JACKSONVILLE, FLORIDA Heal the sick, advance the science, share the knowledge. “THE BEST INTEREST OF THE PATIENT IS THE ONLY INTEREST TO BE CONSIDERED.” F or more than a century, Mayo Clinic has been recognized as one of the world’s premier Since the beginning, Mayo Clinic’s pursuit of excellence in patient care has been supported by a medical centers. Evolved from the medical practice commitment to research and education: Research to founded in 1859 in Rochester, Minnesota, by assure access to the latest, most effective diagnostic William Worrall Mayo, and led to renown by his methods and medical treatments; and education physician-sons William J. and Charles, Mayo Clinic to promote objective analysis, prepare future today is distinguished for its excellence in patient generations of physicians and share knowledge care, medical research and education. and research discoveries with others. Central to the Mayo Clinic mission — to provide A non-profit organization, Mayo Clinic invests the best care to every patient every day — is a all excess revenues in patient care, research and precept of its founders, “The best interest of the education. Information about the clinic staff, patient is the only interest to be considered.” revenues, clinical, education and research programs Today, nearly 3,000 physicians and scientists at three Mayo Clinic sites — in Rochester, Jacksonville, Florida, and Scottsdale/Phoenix, Arizona — treat is available at www.mayoclinic.org and in the most recent annual report. While facts and figures help define and measure more than half a million people each year. No matter Mayo Clinic, it is the culture — and the people the location, patients benefit from the Mayo Clinic who bring it to life — that make Mayo a special Model of Care. This model brings together integrated place not only to receive, but also to give, care. teams of physicians representing various medical specialties to determine diagnosis and treatment. Patients at each location have access to the extensive medical resources available across all of Mayo Clinic. We hope the insights in the following pages, offered by our physicians about what it means to practice medicine under the Mayo Clinic Model of Care, will provide a helpful starting point from which to consider Mayo Clinic in your career planning. Beyond these pages, we look forward to providing additional information and perspectives through future communication with you. Many Paths Lead to Mayo Clinic Jacksonville. Will Yours? YOU HAVE A GOAL IN MIND. You know what motivates you. You know what you need to be happy and fulfilled. You may be at a crossroads and need a change. Before you make the next career turn, ask yourself: Why did I choose medicine as a career? And where can I practice medicine in the manner I envisioned? F or Dr. Ken DeVault, Dr. Mary O’Connor, Dr. Gerardo Colon-Otero and many other physicians, Mayo Clinic was the answer. Each had distinctly different practice goals, career aspirations and lifestyle choices in mind. What they found was a unique culture that is distinctive in American medicine. Mayo affords physicians professional experiences and equips them with resources and opportunities that are unparalleled anywhere in the world. But what makes Mayo different from other institutions is the culture in which people not only begin, but build their careers. At its essence, it’s about an attitude that expects the best in its people. Standards are high here — and you are equipped to excel. While students contribute to an atmosphere of inquiry, physicians who are committed to career development and self-improvement thrive here. This infuses Mayo with a palpable energy and excitement. You are never an island at Mayo. You are automatically a member of a team and function as a team member on a daily basis. Teammates are eager to share knowledge and are interested in helping you succeed. There is a climate of respect. Whether co-workers serve patients directly or not, they work with someone who does, and that makes everyone important to fulfilling Mayo’s mission: the needs of the patient come first. Even though Mayo is often referred to as a gold standard in medicine, it strives to improve and constantly seeks to change for the better. Mayo Clinic looks to its physicians to effect positive change that strengthens care for patients. If your interest is in practicing medicine with this priority, keep following the signs that point to Mayo Clinic Jacksonville. “There’s no where else IN THE WORLD that I could do patient care this way. My colleagues share the same CORE VALUES number one reason I’m here.” Gerardo Colon-Otero, M.D. AND GOALS. It’s the Top Ten Reasons Why Physicians Make Mayo Clinic Their Career Destination 1. The people. Challenging patient cases and inspiring colleagues bring and keep physicians here. 2. Priorities. Patients are the priority. No matter the question, the answer is always what’s best for the patient. 3. Resources. Access to colleagues. Sophisticated technology. Integrated systems. Ongoing education. 4. Opportunities. Develop your skills. Conduct research. Mentor others. 5. The culture. Collegial, professional, progressive. 6. Change. You can make a difference through physician leaders, committee involvements, quality improvement work. 7. Financial stability. Translates into peace of mind. 8. The place. Clean, bright, pleasant. Beautiful art and architecture. 9. The choices. Excellent employer benefits, programs, and services. A great community in which to work and live. 10. Pride. Staff are proud to say they work for Mayo Clinic. 1 2 Mayo Clinic Jacksonville: Everything You Want in Your Career – All in One Place CONSIDERING THE SETTINGS in which to practice medicine, Mayo Clinic is exceptional on many counts. Just as patients find everything they need here, you can too. M ayo Clinic Jacksonville has many unique attributes. More than 50 medical and surgical specialties and subspecialties, ranging from ophthalmology and neurology to urology and orthopedics, are represented among its staff. Specialty programs include cancer treatment, organ transplantation, heart surgery and neurosciences. Virtually any medical or surgical specialty is easily accessed via the colleagues and integrated systems of Mayo Clinic Rochester and Mayo Clinic Scottsdale/Phoenix. There is a palpable sense of promise and excitement on this campus. In its 20-year history, more than 500,000 patients from 50 states and 131 countries have passed through the doors of Mayo Clinic Jacksonville. A combination of missionmindedness, team culture, and high standards are potent unifying elements for this growing staff and campus. Important qualities undergird what has been described as Mayo’s “experiment in cooperative individualism”: an ideal of service rather than personal profit; a primary concern for each patient; and every staff member’s interest in the professional progress of all staff members. Everything about Mayo Clinic contributes to your capacity to focus on patients and cultivate your career interests. MAYO CLINIC JACKSONVILLE PERSONNEL Staff physicians and medical scientists Residents, fellows and temporary professionals 354 “At Mayo Clinic Jacksonville, we have INVESTED $1 billion in our campus over TWO DECADES, during some of the times in medicine.” toughest Stephen Lange, M.D. AN ENVIRONMENT OF SUPPORT AND GROWTH: Integrated systems, including an electronic medical record, make patient care information accessible, ensure accuracy and speed delivery of care. Systems and processes enable patients to have multiple medical evaluations and diagnostic tests on the same day or be scheduled for next-day surgery or other procedures. A hospital, with 214 beds and 16 operating rooms, creates a fully-integrated medical campus with inpatient and outpatient services under one roof. 274 Colleagues at Mayo Clinic Rochester and Mayo Clinic Scottsdale/Phoenix are available to you for consultation. Administrative and allied health personnel (clinic and hospital) 4,140 TOTAL 4,768 Opportunities to teach and conduct research provide for further pursuit of professional interests. Mayo Clinic Jacksonville is an academic medical center and includes programs in each of the five schools of Mayo Clinic College of Medicine. Research focuses on the neurosciences, cancer and other areas. 3 A Living Mission Guides Care “THE NEEDS OF THE PATIENT come first” is more than a primary value here. It’s a living mission. Physicians at Mayo Clinic live, breathe and work by this philosophy every day. They do so in an environment that supports excellent patient care. S tephen Lange, M.D., has cared for thousands of patients during his 21 years as a gastroenterologist at Mayo Clinic Jacksonville. As a resident, he had experience in a university setting, as well as at Mayo Clinic Rochester, where he was a fellow. When Mayo decided to expand to Florida, Dr. Lange set his sights on helping start the practice here. Now looking back over two decades, he notes that while the physical campus has changed substantially, the model upon which patient care is delivered has not. While Dr. Lange spends his time in patient care and administrative duties, the most fulfilling days are spent caring for patients based on a Model of Care that is focused on what benefits patients first and foremost. “I tell my patients that I can be a better doctor at Mayo Clinic than anywhere else. That’s possible because of the Mayo Clinic Model of Care.” Jack Leventhal, M.D. PATIENT CARE Mayo Clinic Jacksonville (per year) Unique patients*: 91,941 Outpatient visits: 421,077 and deserve nothing but the best care. For many of them, we become the center of their lives. To help them is an incredibly rewarding privilege.” Dr. George Bartley, an oculoplastic surgeon, points out that putting the patient first is a core value that is distinctively Mayo. “Organizations that are for-profit must make sure the needs of the shareholders come first,” says Dr. Bartley. “For us to have the core value of putting the needs of the patient first is a blessing. This core mission isn’t something we have to revisit every year. Here, we have carved it in stone.” THE MAYO CLINIC MODEL OF CARE It is not unusual that a patient coming to Mayo Clinic in search of a diagnosis or treatment has already been seen by one or more doctors at other medical centers. Nor is it unusual that the patient is amazed at how quickly Mayo physicians arrive at an answer. The Mayo Clinic Model of Care makes the difference. Care is provided by integrated teams of compassionate, multidisciplinary physicians, scientists and allied health professionals all focused on the needs of the patient. The Model of Care: Brings together top specialists in a multidisciplinary practice environment Fosters a culture committed to teamwork — and that places team success ahead of individual success Hospital admissions: 11,137 Encourages an atmosphere of mutual respect Provides extensive resources and numerous support personnel, Surgical cases: 11,164 Features common systems, including salaried compensation for physicians, *Individuals counted once annually 4 “So much is continually changing in health care,” he says, “but the Mayo Clinic Model of Care is a constant in that sea of change. We could focus on high margin activities or other ways of doing things, but we always come back to the stability of this model. In fact, over time, my support of the Mayo Model of Care has only grown stronger.” Dr. Gerardo Colon-Otero, a hematologist/oncologist, says there are advantages to practicing in an institution where everyone’s main priority is the needs of the patient. “Excellent cancer care is entirely dependent on a team of dedicated experts,” says Dr. Colon-Otero. “Patients with cancer are entirely dependent on us all available to physicians as they focus on patient needs, and that encourage the use of only tests or procedures deemed best for the patient without consideration of personal financial gain 5 Teamwork: The Hallmark of Patient Care TEAMWORK AT MAYO transcends time, geographic distance, and professional ego. It integrates expertise across disciplines and among all three Mayo sites. D r. Jack Leventhal, a pulmonologist at Mayo for nearly 20 years, was in an academic practice prior to coming here. That experience clarified for him the importance of teamwork. “I was in an academic, private practice which tried to be team oriented, but it didn’t feel like it,” says Dr. Leventhal. “Money was the mantra. What Mayo has is contemporaneous collegiality so that we can tap into cross-disciplinary expertise and it’s all patient focused. It’s not about seeing more patients so we can make more money. It’s because of teamwork that you’re not distracted and you can focus on your patients.” In any given day, teamwork will take different forms. A team may be two individuals or more than two dozen. Dr. Christopher Hughes is responsible for leading one of the top five liver transplant programs in the nation. The approximately 240 transplants that are performed each year at Mayo Clinic Jacksonville require a team of about 25 specialists, in addition to organ transport coordinators, desk staff and schedulers. “Transplant really exemplifies the teamwork model,” says Dr. Hughes. “I rely on and trust the hepatologists, nephrologists, and critical care transplant physicians. When we do rounds, we round as a team, which is different than university settings where the medical and surgical staffs don’t interact. Teamwork allows people with expertise to focus, and to collaborate with colleagues who are the best at what they do. Our team members are brilliant and they love what they do.” The routine nature of consulting is why Mayo physicians are referred to as consultants. “I collaborate every day with colleagues among the three Mayo sites,” says Dr. Ken Devault, a gastroenterologist. “If I don’t have the answers, I can just pick up the phone and ask the person who wrote a chapter in a book about the condition. Teamwork really makes this a supportive environment. In private practice, or any small practice, if you go away for a week or you get sick, other practitioners may take your patients. Here, we cover for each other. It’s part of being a team.” DR. GEORGE BARTLEY, CHIEF EXECUTIVE OFFICER, EXPLAINS HOW TEAMWORK FUNCTIONS WITHIN AN INTEGRATED PRACTICE. “As one Mayo Clinic, we have access to all subspecialties, even those not represented in Jacksonville. Within the whole Mayo system, there’s probably someone who knows the answer to just about any question. It’s great to have that backup and it gives you the freedom to become more specialized in certain areas.” “THE SUM-TOTAL OF MEDICAL KNOWLEDGE IS NOW SO GREAT AND WIDE-SPREADING THAT IT WOULD BE FUTILE FOR ONE MAN TO ATTEMPT TO ACQUIRE, OR FOR ANY ONE MAN TO ASSUME THAT HE HAS, EVEN A GOOD WORKING KNOWLEDGE OF ANY LARGE PART OF THE WHOLE. THE VERY NECESSITIES OF THE CASE ARE DRIVING PRACTITIONERS INTO COOPERATION.” William J. Mayo, M.D., 1910 6 TEAMWORK INTEGRATES THE EXPERTISE of physicians across many disciplines and from across all three Mayo Clinic sites to provide high-quality patient care. All Eyes on the Top Priority DR. JACK LEVENTHAL SAYS, “It’s sacrosanct that we spend the time with patients that they need. This differentiates Mayo Clinic.” To ensure that patients are the first priority, Mayo offers physicians the support and services to make that a reality in their work lives. T he challenges of health care economics and constricting time with patients pose a professional and personal dilemma for physicians who are motivated to provide high quality, compassionate care. Mayo Clinic’s Model of Care serves as the standard for time with patients. Mayo maintains systems that diminish or remove many of the distractions found in other models of medical practice and provides tools to enhance efficiency and effectiveness. This includes everything from scheduling appointments and tests, to recordkeeping, to expediting communication between colleagues and among all three campuses. Dr. Colon-Otero uses the resources available to him to care for patients. “I consulted with a patient who had driven five hours to get here,” he says. “She was a general medical patient and I was seeing her in an opening in my schedule, this is how integrated practice works.” 8 “ Weekly video conferenced meetings have YIELDED consistent strategies for clinical management of patients, and opportunities to ENGAGE STAFF in collaborative research projects and ongoing education at all Mayo sites.” Edith Perez, M.D. “She needed a neurosurgery consult and those appointments were scheduled out for weeks. I called a secretary and a nurse and we were able to move that appointment up to the next day. We were able to get her symptoms addressed in two days. That’s the level of teamwork here — everyone tries to meet the needs of the patient.” The electronic medical record centralizes and standardizes patient information in an accessible way, expediting the coordination of many patient services. As physicians consult with colleagues in Scottsdale/Phoenix, Ariz., and Rochester, Minn., the medical record can be referenced by all. Satellite video conferencing makes possible real-time communication with colleagues for one-on-one consultations or larger group meetings. Another crucial element of Mayo Clinic is that physicians are salaried. This compensation model enables physicians to focus on care of patients without consideration of numbers of procedures or tests ordered. “The salaried environment is great,” says Dr. Leventhal. “It enables career diversity that is very motivating. In the outside world, you grind away. Here, you have choices that help to strengthen the quality of care we provide patients — our top priority.” 9 10 Pursuing the Ideal of Service AFTER A FAMILY MEDICINE RESIDENCY at Mayo Clinic in Rochester, Dr. Floyd Willis returned to his home state of Georgia to go into a solo private practice. When Mayo Clinic Jacksonville called in 1992, he was ready for a change and the chance to expand his reach beyond one community. D r. Willis established a thriving solo practice in a Georgia community of 10,000, and he has the shingle to prove it. “It was very busy and rewarding,” he says. “But the business aspects of it were tough. The opportunity to be involved in patient care, along with teaching and research at Mayo Clinic Jacksonville was what brought me here.” Mayo has offered him just the right mix of research, teaching and patient care, which includes outpatient care and minor surgical procedures for patients ranging in age from newborn to 99-year-olds. “What’s great is that many of my patients I’ve known for more than a decade, and now they bring their kids to see me.” Although Dr. Willis focuses most of his attention on local community needs, his work ultimately has the potential to reach far beyond. In 1997, he helped establish an indigent care clinic at the heart of Jacksonville. This work dovetailed perfectly with his research, which is devoted to investigating Alzheimer’s disease in populations that are generally under-represented in research studies. “There basically has not been normative data for normal memory in healthy African-Americans in the South,” notes Dr. Willis. “But disease data are impacted by culture, race and walks of life.” Partnering with Mayo’s Alzheimer’s Disease Research Center, Dr. Willis collaborated with a neuropsychologist to develop a study to assess normal memory and cognition in older African-Americans. “We have ACCESS to colleagues from MULTIPLE disciplines and to services that are QUICK and EFFICIENT. I’m PROUD of the comprehensiveness of this group practice.” Even as a family practitioner, Dr. Willis is unique in that he also cares for international patients from Belgium, South Africa and elsewhere. “I see them when they’re here and they occasionally call me,” says Dr. Willis. “Mayo Clinic is fortunate to have an International Medicine and Services section that includes physicians who are from all walks of life and cultures who will help care for international patients.” This commitment to diversity among staff and patient services is a part of the Mayo culture. Dr. William J. Mayo addressed this important component of Mayo’s culture when he spoke of the “pursuit of the ideal of service,” which respects the dignity and individual needs of all. “In today’s society, all institutions have to be as functional as possible in a global market,” says Dr. Willis. “Our services must constantly evolve to make certain we can help meet the needs of people from our increasingly ‘flat’ earth. Mayo has the infrastructure to do that.” In his office, Dr. Willis displays a plaque with a quote from Martin Luther King that reads, “Everyone has the power for greatness, not for fame, but for greatness, because greatness is determined by service.” Dr. Willis has found that this personal philosophy fits perfectly with Mayo’s ideal of service. 11 12 Why the Model of Care Matters DURING A CLERKSHIP IN HEMATOLOGY at Mayo Clinic, Dr. Gerardo Colon-Otero observed as one of his mentors sat down on the edge of a bed and held the hand of a patient with cancer. It was a pivotal moment that reinforced the qualities he wanted to develop in himself as a physician, teacher and researcher. AN INTERVIEW WITH DR. COLON-OTERO What brought you to Mayo Clinic? I grew up in Puerto Rico and my sister and I were the first in our family to go to college. I did accelerated school work to enter medical school at age 19. It was during my fourth year in medical school that I did a six-week elective clerkship at Mayo Clinic in Rochester. I then did my residency and fellowship at Mayo. Then, I spent to years at an academic medical center in Virginia What was the difference between that setting and Mayo Clinic? It was a different system than Mayo; the main interest was research, not patient care. Our Model of Care means that patients come first. It means we do everything we can to accommodate patient needs and to help one another provide the best care possible. I am frequently paged by colleagues who are looking for another opinion about treatment for complex cases. Teamwork is an essential component of what we do. It is essential in subspecialization. It is promoted here to the utmost. How has Mayo encouraged your interests beyond patient care? At age 30, I had the opportunity to become the chair of the Department of Hematology/Oncology at the Mayo Clinic being built in Jacksonville. One important thing is that there are leadership terms of service. I had a five-year break from being department chair, and now I’m back at it. As physician leaders we work in partnership with administrators. We couldn’t do our work without them. I’m also on the clinic’s Executive Board, and chair our Diversity Committee. What continues to challenge you? Staying up to date in my specialty is a challenge. I run a national course for a fellows research competition. And I bring Rochester and Arizona colleagues here to teach. This keeps up my own career interest. What is the focus of your research? I’m investigating cancer care discrepancies and have written two protocols that we are implementing. I’m also working with a consortium of National Cancer Institute organizations to write protocols that will involve clinical trials of new chemotherapy agents. We are also developing a Phase 1 clinical trials program here for testing cancer treatments and are sending colleagues to Mayo Clinic Rochester to help write new clinical trials. This will help build our research capacity as part of one Mayo Clinic Comprehensive Cancer Center. How important is a diverse workforce to Mayo Clinic Jacksonville? Our patient population is diverse. And, our city is diverse: 28 percent African American, about 14 percent Hispanic, and growing. As a reflection of that, our employee base includes several staff members from Burma, Paraguay, Puerto Rico, India and elsewhere. A diverse workforce is necessary to meeting our patient needs. We have several initiatives under way to encourage diversity among young student interested in pursuing health care careers, including health career scholarships to recognize achievement. We are also developing interest networks that gather staff around shared interests. WHAT IS THE MOST REWARDING PART OF YOUR DAY? It’s when I see a patient who has lived for 15 years and 15 years ago that patient only had a 10 percent chance of surviving. It’s rewarding that I saw a young girl with Hodgkin’s disease and she’s now 23 years old and brings in her baby with her. Recently, I had a patient whose husband I’m treating for cancer ask me how often I think about her husband? Before I could answer she said, “We think about you every single minute.” It’s intense, sobering and rewarding to know people are counting on you. There are some patients I’ve followed for 18 years. Along the way they send me thank you notes, share photos, tell me stories about their trips. It’s a privilege to care for them. 13 CREATE. CHALLENGE. RE-THINK. INNOVATE. TEST. Research that Translates into Improved Patient Care “IT TAKES A TEAM and the right environment to translate new knowledge into improved care. I love the impact of what we can do.” Edith Perez, M.D. A t Mayo Clinic Jacksonville, physicians are expected to be engaged in research and are provided the resources needed to make that possible. Dr. Edith Perez, director of the Breast Clinic Program, is a hematologist/oncologist who decided early on to devote a large part of her career life to research. What she needed was an environment that had the infrastructure to advance clinical trials and the field of cancer care. She found it at Mayo Clinic Jacksonville. “My goal at Mayo — and in my life — is to affect more lives than patients I can see,” she explains. “I want to help thousands of people through translational research and patient care.” Toward that goal, much of her schedule involves her in clinical trials exploring the use of new therapeutic agents for the 14 treatment and prevention of breast cancer. In 2005, she chaired an internationally known breast cancer clinical trial whose findings confirmed a potent weapon against the recurrence of cancer cells in trastuzumab (Herceptin), when combined with chemotherapy versus chemotherapy alone for patients with HER-2 positive invasive breast cancer. “I try to think outside of the box,” says Dr. Perez. “I recently met with one of our basic researchers on the mechanics of breast cancer metastasis, along with a research nurse and clinical coordinator. In just 10 minutes, we had developed a plan to establish such a breast tumor bank. That’s the beauty of Mayo. You can capitalize on all the resources available to do translational research.” Other physicians, like Dr. Ken DeVault, also chose Mayo for its commitment to doing clinical research. “We have a large motility laboratory for esophageal research, with an extensive data base, technology and infrastructure that enables us to study all aspects of esophageal disease,” explains Dr. DeVault. “The resources we have you could find in other academic medical centers, but they are not typically found in a practice the size of Jacksonville. The kinds of patients we see also contribute to our capacity to do research.” It is in the clinical setting that research ideas are ignited and the potential to save lives is realized. “When I came here I was encouraged by a mentor to engage in the three shields that comprise the Mayo logo: patient care, education and research,” he says. “It’s that concept that distinguishes Mayo, and strengthens research and education that ultimately benefit patients.” Mayo Clinic Jacksonville: The Place to Build Your Career MANY PHYSICIANS DECIDE to make long careers at Mayo. What keeps them here? They say it boils down to a couple of simple things: they are encouraged to grow in their careers, and they have the best colleagues to be found anywhere. D r. Chris Hughes applied to do a transplant fellowship at Mayo Clinic because he says he heard it was one of the best places to train. “The deciding factors,” he says, “were Mayo’s reputation and what it could mean to my future career. Patients frequently ask me where I trained. I’m glad to say that I trained at Mayo.” Dr. Hughes joined the staff of Mayo Clinic Jacksonville in 1999, and today, in addition to being a transplant surgeon, he is an educator. “I work with surgical residents and hepatology fellows,” he says. “Residents bring up intuitive questions, which spark my learning and sharpen my skills.” Physicians at Mayo are both teachers and students. Many physicians become experts in their specialties and are eager to share their knowledge and experience with colleagues in formal educational forums and in daily consultations. And, many serve as faculty in one of Mayo’s five schools. One of the tenets of Mayo’s mission is that every staff member is interested in the professional progress of all staff members. The size of Mayo Clinic Jacksonville makes it feasible to get to know virtually everyone on staff. In addition, the one Mayo Clinic concept serves as a vital connection to colleagues across its three locations, and all disciplines. Mayo identifies your strengths and equips you to develop your highest potential with: Colleagues who are interested in your professional development Paid trip days with expense reimbursement, including conference fees Opportunities to teach inside and lecture outside the institution Ancillary resources that support sharing of knowledge “I think Mayo is the only medical center in the country to have distant location sites, which gives us a unique barometer on health care in this country, says Dr. Lange. “It’s a national advantage, and it’s an individual benefit for anyone looking to build a career that has depth and breadth.” To equip physicians to be leaders, Mayo offers professional development education. Mayo’s Career Advancement Leadership Group designs education modules that address issues related specifically to career development and advancement. “Mayo supports us in our career choices,” says Dr. Lange. “There are great resources available to us, including access to technology and education, great colleagues, and the stimulation of students,” add Dr. Lange. “I’ve learned to value these things over the more than 20 years that I’ve been here.” 15 Practicing Medicine the Way You Envisioned DR. MARY O’CONNOR has the kind of strong handshake you’d expect from an orthopedic surgeon. The confident gesture reflects what a career in medicine will yield when professional and personal priorities and goals are in alignment. I n 1980, Mary O’Connor was a member of the U.S. Olympic rowing team. It was the year that the United States boycotted the summer Olympics in Moscow as a protest by President Jimmy Carter against the Soviet invasion of Afghanistan. “Yes, it was a big disappointment to miss the Olympics,” says Dr. O’Connor, “but one has to put this in the right perspective. I chose to focus on the honor of being selected to the team. There were many who did not make the cut.” The experience taught her important lessons about leadership, priorities, and what’s really important in life. Her choice of orthopedics as a specialty is indicative of her willingness to pursue goals, even when it means rowing against the current. “I knew Mayo had one of the best orthopedic departments in the country,” says Dr. O’Connor. “But residents at my medical school told me that I didn’t have a chance of getting in at Mayo because the competition was very tough and because I was a woman. There were few women in orthopedic surgery at that time. I was told to apply to less prestigious programs.” This lack of encouragement did not diminish her passion for pursuing a career in orthopedic surgery. She was accepted as a resident at Mayo Clinic Rochester in 1985. She joined the staff of Mayo Clinic Jacksonville in 1991, and since 2005 has served as chair of Orthopedic Surgery in Jacksonville. With her background and wealth of experience, she encourages and welcomes more women to join the staff and fill leadership roles. “In terms of Mayo, women physicians and, in particular, surgeons can do very well,” explains Dr. O’Connor. I know “It’s the ABILITY to engage ACTIVELY and FREQUENTLY with other people that SETS MAYO APART.” Mayo is very interested in being supportive of balancing the demands of family and career. We want to continue to attract the best and the brightest. This means attracting outstanding women and being an institution which welcomes diversity. This is a fabulous place for both men and women — there’s so much opportunity for professional and career development.” Dr. O’Connor notes that she continues to be provided with leadership opportunities. These demand that she prioritize — balancing career growth while focusing on clinical, academic and research activities that are important to her — and time for her family. “While I value my career and my patients are extremely important to me, ultimately my most important job is raising our three children,” she says. “They are most precious to me.” At the top of her daily list of priorities are the patients she cares for: people facing arthritis of the hip and knee, failed joint replacements, and pelvic tumors. “Taking care of my patients is my number one work priority. It is critical to me that I am at an institution where I am surrounded by really good people who help me give the best care to my patients.” Beyond team members, she sees a spiritual side to her work. “Driving into work, I pray for my patients and that I will do a good job in surgery that day,” she says. “God is the healer. I try to do my part, the best I can, to help my patients.” From Dr. O’Connor’s perspective, the best things about Mayo are: Team members committed to doing what’s best for patients Access to expert colleagues Opportunities to cultivate leadership skills Administrative support for research and career development 16 17 18 Wielding All Three Shields DR. EDITH PEREZ says that we all are connected by breast cancer. “We all have a friend, a child, a partner who has been affected by it. It really is a societal issue.” As a physician and researcher, she’s committed her life to changing that fact. A conversation with Dr. Perez inspires hope for all women who have been diagnosed with breast cancer. Whether she’s caring for a patient, reviewing the latest clinical trial data, or training to run a marathon to help raise money to fight breast cancer, Dr. Perez is enthusiastic and hopeful about finding better ways to treat the nearly 200,000 women in the United States — and a million around the world — who are diagnosed with breast cancer each year. Her passion for medicine and research is fueled by a simple question: What can I do today to make things better for patients? While doing an internship at a university medical center in California, she worked under a Mayo-trained chief of oncology. Then, while giving a poster presentation at a national meeting, a Mayo physician offered her kind words of encouragement. These experiences factored into her decision in 1995 to join the staff of Mayo Clinic Jacksonville. “I knew before I arrived here that I connected with the Mayo principles,” says Dr. Perez. “Here I found an environment that is collegial across the entire system, where there is mutual respect for all team members, and where I am able to engage in patient care, education and research.” “I see my talent as GENERATING NEW IDEAS related to the science of medicine, and CARRYING THOSE IDEAS far beyond Mayo. To make that happen takes an entire team.” Edith Perez, M.D In the course of a day, she may care for patients, meet with colleagues on developing clinical trials of new therapeutic agents, review manuscripts as part of her responsibilities on the editorial board of several journals, work on National Cancer Institute studies, and put the finishing touches on a presentation she’ll deliver at an international meeting. The scientific and geographic range of her work is particularly energizing to her. Dr. Perez believes patients ultimately benefit through the intellectual exchanges and associations with other physicians outside the walls of Mayo. “We can assure patients that they will receive the best care because our medical and scientific contacts with researchers and physicians EDITH PEREZ, M.D. within the Mayo system and elsewhere strengthen our strategies against diseases such as cancer,” she says. “The world continues to move around us and I want to constantly bring change that will benefit patient care.” To make the best care available to patients means integrating the collective experience and wisdom gained from Mayo’s multi-disciplinary, team approach to patient care, research and education activities. She has seen this in her own experience. Her work with trastuzumab (Herceptin) was among the most significant breakthroughs in breast cancer in three decades. “It was gratifying work,” she explains. “I had a good idea and a vision. The Mayo Model provided the colleagues to see the vision through.” Specialty: Hematology/Oncology Patients: It’s a privilege to care for them The Mayo Clinic Model of Care: Stands for excellence Your specialty: Breast cancer prevention and treatment Your colleagues: I value them; I couldn’t do what I do without them Work/life choices: It takes focus to achieve good balance; I love to exercise nearly every day Best part of the day: Thinking about possibilities 19 Discovering the Right Balance of Work Life and Home Life DR. KEN DEVAULT, a gastroenterologist, ser ves as chair of the Division of Gastroenterology and Hepatology, but that’s not the only leadership title he holds. Just ask his wife and six children. Even with a busy professional life, he’s a dad who attends his kids’ plays and soccer games, and takes morning walks with his wife on the beach. I t has been 14 years since Dr. DeVault joined Mayo Clinic. Even though he’s eager to talk about his work in patient care and research, he’s equally delighted to point out a Times Union newspaper article entitled, “Ten tips for raising kids.” He easily straddles life with one foot in the professional sphere and the other in the personal realm of fatherhood. How does he maintain balance in his life? It’s quite simple: he makes what he loves his priority. Before work, he spends time with his wife and children. At work, he devotes half of his time to patient care; the other half is divided between research and administrative duties. “I get satisfaction from it all,” he says. “There’s nothing I don’t like at Mayo.” KEN DEVAULT, M.D. He concedes that he may have more flexibility than some colleagues due to his research and administrative work, but adds that it is possible for some staff members to work late one night in order to meet outside commitments other evenings. “And, if you get sick, your patients are taken care of by colleagues. If you were in a small practice, that wouldn’t be the case.” There are other pluses he describes, including a generous paid trip time policy and vacation days based on age, not seniority. More routinely, he balances work with time spent with his family. Nearly every weekend you can find him surfing and boogie boarding with his children. His wife, Shelly, stays healthy and active, volunteering her talents to a local organization that transitions orphaned children from China into Specialty: Gastroenterology/Hepatology What kinds of patients do you care for? I see patients with all aspects of esophageal disease. We have a large motility laboratory here and an extensive database. What words would you use to describe Mayo Clinic? Supportive. Collegial. Are you excited about the future of Mayo Clinic Jacksonville? Yes. The new hospital will provide greater convenience for patients and staff. It will be better for surgery and for crosscollaboration with colleagues. The proximity of the hospital will allow me to see my patients in the hospital more routinely. 20 foster homes. When the DeVaults decided to adopt two girls from that country, Mayo Clinic’s benefit plan helped make that possible. “Mayo provided financial support to help with the adoptions,” he says. “The benefits here are progressive.” When it comes to articulating his secret for living a balanced life, Dr. DeVault doesn’t have a formula, but a philosophy. “It’s hard to define work/life balance,” he says. “As a parent, I have empathy for all parents. It’s not easy. But if you don’t enjoy your work, you won’t have work/life balance. At the end of my workdays, I can go home and say I did a good job. Beyond that, you have to have things you like doing outside of your work. I like taking care of my kids, mountain biking, running and surfing. I’m healthy and I’m content.” What would a mid-career physician finding appealing about Mayo Clinic? If you’re in private practice and consumed with hiring and firing and managing your practice, this would be a desirable place to work. Or if you’re in an academic medical center where it takes weeks to get a consult for your pancreatic cancer patients, and you want to be able to give your patients availability to care, this is the place to be. 21 A Wave of Enthusiasm for Life in Jacksonville DRS. LANGE, HUGHES AND COLON grew up in Pennsylvania, Tennessee, and Puerto Rico, respectively. They agree that when an offer came to join Mayo Clinic in Jacksonville, warm ocean breezes, natural beauty and urban sophistication made the decision to move here as easy as a stroll along the beach. “ I enjoy the outdoors and summers here are hot, which is fine with me,” says Dr. Lange, who was completing a fellowship at Mayo Clinic Rochester when he heard the news that Mayo would be opening a clinic in Florida. “I’m not a cold weather person. This is just the right place for me. Mayo and the community make this a great place to live and work.” There are many reasons why. Jacksonville is built along the Atlantic Ocean and the St. John’s River. Home to more than one million residents, it is known for miles of beautiful beaches, wind surfing, swimming and fishing. Many of its citizens are not native to the city, which adds richness to its cultural fabric. All you need to do to experience its vibrant urban quality is take a walk along the St. John’s River in downtown Jacksonville, visit museums, or explore history at a nearby plantation or other historic site. There are excellent golf and tennis facilities, fishing options, and water sports from surfing and sea kayaking to running on the beach. The city is a hub for professional sporting activities. It is home to the NFL Jacksonville Jaguars, World Golf Village and the headquarters of the PGA tour. Since hosting the Super Bowl in 2005, the city has continued to see an upturn in new business opportunity and associated growth. There is a range of educational options, including more than 250 public and private schools and 14 regional colleges and universities. “There are wonderful schools for young children,” says Dr. Colon. “That’s in addition to great recreational opportunities and the arts.” There is a diversity of neighborhoods that include the beach communities, each of which has its own unique personality. Other areas of the city encompass many new housing developments and a large area of waterways and other attractions. “What’s great is that the city is not so big that you have a long commute,” explains Dr. Hughes. “My home is one mile from the clinic. There’s been a real explosion of growth in home building and business, which is a positive sign.” When the urge strikes to get out of the city, there are numerous attractions within an hour’s drive. “What I like to do is spend time at the beach or take weekend trips with my family,” says Dr. Hughes. “Jacksonville’s location is a good point from which to drive to other great communities and sites.” For instance, Amelia Island to the north, or St. Augustine, the nation’s oldest city located south of Jacksonville, are within easy driving distance. Drs. Lange, Hughes and Colon: three transplants who have found in Florida the life and lifestyle they sought. 23 THANK YOU FOR YOUR INTEREST IN MAYO CLINIC. As a next step in your career planning, we invite you to learn more about the staff, work environment and professional atmosphere of Mayo Clinic by visiting our web site at: mayoclinic.org. We look forward to an opportunity to learn about your career goals and to further describe how practicing medicine at Mayo Clinic might fulfill your aspirations for a professionally satisfying and personally enriching career. 24 JACKSONVILLE, FLORIDA ROCHESTER, MINNESOTA SCOTTSDALE/PHOENIX, ARIZONA
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