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Newsletter, Volume 27, Number 02, March - April 1982
Full text linkDesign of a Treatment Program for Cancer of the Skin of the Nose Is Based on Many Factors, Helmuth Goepfert, MD UT MDAH Staff Helps Clergymembers Meet Needs of Their Parishioners Scientists Examine Breakthroughs in Molecular Biology and their Application to cancer research at 35th Symposium Pediatric Patients Undergo Unconventional Rehabilitation New Book Published Noteworthyhttps://openworks.mdanderson.org/newsletter/1112/thumbnail.jp
Chapter 14: MD Anderson Publications and Publication Ethics
No full textDr. Goepfert has served on a number of editorial boards and is keenly interested in the educational dissemination of information critical to cancer research. In this section he talks about some of MD Anderson’s publications and also addresses some controversies with publication. He first raises the ethical issue of how authorship is assigned to a manuscript going out for publication. Today there are guidelines for assigning authorship, but twenty years ago, he explains, some department chairs at MD Anderson reviewed all manuscripts going for publication and insisted on being listed as first author of an article, whether they made any contribution to the research or not. Dr. Goepfert contrasts his own practice of putting his name on a paper only if he has contributed. Dr. Goepfert then shifts subjects and describes several MD Anderson educational publications, beginning with Cancer Bulletin, distributed free to all physicians across Texas.https://openworks.mdanderson.org/mchv_interviewchapters/2010/thumbnail.jp
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Chapter 05: Surgery in Transition to Multi-disciplinary Collaboration
No full textIn this chapter, Dr. Goepfert observes that he came to MD Anderson during a time when cancer treatment was expanding beyond surgery to include chemotherapy. He gives a brief overview of the treatment practices at the time and notes that specialties debated who would administer chemotherapy. While Dr. Goepfert was a Senior Fellow in Surgery at MD Anderson, he observed that hematologists were activity involved in redefining who administered treatment (not the case at UCLA). (He also notes that he wanted to leave Chile for a fellowship in the US because of the “dismal state” of cancer therapy.) He witnessed the evolution of multi-disciplinary cancer treatment while working with Dr. Gilbert Fletcher. Dr. Goepfert notes that he established the “Thursday Afternoon Planning Conferences in the Department of Head and Neck Surgery in 1982, where multidisciplinary treatment plans were created. These sessions became a model for the entire institution. Dr. Goepfert then shares memories of Dr. Fletcher’s influence on his own thinking about how disease processes respond to radiation, how important give and take is in interdisciplinary care, and how critical it is to establish liaisons with basic scientists. He notes that he took part in the initial efforts at MD Anderson to establish a track for physician-scientists, mentioning the key roles of Dr. Garth Nicholson and Dr. Josh Fidler. He explains how a tone was set for the interdisciplinary management of head and neck cancers. He describes the working relationship between Dr. Fletcher and the gifted surgeon, A.J. Ballantyne. He notes that the process of establishing multidisciplinary care was not as “bumpy” at MD Anderson as in other parts of the country. He credits R. Lee Clark’s vision in setting up the remuneration system at MD Anderson for smoothing this process.https://openworks.mdanderson.org/mchv_interviewchapters/2001/thumbnail.jp
Chapter 01: Head and Neck Oncology and Related Specialties
No full textIn this chapter, Dr. Goepfert explains that Head and Neck Oncologists work in concert with Radiation oncologists and Medical oncology in order to address the challenges of cancers of the head and neck. “Head and neck” specialists address any cancer occurring between the chest and the brain, and Dr. Goepfert lists the organs, tissues, structures, and functions that cancer can attack. Dr. Goepfert notes that Head and Neck is an “abundant field,” that draws on additional specialties, such as pathology, imaging, oncologic dentistry and such rehabilitative specialties as speech pathology.https://openworks.mdanderson.org/mchv_interviewchapters/1997/thumbnail.jp
Chapter 04: Farming or Medicine?
No full textIn this chapter, Dr. Goepfert explains that his father, Pablo Goepfert, was a surgeon and had a strong influence on his choice of career. Nevertheless, Dr. Goepfert recalls how much he enjoyed working on his uncle’s farm during the summer, helping with farming, taking apart engines, driving a tractor at age nine and then a track at twelve. Though he enjoyed biology, geometry, and algebra in school, he thought of farming as an alternative career. He ends this chapter with a funny anecdote about taking his medical school admissions test.https://openworks.mdanderson.org/mchv_interviewchapters/2000/thumbnail.jp
Chapter 03: Friction in the Evolving Field of Head and Neck Surgery
No full textIn this chapter, Dr. Goepfert explains the debates in the 60s and afterward, over how to divide conditions of the head and neck between general surgeons and those trained in Otorhinolaryngology (Ear, Nose, and Throat). He talks about the friction between the Society of Head and Neck Surgeons (mostly general and plastic surgeons) and the American Society for Head and Neck Surgery, founded by ortolaryngolosts. He gives an example of the Mayo Clinic, where (in the 1080s) cancer was treated by a Head and Neck surgeon and a general surgeon performed necessary neck dissections. He also discusses the debates over which field should handle surgical reconstruction after procedures to address cancer –plastic surgeons or the head and neck surgeon. He notes that, at MD Anderson all plastic surgeons are trained in that specialty, not in head and neck surgery, then lists various plastic surgeons at the institution, beginning with Margaret Sinclair, the first reconstructive surgeon at MD Anderson.https://openworks.mdanderson.org/mchv_interviewchapters/1999/thumbnail.jp
Chapter 08: Financing Clinical Research
No full textIn this chapter, Dr. Goepfert describes the difficult finances of clinical research in an environment where academic clinicians compete with private practitioners for patients. He broadens his focus and speaks about the country’s need for a “social network” system that covers all individuals, noting that Scandinavia and many European nations have “socialized medicine” systems and the highest rates of satisfaction with their health care systems. He notes that though MD Anderson offers some of the best health care, that level of are is not necessarily available to the general community. He notes that rising health care costs effect cancer care and also the viability of research. He observe that in the journal, Head and Neck, fewer and fewer innovative articles are published by American researchers; more authors come from Asia and Europe.https://openworks.mdanderson.org/mchv_interviewchapters/2004/thumbnail.jp
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