The Mayo Clinic. David Farley, MD
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1 The Mayo Clinic David Farley, MD
2 August 21, 1883
3 F5 Tornado
4 Sisters of St. Francis
5 W.W. Mayo
6
7 St. Mary s Hospital 1889
8
9
10 Dr. Will
11 Dr. Charlie
12
13 1907
14 1913: Incoming Interns
15 1914 Building
16 Mayo Foundation for Medical Education and Research Donation to U of Minnesota $1,650, June 9, 1915 Half of trainee slots for UM students
17
18 1916: St. Mary s Hospital USA 6176 Canada 557 Germany 380 Catholic 1510 Methodist 1298 Non-Dem 1277
19 1916: St. Mary s Hospital Anesthesia 8309 Ether 706 Local 25 Ethyl Chloride
20 Nurse Anesthetists
21 1929
22 1933 OR
23 1939
24 Surgical Training Intern 1 st Assistant Nurse
25 Preceptorship
26 1 st Assistant Schedule Trainee Fall Winter Spring Summer 1 Charlie Charlie Charlie Charlie 2 Will Will Will Will 3 Judd Judd Judd Judd 4 Balfour Balfour Balfour Balfour 5 Beckman Beckman Beckman Beckman 6 Masson Masson Masson Masson
27 Monday, March 18, C.H. Mayo W.J. Mayo E.S. Judd Exophthalmic Goiter Thyrtoxic Goiter Duodenal Ulcer Tumor Left Breast Left Hydronephrosis Trachelorrhaphy Appendix Gall bladder Left Inguinal Hernia Explore Pelvic Mass Gall bladder Duodenal Ulcer Gall bladder Zenker Diverticulum Laryngeal Tumor Suprapubic Prostatectomy D.C.Balfour J.C.Masson W.E. Sistrunk Gall bladder Uterine Myomata Appendix Parotid Gland Tumor Exophthalmic Goiter Ligation Thyroid Adenoma Gall bladder Subtotal Abdominal Hysterectomy Excision Tubercular Lymph node Thyroid adenoma Subtotal Hysterectomy Right Breast nodule Appendix Cleft Palate
28 Tuesday, March 19, C.H. Mayo W.J. Mayo E.S. Judd Gall stones Duodenal Ulcer with Obstruction Remove Distal Fragment Sigmoid Lacerated Cervix & Perineum Duodenal Ulcer Abdominal myomectomy Left nephrectomy Explore Appendix region Laparotomy for Ovarian Cyst Duodenal Ulcer Appendix Gall bladder Laryngeal Tumor Suprapubic prostatectomy D.C.Balfour J.C.Masson W.E. Sistrunk Exophthalmic Goiter Thyroid Adenoma Gall bladder Left Varicocele & Appendx Amputation Cervix Varicose Veins Exophthalmic Goiter Ligation Thyroid Adenoma Colloid goiter Gall bladder Excision gland neck D&C Hemorrhoids & Anal Fissure Exophthalmic goiter. Ligation. Exophthalmic goit Thyroidectomy Laparotomy for ovarian cyst? Post-op Ventral hernia D&C Hemorrhoids & Fistula
29 Wednesday, March 20, C.H. Mayo W.J. Mayo E.S. Judd Goiter. Ligation. Gastrojejunal Ulcer? Carcinoma Rectum. Mixter colostomy. Ureterolithotomy Subtotal Abdominal hysterectomy Gall bladder. Explore ducts. Kraske operation for rectal cancer Gall bladder Duodenal ulcer Gall bladder Gall bladder Bevan operation for diverticulum Resection carcinoma bladder D.C.Balfour J.C.Masson W.E. Sistrunk Exophthalmic Goiter Gall bladder Internal shortening of round ligaments & appendectomy Appendix Trachelorrhaphy. Bovee operation. Appendix Gall bladder Right Inguinal hernia Tuberculous glands neck Right inguinal hernia Duodenal ulcer Varicose veins right leg Excision pedunculated fibroid
30 Saturday, March 23, C.H. Mayo W.J. Mayo E.S. Judd Duodenal Ulcer Perforating Gastric Ulcer Left Pelvolithotomy or Nephrectomy Epididymectomy Ovarian Cyst Gastric Ulcer Ureterolithotomy. Gall bladder. Anal stricture Thyroid adenoma Parotid tumor Right Femoral Hernia Internal Alexander operation. Repair cervix and perineum. Mayo operation - prolapsed uterus D.C.Balfour J.C.Masson W.E. Sistrunk Gall bladder Duodenal ulcer Right inguinal hernia. Tumor shoulder. Appendix. Kraske operation for carcinoma of rectum Thyroid adenoma Gall bladder Appendix. Examine Stomach. Pelvic tumor Excision specimen cervix for dx Thyroid adenoma Duodenal ulcer Appendix Bovee operation. Internal Alexander operation. Femoral H. Dilitation vulva Hemorrhoids
31 March 18-23, 1918 M T W Th F S Thyroid Appendix Hernia Gallbladder GI Ulcer Gyn Other Total
32 1916: St. Mary s Hospital 3436 Males 4617 Females Age < >70 76
33 1916 St. Mary s Hospital Number Deaths % Thyroid Stomach Duodenum Appendix Small Intestine Large Intestine Rectum Hernia Gallbladder Pancreas Total 10,
34 Clinical & Path Demonstrations S M T W Th F S 5:00 X-Ray Diagnosis Diseases Of the Alimentary Canal Diseases Of the Thyroid, Heart, & Esophagus Diseases Of the Blood and Spleen Diseases Of the GU System Carman & Staff Graham Eusterman & Staff Plummer & Staff HZ Griffin & Staff W Braasch & Staff Visiting Surgeons Club Mayo Staff Visiting Surgeons Club
35 Visitors to Mayo
36 Daily Visitors
37
38 Did this training work?
39 Repetitions
40 Mastering Surgery Deliberate Practice Feedback Drive
41 Cortisone Synthroid
42
43
44
45
46
47
48 A Day at Mayo Patients: 5000 Operations: 300 CT scans: 600 MRIs: 400 Lab Tests 40,000 Blood products states 136 countries
49 Mayo Clinic is BIG SMALL 63,000 employees 4,720 physicians/scientists. 3,000 studies/yr 7,200 publications/yr 292 residency & fellowship programs Trainees = 1800 PhD = 35 MD = 54
50 Simulation Lab
51
52 Short Intros Brevity Offer ideas Q & A Breaks Lunch Dr. Cook Mastery
53 Saturday 8:00 Geffen Auditorium Sim Fellows Sim Center: 6 rotations Lunch Debriefing
54
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