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H O N O R A R Y A W A R D Honorary Award Robert M. Goldwyn, M.D. Dr. Goldwyn was born in Worcester, Massachusetts in 1930. He attended Worcester Academy, Harvard College (A.B. 1952) and Harvard Medical School (M.D., 1956). He did his internship and residency in general surgery at the Peter Bent Brigham Hospital in Boston from 1956 to 1961. During this time, he was the Harvey Cushing Fellow in Surgery at Brigham Hospital and Dr. Albert Schweitzer’s surgeon in Lambarene, Gabon. His plastic surgical training was at the University of Pittsburgh Medical Center from 1961 to 1963. He returned to Harvard Medical School, became Senior Surgeon at the Brigham Hospital and at the Beth Israel Hospital, where he was Chief of the Division of Plastic Surgery from 1972-1996. Since 1979, he has been the Editor of Plastic and Reconstructive Surgery and has authored or o-authored more than 300 articles and has edited several books: The Unfavorable Result in Plastic Surgery: Avoidance and Treatment (now in its third edition), Reconstructive Surgery of the Breast, Long-Term Results in Plastic and Reconstructive Surgery, Reduction Mammaplasty. He has written The Patient and the Plastic Surgeon (two editions) and The Operative Note, a collection of his editorials, as well as a book for the general public -- Beyond Appearance: Reflections of a Plastic Surgeon. With J. Saxe as translator, he wrote an introduction to G. Baronio’s Degli Innesti Animali, 1804 (On Grafting in Animals) and for the first complete English translation by J. H. Thomas, a facsimile edition, of G. Tagliacozzi’s De curtorum chirurgia per insitionem, 1597, (On the Surgical Restoration of Defects by Grafting.) Dr. Goldwyn was President of the Massachusetts Society of Plastic Surgeons, the New England Society of Plastic Surgery, the American Association of Plastic Surgeons, which made him an Honorary Fellow, and the Harvard Medical Alumni Association. In 1972, he founded the National Archives of Plastic Surgery, housed at Harvard Medical School and has since served as Chairman of the Archives Committee of the Plastic Surgery Educational Foundation. He was a founding member of Physicians for Social Responsibility and has written articles on world peace, opposition to chemical and biological warfare and on medical ethics. He has been Visiting Professor to more than 70 institutions, universities and hospitals in this country and abroad and is an honorary member of more than a dozen national and international societies of plastic surgery. His other awards include the Diffenbach Medal, the Honorary Kazanjian Lectureship, Clinician of the Year of the American Association of Plastic Surgeons, the Special Achievement Award and the Presidential Citation of the American Society of Plastic Surgeons. He has also received recognition for his teaching and writing. In 2007 he was the first Hiderer lectures of IPRAS. 8 IPRAS Journal www.ipras.org Issue 1
S U R V E Y R E P O R T Personal recollections of a life dedicated to plastic surgery Like most surgeons of my generation, it was difficult to learn plastic surgery in a single department. In fact, in Brazil this medical specialty did not even exist. Therefore, I endeavored on a long journey through numerous centers in the U.S.A. and Europe, which would last the better part of the 1950´s. I was granted a scholarship by the Institute of International Education and was privileged to be a resident in the surgery department at Bethesda Hospital, Cincinnati, Ohio, under the supervision of Prof. John Longacre. A rotation to several other services led me to the Mayo Clinic in Rochester, New York and to Dr. John Marquis Converse. In Europe, I visited with Dr. Paul Tessier who was then fully occupied with the creation of the specialty of craniofacial surgery. Dr. Marc Iselin took me in as an “assistant étranger” at the Hôpital Americain in Paris, where I was taught the finer details of hand surgery. My stay in France included the Maison Departamentelle de Nanterre and also the Faculté de Médicine de la Univesité de Paris, under the supervision of Prof. Aubry. In England, I was invited to be a visiting surgeon by Prof. Kilner in the Churchill Hospital, Oxford. I then stayed at the Park Prewet Hospital in Basingstoke, under the supervision of Prof. Harold Gillies. Finally, Sir Archibold MacIndoe was very kind to accept me as an observer at the Queen Victoria Hospital, in East Grinstead. This extensive learning experience also included the acquaintance of the following surgeons: Prof. Rangell in Stockholm, Sweden; Dr. Schmidt, in Stuttgart, Germany; Drs. Tubiana and Morel-Fatio in Paris; and Dr. Malbec, in Buenos Aires, Argentina. Once I returned to Brazil I founded the first Service in Hand Surgery in Latin America, at the Santa Casa General Hospital of Rio de Janeiro (a charity institution founded over four hundred years ago by the Portuguese missionaries). I also became head of the Department of Burn Injuries and Trauma Surgery. However, I soon realized that it was difficult to practice what I had learned, because surgeons at that time did not give the necessary importance to plastic surgery. To further the cause of this nascent specialty, I decided to become involved in the training of young surgeons. Here are a few of my recollections that guided my first steps: Sir Harold Gillies emphasized the importance of commitment to research. He stated that “research is the result of observation. The more one observes, the more one accumulates experience and improvement. From then on, one has the chance of finding ‘the key’, which is an original technique that will help minimize difficulties and will bring solutions to even the hardest cases. Other than that, there are no miracles!”. Marc Iselin showed me the French spirit, the Cartesian side of life and the curiosity without limits. McIndoe was an outstanding surgeon, and taught me his knowledge and the technique of aesthetic surgery. Kilner showed me how to operate on cleft lips and other types of congenital deformities. Looking back on these giants of plastic surgery, I can affirm that the progress of humanity only occurs when the ones that follow us are capable of improving our results. To teach has been my perennial mission since those early days. The practice and teaching of plastic surgery became a reality in 1959 when, together with a close group of collaborators, we founded the 8 th Ward, later to be called the 38 th Ward, of the Santa Casa da Misericórdia General Hospital (SCM) in Rio de Janeiro. In this charity institution, poor patients from the city, and from other states of Brazil, come to seek a remedy to their problems. There was no shortage of people of all ages bearing congenital and acquired deformities, and our difficulty was to attend to these patients within the limits of a meager institution. The opportunity to create an academic course occurred in 1960, when this public infirmary was affiliated to the Pontifical Catholic University of Rio. This was the beginning of our Post-graduation Course in Plastic Surgery. Much later, Issue 1 www.ipras.org IPRAS Journal 9
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