Shoulson UR 50th Anniversary 9-23-16 (9-22 ... - Rochester · PDF fileUniversity of Rochester Medical Center ... “Fanfare and gloating are the stuff that starts revolutions;

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Musings: ‘You Can’t Always Be Right,

But You Can Always Be Kind’

Ira Shoulson MDProfessor of Neurology, Pharmacology & Human Science

Center for Regulatory Science & MedicineFDA Center for Regulatory Science & Innovation (CERSI)

Georgetown University Medical CenterWashington, DC

http://regulatoryscience.georgetown.edu [email protected]

University of RochesterDepartment of Neurology

50th Anniversary CelebrationSeptember 23, 2016

Musingsthinking, reflection, meditation, abstraction,

contemplation, introspection, reverie, dreaming, day-dreaming, rumination, navel gazing, absent-mindedness,

cogitation, cerebration

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Limitations and Biases

• Restricted to first 40 years (1966-2006) 1966-1975 (Medical School, Formative

Education and Training) 1975-1990 (Faculty, Clinical Care, Mentoring) 1990-2006 (Reverse Mentoring, Clinical

Research, Encore Careers)• Perspective biased by personal interests,

point of view, and proximity• No apparent COI

Robert J. Joynt, MD, PhD (1925‐2012)

‘You Can’t Always Be Right, But You Can Always Be Kind’

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Kind (caring, nice, sympathetic, empathetic, generous, gentle, thoughtful, compassionate, benevolent, humane, considerate, concerned, helpful, gentle, charitable, kindred)

Right (correct, true, accurate, exact, precise, factual, successful) – (antonym = wrong)


“Be kind, for everyone you meet is fighting a harder battle.”

― Plato

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Kind (caring, nice, sympathetic, empathetic, generous, gentle, thoughtful, compassionate, benevolent, humane, considerate, concerned, helpful, gentle, charitable, kindred)

Right (correct, true, accurate, exact, precise, factual, successful) – (antonym = wrong)

Success – (antonym = failure)

Mentoring & Reverse Mentoring

The First 40 years (1966-2006)

• 1966-1975 (Medical School, Formative Education and Training)1966-67: UR Interviews and Visits

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Robert Joynt MD George Engel MD

William Morgan MD John Romano MD

Robert Joynt MD

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George L. Engel MD (1913‐1999)

George L. Engel MD• The Boot-Elective (1967-1971)• The Bio-Psycho-Social Model of Medicine

(Science, Apr 1977): interactions between biological, psychological, and social factors determine the cause, manifestation, and outcome of wellness and disease.

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John Romano MD (1908‐1994)

Engel & Romano

• Nitrogen Narcosis (the ‘Bends’)

• Delirium vs Dementia (EEG correlates)

• Biopyschosocial Model of Medicine

• Conversion Reactions vs Malingering

• Psychosomatic Medicine

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Romano and Engel

William Morgan MD

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Morgan & Engel

The Clinical Approach to the Patient by William L. Morgan and George L. Engel, Published May 1, 1969


• 1966-1975 (Medical School, Formative Education and Training)1966-67: UR Interviews and Visits1968-75: Milieu Counts

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David Goldblatt, MD (1930-2007) Richard Satran, MD (1929-2014)


• 1975-1990 (Faculty, Clinical Care, Mentoring)Faculty Leadership (Joynt, Griggs)Faculty ColleaguesCross-Mentoring

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Robert C Griggs MD Richard T Moxley MD

Ralph F Josefowicz MD Charles A Thornton, MD

Robert C. Griggs MD

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Richard T. Moxley MD

Ralph F. Jozefowicz MD

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Charles A Thorton, MD


• 1975-1990 (Faculty, Clinical Care, Mentoring)Faculty ColleaguesMentoring and Reverse Mentoring

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Reverse‐Mentoring

‘Searching for a Young Mentor: What Could I Possibly Learn from a Mentor Half My Age? Plenty’

Phyllis Korkki, age 55, NYT Assignment Editor

New York Times, Sunday Business, Sept 11, 2016

Snapchat

Reverse Mentorship

• ‘Young Mentors (Millennials) Are Natural Consultants’– They operate horizontally rather than vertically (hierarchically)

• ‘Baby boomers tend to have a hierarchical view of the workplace – an ‘org‐chart’ mindset that imagines power filtering down from the top.‘

• Millennials, by contrast, may see work as more of a horizontal network

• ‘Each age group has untapped resources that can benefit others at a different stage of life.’

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Reverse‐Mentoring

• As we age, our dendrites begin to shrink (particularly in the prefrontal cortex, which helps us to focus, stay on task and maintain bandwidth).

• Older people tend to be more disciplined and diligent, thereby compensating for learning deficits…and are also very good in putting ideas and thoughts into categories.

• The older brain is a wiser brain, but can get into a rut because of its lack of plasticity.

• ‘You can teach old dogs new tricks. You just can’t teach them as fast.’

Reverse Mentoring

‘Our mentorship provided me with something unexpected: a chance to take what amounts to a leadership position I had not seen coming. As a relatively young professional, I was usually the one taking the advice, not doling it out. The role reversal was jarring.’

Talya Minsberg, age 27, NYT Social Strategy Editor

New York Times, Sunday Business, Sept 11, 2016

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Roger M Kurlan MD Karl D Kieburtz MD MPH

Robert G Holloway MD MPH E Ray Dorsey MD, MBA

Roger M. Kurlan MD

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Karl D. Kieburtz MD, MPH

Robert G. Holloway MD, MPH

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E. Ray Dorsey, MD, MBA

Peter Como PhD Bernard Ravina MD MS

Kevin Biglan MD MPH Samuel Frank MD

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University of Rochester Medical Center 1925-1975

Edward C. Atwater and John Romano

“To Each His Farthest Star”

“To Each Her Farthest Star”

Irenita Gardiner RN


Charlyne Miller Hickey RN

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Char and Nita

• Clinical care is the underpinning of clinical research.

• Whether you are innately kind or not, patient interaction and care will make you kinder… and a better clinician and care provider.

Alice Rudolph PhD Elise Kayson MS RNC

Cornelia Kamp MBA Lisa deBlieck MPA CCRC

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Denny O Day RN MSPH Aileen Shinaman JD

Cindy Casaceli MBA Shari Kinel JD

Ruth Nobel Mary Slough

Mary, Ira, Ruth

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Margaret Joynt Roslyn Griggs

Rose Holloway Josie Shoulson

1990-2006 (Reverse Mentoring, Clinical Research, Encore Careers)Parkinson Study Group (PSG), Huntington

Study Group (HSG), American Society Experimental Neurotherapeutics (ASENT)Encore Careers (Reinventing Oneself) and

More Reverse Mentoring

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Parkinson Study Group 2010

Huntington Study Group 2010Baltimore, Maryland

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Noah Shoulson Robert Joynt MD Emma Shoulson

Robert Joynt MD Noah Shoulson

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“Even a blind hog gets an acorn some time;” “I know there is a God when I have a martini in my hand;” “The only thing harder than being a saint is living with one;”“If you are going to teach a dog a new trick, you have to know more than the dog;” “Sincerity is the most important thing about being dean; once you’ve learned to fake that, the rest is easy;” “If you have 10 minutes to spend with a patient, spend 9 on the history;” “The problem with trouble is that it usually starts out as fun;” “I’d rather have a drink on the rocks than be on the rocks in the drink;” “Fanfare and gloating are the stuff that starts revolutions;”“To a man with a big hammer, every problem looks like a nail.” And his favorite, “You can’t always be right, but you can always be kind. There is no limit to kindness.”

Joynt sayings…a sampling

In Memoriam: Robert J. Joynt, MD, PhD(1925-2012)

ARCH NEUROL/VOL 69 (NO. 11), NOV 2012Ira Shoulson MD

For all his accomplishments, ability, and wisdom, Bob Joynt stayed conspicuously modest and remarkably kind—a person the Irish call salt of the earth and manyothers call a real mensch—a good, kind, decent, andhonorable human being.

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‘You Can’t Always be Right, But You Can Always be Kind’

‘Let’s Make America Kind Again’

Documents

Shoulson UR 50th Anniversary 9-23-16 (9-22 ... - Rochester · PDF fileUniversity of Rochester Medical Center ... “Fanfare and gloating are the stuff that starts revolutions;