Transcript
Page 1: Looking Back:  Reflections on Banff 1991 From Banff 2003

Looking Back: Looking Back: Reflections on Banff 1991 Reflections on Banff 1991

From Banff 2003From Banff 2003

Douglas R. Wilson, Douglas R. Wilson, M.D.M.D.

Page 2: Looking Back:  Reflections on Banff 1991 From Banff 2003

Slide Slide 22

Statement in 1991: Why Statement in 1991: Why Banff? Searching for the Banff? Searching for the muse! muse!

• The Muses were nine goddesses of the arts The Muses were nine goddesses of the arts and sciences in Greek mythology.and sciences in Greek mythology.

• The Muses lived on Mount Olympus with The Muses lived on Mount Olympus with their leader, the god Apollo. Like him the their leader, the god Apollo. Like him the Muses remained young and beautiful Muses remained young and beautiful forever.forever.

• They could see into the future, which few They could see into the future, which few other gods could do. They also had the other gods could do. They also had the ability to banish all grief and sorrow. The ability to banish all grief and sorrow. The muses had pleasing melodic voices and often muses had pleasing melodic voices and often sang as a chorus.sang as a chorus.

• Early Greek writers and Early Greek writers and artists called on the muses artists called on the muses for inspiration before for inspiration before beginning to work.beginning to work.

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Slide Slide 33

The Nine Muses The Nine Muses

Any or all of the muses could be asked for Any or all of the muses could be asked for assistance even though each governed a assistance even though each governed a specific art or science:specific art or science:

1.1. Calliope: Muse of epic poetryCalliope: Muse of epic poetry2.2. Erato: Muse of love poetryErato: Muse of love poetry3.3. Euterpe: Muse of lyric poetryEuterpe: Muse of lyric poetry4.4. Melpomene: Muse of tragedyMelpomene: Muse of tragedy5.5. Thalia: Muse of comedyThalia: Muse of comedy6.6. Clio: Muse of historyClio: Muse of history7.7. Urania: Muse of astronomyUrania: Muse of astronomy8.8. Polyhymnia: Muse of sacred songPolyhymnia: Muse of sacred song9.9. Terpsichore: Muse of danceTerpsichore: Muse of dance

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We call on CLIO: The MUSE We call on CLIO: The MUSE of HISTORYof HISTORY

AndAndTHALIA: The MUSE of THALIA: The MUSE of

COMEDYCOMEDY

Out of Disaster…and…From Out of Disaster…and…From the Heartthe Heart

came… BANFF !!came… BANFF !!

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1989 - 1989 - International Society of International Society of Nephrology launched the ISN Nephrology launched the ISN Commission on Acute Renal Commission on Acute Renal Failure, chaired by Kim Solez, Failure, chaired by Kim Solez, with a focus on disaster relief, in with a focus on disaster relief, in response to the disorganized response to the disorganized international approach to the international approach to the earthquake in Armeniaearthquake in Armenia

1990 – Published work on 1990 – Published work on standardization of nomenclature standardization of nomenclature for the diagnosis of heart and for the diagnosis of heart and lung transplant rejection. lung transplant rejection.

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1991 - August 2-4 First Banff meeting 1991 - August 2-4 First Banff meeting organized by ISN Commission to organized by ISN Commission to include a meeting of the Disaster include a meeting of the Disaster Relief Task Force…and…Relief Task Force…and…

““Workshop on International Workshop on International Standardization of the Nomenclature Standardization of the Nomenclature and Criteria for the Histologic and Criteria for the Histologic Diagnosis of Kidney Transplant Diagnosis of Kidney Transplant Rejection”…Rejection”…

It’s no wonder that it came to be It’s no wonder that it came to be called the Banff schema !!called the Banff schema !!

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Slide Slide 77

Notable Features of first Notable Features of first Banff meeting included :Banff meeting included :

Good advance work (Croker,Olsen, Good advance work (Croker,Olsen, Racusen, Solez)Racusen, Solez)

Small size - about 20 participantsSmall size - about 20 participants

Mix of pathologists and transplant Mix of pathologists and transplant clinicians (7-8 of each, and largely in clinicians (7-8 of each, and largely in teams from the same center)teams from the same center)

International involvement – Canada (2), International involvement – Canada (2), USA (3), Denmark, FinlandUSA (3), Denmark, Finland

Fine arts accompaniment – recitals and Fine arts accompaniment – recitals and Cosi fan Tutte - the Muses of Poetry, Cosi fan Tutte - the Muses of Poetry, Dance and SongDance and Song

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Slide Slide 88

The way we were! Movies from 1991 The way we were! Movies from 1991 courtesy of Phil and Ginny Halloran!courtesy of Phil and Ginny Halloran!

The way we were! Movies from 1991 The way we were! Movies from 1991 courtesy of Phil and Ginny Halloran!courtesy of Phil and Ginny Halloran!

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Slide Slide 99

Video Clip from Banff 1991Video Clip from Banff 1991

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Slide Slide 1010

LOTS OF FOLLOW-UP WORK LOTS OF FOLLOW-UP WORK by phone, fax, meetings and by phone, fax, meetings and

correspondence to:correspondence to:

greatly widen the circle of those involvedgreatly widen the circle of those involved

circulate sets of slides for panel circulate sets of slides for panel assessmentassessment

publication of Banff schema in high publication of Banff schema in high quality international journal (Kidney quality international journal (Kidney International 44: 411-422,1993)International 44: 411-422,1993)

with inclusive authorship – USA (10 with inclusive authorship – USA (10 centers), Canada (3), UK (1), Denmark (1), centers), Canada (3), UK (1), Denmark (1), Finland (1), Switzerland (1), and Japan (2) Finland (1), Switzerland (1), and Japan (2)

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Slide Slide 1111

Maintain MomentumMaintain Momentum A work-in-progress for 12 A work-in-progress for 12

yearsyears Bi-Annual meetings – Bi-Annual meetings –

1993, 1995, 1997, 1999, 2001 at 1993, 1995, 1997, 1999, 2001 at

Banff Springs Hotel and Rimrock Banff Springs Hotel and Rimrock ResortResort

Active involvement of liver transplant Active involvement of liver transplant pathologists and clinicianspathologists and clinicians

Widespread use of the classification Widespread use of the classification in world wide sites and in clinical in world wide sites and in clinical trials of immunosuppressive regimenstrials of immunosuppressive regimens

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Ability to achieve agreement on Ability to achieve agreement on changes based on other schema – changes based on other schema – 1997 – Collaborative Clinical Trials in 1997 – Collaborative Clinical Trials in Transplantation (CCTT)Transplantation (CCTT)

Regular, significant, and inclusive Regular, significant, and inclusive publicationspublications

Kidney International 55: 713-723,1999 Kidney International 55: 713-723,1999 (27 centers) and(27 centers) andAm. J Transplantation 3:1-7,2003 Am. J Transplantation 3:1-7,2003 (24 centres)(24 centres)

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Much has been accomplishedMuch has been accomplished, , Much has been learned…Much has been learned…

……or…What does it take to get 41 or…What does it take to get 41 pathologists and clinicians to collaborate pathologists and clinicians to collaborate ??…over a long time !??…over a long time !

Lessons Learned – 6 Success FactorsLessons Learned – 6 Success Factors

‘‘Common cause’ that has obvious Common cause’ that has obvious importance and practical ‘value-added’ importance and practical ‘value-added’

A ‘loose – tight’ organization – inclusive, A ‘loose – tight’ organization – inclusive, flexible, but goal-driven. Function is flexible, but goal-driven. Function is more important than structure!more important than structure!

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Collaboration of pathologists and Collaboration of pathologists and clinicians is critical (or.. It is easier clinicians is critical (or.. It is easier for pathologists to agree if there are for pathologists to agree if there are simple clinicians involved with themsimple clinicians involved with them

Committed ‘champions’ willing to Committed ‘champions’ willing to push the process of collaboration push the process of collaboration over extended time periodover extended time period

Willingness of all to share ‘the Willingness of all to share ‘the credit’credit’

Pleasure and satisfaction of Pleasure and satisfaction of working and having fun with working and having fun with international colleagues international colleagues

Collaboration of pathologists and Collaboration of pathologists and clinicians is critical (or.. It is easier clinicians is critical (or.. It is easier for pathologists to agree if there are for pathologists to agree if there are simple clinicians involved with themsimple clinicians involved with them

Committed ‘champions’ willing to Committed ‘champions’ willing to push the process of collaboration push the process of collaboration over extended time periodover extended time period

Willingness of all to share ‘the Willingness of all to share ‘the credit’credit’

Pleasure and satisfaction of Pleasure and satisfaction of working and having fun with working and having fun with international colleagues international colleagues

Page 15: Looking Back:  Reflections on Banff 1991 From Banff 2003

Here is a Toast to the melodic voices Here is a Toast to the melodic voices

of the chorus of Muses !!of the chorus of Muses !!

Here is a Toast to the melodic voices Here is a Toast to the melodic voices

of the chorus of Muses !!of the chorus of Muses !!


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