Arthur H. Aufses, Jr. MD Archives Blog

Remembering Arthur H. Aufses, Jr., MD: Pioneering Surgeon and Archives Supporter

It is with great sadness that we share news of the passing of our dear friend and supporter Arthur H. Aufses, Jr., MD (1926-2019), one of the Mount Sinai Health System’s most respected physicians and Chairman Emeritus of The Ruth J. & Maxwell Hauser and Harriet & Arthur H. Aufses, Jr., MD Department of Surgery at The Mount Sinai Hospital, and Professor in Surgery as well as the Department of Population Health Science and Policy.

Arthur H. Aufses, Jr., MD, 1926-2019

An innovative leader who served as Chair of the Department of Surgery from 1974-1996, Dr. Aufses ushered in Mount Sinai’s adoption of laparoscopic surgery and oversaw the expansion of ambulatory surgery and the hospital’s transplant program. He organized the surgical team that performed the first liver transplant in New York State in 1988.

Within Mount Sinai, Dr. Aufses served as a mentor to many residents and fellows and helped to break down barriers for women and minority surgeons. Over the years, he received many Excellence in Teaching awards from the Icahn School of Medicine at Mount Sinai, as well as institutional honors, including the Alumni Association’s Jacobi Medallion, and the Alexander Richman Award for Humanism in Medicine. He was the holder of Mount Sinai’s Gold Headed Cane from 1982 to 1997. On 17 occasions, medical students selected Dr. Aufses to administer the Oath of Maimonides or the Oath of Hippocrates at commencement, and on three occasions he was chosen to serve as Commencement Grand Marshal. In May 2003, Dr. Aufses delivered the medical school’s commencement address and was awarded an honorary Doctor of Humane Letters.

In addition to publishing more than 235 research papers and book chapters—many on the topics of surgical education and inflammatory bowel disease—he held leadership roles in many professional organizations. These include the New York Academy of Medicine, the American College of Gastroenterology, the New York Surgical Society, the American College of Surgeons, and the American Surgical Association.

Dr. Aufses also had a keen interest in Mount Sinai’s long and storied history, and published two books on the subject with institutional archivist Barbara Niss. This House of Noble Deeds: The Mount Sinai Hospital, 1852-2002 (New York University Press, 2002), chronicled the 150-year history of The Mount Sinai Hospital, focusing on the accomplishments of the staff since its origin as The Jews’ Hospital in the City of New York. Teaching Tomorrow’s Medicine Today: The Mount Sinai School of Medicine, 1963-2003 (New York University Press, 2005), detailed the first forty years of the Icahn School of Medicine at Mount Sinai.

In April 2017, Dr. Aufses’ support of the Archives was made clear when the Mount Sinai Archives was formally dedicated as the Arthur H. Aufses, Jr. MD Archives.

The staff of the Arthur H. Aufses, Jr., MD Archives will miss Dr. Aufses’ kindness, sense of humor, and selfless service to Mount Sinai. Dr. Aufses was calm and steady in the operating room and in life. He delighted in his trainees’ achievements, and set an example of honesty, integrity, and loyalty for those who followed him. He was a true Mount Sinai Giant.

 

Dealing with ‘Mrs. Dr. Jacobi’

In 1875, The Mount Sinai Hospital selected Mary Putnam Jacobi, MD (1842-1906) to be the Chief of the newly established Children’s Clinic. Abraham Jacobi, MD, her husband, was an important member of the Mount Sinai medical staff and is today considered the Father of Pediatrics in this country. Still, the Trustees did not want him to be in charge of both the inpatient and outpatient services, so Mary Jacobi was appointed. All was well for some years, but in May 1884, the Board of Trustees’ minutes record the “continued absence and irregularity of Mrs. Dr. Jacobi in her duties in the Dispensary.” There was a motion seeking her resignation, but this was amended to instead send the president and vice-president of the Board to speak with “the delinquent” and report back. The subsequent meeting does not have a report on the visit with “Mrs. Dr. Jacobi,” but it is known that she resigned from the staff in October of 1886, more than two years later. Did being “Mrs.” Jacobi save her appointment? Perhaps. The very few other female doctors on staff were known as just Dr. The fact that Mary Putnam was married to Abraham Jacobi probably loomed large in the eyes of the Mount Sinai trustees. He remained associated with the hospital until his death in 1919.

The minutes of the Board of Trustees of The Mount Sinai Hospital, May 1884

Useless, but Interesting

As the spring very slowly arrives, the tired mind often screams for relief from the challenge of processing complex information. So, here is some Mount Sinai trivia that is guaranteed to interest without straining the brain.

Did you know:

…that in the 17th century there were Native Americans living in East Harlem and there was a stream flowing where the Icahn building now stands?

…that the first year The Mount Sinai Hospital was opened (1855-56), we admitted 216 patients, only five of whom were born in the US, and three of them listed their careers as comedians?

Mount Sinai founder, Benjamin Nathan

…that The Mount Sinai Hospital had a well regarded nursing school that existed from 1881-1971 and that 5 E. 98th Street was the School of Nursing dorm/educational building?

…that when the Hospital moved to its second site at Lexington Ave. and 66th St. in 1872, the Trustees built a large synagogue upstairs and a small operating room in the basement?

…that a Mount Sinai founder, Benjamin Nathan, was murdered in his sleep on a stormy night, and members of his family are still on the Board to this day?

…that Mount Sinai did not have an obstetrical service for the first century of its existence, only offering an OB Service when the Klingenstein Pavilion opened in late 1952?

…that there is a time capsule buried under the directory in the Annenberg Lobby that is scheduled to be opened in 2074, 100 years after it was placed there?

…that Jonas Salk and Henry Heimlich both served their internships at Mount Sinai, Salk graduating in 1942 and Heimlich in 1948?

…that in 1964, Mount Sinai had 1,326 beds, 200 more than we have today?

…that when the first ICU opened at Mount Sinai in 1962, it had five beds and was located in 1184 Fifth Ave., on the 7th floor?

…that in 1993 Mount Sinai School of Medicine became the first in New York State to graduate a class with more women than men?

…that there are at least 43 diseases, syndromes, tests, instruments and phenomena named after Mount Sinai physicians and scientists?

‘The Match,’ circa 1930

Soon the Match will be upon the fourth year class and after months of deciding on a field, debating on various institutions, filling out paperwork and then smiling bravely through interviews, the new doctors will be on the resident staff of a hospital.  This complex system of ‘matchmaking’ began in 1952 and replaced the practice of individuals applying to various residency programs, perhaps being measured against changeable and very subjective criteria.

In the early years of the 20th century, The Mount Sinai Hospital had in place a rigorous testing program to help winnow the number of applicants, leaving the ‘best and the brightest’ to face additional testing.  Each year several hundred medical students would sit for the examinations that would lead to the selection of the twelve newest members of the house staff.  The first day’s written examination was number coded, with the individuals’ names hidden so favoritism could not occur. The next day, the top scores were posted, and the 60 highest scorers would return for oral exams given by the medical staff.  The questions were broad and usually designed to show a wide knowledge in the basic sciences and clinical medicine, as well as critical thinking skills. Questions on art or literature were not unknown, depending on the faculty member’s interests. The exam evolved over time to be more rigorous, and eventually recommendations from medical schools deans were also sought.

In 1930, these were some of the written questions the applicants were posed. How would you do?

1. In what stages of the following diseases would you terminate early pregnancy?  a. Tuberculosis of the lungs  b. Nephritisc. Diabetes  d. Valvular heart disease

2. Under what conditions would you select for anesthesia?  a. Chloroform b. Ether c. Nitrous oxide d. Spinal e. Local f. What special contra-indication for each?

3. In what illnesses may the joints be involved?

4. In what extra abdominal conditions may abdominal symptoms appear?

5. A patient has been operated upon for an acute gangrenous appendicitis with abscess. He had one chill prior to operation. Post-operative course is marked by fever of 102 to 104; high leucocytosis; polynucleosis. X-ray examination of the chest and right hypochondrium shows moderate elevation of right diaphragm. Discuss possible causes of the high temperature.

Celebrating with Cigars

This year marks the 50th anniversary of the opening of the Icahn School of Medicine at Mount Sinai. Classes began on September 9th, and on October 20, 1968 there was a day-long celebration to dedicate the School and inaugurate Dean George James, MD as the first President of The Mount Sinai Medical Center. As part of this special day, there was a colloquium in the morning with four Nobel Prize laureates speaking about the future of medicine. (The papers presented by the speakers were later published in the Mount Sinai Journal of Medicine. They are available here.) In the afternoon there was the dedication of the School and the inauguration of Dr. James. In the evening there was a banquet held at the Grand Ballroom at the Hotel Commodore.

Cigar order for the Dedication Day banquet

The Aufses Archives has several files about the planning and creation of this big event and how it all came together over a few short months. No detail was too small for the organizers to organize, as evidenced by an invoice for 1,000 cigars to be sent to the hotel from the 21 Club (founded by the brother of Mount Sinai Trustee I. Robert Kriendler). Today we would be shocked if a hospital passed out tobacco products but the 1960s were a different time. Still, already the tide was turning. In March of 1968, the Trustees’ Executive Committee had voted 8 to 5 to ban the sale of cigarettes at Mount Sinai, but it was not until 1989 that areas of the Hospital started to be designated as smoke free. This was the result of action by the Student Council of the School, with the support of the Dean’s Office, and then working with the Hospital administration and the Medical Board. What was seen by some at the time as difficult to implement is now viewed as a simple idea whose ‘time had come.’

A button created by Mount Sinai students to encourage the institution to go smoke free, 1989