21,963 research outputs found
Chapter 09: A Stressful Relationship with MD Anderson Administration
Dr. Jones sketches many tensions in his relationship with MD Anderson\u27s administration. He mentions a Houston Chronicle article that stated Lovell Jones was a boat-rocker and a malcontent. Dr. Jones explains why he was determined to stay at the institution, building on his solid research record: no one could accuse him of focusing on minority issues and discrimination because he couldn\u27t make it as a researcher. Dr. Jones mentions Dr. Fred Conrad\u27s murder at MD Anderson. Dr. Jones recalls that in the early eighties he took safety precautions and his staff feared for his life. He talks about his attitude toward any danger, noting that his connections with powerful people in the field helped protect him.https://openworks.mdanderson.org/mchv_interviewchapters/1602/thumbnail.jp
Chapter 12: Race at MD Anderson: Slow to Make Real Changes for Minorities
In this chapter, Dr. Jones provides a portrait of MD Anderson\u27s approach to race and diversity during his tenure. Dr. Jones explains how race became a focus for him then shares his view of racism in America and racial inequality in Houston. He recalls segregation at MD Anderson still had separate eating areas for blacks and whites and observes that when he arrived, there was still a psychological separation between the races. He describes a conversation with Dr. Ronald DePinho about race. He notes resistance in leadership at MD Anderson and the Texas Medical Center to seeing race as an issue. He notes that there is visible diversity at lower levels of the institution but not in top leadership. Dr. Jones makes a comparison with the situation for women at MD Anderson, a situation that leadership addressed in ways that changed the climate. He observes that this has never been done for minorities at MD Anderson.https://openworks.mdanderson.org/mchv_interviewchapters/1605/thumbnail.jp
Chapter 04: The First African-American Basic Researcher at MD Anderson
Here Dr. Jones talks about race-related experiences at MD Anderson. He observes that he was one of five black clinicians at MD Anderson when he was hired. He explains that because of Dr. Charles LeMaistre\u27s support, there was a protective bubble around him. He tells about establishing a rapport with the janitorial staff, who didn\u27t believe he was black because MD Anderson doesn\u27t hire black doctors. Dr. Jones notes that a ˜bubble of protection\u27 could make diversity hires much more vulnerable when their sponsors left. He says he was required to present eighteen letters of support for his promotion from assistant to associate professor (as opposed to the usual three). He explains challenges in his tenure and promotion processes.https://openworks.mdanderson.org/mchv_interviewchapters/1597/thumbnail.jp
Chapter 13: MD Anderson Leaders and Diversity
Dr. Jones evaluates MD Anderson and discusses the ability of key leaders to recognize race as an issue within the institution. He notes that Dr. Ronald DePinho, the fourth full-time president of MD Anderson, can empathize with, but not fully relate to the experience of African-Americans. He explains how important it is to make individuals aware of their biases without putting them on the defensive. He talks about Fred Levine, president of UT Medical Branch in Galveston, then compares Dr. Charles LeMaistre [Oral History Interview] and Dr. John Mendelsohn [Oral History Interview]. He talks about Dr. Emil J Freireich [Oral History Interview], Dr. Waun Ki Hong [Oral History Interview], Dr. Andrew von Eschenbach, and Dr. Bernard Levin [Oral History Interview].https://openworks.mdanderson.org/mchv_interviewchapters/1606/thumbnail.jp
Chapter 14: MD Anderson Publications and Publication Ethics
Dr. 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
Chapter 03: Coming to MD Anderson to Link Discovery to Delivery of Care
In this chapter, Dr. Jones explains that his mother\u27s breast cancer diagnosis motivated him to leave the University of California and come to MD Anderson. He comments on attitudes toward breast cancer in the African-American community. He recalls his realization at the time: No matter how many discoveries I made, it\u27s hollow if there\u27s no impact on people I love. He looked for an institution with more connection and was also interested in being closer to Baton Rouge, where his mother lived. He notes that he knew about the history of racism in Houston. He recalls his conversation with mentor, Dr. Pentti K. Siiteri about MD Anderson.https://openworks.mdanderson.org/mchv_interviewchapters/1596/thumbnail.jp
Chapter 02: A Conversation with Dr. R. Lee Clark
Dr. Jones tells about a conversation he had with the first president of MD Anderson, Dr. R. Lee Clark, in the faculty restaurant of the Mayfair Hotel on the MD Anderson campus. He explains that Dr. Clark lived on the top floor of the hotel and had his own table at the restaurant. Dr. Jones was accidentally seated at that table, and Dr. Clark joined him. Dr. Jones recalls asking Dr. Clark how he came up with the idea for MD Anderson. Paraphrasing in his own terms, Dr. Jones says Dr. Clark was as concerned as he was about linking discovery and delivery. He also recalls Dr. Clark speaking about decisions he would have made differently: relations with the UT System; dual appointments for faculty; the tenure system. Dr. Jones offers his own, negative view of the term tenure system.https://openworks.mdanderson.org/mchv_interviewchapters/1595/thumbnail.jp
Chapter 08: Initiatives to Foreground Minority Populations and Diversity
Dr. Jones reviews several of the initiatives he took on to bring minority populations into the conversation about cancer at MD Anderson. He first talks about the Center for Minority Research and Health, which created a holistic approach to doing research. Next he talks about starting the Biennial Symposium Series on ˜Minorities, the Medically Underserved and Cancer\u27 (begun in 1987). He explains that the Biennial figured into a plan to change how MD Anderson addressed minority health issues. Dr. Jones then mentions establishing the National Minority Cancer Awareness Week: he explains why this was needed. Dr. Jones tells the history of how the Biennial was established, beginning in 1985 when the NCI began looking at cancer disparities. He talks about the challenges securing funding, noting MD Anderson\u27s lack of support for this initiative and for him.https://openworks.mdanderson.org/mchv_interviewchapters/1601/thumbnail.jp
Chapter 01: An Interest in Estrogen and an Important Discovery
In this chapter, Dr. Jones talks about the graduate research that brought him to MD Anderson. He sketches the story of how he left the University of California, San Francisco to join MD Anderson to develop a research lab in endocrinology. He describes the research he conducted at on combined therapies for gynecologic diseases. In particular, his research had to do with the long-term impact of DES (diethylstilbestrol -synthetic estrogen) in promoting cancer, the work for which he is best known. He explains how his interest in medicine and oncology developed. He lists the individuals he worked with and describes the state of the field at the time. Next Dr. Jones explains that at MD Anderson he was hired to develop a pioneering model of a department with collaborative research connections supported by clinicians. Dr. Jones explains that the Endocrine Research Program was elevated to a Section, which him as head. He explains the reporting structure.https://openworks.mdanderson.org/mchv_interviewchapters/1594/thumbnail.jp
Chapter 21: Obstacles to Improving Healthcare in Texas
Dr. Jones reflects on the poor healthcare in Texas and on factors that prevent improvement. He discusses Leonard Zwelling, MD, who writes a controversial blog about cancer issues and MD Anderson and their points of agreement expressed in a blog post. Dr. Jones talks about the negative reaction that followed. After talking about a documentary about former Texas governor, Ann Richards, Dr. Jones notes the power of the media in creating a picture of leaders at the city and state level. He goes on to affirm that No one talks about how Texas has one of the worst health situations. He explains the factors leading to this situation. Next, Dr. Jones explains how individuals are able to protect themselves from the reality of the healthcare situation by creating bubbles around themselves.https://openworks.mdanderson.org/mchv_interviewchapters/1614/thumbnail.jp
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