Mayo Clinic


Mayo Clinic is a private American academic medical center focused on integrated healthcare, education, and research. It maintains three major campuses in Rochester, Minnesota; Jacksonville, Florida; and Phoenix/Scottsdale, Arizona.
Mayo Clinic employs over 7,300 physicians and scientists, along with another 66,000 administrative and allied health staff. The practice specializes in treating difficult cases through tertiary care and destination medicine. It is home to the top-15 ranked Mayo Clinic Alix School of Medicine in addition to many of the highest regarded residency education programs in the United States. It spends over $660 million a year on research and employs more than 3,000 full-time research personnel.
William Worrall Mayo settled his family in Rochester in 1864 and opened a sole proprietorship medical practice that evolved under his sons, Will and Charlie Mayo, along with practice partners Stinchfield, Graham, Plummer, Millet, Judd, and Balfour, into Mayo Clinic. Today, in addition to the hospital in Rochester, Mayo Clinic owns and runs major campuses in Arizona and Florida. Most recently, in 2020, the Mayo Clinic bought a facility in central London, UK. The Mayo Clinic Health System also operates affiliated facilities throughout Minnesota, Wisconsin, and Iowa.
Mayo Clinic has been ranked number one in the United States for seven consecutive years in U.S. News & World Report Best Hospitals Honor Roll, maintaining a position at or near the top for more than 35 years. It has been on the list of "100 Best Companies to Work For" published by Fortune magazine for fourteen consecutive years and has continued to achieve this ranking through 2017. Drawing in patients from around the globe, Mayo Clinic performs near the highest number of transplants in the country, including both solid organ and hematologic transplantation.

Operations

Mayo Clinic is a nonprofit hospital system with campuses in Rochester, Minnesota; Scottsdale and Phoenix, Arizona; and Jacksonville, Florida. Mayo Clinic employs 76,000 people, including more than 7,300 physicians and clinical residents and over 66,000 allied health staff, as of 2022. Additionally, Mayo Clinic partially owns and operates the Mayo Clinic Health System, which consists of more than 70 hospitals and clinics across Minnesota, Iowa, and Wisconsin. Mayo Clinic also operates the Mayo Clinic College of Medicine and Science, a nonprofit college dedicated to training medical and allied health professionals at Mayo Hospitals in Minnesota, Arizona, and Florida.
The clinic was established as an independent business subsidiary in London in partnership with Oxford University Clinic, a collaboration between the University of Oxford and Oxford University Hospitals NHS Foundation Trust, to operate a clinic starting in 2019.
Currently, Mayo Clinic is led by president and CEO Gianrico Farrugia, M.D. John H. Noseworthy, M.D., retired as president and CEO in December 2018; his predecessor, Denis A. Cortese, M.D., retired in November 2009. Michael Powell, former chair of the Federal Communications Commission, serves as the chair of Mayo's governing board of trustees.

Clinical practice

In 2022, more than 1.3 million different patients from all 50 states and 138 countries were seen at Mayo Clinic facilities.

Research

Mayo Clinic researchers contribute to understanding disease processes, best clinical practices, and translating findings from the laboratory to clinical practice. research personnel included about 5,500 physicians and scientists. Mayo Clinic's 2022 research funding exceeded $1 billion. These research initiatives led to 9,275 research publications and review articles in peer-reviewed journals.

Education

The Mayo Clinic College of Medicine and Science, established in 1915, offers educational programs embedded in Mayo Clinic's clinical practice and biomedical research activities. MCCMS consists of five accredited schools:

Early years

Mayo Clinic originated with the medical practice of William Worrall Mayo, M.D.. Born near Manchester, England, he was mentored by the eminent British scientist John Dalton and migrated to the United States in 1846. He worked his way west, earning two medical degrees at a time when formal education for physicians was limited. Mayo settled in Indiana, and he married Louise Abigail Wright in 1851. They moved to Minnesota Territory in 1854, seeking a more healthful climate. The family relocated within Minnesota several times until Mayo's appointment as an examining surgeon for the Union Army military draft board during the American Civil War brought them to Rochester. On January 27, 1864, Mayo advertised in the Rochester City Post the opening of a private medical practice "over the Union Drug Store on Third Street" with "all calls answered by day or night."
Both of W. W. Mayo's sons, William James Mayo and Charles Horace Mayo, who became known as Dr. Will and Dr. Charlie, grew up in Rochester and attended medical school. William graduated in 1883 and joined his father's practice, with Charles joining in 1888.
On August 21, 1883, a tornado struck Rochester, causing at least 37 deaths and over 200 injuries. One-third of the town was destroyed, but the Mayo family escaped serious harm. Relief efforts began immediately in a variety of makeshift facilities. Mayo was placed in charge of organizing medical care for the wounded survivors. Needing nurses, he reached out to Mother Alfred Moes, the founder of the Sisters of Saint Francis of Rochester, Minnesota.
After the crisis subsided, Mother Alfred approached W. W. Mayo with a proposal: The Sisters of St. Francis would raise funds to build a hospital in Rochester if he and his sons provided medical and surgical care. The agreement was made over a handshake. On September 30, 1889, Saint Mary's Hospital was opened by the Sisters with the three Mayo physicians on staff.

Group practice

The growing specialization of medicine and the expanding use of railroads, automobiles, and mass communications provided context for the development of integrated multi-specialty practice.
Starting in the 1890s, the Mayo brothers welcomed other physicians to join them. W. W. Mayo's solo practice had evolved into a family practice with his sons' participation, which then became a group practice with other medical colleagues. Mayo Clinic's first partners were physicians Augustus W. Stinchfield, Christopher Graham, Melvin C. Millet, Henry Plummer, E. Star Judd, and Donald Balfour.
Preeminent among the early physicians who joined the practice was Henry Stanley Plummer, M.D. A specialist in thyroid disease, he made contributions to the treatment of goiter. In terms of organizational development, he collaborated with the Mayo brothers in coordinating the introduction of specialties that expanded the scope of the Mayo practice beyond its origins in surgery. A polymath whose interests included architecture, engineering, and art, Plummer also created many of the systems and procedures that remain central to Mayo Clinic today, such as the integrated "dossier" medical record.

Growth and national expansion

The Mayo brothers both served as presidents of the American Medical Association and achieved recognition as surgeons. In 1919, the brothers and their wives donated the assets of the medical practice, including land, buildings, and equipment, as well as the majority of their life savings, to transform the private partnership into a not-for-profit organization.
Following World War II, Mayo Clinic continued to expand in Rochester, Minnesota. In 1972, the Mayo Medical School opened.
In 1986, Mayo Clinic formally united with Saint Mary's Hospital and Rochester Methodist Hospital. That same year, Mayo Clinic expanded to Florida partly because of a donation of 400 acres of land in Jacksonville from the Davis family. This was followed by expansion to Scottsdale, Arizona, in 1987; the Phoenix, Arizona, campus opened in 1998. In 1992, Mayo Clinic Health System became operational as a network of community-based medical services in Minnesota, Iowa, and Wisconsin. In 2011, Mayo Clinic launched the Mayo Clinic Care Network, a collection of facilities with access to Mayo Clinic protocols and experts.
In November 2019, the Mayo Clinic, in a joint partnership with SEHA Abu Dhabi Health Services Co, invested $50 million into a 741-bed hospital in the United Arab Emirates for a 25% stake.
At the beginning of 2020, the Mayo Clinic opened a health clinic in central London, in partnership with Oxford University Clinic. It was officially named Mayo Clinic Healthcare. In July 2020, it was reported that the Mayo Clinic had bought Oxford University Clinic's share of the facility, to become the sole owner and its first overseas clinic operated as a Mayo Clinic entity.

Contributions to medicine and science

In the early 20th century, Henry Plummer developed Mayo Clinic's multi-specialty group practice model and an integrated medical record system. Plummer's system enabled physicians to share patient information better. Before Plummer's system, physicians worked solo. They shared patient information when necessary, either verbally or by letter. Plummer also helped design and fabricate building systems innovations, including steam sterilization rooms, metal surgical tools and equipment, pneumatic tube systems, and knee-operated sinks. In 1905, Mayo Clinic advanced a technique of using frozen tissue during surgery to determine if a patient had cancer while the patient was still in the operating room. Mayo Clinic offered the first graduate medical education program in 1915 and the first nonprofit practice aligned with medical education and research. In the 1920s, Albert Compton Broders of the Mayo Clinic created the first index to grade tumors. Mayo Clinic opened the first hospital-based blood bank in Rochester in 1935. Early in Mayo Clinic's history, the hospital designed the one-legged mobile instrument stand known as the Mayo stand.
In the 1930s, Mayo Clinic associates Walter M. Boothby, Randolph Lovelace, and Arthur H. Bulbulian developed a high-altitude oxygen therapy mask known as the BLB flight mask.
During World War II, the U.S. Army tasked Mayo Clinic with finding a solution for dying pilots after suffering blackouts. Mayo Clinic hired a team of physicians to research and define the specific physiologic effects causing blackout and unconsciousness during high G forces. Physiologists Earl H. Wood, Edward Baldes, Charles Code, and Edward H. Lambert developed the G-suit with air bladders that prevented blood from pooling in pilots' legs. The suit was worn by U.S. pilots toward the end of World War II.
Two Mayo Clinic physicians were among three people awarded the Nobel Prize in medicine in 1950 for the discovery of cortisone. Professor Edward C. Kendall, Ph.D., and Philip S. Hench of Mayo Clinic were jointly awarded the Nobel Prize in medicine alongside Tadeus Reichstein, a Swiss chemist who conducted independent research, for the discovery. They separated and identified compounds from the adrenal cortex that produced cortisone and hydrocortisone. Later in the decade, Mayo Clinic began using and refining the Gibbon heart–lung machine in cardiac surgery. It is now known as the Mayo–Gibbon heart–lung machine.
Mayo Clinic associates Edward Howard Lambert, Lealdes McKendree Eaton, and Edward Douglas Rooke were the first physicians to substantially describe the clinic and electrophysiological findings of what is known as Lambert–Eaton myasthenic syndrome in 1956. In 1972, the clustering of LEMS with other autoimmune diseases led to the hypothesis that it was caused by autoimmunity.
In 1969, Mayo Clinic doctors performed the first Food and Drug Administration-approved hip replacement in the United States. In 1973, Mayo Clinic bought the first CT scanner in the U.S.
Mayo Clinic and Roche Molecular Biochemicals developed a rapid DNA test in 2001 to detect anthrax in humans and in the environment.
The Mayo Clinic Center for Innovation was established in 2008 and has since worked on over 270 projects.
In 2013, Mayo Clinic specialists in regenerative medicine began the "first-in-human study," whereby patient cells are used to attempt to heal heart damage.
After several years of using Apple Inc.'s Macintosh computers and mobile devices for patient care and test results, Mayo partnered with Apple in 2014 to develop the Apple Health and HealthKit apps as a central location for personal health information. Mayo Clinic and Delos Living launched the Well Living Lab in September 2015. This research facility is designed to simulate real-world, non-hospital environments, allowing Mayo Clinic researchers to study the interaction between indoor spaces and human health.
Mayo Clinic's Advanced Care at Home Model of Care launched in 2020 and assists patients in their own homes through virtual care.
In 2020, Mayo Clinic began running a federally sponsored Expanded Access Program for Convalescent Plasma to treat hospitalized patients with COVID-19 in the United States.
In 2018, Mayo Clinic and UCLA used spinal cord stimulation and physical therapy that allowed a man paralyzed since 2013 to briefly regain his ability to stand and walk with assistance. The patient was able to walk 111 yards for a total of 16 minutes when given artificial electrical stimulation, although he was unable to continue that mobility once the artificial stimulation was removed. The results were published in the journal Nature Medicine.
As of 2023, Mayo Clinic had treated more than 10,000 patients with proton beam therapy across two of its facilities. According to Post-Bulletin reporting, proton beam therapy is limited in the U.S., with only 2 percent of radiation patients being treated with the technology.
File:MayoClinicPlummerBldg16floor.JPG|thumb|right|200px|Plummer Building in Rochester, Minnesota