EDITORIAL January 2014 Volume 89 Number 1
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism
W
ith this publication of the January 2014 issue of Mayo Clinic Proceedings, the Journal joins its parent organization, Mayo Clinicdalong with current and former Mayo Clinic students and employees and innumerable others worldwide who have been affected by this institutiondin celebrating the 150th anniversary of Mayo Clinic practice. Historians trace this milestone to January 1864, when William Worrall Mayo, MD (Dr W.W.), began a solo medical practice in Rochester, Minnesota. In the 1880s, his sons, William James Mayo, MD (Dr Will), and Charles Horace Mayo, MD (Dr Charlie), joined the practice. The brothers, in turn, oversaw operations that involved a growing number of physician partners, supported by a team of nurses, administrators, and others who helped the practice grow into its current status: the world’s largest integrated, not-for-profit, private multispecialty medical practice. Mayo Clinic currently has more than 57,000 employees1 and clinical, educational, and scientific outreach that extends globally. It is truly a marvel of the modern world. THE ROLE OF MAYO CLINIC PROCEEDINGS IN THE SESQUICENTENNIAL CELEBRATION Although Mayo Clinic Proceedings is now a general/internal medicine journal with contributions from authors and reviewers worldwide, it would not exist today without Mayo Clinic’s initial nurturing, ongoing sponsorship, and demand for independent peer review and independent editorial content. In many ways, the history of the Journal reflects that of Mayo Clinic itself. Mayo Clinic Proceedings began in Rochester
as a small, local publication targeted to Mayo Clinic physicians and staff. The first issue was published in April 1926 (Figure), when the Mayo Clinic practice was in its 63rd year. In the ensuing years, the Proceedings has grown and prospered along with Mayo Clinic, such that today it is one of the world’s largest and most influential medical journals. In 2014, the Proceedings will reflect on its rich relationship with Mayo Clinic and use the Journal’s immense print and digital media resources to help celebrate the Clinic’s 150th birthday. Specifically, the Journal will share with readers many historical, cultural, and programmatic elements of Mayo Clinic that inform current medical practices as well as inspire us to improve the future of health care. Readers will notice that the façade of the 2014 print Journal (Figure)das well as the design for select celebratory articlesdwill pay homage to the Mayo Clinic sesquicentennial. Among the various content elements associated with the sesquicentennial, the Journal will feature 4 special Commentaries placing into perspective the past, present, and future of Mayo Clinic and its role in shaping medicine and health care delivery worldwide. The first of these Commentaries, published in this January 2014 issue, is an overview authored by Kerry D. Olsen, MD, and Matthew D. Dacy, MA.1 Both are longstanding students of Mayo Clinic history and leaders in the planning and execution of the sesquicentennial celebration. In the February 2014 issue, Leonard L. Berry, PhD, and Kent D. Seltman, PhD, established students of Mayo Clinic and authors of articles and a book on Mayo Clinic’s culture and style of management,2
Mayo Clin Proc. n January 2014;89(1):1-4 n http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org n ª 2014 Mayo Foundation for Medical Education and Research
See also page 8
1
MAYO CLINIC PROCEEDINGS
FIGURE. Left, The first issue of Mayo Clinic Proceedings’ predecessor, Bulletin of the Mayo Clinic and the Mayo Foundation, published on April 21, 1926. Right, The cover of Mayo Clinic Proceedings today. (The relative sizes of the panels are to scale.)
will write about the enduring culture of Mayo Clinic.3 In the March 2014 issue, Mark A. Warner, MD, Executive Dean of the Mayo Clinic College of Medicine, will review and offer insights into Mayo Clinic’s diverse and prosperous education programs and initiatives.4 And in the April issue, John H. Noseworthy, MD, President and Chief Executive Officer of Mayo Clinic, will discuss the philosophy and activities that will define the future of Mayo Clinic.5 The Proceedings electronic media programs will also play a part in the sesquicentennial celebration. In 2014, the website and mobile app for the Journal will present an accumulating number of Historical Vignettes on important milestones within Mayo Clinic departments, divisions, and schools. Other historical elements will focus specifically on the Proceedings’ 88-year witness to, and participation in, the evolution of Mayo Clinic. On the home page of the Proceedings website, a continually updated feature entitled Mayo Clinic Proceedings Legacy will present historical elements that honor both the history of the Journal and seminal medical discoveries that were reported in the pages of the Proceedings. The Proceedings Legacy feature will also include a link to the Mayo Clinic sesquicentennial external website. 2
Mayo Clin Proc.
n
As opportunities arise, we will draw your attention to much of the aforementioned print and electronic Journal content through the Proceedings’ Facebook page, and we will regularly tweet alerts of new additions to content. Additionally, the authors of many sesquicentennial articles published in the print Journal will, along with authors of regular Journal content, provide video interviews that will be featured on the website and archived through our YouTube channel. In aggregate, these collective Proceedings’ print and electronic publications in 2014 are intended to educate and entertain all readers, regardless of their familiarity with the rich, instructive history of the institution. THE IMPORTANCE OF STUDYING THE MAYO CLINIC STORY Most who visit or otherwise come into contact with Mayo Clinic quickly learn how extensively the values and vision of Dr W.W. and the Mayo brothers inform current practices. Indeed, as this phenomenon is formally studied, the strength of the connection between the Mayo brothers and the current practices becomes even more apparent. Excellent examples are provided in the 2001 book The Mayo Brothers’
January 2014;89(1):1-4
n
http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org
EDITORIAL
Heritage: Quotes & Pictures by Thomas M. Habermann, MD, Renee E. Ziemer, and Caroline Stickney Beck,6 and the 2008 book by Leonard L. Berry, PhD, and Kent D. Seltman, PhD, Management Lessons From Mayo Clinic: Inside One of the World’s Most Admired Service Organizations.2 Among the brief comments I have heard describing Mayo Clinic, perhaps none better encapsulates the enduring influence of the Mayo brothers than what is revealed within this anecdote: The aforementioned Leonard Berry, a professor of marketing at Texas A&M University, began studying Mayo Clinic, from a business and cultural perspective, in 2001. At one of our initial meetings, Professor Berry, whom I’ll attempt to quote from memory, told me: At most large organizations, the founders’ influence usually wanes after they’ve left the organization or died. At Mayo Clinic, it is remarkable that, even though the Mayo brothers died in 1939, their influence remains pervasive. One cannot speak with Mayo Clinic physicians and leaders very long before they invoke the values of Drs Will and Charlie, and, if you do not listen closely to their words, you might get the impression that they had physically met with one brother or the other in the past hour to share a conversation and cup of coffee. Those who lead Mayo Clinic today do not want to fall short of the high standards set by the Mayo brothers many years ago. (Story confirmation and permission for use granted by Leonard L. Berry, PhD, November 17, 2013.) At Mayo Clinic, the daily revisiting of established values and the telling of stories that highlight not only the Mayos but also the many other brilliant, creative, innovative, and courageous Mayo Clinic personalities (regardless of whether they had a lofty or not-so-lofty role in the organization) serve not to fixate leaders and employees on glories of the past but instead to impart values and vision for progress into the future. This reflection on historicaldor better yet, culturaldvalues speaks to the very core of many Mayo Clinic employees. I am one such person. As a young boy, I spent many hours at the lunch and dinner table with my paternal grandparents, Thomas Zebedee and Audrie Lanier, who lived a Mayo Clin Proc. n January 2014;89(1):1-4 www.mayoclinicproceedings.org
n
mere 400 yards from my parents’ home in coastal Georgia. My grandparents spoke frequently of important historical figures, many with direct relevance to our homeland and agrarian way of life, and they used the stories to glean lessons of individual challenges, specifically methods to approach life with vigor and proper decorum, whether experiencing victory or defeat. Thus, when I joined the Mayo Clinic faculty in 1984, this same utilization of historical anecdotes seemed very familiar to me, and I too incorporated these methods into my own career, as the following example demonstrates. In my second decade on the faculty, I was selected by Mayo Clinic to be Mayo Clinic Proceedings’ Editor-in-Chief, to formulate a new Editorial Board, and to contribute to other organizational groups that would eventually redirect the Journal. With the oversight groups and their component members assembled, we began by examining widely divergent views to transform the Journal’s future. Some of these explored a distancing of the Journal from the contemporary Mayo Clinic, and others explored the opposite pole: returning to the core values and practices that made Mayo Clinic a great institution. A reading of the book, Aphorisms of Dr. Charles Horace Mayo, 1865-1939, and Dr. William James Mayo, 1861-1939,7 clarified for many of us the path that the future Proceedings should take. In the Mayo brothers’ words and concepts, we discovered a treasure trove of observations, speculative synthesis, and guidance that, once embraced, helped inform the current practices of the Journal. Specifically, we discovered that the values, focus, and energy that drove Drs W.W., Will, and Charlie Mayo to turn a small, 3-person medical practice into an expanded, progressive medical practice that would become today’s 57,000-plus-employee Mayo Clinic are the same values, focus, and energy that we would use to transform Mayo Clinic Proceedings. If the Mayos could invent the integrated group practice, introduce a new method of recording information (ie, the dossier medical record), and introduce new approaches to logistics, communication, teamwork, and collegiality to produce a better functioning medical organization, then we would use similar techniques to form a better Mayo Clinic Proceedings. If the Mayos could travel the world to obtain the best medical information from experts to incorporate into the local medical practice and additionally bring medical practitioners from afar
http://dx.doi.org/10.1016/j.mayocp.2013.11.010
3
MAYO CLINIC PROCEEDINGS
to educate them on Mayo Clinic’s best medial practices, so too would the Proceedings. If the Mayos could operationalize their belief that it is not just advances in science but also advances in medical education, professionalism, humanities, and related fields that produce an optimal health care experience for the individual patient, then so too would the Proceedings. And it is through these very methods that we used, and continue to use, the values and practices of the Mayos to direct the new Proceedings. As such, those of us who today lead the Journal see the Proceedings’ current statusdthe world’s fourth-largest-circulation print biomedical journal of any genre, its highly innovative and dynamic website, the breadth of media coverage of the Journal’s articles that reaches billions, the vast expansion of authors and reviewers from within and outside Mayo Clinic each year, and ever more progressive journal metrics (eg, readership, impact factor)das manifestations of the type of growth and innovation that the founding Mayos would not only approve but encourage (if not demand). More importantly, perhaps, we also believe that the founders of our Clinic would approve of the fact that the sentiments within the Mayo Clinic primary value, “the needs of the patient come first,” are echoed in Mayo Clinic Proceedings’ mission statement: “To promote the best interests of patients by advancing the knowledge and professionalism of the physician community.”8 Fortunately, the very public activities of the Proceedings are just one of many Mayo Clinic operations that share similar values and
4
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n
energy. Within the Mayo Clinic organization each day, there are dozens, if not hundreds, of other groups and activities that are equally committed to ensuring that indeed “the needs of the patient come first.” CONCLUSION It is a joy to join fellow Mayo Clinic employees and alumni, Proceedings’ readers, and others in celebrating this sesquicentennial year. It is the Proceedings’ goal throughout 2014 to share stories from Mayo Clinic’s and the Journal’s past to help inspire contemporary practitioners and scientists as they seek to continually improve the health and comfort of those we serve. William L. Lanier, MD Editor-in-Chief
REFERENCES 1. Olsen KD, Dacy MD. Mayo Clinicd150 years of serving humanity through hope and healing. Mayo Clin Proc. 2014;89(1):8-15. 2. Berry LL, Seltman KD. Management Lessons From Mayo Clinic: Inside One of the World’s Most Admired Service Organizations. New York, NY: McGraw-Hill; 2008. 3. Berry LL, Seltman KD. The enduring culture of Mayo Clinic. Mayo Clin Proc. In press. 4. Warner MA. You trained at Mayo Clinic? Wow! Mayo Clin Proc. In press. 5. Noseworthy JH. What is ahead for Mayo Clinic? Mayo Clin Proc. In press. 6. Habermann TM, Ziemer RE, Beck CS. The Mayo Brothers’ Heritage: Quotes & Pictures. Rochester, MN: Mayo Clinic Scientific Press; 2001. 7. Mayo CH, Mayo WJ. In: Willius FA, ed. Aphorisms of Dr. Charles Horace Mayo, 1865-1939, and Dr. William James Mayo, 18611939. Rochester, MN: Mayo Foundation for Medical Education and Research; 1997. 8. Lanier WL. Mayo Clinic Proceedings 2012: “a new era in journal stewardship.”. Mayo Clin Proc. 2012;87(1):1-6.
January 2014;89(1):1-4
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http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism
W
ith this publication of the January 2014 issue of Mayo Clinic Proceedings, the Journal joins its parent organization, Mayo Clinicdalong with current and former Mayo Clinic students and employees and innumerable others worldwide who have been affected by this institutiondin celebrating the 150th anniversary of Mayo Clinic practice. Historians trace this milestone to January 1864, when William Worrall Mayo, MD (Dr W.W.), began a solo medical practice in Rochester, Minnesota. In the 1880s, his sons, William James Mayo, MD (Dr Will), and Charles Horace Mayo, MD (Dr Charlie), joined the practice. The brothers, in turn, oversaw operations that involved a growing number of physician partners, supported by a team of nurses, administrators, and others who helped the practice grow into its current status: the world’s largest integrated, not-for-profit, private multispecialty medical practice. Mayo Clinic currently has more than 57,000 employees1 and clinical, educational, and scientific outreach that extends globally. It is truly a marvel of the modern world. THE ROLE OF MAYO CLINIC PROCEEDINGS IN THE SESQUICENTENNIAL CELEBRATION Although Mayo Clinic Proceedings is now a general/internal medicine journal with contributions from authors and reviewers worldwide, it would not exist today without Mayo Clinic’s initial nurturing, ongoing sponsorship, and demand for independent peer review and independent editorial content. In many ways, the history of the Journal reflects that of Mayo Clinic itself. Mayo Clinic Proceedings began in Rochester
as a small, local publication targeted to Mayo Clinic physicians and staff. The first issue was published in April 1926 (Figure), when the Mayo Clinic practice was in its 63rd year. In the ensuing years, the Proceedings has grown and prospered along with Mayo Clinic, such that today it is one of the world’s largest and most influential medical journals. In 2014, the Proceedings will reflect on its rich relationship with Mayo Clinic and use the Journal’s immense print and digital media resources to help celebrate the Clinic’s 150th birthday. Specifically, the Journal will share with readers many historical, cultural, and programmatic elements of Mayo Clinic that inform current medical practices as well as inspire us to improve the future of health care. Readers will notice that the façade of the 2014 print Journal (Figure)das well as the design for select celebratory articlesdwill pay homage to the Mayo Clinic sesquicentennial. Among the various content elements associated with the sesquicentennial, the Journal will feature 4 special Commentaries placing into perspective the past, present, and future of Mayo Clinic and its role in shaping medicine and health care delivery worldwide. The first of these Commentaries, published in this January 2014 issue, is an overview authored by Kerry D. Olsen, MD, and Matthew D. Dacy, MA.1 Both are longstanding students of Mayo Clinic history and leaders in the planning and execution of the sesquicentennial celebration. In the February 2014 issue, Leonard L. Berry, PhD, and Kent D. Seltman, PhD, established students of Mayo Clinic and authors of articles and a book on Mayo Clinic’s culture and style of management,2
Mayo Clin Proc. n January 2014;89(1):1-4 n http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org n ª 2014 Mayo Foundation for Medical Education and Research
See also page 8
1
MAYO CLINIC PROCEEDINGS
FIGURE. Left, The first issue of Mayo Clinic Proceedings’ predecessor, Bulletin of the Mayo Clinic and the Mayo Foundation, published on April 21, 1926. Right, The cover of Mayo Clinic Proceedings today. (The relative sizes of the panels are to scale.)
will write about the enduring culture of Mayo Clinic.3 In the March 2014 issue, Mark A. Warner, MD, Executive Dean of the Mayo Clinic College of Medicine, will review and offer insights into Mayo Clinic’s diverse and prosperous education programs and initiatives.4 And in the April issue, John H. Noseworthy, MD, President and Chief Executive Officer of Mayo Clinic, will discuss the philosophy and activities that will define the future of Mayo Clinic.5 The Proceedings electronic media programs will also play a part in the sesquicentennial celebration. In 2014, the website and mobile app for the Journal will present an accumulating number of Historical Vignettes on important milestones within Mayo Clinic departments, divisions, and schools. Other historical elements will focus specifically on the Proceedings’ 88-year witness to, and participation in, the evolution of Mayo Clinic. On the home page of the Proceedings website, a continually updated feature entitled Mayo Clinic Proceedings Legacy will present historical elements that honor both the history of the Journal and seminal medical discoveries that were reported in the pages of the Proceedings. The Proceedings Legacy feature will also include a link to the Mayo Clinic sesquicentennial external website. 2
Mayo Clin Proc.
n
As opportunities arise, we will draw your attention to much of the aforementioned print and electronic Journal content through the Proceedings’ Facebook page, and we will regularly tweet alerts of new additions to content. Additionally, the authors of many sesquicentennial articles published in the print Journal will, along with authors of regular Journal content, provide video interviews that will be featured on the website and archived through our YouTube channel. In aggregate, these collective Proceedings’ print and electronic publications in 2014 are intended to educate and entertain all readers, regardless of their familiarity with the rich, instructive history of the institution. THE IMPORTANCE OF STUDYING THE MAYO CLINIC STORY Most who visit or otherwise come into contact with Mayo Clinic quickly learn how extensively the values and vision of Dr W.W. and the Mayo brothers inform current practices. Indeed, as this phenomenon is formally studied, the strength of the connection between the Mayo brothers and the current practices becomes even more apparent. Excellent examples are provided in the 2001 book The Mayo Brothers’
January 2014;89(1):1-4
n
http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org
EDITORIAL
Heritage: Quotes & Pictures by Thomas M. Habermann, MD, Renee E. Ziemer, and Caroline Stickney Beck,6 and the 2008 book by Leonard L. Berry, PhD, and Kent D. Seltman, PhD, Management Lessons From Mayo Clinic: Inside One of the World’s Most Admired Service Organizations.2 Among the brief comments I have heard describing Mayo Clinic, perhaps none better encapsulates the enduring influence of the Mayo brothers than what is revealed within this anecdote: The aforementioned Leonard Berry, a professor of marketing at Texas A&M University, began studying Mayo Clinic, from a business and cultural perspective, in 2001. At one of our initial meetings, Professor Berry, whom I’ll attempt to quote from memory, told me: At most large organizations, the founders’ influence usually wanes after they’ve left the organization or died. At Mayo Clinic, it is remarkable that, even though the Mayo brothers died in 1939, their influence remains pervasive. One cannot speak with Mayo Clinic physicians and leaders very long before they invoke the values of Drs Will and Charlie, and, if you do not listen closely to their words, you might get the impression that they had physically met with one brother or the other in the past hour to share a conversation and cup of coffee. Those who lead Mayo Clinic today do not want to fall short of the high standards set by the Mayo brothers many years ago. (Story confirmation and permission for use granted by Leonard L. Berry, PhD, November 17, 2013.) At Mayo Clinic, the daily revisiting of established values and the telling of stories that highlight not only the Mayos but also the many other brilliant, creative, innovative, and courageous Mayo Clinic personalities (regardless of whether they had a lofty or not-so-lofty role in the organization) serve not to fixate leaders and employees on glories of the past but instead to impart values and vision for progress into the future. This reflection on historicaldor better yet, culturaldvalues speaks to the very core of many Mayo Clinic employees. I am one such person. As a young boy, I spent many hours at the lunch and dinner table with my paternal grandparents, Thomas Zebedee and Audrie Lanier, who lived a Mayo Clin Proc. n January 2014;89(1):1-4 www.mayoclinicproceedings.org
n
mere 400 yards from my parents’ home in coastal Georgia. My grandparents spoke frequently of important historical figures, many with direct relevance to our homeland and agrarian way of life, and they used the stories to glean lessons of individual challenges, specifically methods to approach life with vigor and proper decorum, whether experiencing victory or defeat. Thus, when I joined the Mayo Clinic faculty in 1984, this same utilization of historical anecdotes seemed very familiar to me, and I too incorporated these methods into my own career, as the following example demonstrates. In my second decade on the faculty, I was selected by Mayo Clinic to be Mayo Clinic Proceedings’ Editor-in-Chief, to formulate a new Editorial Board, and to contribute to other organizational groups that would eventually redirect the Journal. With the oversight groups and their component members assembled, we began by examining widely divergent views to transform the Journal’s future. Some of these explored a distancing of the Journal from the contemporary Mayo Clinic, and others explored the opposite pole: returning to the core values and practices that made Mayo Clinic a great institution. A reading of the book, Aphorisms of Dr. Charles Horace Mayo, 1865-1939, and Dr. William James Mayo, 1861-1939,7 clarified for many of us the path that the future Proceedings should take. In the Mayo brothers’ words and concepts, we discovered a treasure trove of observations, speculative synthesis, and guidance that, once embraced, helped inform the current practices of the Journal. Specifically, we discovered that the values, focus, and energy that drove Drs W.W., Will, and Charlie Mayo to turn a small, 3-person medical practice into an expanded, progressive medical practice that would become today’s 57,000-plus-employee Mayo Clinic are the same values, focus, and energy that we would use to transform Mayo Clinic Proceedings. If the Mayos could invent the integrated group practice, introduce a new method of recording information (ie, the dossier medical record), and introduce new approaches to logistics, communication, teamwork, and collegiality to produce a better functioning medical organization, then we would use similar techniques to form a better Mayo Clinic Proceedings. If the Mayos could travel the world to obtain the best medical information from experts to incorporate into the local medical practice and additionally bring medical practitioners from afar
http://dx.doi.org/10.1016/j.mayocp.2013.11.010
3
MAYO CLINIC PROCEEDINGS
to educate them on Mayo Clinic’s best medial practices, so too would the Proceedings. If the Mayos could operationalize their belief that it is not just advances in science but also advances in medical education, professionalism, humanities, and related fields that produce an optimal health care experience for the individual patient, then so too would the Proceedings. And it is through these very methods that we used, and continue to use, the values and practices of the Mayos to direct the new Proceedings. As such, those of us who today lead the Journal see the Proceedings’ current statusdthe world’s fourth-largest-circulation print biomedical journal of any genre, its highly innovative and dynamic website, the breadth of media coverage of the Journal’s articles that reaches billions, the vast expansion of authors and reviewers from within and outside Mayo Clinic each year, and ever more progressive journal metrics (eg, readership, impact factor)das manifestations of the type of growth and innovation that the founding Mayos would not only approve but encourage (if not demand). More importantly, perhaps, we also believe that the founders of our Clinic would approve of the fact that the sentiments within the Mayo Clinic primary value, “the needs of the patient come first,” are echoed in Mayo Clinic Proceedings’ mission statement: “To promote the best interests of patients by advancing the knowledge and professionalism of the physician community.”8 Fortunately, the very public activities of the Proceedings are just one of many Mayo Clinic operations that share similar values and
4
Mayo Clin Proc.
n
energy. Within the Mayo Clinic organization each day, there are dozens, if not hundreds, of other groups and activities that are equally committed to ensuring that indeed “the needs of the patient come first.” CONCLUSION It is a joy to join fellow Mayo Clinic employees and alumni, Proceedings’ readers, and others in celebrating this sesquicentennial year. It is the Proceedings’ goal throughout 2014 to share stories from Mayo Clinic’s and the Journal’s past to help inspire contemporary practitioners and scientists as they seek to continually improve the health and comfort of those we serve. William L. Lanier, MD Editor-in-Chief
REFERENCES 1. Olsen KD, Dacy MD. Mayo Clinicd150 years of serving humanity through hope and healing. Mayo Clin Proc. 2014;89(1):8-15. 2. Berry LL, Seltman KD. Management Lessons From Mayo Clinic: Inside One of the World’s Most Admired Service Organizations. New York, NY: McGraw-Hill; 2008. 3. Berry LL, Seltman KD. The enduring culture of Mayo Clinic. Mayo Clin Proc. In press. 4. Warner MA. You trained at Mayo Clinic? Wow! Mayo Clin Proc. In press. 5. Noseworthy JH. What is ahead for Mayo Clinic? Mayo Clin Proc. In press. 6. Habermann TM, Ziemer RE, Beck CS. The Mayo Brothers’ Heritage: Quotes & Pictures. Rochester, MN: Mayo Clinic Scientific Press; 2001. 7. Mayo CH, Mayo WJ. In: Willius FA, ed. Aphorisms of Dr. Charles Horace Mayo, 1865-1939, and Dr. William James Mayo, 18611939. Rochester, MN: Mayo Foundation for Medical Education and Research; 1997. 8. Lanier WL. Mayo Clinic Proceedings 2012: “a new era in journal stewardship.”. Mayo Clin Proc. 2012;87(1):1-6.
January 2014;89(1):1-4
n
http://dx.doi.org/10.1016/j.mayocp.2013.11.010 www.mayoclinicproceedings.org
