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Governor's Newsletter, Winter 1998

Edited by:
Scott C. Litin, MD, FACP
Governor, Minnesota Chapter ACP

1998 Minnesota Chapter Scientific Meeting - BEST EVER

The Minnesota Chapter Scientific Meeting which was held November 6 and 7 at the Minneapolis-St. Paul Airport Hilton was extremely successful. We had our largest attendance ever (over 200+). The scientific session was outstanding. Thanks go out to Bob Lohr, MD, FACP and his Chapter Scientific Planning Committee. The Associates' Poster Session was the biggest and best ever thanks to an active Associate Committee chaired by Jonathan Evans, MD. Once again, the Resident Jeopardy Game provided exciting fun and humor thanks in large part to the organizational and theatrical skills of Darryl Chutka, MD. We all benefited from the "College Update" presented by David Gullen, MD, FACP and Chair-Elect of the Board of Regents ACP. We also learned about the impact our organization is having in Washington through a presentation by Michael Werner, JD.

Finally, we owe a debt of gratitude to our faculty members, who donated their time and efforts on behalf of the educational mission of the Chapter. Unfortunately, I do not have the space to thank the many other people who worked so hard to make this meeting successful.

This Chapter Meeting was my last as your chapter governor. It is a source of pride to me that so many of you have become actively involved in the chapter at so many different levels. Our Chapter is a great way to meet other physicians with similar interests and to have fun! If you have not yet been involved, been to the chapter meetings, etc., make this your New Year's resolution for 1999. Tanya Repka, MD, FACP, Governor-Elect, has a lot of enthusiasm and good ideas. She is also anxious for your involvement.

Meeting Highlights on the Web:

You can find meeting notes from the 1998 Minnesota Chapter Scientific Meeting on the Web. If you have not yet visited ACP Online or our Minnesota Web Page, it is easy to do so. You do need your ACP number to get started and you can get that off of your Annals or ACP Journal Club mailing label. Simply log into www.acponline.org and move your mouse to the left-sided margin. Hit About ACP and on the next screen hit Chapter Web Sites. You will have a list in front of you and can hit Minnesota and you are there! Feel free to bookmark this very useful web site for future use. A special thanks to Peter Elkin, MD, FACP who is our web-page czar.

Laureate Awardees Honored:

The Minnesota Chapter was proud to have two distinguished Laureate Awards presented at our recent meeting. They are both renowned program directors in our state and have influenced many. Congratulations go out to Terry Rosborough, MD, FACP and Henry Schultz, MD, FACP. The following are a few selected comments about each awardee from the Laureate Pamphlet:

The Laureate Award honors those Fellows and Masters of the ACP in Minnesota who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, and service to their community, their chapter, and the ACP.

Recipients of this award shall bear the title Laureate of the Minnesota Chapter.

The Minnesota Chapter is pleased to award the 1998 Laureate Awards to Terry K. Rosborough, MD, FACP and Henry Schultz, MD, FACP. They have been long-standing and loyal supporters of the College, have rendered distinguished service to the chapter, and have upheld the high ideals and professional standards for which the ACP is known. We salute and honor them on this occasion and we wish them long and fulfilling careers. Terrill (Terry) K. Rosborough, MD, FACP

Dr. Rosborough was born July 21, 1948, in Chicago, Illinois. He earned his undergraduate degree at the University of Illinois where he lettered in tennis and graduated Phi Beta Kappa, and also received the prestigious Bronze Tablet for graduating with highest honors. His internal medicine residency was spent at the University of Minnesota and in 1977, Dr. Rosborough served as Chief Medical Resident at the Minneapolis Veterans Administration Medical Center. From 1983 to the present, he remains Director of Medical Education and Director of Abbott Northwestern General Medicine Associates at Abbott Northwestern Hospital.

Although Dr. Rosborough frequently gives credit to others, for the past 15 years he has assumed the lion's share of work and responsibility that goes into directing the Internal Medicine Residency Program at Abbott Northwestern Hospital. In great part, his work ethic and goal of perfection have been the reason that many of the best and brightest medical students and residents have ended up in his program.

Dr. Rosborough is a gifted teacher and mentor, as evidenced by his multiple Minnesota Medical Foundation Distinguished Teaching Awards. He developed a course on Critical Thinking that is already legendary in the residency program. He sees it as his task to instill doubts and promote healthy suspicion when reading medical articles. He is able to transmit his profound knowledge of statistics and critical thinking to his residents which is a gift they carry with them throughout their careers.

Dr. Rosborough's breadth and depth of medical knowledge are also impressive. A colleague once commented "Terry could take and pass all of the subspecialty board exams". He has the reputation of a "referral internist" and therefore fulfills one of the real traditions of our specialty, one often forgotten in this era of super subspecialization. While he has virtually mastered Internal Medicine, two areas of expertise deserve special mention. First, he emphasizes the importance of physical diagnosis with great fervor. Every resident receives as a gift a book on this subject. Dr. Rosborough emphasizes to his residents a reliance on the physical exam rather than simply relying on the technology of testing. Second, his profound knowledge of anticoagulation has not only lead to some important publications, but also to a superb revision of the practice of anticoagulation in his hospital.

A few comments illustrate the importance that this man has had on his students. His commitment to teaching was best summarized by one of his residents who said "I am glad Terry loses sleep over my education". Another stated, "Were it not for Dr. Rosborough, I would not have joined (or continued to belong to) the American College of Physicians. He required all residents to join and personally encouraged me to present a case at the state meeting, which incidentally won the residents' competition. Without his encouragement, I would never have entered the competition and would have missed out on the highlight of my residency training."

Dr. Rosborough exemplifies all of the characteristics for which the laureate is awarded. He is an outstanding teacher who willingly gives continuously of himself to the needs of his students, residents, fellows, and patients. The Minnesota Chapter of the American College of Physicians is pleased to name him as the recipient of its Laureate Award for 1998. Henry J. Schultz, MD, FACP

Dr. Henry Schultz was bone June 19, 1950, in Cincinnati, Ohio. He earned a Bachelor of Science Degree from Bowling Green State University in 1972 graduating Cum Laude. He received his M.D. degree from Ohio State University College of Medicine in 1975. His residency and fellowship in Internal Medicine was completed in 1979 at Mayo Clinic in Rochester, Minnesota. He joined the Division of Community Internal Medicine at Mayo Clinic and continues an active practice. Dr. Schultz became Director of the Internal Medicine Residency in 1987. He has remained in this leadership role ever since.

Dr. Schultz has championed many innovative changes in the internal medicine residency program at Mayo Clinic and has received national acclaim for residency program design. He has shared his knowledge and success with other program directors through many important writings and presentations. His expertise was recognized by the Association of Program Directors in Internal Medicine (APDIM) in 1998 where he was chosen to serve as President. One of the innovations that Dr. Schultz pioneered was helping to develop a mandatory research requirement for all Internal Medicine residents. This went on to be a model for many other programs nationally.

Though he has earned the reputation as "the internist's internist" and "the consummate residency director", he is full of enough enthusiasm to encompass not only medicine but many other aspects of life; and this has endeared Dr. Schultz to residents and colleagues alike. He loves his family, the Cincinnati Reds, hunting, his softball team, Lourdes high school girls' basketball, and last, but certainly not least, "his residents".

He has been an ardent supporter of ACP, encouraging all residents to become Associate members, and encouraging them to present interesting cases and their research at the state and national meetings. The success of this encouragement and his program is evidenced by the regular selection of Mayo IM Residents at the National Poster Competition.

Dr. Schultz's contributions are best summed up by one of his former residents, now a colleague, "Henry brings to the IM program a very unique combination of virtues. These include a vast IM knowledge base, outstanding organizational skills, a commitment to innovation/adaptation, and an interpersonal charisma that allows him to excel as a teacher, a leader, and, when called for, a personal confidant for both residents and staff at Mayo Clinic. Since I trained here, the program has improved tremendously and this is largely because of his tireless devotion to reducing the service elements, enhancing the learning environment, recruiting excellent residents, and mentoring the teaching faculty. I cannot think of anyone more deserving for this award".

Dr. Schultz exemplifies all of the characteristics for which the laureate is awarded. He is an outstanding teacher who willingly gives continuously of himself to the needs of his students, residents, fellows, and patients. The Minnesota Chapter of the American College of Physicians is pleased to name him as the recipient of its Laureate Award for 1998.

Associates Display Record Number of Posters:

Residents from all of the internal medicine training programs in the state displayed posters at the Scientific Meeting. The academic quality of them was outstanding. We feel any resident who is selected to display his/her poster at the session is a "winner". All of the attendees were also winners, having the opportunity to mingle with and learn from this group of associate colleagues. The judges had a difficult time selecting award winners (listed below) but sincere congratulations go out to all who participated.

Clinical Vignette Winners

Grand Prize: (Trip to National Meeting):

Rebbeca Klopcic, MD (Mayo) "Takayasu's Arteritis and Light-Induced Amaurosis Fugax"

Other Award Winners (6):

James H. Lee, MD (Abbott-Northwestern) "Respiratory Failure in a 50 Year Old Man: An uncommon presentation of a common problem"

Marie C. Hogan, MD (Mayo) "Multiple Myeloma Presenting With Unilateral Blindness and 'Numb Chin Syndrome"

Sailaja Kamaraju, MD (Hennepin) "Staphylococcus lugdenensis Pulmonary Valve Endocarditis: A case report and review of the literature"

Laura L. Wayman, MD (Mayo) "Sudden Onset Cushing's Syndrome in a Patient With Metastatic Islet Cell Carcinoma"

Gautam Ramakrishna, MD (Mayo) "Eosinophilic Endomyocarditis: An unusual Complication of Churg-Strauss Syndrome"

Laura Diamandopoulos, MD (Mayo) "Late Presentation of a Urea Cycle Defect in a 38-Year Old Man With Hyperammonemia"

Research Winners

Grand Prize (trip to National Meeting):

Edgar Jaimes, MD (U of Minn) "Countervailing Influence of TNF and Nitric Oxide in Endotoxemia. Critical Role of TNF Receptors"

Other award winners (2):

Vanessa Menghini, MD (Mayo): "Suicide Among Nursing Home Residents: A population-based study"

L Salazar, MD (U of Minn): "Infection of Human Umbilical Vein Endothelial Cells by Cytomegalovirus Decreases Thrombomodulin Activity"

Council Notes

Your Council met during the chapter meeting. One of the items of business was approving new by-laws. This was necessitated by the National ACP and ASIM merger. Only minor changes were needed in the by-laws because of the past efforts of Rick Hellman, MD, FACP in updating them only a couple of years ago. It is official: We are now known as Minnesota Chapter of the American College of Physicians - American Society of Internal Medicine.

Also, new council members for 1999 were appointed/or elected at this meeting. They are:

Joel Greenwald, MD
Council Member

Doug Mallory, MD
Council Member

Lorre Ochs, MD
ACP Women Physician's Committee Chair

Edward Rosenow, MD, MACP
Council Member

Eric Tangalos, MD, FACP
ASIM Transitional Governor, Council Member

Don Wessel, MD
Council Member

Mark Your Calendars - 1999 Meeting Date

November 5 and 6, 1999
Minneapolis-St. Paul Airport Hilton

Contact Information

Heather E Gantzer, MD FACP, Governor, Minnesota Chapter

Chapter Staff:
Katherine Cairns, Executive Director
1043 Grand Ave. #215
St. Paul, MN 55105
Fax: 651-699-7798