<br />

five decades at <strong>Mayo</strong> <strong>Clinic</strong>, treating<br />

more than 20,000 surgical patients.<br />

He said his parents instilled in him<br />

the importance of integrity from the<br />

earliest age, but he still describes himself<br />

as “very much a work in progress.”<br />

“I’ve learned a lot through errors<br />

and mistakes. In fact, more from<br />

mistakes than I have through my<br />

successes,” said Dr. Woods. He also<br />

pointed out the importance of learning<br />

from others’ mistakes and the role of<br />

honesty in integrity.<br />

“As a professor, I saw how costly it<br />

was to doctors’ careers when they had<br />

discrepancies and inaccuracies in<br />

publications. It took years to recover,”<br />

he said. “I once canceled a national<br />

presentation when I discovered some<br />

errors in my statistics. Another time, I<br />

had already presented when I learned<br />

about a statistical error. I felt honorbound<br />

to correct the mistake, so I sent<br />

a letter to the attendees of the meeting,<br />

pointing out the inaccuracy and<br />

providing the correct information.”<br />

Dr. Woods described the importance<br />

of fairness as a component of integrity.<br />

“Giving recognition to others for their<br />

contributions can be a pleasurable<br />

experience and may even encourage<br />

others to contribute,” he said.<br />

He also discussed the importance<br />

of attitude. He cited the example of a<br />

patient who requested a referral to a<br />

different oncologist because the<br />

previous one lacked compassion.<br />

“Under the care of the new oncologist,<br />

the patient expressed gratitude for the<br />

warm bedside manner,” said Dr. Woods.<br />

“Attitude can be a stumbling block,<br />

and arrogance can be palpable. The<br />

physician’s attitude can make a great<br />

difference to the patient. A good<br />

bedside manner can be learned even<br />

when it is not a natural part of the<br />

physician’s armamentarium.”<br />

Dr. Woods highlighted the indomitable<br />

spirit of patients who have made<br />

significant impressions on him —<br />

patients with significant deformities<br />

who regarded the obstacles they faced<br />

as opportunities.<br />

“Many of my patients have<br />

inspired me with their memorable<br />

attitudes,” he said. “Despite many<br />

years of medical procedures and<br />

disfiguring conditions, they didn’t<br />

consider themselves handicapped. I<br />

never heard them complain. I believe<br />

their attitudes contributed to their<br />

healing and survival.<br />

“The <strong>Mayo</strong> <strong>Clinic</strong> perspective<br />

is that we should give every patient<br />

the very best. Being human, we not<br />

infrequently fail. But in my 60 years<br />

of practicing surgery — 50 of those<br />

years here at <strong>Mayo</strong> — despite failures,<br />

I continue to pray and hope to be<br />

positive in my attitude and to live<br />

with integrity.”<br />

<strong>Spring</strong> <strong>2012</strong> 5


iPad app extra<br />

Judd-Plummer Recognition Award<br />

Established to honor two early, distinguished members of <strong>Mayo</strong> <strong>Clinic</strong> medical staff —<br />

E. Starr Judd, M.D., chief of the surgical staff, and Henry Plummer, M.D., chief of the Division of Medicine<br />

Presented to an outstanding physician, surgeon, scientist or educator<br />

Ceci Connolly<br />

Senior Adviser, McKinsey Center<br />

for Health Reform<br />

Ceci Connolly led a panel discussion<br />

about efforts to transform health<br />

care delivery through the use of health<br />

care information technology. The<br />

discussion ranged from an overview<br />

of megatrends in health care and<br />

information technology to case studies<br />

about using health information<br />

technology to improve care.<br />

Panelists included:<br />

• Jamie Ferguson, Vice President,<br />

Health Information Technology<br />

Strategy and Policy, Kaiser<br />

Permanente — Discussing the<br />

work of the Care Connectivity<br />

Consortium<br />

• Christopher Chute, M.D., Dr.P.H.<br />

(EPID ’88), Professor of Medical<br />

Informatics, <strong>Mayo</strong> <strong>Clinic</strong> —<br />

Discussing work in southeast<br />

Minnesota in managing diabetes<br />

and childhood asthma through a<br />

Beacon grant<br />

Connolly is a senior adviser in the<br />

McKinsey Center for Health Reform, an<br />

independent economic research group<br />

focused on high-quality, affordable<br />

health care. She frequently advises<br />

public and private sector leaders on the<br />

implications of the Affordable Care Act,<br />

stakeholder management and crisis<br />

communications.<br />

Previously, Connolly was a<br />

nationally recognized journalist, author<br />

and television commentator. As the<br />

health policy reporter at The Washington<br />

Post, she chronicled enactment of<br />

President Obama’s Affordable Care<br />

Act and was the lead author of<br />

Landmark: The Inside Story of America’s<br />

New Health-Care Law and What It Means<br />

for Us All.<br />

• Abdul Bengali, Chair, Information<br />

Technology, <strong>Mayo</strong> <strong>Clinic</strong> —<br />

Discussing five trends in health care<br />

and information technology<br />

6 <strong>Mayo</strong> <strong>Alumni</strong>


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011<br />

Research<br />

h i g h l i g h t s<br />

iPad app extra<br />

Regenerative medicine no longer ‘science fiction’<br />

<strong>Mayo</strong>’s first-of-its-kind center explores causes, cures of congenital and acquired disease<br />

Andre Terzic, M.D., Ph.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Center for Regenerative<br />

Medicine<br />

Regenerative Medicine<br />

for Heart Repair<br />

Boosting the body’s ability to<br />

heal is the basis for regenerative<br />

medicine. This rapidly evolving<br />

field of new medicine is increasingly<br />

recognized as an important component<br />

of the practice of medicine. Regenerative<br />

medicine can use stem cells to help<br />

repair damaged heart muscle after a<br />

heart attack or even implant cells to<br />

replace those damaged by Parkinson’s<br />

disease or other chronic degenerative<br />

diseases, such as diabetes or bone and<br />

cartilage destruction.<br />

“It’s no longer science fiction,” said<br />

Andre Terzic, M.D., Ph.D. (CV ’95),<br />

medical director for the newly established<br />

<strong>Mayo</strong> <strong>Clinic</strong> Center for Regenerative<br />

Medicine. “Stem cells are unique<br />

seeds. If properly planted, guided and<br />

nurtured, they can give rise to very<br />

specific organ parts. It is now possible<br />

for stem cells to repair portions of<br />

organs and, in some cases, even help<br />

fix a diseased organ.”<br />

Dr. Terzic said a key principle in<br />

understanding regenerative medicine<br />

is to recognize how organs self-heal.<br />

“We now know that it is not just<br />

skin and liver that have a high ability<br />

to self-regenerate,” he said. “The heart<br />

and brain also have an innate capacity<br />

to heal. We don’t die with the same<br />

heart we’re born with; 50 percent or<br />

more of the heart muscle is rejuvenated<br />

during our life span.”<br />

Harnessing the body’s natural<br />

ability to heal provides a unique<br />

blueprint to address congenital and<br />

acquired diseases, according to<br />

Dr. Terzic. “As the world’s population<br />

ages — by 2025, more than 20 percent<br />

of the population in the Northern<br />

Hemisphere will be over age 60 —<br />

chronic diseases are becoming more<br />

prevalent in the population and require<br />

new solutions,” he said.<br />

Dr. Terzic added that today’s primary<br />

therapies for patient management are<br />

based on drug therapy and devices, which<br />

address symptoms rather than the root<br />

cause of a disease. “Regenerative<br />

medicine offers solutions not currently<br />

available to the medical profession and,<br />

ultimately, to patients,” he said. “It<br />

provides the opportunity to go after the<br />

causes of disease and possibly offer cures.”<br />

Regenerative medicine broadens<br />

the reach of current practices such as<br />

transplant medicine. “Rather than<br />

waiting for a donor to replace an entire<br />

organ, it’s possible to regenerate a part<br />

of the organ that is defective,” said<br />

Dr. Terzic.<br />

He shared a case study trial<br />

conducted using <strong>Mayo</strong> <strong>Clinic</strong> technology<br />

where bone marrow stem cells derived<br />

from patients were guided to become<br />

cardiac tissue, implanted in the injured<br />

heart, leading to significant long-term<br />

benefit. “These initial steps have<br />

generated broad interest worldwide,”<br />

he said.<br />

The <strong>Mayo</strong> <strong>Clinic</strong> Center for<br />

Regenerative Medicine “provides a<br />

catalyst to advance health care and<br />

address many of the questions both<br />

providers and patients may have on<br />

regenerative solutions,” said Dr. Terzic.<br />

The ability to use regenerative technologies<br />

is “becoming increasingly a<br />

reality across disciplines of medicine<br />

and surgery. Propelled by innovative<br />

science, this emerging field is poised<br />

to advance rapidly and offer tangible<br />

benefit to our patients.”<br />

<strong>Spring</strong> <strong>2012</strong> 7


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011<br />

Research & Practice<br />

For answers to health care reform, pass the <strong>Mayo</strong><br />

Healthcare Leadership Council sharing private-sector innovations that benefit patients while reducing costs<br />

Mary Grealy<br />

President, Healthcare Leadership<br />

Council<br />

Washington, D.C.<br />

Innovation to Create a Health-<br />

Value Health Care System<br />

Mary Grealy, president of the<br />

Healthcare Leadership Council<br />

(HLC), told <strong>Mayo</strong> alumni: “<strong>Mayo</strong> is an<br />

example of what the health care system<br />

should be about. There’s no problem<br />

we can’t solve if we could just find a<br />

way to ‘<strong>Mayo</strong>-ize’ the entire system.<br />

There are many lessons we can learn<br />

from what <strong>Mayo</strong> has done and what<br />

is under way.”<br />

The Healthcare Leadership<br />

Council, based in Washington, D.C.,<br />

is a consortium of companies and<br />

organizations from all sectors of<br />

health care, with a shared vision of a<br />

health care system that is defined by<br />

accessibility, affordability, quality and<br />

information. <strong>Mayo</strong> <strong>Clinic</strong> is a longtime<br />

member. Former President and CEO<br />

Denis Cortese, M.D., and former<br />

CEO Robert Waller, M.D., served as<br />

president of the council.<br />

Grealy commented that while<br />

health care reform has been viewed<br />

as a battle, it’s really just a warm-up<br />

of things to come.<br />

“There is a battling over budgets in<br />

a way I have never seen before,” she said.<br />

“Deficit reduction is a primary focus and<br />

is part of the debate every day. There’s<br />

no question health care is going to play<br />

a significant role in these discussions.<br />

The question is whether the impact will<br />

be for the better or for worse.”<br />

Grealy added that potential solutions<br />

— those that involve improved quality<br />

metrics at a lower cost — will most<br />

likely be found in health care innovations<br />

put forth by the private sector.<br />

HLC published a value compendium<br />

of evidence-based innovations it has<br />

been sharing with Congress, the<br />

Institute of Medicine and the Centers<br />

for Medicare & Medicaid Services in<br />

an attempt to show how ideas that<br />

are working at institutions such as<br />

<strong>Mayo</strong> <strong>Clinic</strong> could be applied on a<br />

broader basis.<br />

She pointed to an example in<br />

the compendium: <strong>Mayo</strong>’s Total Joint<br />

Database, the most comprehensive<br />

database on joint replacements in the<br />

world, which contains information<br />

about every total joint implant<br />

performed at <strong>Mayo</strong> <strong>Clinic</strong> since 1969.<br />

Variables in total hip replacement,<br />

such as surgical technique, can affect<br />

the long-term outcome of the surgery<br />

— one of <strong>Mayo</strong>’s top reimbursement<br />

claims billed to Medicare.<br />

The Total Joint Database allows<br />

<strong>Mayo</strong> physicians to determine which<br />

surgical practices and implant models<br />

are most effective, based on historical<br />

data. Prior to surgery, information such<br />

as a patient’s level of pain and joint<br />

function is documented. During<br />

surgery, the approach, implant model<br />

and design, and fixation method are<br />

recorded. Postoperatively, patients are<br />

evaluated after one, two and five years,<br />

and then at five-year intervals.<br />

8 <strong>Mayo</strong> <strong>Alumni</strong>


iPad app extra<br />

A panel discussion moderated by Ceci Connolly (left), senior advisor of the McKinsey Center<br />

for Health Reform, included (from left) Richard Presutti, D.O. (FM ’97), Department of Family<br />

Medicine, <strong>Mayo</strong> <strong>Clinic</strong> in Florida; Sherine Gabriel, M.D. (I ’86, RHEU ’88), Division of<br />

Rheumatology, <strong>Mayo</strong> <strong>Clinic</strong> in Rochester; Robert Nesse, M.D. (FM ’80), chief executive officer,<br />

<strong>Mayo</strong> <strong>Clinic</strong> Health System; and Mary Grealy, president of the Healthcare Leadership Council.<br />

The evidence-based decision model<br />

helps increase efficiency and reduce<br />

waste. And the outcomes speak for<br />

themselves: at <strong>Mayo</strong>, the overall success<br />

rate of hip replacement at 10 years is<br />

greater than 90 percent, and there is an<br />

80 percent chance the implant will last<br />

for 20 years.<br />

“Innovation is helping patients<br />

every day,” Grealy said. “In fact, it’s<br />

happening in every sector of health care.<br />

We’re not just talking about devices<br />

and pharmaceuticals. Health care<br />

organizations like <strong>Mayo</strong> are providing<br />

innovative services, procedures, and<br />

product and information structures<br />

they have developed to make better<br />

quality health care that is more<br />

efficient.<br />

“Dr. Robert Waller has said,<br />

‘Providing quality, we can reduce the<br />

cost.’ That’s a message we continue<br />

to share.”<br />

<strong>Spring</strong> <strong>2012</strong> 9


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011<br />

Education<br />

Claire Bender, M.D.<br />

Dean, <strong>Mayo</strong> School of Health Sciences<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

Training Health Care Providers<br />

of the Future<br />

Claire Bender, M.D. (PT ’71, I ’77,<br />

R-D ’80), dean of <strong>Mayo</strong> School of<br />

Health Sciences, spoke about a new<br />

model of blended learning being<br />

employed by the School of Health<br />

Sciences to add value and efficiency<br />

to health care provider education.<br />

This model is a departure from<br />

traditional classroom-only instruction,<br />

and uses tools that include simulation<br />

and online learning. The model is<br />

being applied to three programs to<br />

study its effectiveness — clinical<br />

neurophysiology technician, histology<br />

technician and phlebotomy technician.<br />

“We are working with internationally<br />

known outside educators to ensure this<br />

model succeeds at reducing costs and<br />

provides flexible options for students<br />

while maintaining quality and integrity<br />

in our educational programming,” said<br />

Dr. Bender. “This model may provide<br />

opportunities for <strong>Mayo</strong> employees<br />

who want to go back to school and<br />

still work without giving up their<br />

employment. We are responding to<br />

the charge to innovate. We want to<br />

make a difference in health care<br />

provider education.”<br />

Mark your calendar<br />

<strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association International Scientific Education Program<br />

Course headquarters<br />

Dan Jerusalem Hotel<br />

Oct. 22-25, <strong>2012</strong><br />

Jerusalem<br />

Pre-conference tour, Jerusalem<br />

Oct. 19-22<br />

Registration materials<br />

mailed soon.<br />

Post-conference tour, northern<br />

and eastern Israel and Jordan<br />

Oct. 26- Nov. 5<br />

10 <strong>Mayo</strong> <strong>Alumni</strong>


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011 Practice<br />

C. Michel (Mike) Harper Jr., M.D.<br />

Executive Dean for <strong>Clinic</strong>al Practice<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

<strong>Mayo</strong> <strong>Clinic</strong>: Knowledge<br />

to Delivery<br />

Mike Harper, M.D. (I ’83, N ’86),<br />

executive dean for <strong>Clinic</strong>al<br />

Practice at <strong>Mayo</strong> <strong>Clinic</strong>, spoke about<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s care process model for<br />

central venous catheters (CVC) as an<br />

example of integration and knowledge<br />

management — key factors in delivering<br />

high-quality, affordable care.<br />

“The size and complexity of our<br />

practice has resulted in best practices<br />

being less well defined and difficult<br />

to diffuse,” he said. “The risk in that<br />

environment is care that is more<br />

variable, fragmented, lower quality,<br />

less safe and more costly.”<br />

CVC protocols varied across <strong>Mayo</strong><br />

<strong>Clinic</strong>, and CVCs were identified as a<br />

source of intermittent sentinel events<br />

and higher infection rates.<br />

A work group developed a <strong>Mayo</strong><br />

standard of care for CVC, including a<br />

common protocol — called a care<br />

process model — with guidelines for<br />

education, training and credentialing.<br />

The central line care process model<br />

was codified and the information was<br />

added to Ask<strong>Mayo</strong>Expert, an online<br />

tool that provides a central repository<br />

for providers to access best practices.<br />

“When we measured the outcomes<br />

of this standardization, the result was<br />

dramatic,” said Dr. Harper. Since<br />

implementation, <strong>Mayo</strong> <strong>Clinic</strong> has had<br />

zero sentinel events related to CVC,<br />

he noted. <strong>Mayo</strong> also has seen a greater<br />

than 40 percent reduction in infection<br />

rates related to central lines.<br />

“Our core business is about generating,<br />

organizing, sharing and applying<br />

knowledge in a way that enhances<br />

high-value health care delivery,” said<br />

Dr. Harper. “Continuing to integrate<br />

and apply best practices will result in<br />

a higher standard of care.”<br />

Mark your calendar<br />

<strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association<br />

68th Meeting<br />

Sept. 25-28, 2013<br />

Rochester, Minn.<br />

<strong>Spring</strong> <strong>2012</strong> 11


MAyO CLINIC<br />

ALUMNI ASSOCIATION<br />

67 TH MEETING<br />

2011<br />

A w A r d i n g<br />

E x c E l l E n c E<br />

iPad app extra<br />

Humanitarian Award and<br />

Professional Achievement Award<br />

Presented by <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association to alumni nominated by their peers,<br />

to recognize significant contributions to humanity and to the medical profession<br />

Humanitarian Award<br />

C. Robert Stanhope, M.D.<br />

Consultant, Division of Gynecologic<br />

Surgery<br />

Department of Obstetrics and<br />

Gynecology<br />

Professor of Obstetrics and<br />

Gynecology<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

Robert Stanhope, M.D. (OBG ’82),<br />

C. was awarded the 2011 <strong>Mayo</strong> <strong>Clinic</strong><br />

<strong>Alumni</strong> Association Humanitarian<br />

Award for a lifetime of dedication and<br />

devotion to helping vulnerable people<br />

in the clinic, in the community and<br />

around the world.<br />

He says his most satisfying efforts<br />

have been serving with short-term<br />

mission groups in Haiti, Mongolia,<br />

Honduras, Kenya and Guinea, West<br />

Africa. In Guinea, he is part of a team<br />

that is building obstetrical and surgical<br />

services in a medically poor region of<br />

the country.<br />

“It has been a blessing to have<br />

opportunities to serve men and women<br />

with dire medical needs in low-income<br />

and low-resource countries around the<br />

world and to be part of a compassionate,<br />

caring medical community at <strong>Mayo</strong><br />

<strong>Clinic</strong>,” he says.<br />

Dr. Stanhope is cofounder of the<br />

Good Samaritan Medical and Dental<br />

<strong>Clinic</strong>s and chair of the Rochester<br />

Medical Relief Mission Group. He has<br />

served on the boards of the Salvation<br />

Army, United Way, Gamehaven<br />

Council Boy Scouts of America,<br />

Seasons Hospice and Autumn Ridge<br />

Church. He is one of two Rochester<br />

residents to receive the Distinguished<br />

Eagle Award and also is a recipient<br />

of the Edward Henderson, M.D.,<br />

Leadership Award from the Zumbro<br />

Valley Medical Society.<br />

Dr. Stanhope was appointed to the<br />

<strong>Mayo</strong> <strong>Clinic</strong> staff in 1982 as a consultant<br />

in Gynecologic Surgery. He completed<br />

a fellowship at M.D. Anderson Hospital<br />

and Tumor Institute and a residency<br />

in obstetrics and gynecology at the<br />

University of Texas Southwestern−<br />

Parkland Memorial Hospital.<br />

Dr. Stanhope, a native of Milwaukee,<br />

received his medical degree from the<br />

Medical College of Wisconsin and<br />

undergraduate degree from the<br />

University of Wisconsin in Madison.<br />

He served in the U.S. Army, including<br />

service in Vietnam as a medical<br />

adviser. There, he built a maternity<br />

center for the wives of Vietnamese<br />

servicemen. The center was named<br />

Khu Ho Sanh Stanhope.<br />

12 <strong>Mayo</strong> <strong>Alumni</strong>


iPad app extra<br />

Humanitarian Award<br />

Larry Vukov, M.D.<br />

Consultant, Department of<br />

Emergency Medicine<br />

Associate Professor of Emergency<br />

Medicine<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

Larry Vukov, M.D. (I ’80), was<br />

awarded the 2011 <strong>Mayo</strong> <strong>Clinic</strong><br />

<strong>Alumni</strong> Association Humanitarian<br />

Award for his work leading mission<br />

trips in underserved nations and for<br />

his contributions to community-based<br />

mission service for <strong>Mayo</strong> <strong>Clinic</strong><br />

patients.<br />

Every year for the last 21 years,<br />

Dr. Vukov has spent two weeks leading<br />

teams of medical and nonmedical<br />

volunteers from First Baptist Church<br />

and other churches on trips to rural<br />

Kenya to build and develop Hope<br />

Centers. These centers consist of a<br />

church, primary school, medical clinic<br />

and feeding center. Dr. Vukov has<br />

overseen the development of seven<br />

centers that educate and feed more<br />

than 2,000 children and clinics that<br />

provide health care for as many as<br />

15,000 people. The mission trips,<br />

which have included many <strong>Mayo</strong> staff,<br />

residents, students and nurses, are in<br />

conjunction with Special Ministries, an<br />

organization for which Dr. Vukov is a<br />

board member. Dr. Vukov also has led<br />

or participated in short-term mission<br />

trips to Honduras, Costa Rica, Tanzania,<br />

and Guinea, West Africa.<br />

“I am grateful to have been richly<br />

blessed with a loving and understanding<br />

wife and children, a mission-minded<br />

prayerful church, and an organization<br />

like <strong>Mayo</strong> <strong>Clinic</strong> that has provided<br />

the means and support to serve the<br />

underserved and care for those in<br />

need,” he says.<br />

Dr. Vukov was appointed to the<br />

<strong>Mayo</strong> <strong>Clinic</strong> staff in 1980 as the third<br />

member in the Section of Emergency<br />

Medicine. He completed a fellowship<br />

and residency at <strong>Mayo</strong>. A native of the<br />

Chicago area, Dr. Vukov received his<br />

medical degree from Loyola Stritch<br />

School of Medicine in Maywood, Ill.,<br />

and his undergraduate degree from<br />

North Central College in Naperville, Ill.<br />

C. Robert Stanhope, M.D., with a Maasai<br />

patient, in Narok, Kenya, during a 2009 trip.<br />

Larry Vukov, M.D., in Tanzania, East Africa,<br />

in 1998 with a Kenyan missionary.<br />

C. Robert Stanhope, M.D., and Larry Vukov,<br />

M.D., in Guinea, West Africa, in 2009. The<br />

physician colleagues were conducting a medical<br />

clinic in a remote village near Kankan.<br />

<strong>Spring</strong> <strong>2012</strong> 13


iPad app extra<br />

Professional Achievement Award<br />

John Wheat, M.D.<br />

Professor of Community &<br />

Rural Medicine<br />

Professor of Internal Medicine<br />

University of Alabama School<br />

of Medicine, Tuscaloosa<br />

Regional Campus<br />

John Wheat, M.D. (I ’83), was awarded<br />

the 2011 <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong><br />

Association Professional Achievement<br />

Award for his work helping rural<br />

students interested in rural medicine<br />

to enter medical school and become<br />

primary care physicians with the<br />

training necessary to serve rural<br />

populations.<br />

Dr. Wheat’s focus has been on<br />

“growing our own” physicians through<br />

recruiting and training Alabamans to<br />

become primary care physicians and<br />

return to their own or other underserved<br />

rural communities in the state.<br />

He created a pipeline of programs<br />

— middle school through medical<br />

school — to help rural students prepare<br />

for and sustain their commitment to<br />

careers in rural health and medicine.<br />

Since 1993, students from every county<br />

in the state have entered this pipeline,<br />

including 471 high school students,<br />

154 Rural Medical Scholars (medical<br />

John Wheat, M.D. (center), with family medicine residents and medical students<br />

from The University of Alabama College of Community Health Sciences.<br />

students who began the program as<br />

premed graduate and senior undergraduate<br />

students) and 98 minority<br />

high school graduates. Sixty percent<br />

of medical students finishing the<br />

pipeline have entered rural practice<br />

in Alabama.<br />

“No single individual in the<br />

modern era has done more to address<br />

the shortage of primary care physicians<br />

in Alabama than Dr. Wheat,” says<br />

Holley Midgley, former executive vice<br />

president, Alabama Academy of Family<br />

Physicians. “Alabama will continue to<br />

receive the dividends from his work for<br />

many decades.”<br />

Last year, Dr. Wheat was inducted<br />

into the Alabama Healthcare Hall of<br />

Fame. He was named the 2007<br />

Distinguished Educator by the<br />

National Rural Health Association.<br />

Other recognitions include the<br />

Stueland Scholar Award from the<br />

National Farm Medicine Center,<br />

Ira L. Myers Award from the Alabama<br />

Public Health Association and a<br />

commendation from the Alabama<br />

Family Practice Rural Health Board.<br />

Dr. Wheat practices at the University<br />

of Alabama’s University Medical<br />

Center in Tuscaloosa. He completed a<br />

fellowship at the University of North<br />

Carolina at Chapel Hill, and a residency<br />

at <strong>Mayo</strong> <strong>Clinic</strong>. He received his medical<br />

degree from the University of Alabama<br />

School of Medicine and a master’s degree<br />

in public health from the University of<br />

North Carolina at Chapel Hill. His<br />

undergraduate degree is from the<br />

University of Alabama.<br />

14 <strong>Mayo</strong> <strong>Alumni</strong>


iPad app extra<br />

The Plummer Society Award for Excellence<br />

Presented by The Plummer Society to an alumnus or alumna, nominated by his or her peers, to honor excellence<br />

and unique contributions to practice, education, research or administration in Internal Medicine and subspecialties<br />

S. Ann Colbourne, M.D.<br />

Director, Division of General<br />

Internal Medicine<br />

Professor of Medicine<br />

University of Alberta, Canada<br />

Ann Colbourne, M.D. (I ’93, ADGM<br />

S. ’94), was recognized with The<br />

Plummer Society Award for Excellence<br />

for her contributions to health care<br />

delivery, policy and patient care.<br />

A professor of medicine and<br />

director of the Division of General<br />

Internal Medicine at the University<br />

of Alberta, Canada, Dr. Colbourne’s<br />

clinical passion is diabetes care, with<br />

emphasis on health promotion and<br />

disease prevention. She leads a<br />

thriving telehealth initiative for<br />

insulin pump patients in<br />

Newfoundland, Canada, and is<br />

formalizing linkage with a primary<br />

care network in Alberta to explore<br />

issues in clinical care delivery and<br />

to enhance diabetes care.<br />

Dr. Colbourne’s medical career<br />

spans the continuum from a district<br />

medical officer for four nursing stations<br />

in southeast coastal Labrador through<br />

health services leadership in policy<br />

and practice. Her internal medicine<br />

specialty practice progressed from a<br />

solo internal medicine practice in<br />

northern Newfoundland and Labrador<br />

to university-affiliated practices in<br />

St. John’s, Newfoundland, and<br />

Edmonton, Alberta.<br />

For the Alberta Health Services,<br />

Dr. Colbourne is associate zone medical<br />

director, Edmonton zone division chief<br />

and site service chief of medicine at the<br />

University of Alberta Hospital. In her<br />

provincial capacity as medical director<br />

of care transformation, Alberta Health<br />

Services, Dr. Colbourne works with<br />

clinical teams, middle managers and<br />

decision makers to transform care<br />

processes toward an interprofessional<br />

integrated plan of care for all patients<br />

and families.<br />

As physician lead for chronic<br />

disease prevention and management,<br />

Dr. Colbourne has health policy<br />

experience with the Newfoundland<br />

Labrador Ministry of Health. She<br />

also has extensive local, regional<br />

and national committee experience,<br />

including pharmacy and therapeutics,<br />

health technology assessment<br />

(Canadian Agency for Drugs and<br />

Technologies in Health), health services<br />

and quality of care.<br />

Dr. Colbourne completed a residency<br />

in Internal Medicine at <strong>Mayo</strong> <strong>Clinic</strong><br />

and received her medical degree from<br />

Memorial University in Newfoundland,<br />

Canada. She has a master’s degree<br />

from the University of Oxford in the<br />

United Kingdom, where she was a<br />

Rhodes Scholar. She has bachelor’s<br />

degrees from Memorial University<br />

and the University of Oxford. She is<br />

a fellow of the Royal College of<br />

Physicians and Surgeons and a fellow<br />

of the American College of Physicians.<br />

As part of her residency at <strong>Mayo</strong><br />

<strong>Clinic</strong>, S. Ann Colbourne, M.D.,<br />

worked on a project comparing<br />

the population of Olmsted<br />

County, Minnesota, with<br />

northern Newfoundland and<br />

Labrador, Canada. Here, in 1993,<br />

she collected samples for a<br />

measles seroprevalance study<br />

from a patient in a coastal<br />

Labrador community.<br />

<strong>Spring</strong> <strong>2012</strong> 15


The Priestley Society W. Deprez Inlow Award<br />

Presented by The Priestley Society to a general surgery resident for excellence in research<br />

On Resident Education Day in February, six general surgery residents from Arizona, Florida and Rochester compete<br />

in an academic competition. Each resident presents a research project via teleconference to staff physicians, who<br />

ask questions and rate the presentations. The resident with the highest score wins the W. Deprez Inlow Award —<br />

an all-expenses-paid trip to The Priestley Society meeting and the honor of presenting the first paper at the event.<br />

Lee Joseph McGhan, M.B., B.Ch.<br />

Resident, Division of General Surgery<br />

Department of Surgery<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Arizona<br />

L<br />

ee Joseph McGhan, M.B., B.Ch.<br />

(PRES ’09, S ’14), completed a<br />

preliminary residency in General<br />

Surgery at <strong>Mayo</strong> <strong>Clinic</strong> in Arizona and<br />

a year of research, investigating the<br />

role of the androgen receptor in<br />

triple-negative breast cancer. Currently,<br />

he is a categorical resident in General<br />

Surgery. His research interests include<br />

breast oncology, management of the<br />

axilla in breast cancer patients, staging<br />

of gastric cancer, hormone receptor<br />

expression in breast cancer, and<br />

melanoma. He plans to pursue a<br />

fellowship in surgical oncology.<br />

Dr. McGhan’s work has led to<br />

multiple oral plenary presentations<br />

at national meetings, including the<br />

American Society of Breast Surgeons<br />

and the Society for Surgery of the<br />

Alimentary Tract. He also has been<br />

accepted to present at the annual<br />

meetings of the Society of Surgical<br />

Oncology, Southwestern Surgical<br />

Congress and American College of<br />

Surgeons. His publications have been<br />

featured in journals including Annals<br />

of Surgical Oncology and Journal of<br />

Gastrointestinal Surgery.<br />

He received his bachelor of medicine<br />

and bachelor of surgery degrees from<br />

the University of Wales College of<br />

Medicine in Cardiff. He is a native of<br />

South Wales, United Kingdom.<br />

The Priestley Society is a <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association society for surgeons<br />

who trained at <strong>Mayo</strong> <strong>Clinic</strong> or who are current or former members of the<br />

<strong>Mayo</strong> Department of Surgery staff. The society was named for James T.<br />

Priestley, M.D., a prominent <strong>Mayo</strong> <strong>Clinic</strong> surgeon who had significant<br />

enthusiasm for teaching residents the care of patients and the craft of surgery.<br />

The W. Deprez Inlow Award was established in 2004 by a gift from the<br />

extended family of Robert and Robbie Inlow in honor of Dr. Robert Inlow’s<br />

father, W. Deprez Inlow, M.D., who trained in surgery at <strong>Mayo</strong> <strong>Clinic</strong><br />

from 1919−1921.<br />

16 <strong>Mayo</strong> <strong>Alumni</strong>


ReMine Lecturer<br />

Presented by The Priestley Society to a speaker at the pinnacle of his or her career who represents the heart<br />

and soul of the Society, as nominated by the Executive Committee<br />

Peter Gloviczki, M.D.<br />

Consultant, Division of Vascular and<br />

Endovascular Surgery<br />

Professor of Surgery<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

Peter Gloviczki, M.D. (VASS ’83,<br />

S ’87), has an extensive clinical<br />

practice that includes all areas of<br />

vascular surgery. He has a special<br />

interest in aortic, mesenteric and<br />

renovascular surgery, aortic endografts,<br />

critical limb ischemia, reconstruction of<br />

large veins, endoscopic perforator vein<br />

surgery, surgery for varicose veins and<br />

chronic venous insufficiency and<br />

lymphatic microsurgery.<br />

Dr. Gloviczki joined the <strong>Mayo</strong><br />

<strong>Clinic</strong> staff in 1989, and was chair of the<br />

Division of Vascular and Endovascular<br />

Surgery at <strong>Mayo</strong> <strong>Clinic</strong> in Rochester<br />

from 2000−2010 and director of the<br />

<strong>Mayo</strong> <strong>Clinic</strong> Gonda Vascular Center<br />

from 2002−2010. He mentored 70<br />

categorical vascular surgery fellows<br />

and 25 research fellows.<br />

Dr. Gloviczki is president-elect of<br />

the Society for Vascular Surgery and<br />

past president of the World Federation<br />

of Vascular Societies, American Venous<br />

Forum, Society for <strong>Clinic</strong>al Vascular<br />

Surgery, International Union of<br />

Angiology, Vascular Disease Foundation,<br />

American Venous Forum Foundation,<br />

Midwestern Vascular Surgical Society<br />

and Gulf Coast Vascular Society. He<br />

is editor-in-chief of Vascular and<br />

Endovascular Surgery and Perspectives<br />

in Vascular Surgery and Endovascular<br />

Therapy. He is on the editorial boards<br />

of several other journals and has<br />

co-edited multiple editions of textbooks.<br />

He has authored more than<br />

300 full-length peer-reviewed original<br />

articles and more than 150 book<br />

The ReMine Lectureship<br />

was established in 2005 to<br />

honor William J. ReMine,<br />

M.D., a gastrointestinal<br />

surgeon who practiced at<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Rochester<br />

for 31 years.<br />

chapters or reviews. He has given<br />

more than 400 presentations, many at<br />

national and international meetings.<br />

He was a co-director of the <strong>Mayo</strong> <strong>Clinic</strong><br />

International Vascular Symposia,<br />

organized in Budapest and Paris.<br />

He is a fellow of the American<br />

College of Surgeons and was the sixth<br />

Carl W. Hughes Distinguished Lecturer<br />

of the Society for Military Vascular<br />

Surgery. He received the Merit Medal<br />

of the Brazilian Society of Angiology<br />

and Vascular Surgery. For his<br />

contributions to French medicine, he<br />

received the Medal of the City of Paris.<br />

Dr. Gloviczki completed a residency<br />

and fellowships at <strong>Mayo</strong> <strong>Clinic</strong>, and<br />

residencies at Hospital St. Michel and<br />

Hospital St. Joseph, both in Paris, France.<br />

He completed a fellowship in vascular<br />

surgery and a residency in general<br />

surgery at Semmelweis University in<br />

Budapest, Hungary. He received his<br />

medical degree from Semmelweis<br />

University.<br />

<strong>Spring</strong> <strong>2012</strong> 17


Advancing<br />

An Ideal<br />

In his new role as <strong>Mayo</strong>’s leader in Arizona,<br />

Wyatt Decker, M.D., is poised to help<br />

<strong>Mayo</strong> <strong>Clinic</strong> shape the future of health care.<br />

Wyatt Decker, M.D.<br />

Wyatt Decker arrived in Rochester, Minn., in 1986 to<br />

embark on a medical career. Had he not selected <strong>Mayo</strong><br />

Medical School for his education, his father — a physician<br />

himself — might have argued against his career choice.<br />

“My father felt many medical schools were focused less<br />

on the needs of the patient and more on acquiring research<br />

grants, while their doctors obsessed over building their<br />

careers,” says Dr. Decker (MMS ’90, I ’93), recounting his<br />

father’s views of increasingly selfish motivations in the field<br />

of medicine.<br />

Twenty-five years later, Dr. Decker is poised to defend<br />

and advance the ideals dear to his father’s heart. In<br />

May 2011, Dr. Decker was named vice president and CEO<br />

of <strong>Mayo</strong> <strong>Clinic</strong> in Arizona. “<strong>Mayo</strong> <strong>Clinic</strong>, as a nationally<br />

Vice President and CEO, <strong>Mayo</strong> <strong>Clinic</strong>, Arizona<br />

Consultant, Department of Emergency Medicine,<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Arizona<br />

Professor of Emergency Medicine, College<br />

of Medicine, <strong>Mayo</strong> <strong>Clinic</strong><br />

Postgraduate: M.B.A., Kellogg School of<br />

Management, Northwestern University<br />

Residency: Emergency Medicine, Denver Health<br />

and Hospitals, Denver; Internal Medicine, <strong>Mayo</strong><br />

School of Graduate Medical Education, Rochester<br />

Medical school: <strong>Mayo</strong> Medical School<br />

Undergraduate: University of California Santa Cruz<br />

18 <strong>Mayo</strong> <strong>Alumni</strong>


ecognized leader in health care, is<br />

in a position to help shape the future<br />

of how patients are cared for, how<br />

physicians and nurses are educated,<br />

and how medical research is conducted,”<br />

he says. “Combined, these influences<br />

will determine how medical care in<br />

our country is practiced.”<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Arizona is shaping<br />

the way patients are cared for in many<br />

ways, including innovative e-health<br />

initiatives designed to provide <strong>Mayo</strong><br />

expertise in rural communities. The<br />

<strong>Mayo</strong> <strong>Clinic</strong> Telestroke Program, which<br />

began in 2007, connects rural hospital<br />

emergency departments with stroke<br />

specialists at the <strong>Mayo</strong> <strong>Clinic</strong> Hospital<br />

in Phoenix via telemedicine. Using a<br />

digital video camera and Internet<br />

telecommunications, vascular neurologists<br />

at <strong>Mayo</strong> <strong>Clinic</strong> perform live<br />

real-time audiovisual consultations to<br />

diagnose patients with acute strokes<br />

and prescribe clot-busting therapies<br />

(thrombolytics) immediately, before<br />

long-term disabilities develop. This<br />

program has been very effective at<br />

reducing and even eliminating longterm<br />

stroke disabilities in patients who<br />

have limited access to health care.<br />

Dr. Decker sees great opportunities<br />

for <strong>Mayo</strong> <strong>Clinic</strong> to lead the nation during<br />

the shifting political and economic<br />

landscape that is moving the United<br />

States toward a national health care<br />

system. “There’s a lot of uncertainty<br />

nationally about where the medical<br />

profession, patient care and reimbursement<br />

models are headed,” he says. “Our<br />

country has a wonderful history and<br />

culture of innovation and independence.<br />

Health care is a complex issue, and<br />

there probably is no single solution that<br />

fits for all individuals. We have many<br />

strengths in our health care here in the<br />

United States, which includes <strong>Mayo</strong><br />

<strong>Clinic</strong>. It would be a shame to implement<br />

a system that reduces health care to a<br />

mediocre level. We need to look to<br />

those organizations providing truly<br />

superb care to see how we can raise the<br />

bar across the board and provide truly<br />

outstanding medical care to all of our<br />

nation’s citizens.”<br />

Triple-Decker<br />

Dr. Decker’s career has involved<br />

working at all three <strong>Mayo</strong> <strong>Clinic</strong><br />

campuses. He developed the<br />

Emergency Medicine Residency<br />

Program at <strong>Mayo</strong> <strong>Clinic</strong> in<br />

Rochester and served as its<br />

inaugural director from 1997 to<br />

2003. He became the first chair<br />

of the Department of Emergency<br />

Medicine at <strong>Mayo</strong> <strong>Clinic</strong> in<br />

Rochester in 2000. During that<br />

eight-year tenure, he transformed<br />

care in Rochester and in Jacksonville,<br />

where he shepherded the Emergency<br />

Department at <strong>Mayo</strong> <strong>Clinic</strong> in<br />

Florida through the transition from<br />

outsourced, contracted physicians<br />

to a full-time <strong>Mayo</strong> <strong>Clinic</strong> staff<br />

model of care and into the new<br />

hospital, simultaneously serving<br />

as the department chair in Florida<br />

for three years. Today, he calls<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Arizona home.<br />

<strong>Spring</strong> <strong>2012</strong> 19


1 9 8 6 - 2 0 1 1<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Florida celebrated its 25th anniversary<br />

in October. More than half a million patients from<br />

all 50 states and 143 countries have come to <strong>Mayo</strong> <strong>Clinic</strong><br />

in Florida for care.<br />

“The past 25 years have been filled with tremendous<br />

medical breakthroughs for our patients,” says William<br />

Rupp, M.D. (ONCL ’08), chief executive officer of <strong>Mayo</strong><br />

<strong>Clinic</strong> in Florida. “Our model of care combines research<br />

and education on the same campus where we provide<br />

patient care, with all three disciplines working together<br />

to develop medical innovations that ultimately save and<br />

improve our patients’ lives.”<br />

The 1986 expansion into northeast Florida marked the<br />

first time <strong>Mayo</strong> <strong>Clinic</strong> established a location outside of<br />

Rochester, Minn. Since opening its doors in Jacksonville,<br />

<strong>Mayo</strong> has grown from one four-story building to three<br />

main patient care buildings, a hospital, two research<br />

buildings and a collection of freestanding centers,<br />

administrative buildings and support facilities.<br />

<strong>Mayo</strong> <strong>Clinic</strong> in Florida started with 35 physicians<br />

and 145 support staff, and today has approximately<br />

4,900 employees and an annual impact of $1.6 billion<br />

on the Florida economy.<br />

SIGNIFICANT MILESTONES<br />

1997 Treating tremor with the first deep brain<br />

stimulation procedure<br />

1998 Discovering the first genetic cause for<br />

frontotemporal dementia<br />

1999 Identifying a new risk-factor gene for<br />

Parkinson’s disease<br />

1998 — Performing more than 3,800 organ transplants,<br />

2011 including liver, heart, lung, kidney and pancreas<br />

transplants and multi-organ procedures<br />

2001 Developing a pioneering lab model to study<br />

Alzheimer’s disease<br />

2002 Being designated a Comprehensive Cancer<br />

Center by the National Cancer Institute<br />

2008 Opening <strong>Mayo</strong> <strong>Clinic</strong> hospital on the Jacksonville<br />

campus to fully integrate inpatient and<br />

outpatient care<br />

2010 Offering the area’s first robotic surgery for<br />

less-invasive partial knee replacement surgery<br />

2011 Opening a simulation center where physicians<br />

in training can learn new skills in a risk-free<br />

environment<br />

2011 Opening the Gabriel House of Care to help<br />

transplant and cancer patients with extended-stay,<br />

affordable lodging during treatment<br />

2011 Opening a new $3.8 million, 10,000-square-foot<br />

freestanding Sleep Center<br />

20 <strong>Mayo</strong> <strong>Alumni</strong>


<strong>Mayo</strong> <strong>Clinic</strong> Distinguished <strong>Alumni</strong> Award<br />

2011 Recipients<br />

honoring ExcEllEncE in pAtiEnt cArE, rEsEArch And EducAtion<br />

T<br />

he <strong>Mayo</strong> <strong>Clinic</strong> Board of Trustees established the <strong>Mayo</strong> <strong>Clinic</strong><br />

Distinguished <strong>Alumni</strong> Award in 1981 to acknowledge and show<br />

appreciation for the exceptional contributions of <strong>Mayo</strong> alumni to the field of<br />

medicine, including medical practice, research, education and administration.<br />

Individuals who have received the award have been recognized nationally<br />

and often internationally in their fields.<br />

The 2011 <strong>Mayo</strong> <strong>Clinic</strong> Distinguished <strong>Alumni</strong> Awards were presented<br />

on Oct. 27, 2011.<br />

The 2011 Distinguished <strong>Alumni</strong> Award recipients are (from left) Keith Kelly, M.D.,<br />

Gene Hunder, M.D., Guillermo Ruiz-Argüelles, M.D., and Richard Brubaker, M.D.<br />

<strong>Spring</strong> <strong>2012</strong> 21


<strong>Mayo</strong> <strong>Clinic</strong> Distinguished <strong>Alumni</strong> Award<br />

iPad app extra<br />

Richard Brubaker, M.D.<br />

Emeritus Professor, Ophthalmology, College of Medicine, <strong>Mayo</strong> <strong>Clinic</strong><br />

Paved the way to fundamental<br />

understanding of mechanisms of<br />

ocular physiology and glaucoma<br />

The research of Richard Brubaker,<br />

M.D. (OPH ’70), revolutionized<br />

the understanding and treatment of<br />

glaucoma. His investigations on<br />

aqueous humor dynamics led to a<br />

greater understanding of normal and<br />

abnormal physiology, leading to new<br />

drugs for the treatment of glaucoma.<br />

He designed and built a scanning laser<br />

fluorophotometer to measure aqueous<br />

flow, and was able to ascertain the<br />

mechanism of function of new drug<br />

therapies because of his perfusion<br />

models and profound understanding<br />

of aqueous circulation. His invention<br />

is now standard in ocular physiology<br />

laboratories and glaucoma clinical<br />

research units around the world.<br />

<strong>Mayo</strong> <strong>Clinic</strong>, 1970−2000, consultant,<br />

Department of Ophthalmology,<br />

Professor of Ophthalmology<br />

Residency (Ophthalmology):<br />

Massachusetts Eye and Ear<br />

Infirmary<br />

Medical school: Harvard<br />

Medical School<br />

Graduate: Harvard Business<br />

School<br />

Undergraduate: Davidson<br />

College, North Carolina<br />

Native of: Georgia<br />

Gene Hunder, M.D.<br />

Emeritus Professor, Internal Medicine, College of Medicine, <strong>Mayo</strong> <strong>Clinic</strong><br />

Gene Hunder, M.D. (I ’63), is the<br />

single most-recognized and<br />

respected individual for work done<br />

in giant cell arteritis and polymyalgia<br />

rheumatica. Dr. Hunder almost singlehandedly<br />

defined the clinical spectrum<br />

of giant cell arteritis and was a major<br />

force in naming the disease. He made<br />

wide-reaching contributions to the<br />

understanding of the disease target<br />

tissues and clinical complications,<br />

and refined the therapeutic approach.<br />

Today’s work in these disorders is built<br />

on his foundations. Current Contents<br />

identifies him as one of the world’s<br />

most cited authors.<br />

Internationally recognized icon<br />

in rheumatology<br />

<strong>Mayo</strong> <strong>Clinic</strong>, 1964−1999, consultant,<br />

Division of Rheumatology,<br />

Professor of Internal Medicine<br />

Fellowship: Strong Memorial Hospital/<br />

University of Rochester Medical<br />

School, Rochester, N.y.<br />

Residency (Internal Medicine,<br />

Rheumatology): <strong>Mayo</strong> School<br />

of Graduate Medical Education<br />

Medical school: University<br />

of Minnesota Medical School,<br />

Minneapolis<br />

Graduate (M.S.): University<br />

of Minnesota, Minneapolis<br />

Undergraduate: University<br />

of Minnesota<br />

Native of: Lake City, Minn.<br />

22 <strong>Mayo</strong> <strong>Alumni</strong>


Keith Kelly, M.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Distinguished <strong>Alumni</strong> Award<br />

iPad app extra<br />

Emeritus Professor of Surgery, College of Medicine, <strong>Mayo</strong> <strong>Clinic</strong><br />

World-renowned expert in<br />

gastrointestinal motility<br />

Keith Kelly, M.D. (PHyS ’67),<br />

is an internationally known<br />

gastrointestinal surgeon and expert<br />

in gastrointestinal motility. He was<br />

instrumental in starting much of<br />

<strong>Mayo</strong>’s clinical program on continenceproducing<br />

operations after total<br />

colectomy — first the Koch pouch and<br />

then the ileoanal anastomosis. <strong>Mayo</strong><br />

<strong>Clinic</strong> became the pre-eminent surgical<br />

center for total proctocolectomy with<br />

ileal pouch and anastomosis due to<br />

Dr. Kelly’s pioneering work. He was an<br />

NIH-funded researcher in basic science<br />

for most of his career at <strong>Mayo</strong> <strong>Clinic</strong><br />

and was recognized with the NIH<br />

Merit Award for distinguished service.<br />

<strong>Mayo</strong> <strong>Clinic</strong>, 1968−2000, consultant,<br />

Department of Surgery, Professor<br />

of Surgery<br />

Fellowship: University of<br />

Amsterdam, The Netherlands;<br />

<strong>Mayo</strong> <strong>Clinic</strong>, Rochester<br />

Residency (Surgery): University of<br />

Washington School of Medicine<br />

and Affiliated Hospitals, Seattle<br />

Medical school: University<br />

of Chicago<br />

Graduate (M.S.): University<br />

of Washington, Seattle<br />

Undergraduate: University<br />

of Illinois, Urbana<br />

Native of: Chicago<br />

Guillermo Ruiz-Argüelles, M.D.<br />

Director General, Centro de Hematologia y Medicina Interna de Puebla, <strong>Clinic</strong>a Ruiz<br />

Director, Teaching and Research Division, Laboratorios <strong>Clinic</strong>os de Puebla, <strong>Clinic</strong>a Ruiz<br />

Professor of Hematology, Universidad Popular Autónoma del Estado de Puebla and Universidad de las Americas Puebla<br />

Internationally recognized hematologist<br />

Guillermo Ruiz-Argüelles, M.D.<br />

(HEM ’83), is an internationally<br />

recognized hematologist who has<br />

made significant contributions to the<br />

management of patients with leukemia,<br />

lymphoma and aplastic anemia. He was<br />

the first scientist to show the feasibility<br />

of outpatient stem cell transplantation<br />

in hematologic malignancies —<br />

chronic myelogenous leukemia, in<br />

particular. He started a low-intensity<br />

bone marrow transplant program, with<br />

modifications designed to meet the<br />

needs of patients in developing countries<br />

with limited resources. The outcomes<br />

of the transplanted patients are<br />

comparable to the results obtained<br />

with imatinib mesylate.<br />

Fellowship (Hematology): <strong>Mayo</strong><br />

School of Graduate Medical<br />

Education<br />

Residency (Internal Medicine,<br />

Hematology): Instituto Nacional<br />

de la Nutricion Salvador Zubiran/<br />

Universidad Nacional Autónoma<br />

de México<br />

Medical school: Universidad<br />

Autónoma de San Louis Potosi,<br />

Mexico<br />

Undergraduate: Instituto<br />

Militarizado Orienta, Puebla, Mexico<br />

Native of: Puebla, Mexico<br />

<strong>Spring</strong> <strong>2012</strong> 23


<strong>Mayo</strong> Update<br />

Board of Trustees news<br />

The <strong>Mayo</strong> <strong>Clinic</strong> Board of Trustees<br />

welcomed a new member and<br />

re-elected another at its quarterly<br />

meeting in November.<br />

New trustee<br />

Randolph Steer, M.D., Ph.D.<br />

Independent biotechnology consultant<br />

Re-elected trustee<br />

Tom Brokaw<br />

Journalist<br />

For more information, visit<br />

http://www.mayoclinic.org/news2011-<br />

jax/6534.html.<br />

Obituaries<br />

Perren Baker, M.D. (OR ’53),<br />

died Nov. 5, 2009.<br />

Luis Bonilla, M.D. (TS-G ’95, CS ’98,<br />

S ’08, TS ’11), died Dec. 26, 2011.<br />

Mark Callahan, M.D. (I ’81, CV ’84),<br />

died Dec. 28, 2011.<br />

John Cameron, M.D. (S ’44),<br />

died Nov. 19, 2011.<br />

Franklin Ellis, M.D. (S ’46, TS ’53),<br />

died Sept. 25, 2011.<br />

Henry Helmholz Jr., M.D. (PHYS ’42),<br />

died Jan. 7, <strong>2012</strong>.<br />

Lowell Henderson, M.D. (I ’44),<br />

died Jan. 7, <strong>2012</strong>.<br />

Emerson Moffitt, M.D. (ANES ’57),<br />

died April 30, 2011.<br />

Jean Rey-Bellet, M.D. (N ’54),<br />

died Dec. 8, 2011.<br />

Burton Sandok, M.D. (N ’69),<br />

died Dec. 21, 2011.<br />

Geraldine St. Onge, M.D. (I ’70, GI ’72),<br />

died Dec. 28, 2011.<br />

David Utz, M.D. (U ’58),<br />

died Oct. 30, 2011.<br />

Horst Zincke, M.D. (U ’74),<br />

died Sept. 30, 2011.<br />

Complete obituaries and the Update section,<br />

with alumni and staff news, are available on<br />

the <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Association website,<br />

alumniconnections.com/olc/pub/MAYO/.<br />

Correction<br />

In the print edition of the winter issue<br />

of <strong>Mayo</strong> <strong>Alumni</strong>, the year in which<br />

Louis Wilson, M.D., died was incorrect.<br />

Dr. Wilson died in 1943.<br />

<strong>Mayo</strong> <strong>Clinic</strong> remembers Luis Bonilla, M.D., and David Hines<br />

The <strong>Mayo</strong> <strong>Clinic</strong> community was deeply saddened to learn of<br />

the loss of Luis Bonilla, M.D. (TS-G ’95, CS ’98, S ’08, TS ’11),<br />

a <strong>Mayo</strong> <strong>Clinic</strong> cardiac surgeon, and David Hines, a <strong>Mayo</strong> <strong>Clinic</strong><br />

procurement technician. They were on board a helicopter<br />

flight from <strong>Mayo</strong> <strong>Clinic</strong> in Florida, along with the pilot,<br />

E. Hoke Smith, to procure a heart for a <strong>Mayo</strong> <strong>Clinic</strong> transplant<br />

patient when the helicopter crashed. There were no survivors.<br />

“This is a great loss to <strong>Mayo</strong> <strong>Clinic</strong> and the transplant<br />

community,” says John Noseworthy, M.D. (N ’90), <strong>Mayo</strong><br />

<strong>Clinic</strong> president and CEO. “We know that our transplant<br />

procurement staff put themselves at risk each day to offer<br />

the hope of a lifesaving transplant to some of our patients in<br />

greatest need. As we mourn this tragic event, we will remember<br />

the selfless and intense dedication they brought each day to<br />

making a difference in the lives of our patients.”<br />

Luis Bonilla, M.D.<br />

David Hines<br />

24 <strong>Mayo</strong> <strong>Alumni</strong>


<strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong><br />

Association Officers<br />

Eric J. Grigsby, M.D., Napa, Calif.<br />

President<br />

Juan M. Sarmiento, M.D., Atlanta<br />

President-Elect<br />

Susheela Bala, M.D., San Bernardino, Calif.<br />

Vice President<br />

Eric S. Edell, M.D., Rochester, Minn.<br />

Secretary-Treasurer<br />

Mark Laney, M.D., St. Joseph, Mo.<br />

Past President<br />

Karen D. Herman, Rochester, Minn.<br />

Director<br />

Executive Editor — Karen Trewin<br />

Editorial Assistant — Emily DeBoom<br />

Advisory Board — Melissa Abrams, Steven Altchuler, M.D., Ph.D.,<br />

Brigitte Barrette, M.D., Karen Barrie, Eric Edell, M.D. (chair), Karen Herman,<br />

Richard Hurt, M.D., Ryan Ledebuhr, Margaret Lloyd, M.D., Lonzetta Neal, M.D.,<br />

Steven Rose, M.D., Karen Trewin, Alexandra Wolanskyj, M.D.<br />

Executive Committee<br />

Peter C. Amadio, M.D., Rochester, Minn.<br />

Sarah Y. Boostrom, M.D., Rochester, Minn.<br />

(MCR-MSGME Representative)<br />

Christopher L. Boswell, Rochester, Minn.<br />

(MMS Representative)<br />

Terrence L. Cascino, M.D., Rochester, Minn.<br />

Diane F. Jelinek, Ph.D., Rochester, Minn.<br />

Siong-Chi, Lin, M.D., Jacksonville, Fla<br />

Lonzetta Neal, M.D., Rochester, Minn.<br />

Meghan M. Painter, Rochester, Minn.<br />

(MGS Representative)<br />

Daniel L. Roberts, M.D., Scottsdale, Ariz.<br />

David K. Teegarden, M.D., Bullard, Texas<br />

Board of Directors 2011–2013<br />

Carl L. Backer, M.D., Winnetka, Ill.<br />

Douglas Chyatte, M.D., Mankato, Minn.<br />

Theresa S. Emory, M.D., Bristol, Tenn.<br />

Alan M. Freedman, M.D., Great Neck, N.Y.<br />

David L. Graham, M.D., Urbana, Ill.<br />

Jennifer Katsolis, D.O, Jacksonville, Fla.<br />

(MCF-MSGME Representative)<br />

Christopher Kramer, M.D., Scottsdale, Ariz.<br />

(MCA-MSGME Representative)<br />

Kennith F. Layton, M.D., Dallas, Texas<br />

Kevin G. Madden, M.D., Scranton, Penn.<br />

Gregory K. Mayer, M.D., Phoenix, Ariz.<br />

M. Mark Melin, M.D., St. Louis Park, Minn.<br />

Nicole W. Pelly, M.D., Seattle, Wash.<br />

Mary M. Reynolds, M.D., Golden, Colo.<br />

Scott R. Ross, D.O., Colorado <strong>Spring</strong>s, Colo.<br />

Guillermo Ruiz-Argüelles, M.D.,<br />

Puebla, Mexico<br />

Marcia J. Sparling, M.D., Vancouver, Wash.<br />

Mack H. Sullivan, M.D., West Bloomfield, Mich.<br />

Pamela B. Sylvestre, M.D., Memphis, Tenn.<br />

Karl F. Tamussino, M.D., Austria<br />

Burkhard W. Wippermann, M.D.,<br />

Hildeshiem, Germany<br />

<strong>Alumni</strong> Center<br />

507-284-2317<br />

Karen Herman, director<br />

507-538-0162<br />

Email: mayoalumni@mayo.edu<br />

Website: http://www.mayo.edu<br />

Physician Referral<br />

Arizona 800-446-2279 (toll-free)<br />

Florida 800-634-1417 (toll-free)<br />

Rochester 800-533-1564 (toll-free)<br />

mayoclinic.org/medicalprofs/<br />

Patient Transportation<br />

<strong>Mayo</strong> <strong>Clinic</strong> MedAir, <strong>Mayo</strong> One<br />

800-237-6822 (toll-free)<br />

mayomedicaltransport.com<br />

For information<br />

about alumni meetings<br />

and receptions,<br />

visit<br />

mayo.edu/alumni<br />

<strong>Alumni</strong> Philanthropy<br />

Contact: Robert W. Giere<br />

Director for <strong>Alumni</strong> Philanthropy<br />

800-297-1185<br />

tdms@mayo.edu<br />

<strong>Mayo</strong> <strong>Alumni</strong> magazine is published quarterly and mailed free of charge to<br />

physicians, scientists and medical educators who studied and/or trained at<br />

<strong>Mayo</strong> <strong>Clinic</strong>, and to <strong>Mayo</strong> consulting staff. The magazine reports on <strong>Mayo</strong> <strong>Clinic</strong><br />

alumni, staff and students, and informs readers about newsworthy activities<br />

throughout <strong>Mayo</strong> <strong>Clinic</strong>. Please send correspondence to: <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong><br />

Center, Siebens 5-33, <strong>Mayo</strong> <strong>Clinic</strong>, 200 First Street S.W., Rochester, MN 55905; or<br />

via e-mail to deboom.emily@mayo.edu; or telephone 507-284-4660; or fax<br />

507-284-8713. Send address changes to the <strong>Mayo</strong> <strong>Clinic</strong> <strong>Alumni</strong> Center office<br />

at the preceding address or e-mail to mayoalumni@mayo.edu.<br />

<strong>Mayo</strong> <strong>Clinic</strong> is committed to creating and sustaining an environment that<br />

respects and supports diversity in staff and patient populations.<br />

<strong>MC4409</strong>rev0412


Division of Public Affairs<br />

<strong>Mayo</strong> <strong>Clinic</strong><br />

Rochester, Minnesota 55905<br />

ADDRESS SERVICE REquESTED<br />

Find <strong>Mayo</strong> <strong>Clinic</strong><br />

Facebook<br />

You Tube<br />

Twitter<br />

<strong>Mayo</strong> <strong>Clinic</strong> Proton Beam Therapy Program<br />

<strong>Mayo</strong> <strong>Clinic</strong> has taken another step toward a new era in<br />

radiation treatment with the groundbreakings for proton beam<br />

therapy programs in Rochester and Arizona. The <strong>Mayo</strong> <strong>Clinic</strong><br />

Proton Beam Therapy Program in Rochester will be located<br />

in the Richard O. Jacobson Building, which broke ground<br />

in September. The facility in Phoenix broke ground in<br />

December. The first treatment room for patients will be<br />

available in 2015.<br />

At the Arizona groundbreaking, Phoenix <strong>Mayo</strong>r-elect<br />

Greg Stanton said: “The commitment by <strong>Mayo</strong> <strong>Clinic</strong> to build<br />

this amazing new cancer treatment facility is exactly why our<br />

region must focus and redouble our commitment to health<br />

care and biosciences. This new therapy will not only save<br />

lives, it will create jobs and positive economic impact, and<br />

will continue the growth of the Phoenix area as a destination<br />

for health care delivery.”<br />

Artist’s rendering of <strong>Mayo</strong> <strong>Clinic</strong> proton beam therapy<br />

facilities in Rochester (left) and Arizona (right).

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