Lloyd B. Minor | |
---|---|
Carl and Elizabeth Naumann Dean of the Stanford University School of Medicine | |
Assumed office December 2012 | |
13thProvost of Johns Hopkins University | |
In office September 2009 –August 2012 | |
Personal details | |
Born | 1957 (age 66–67) Little Rock,Arkansas,U.S. |
Spouse | Lisa Ann Keamy |
Education | Brown University (BS,MD) |
Website | Office of the Dean,Stanford University School of Medicine |
Lloyd Brooks Minor (born 1957) is an American surgeon,researcher,educator,and academic administrator. [1] Since December 2012,he has served as the Carl and Elizabeth Naumann Dean of Stanford University School of Medicine at Stanford University. [2] Previously,he was the provost of Johns Hopkins University. [2]
An expert on the inner ear,Minor is known for identifying the superior canal dehiscence syndrome,a disorder where a hole in the skull bone upsets the inner ear balance canal. [3] For refining a treatment for Ménière's disease using gentamicin,Minor received the Prosper Ménière Society's gold medal in 2010. [4] A fellow of the American College of Surgeons and the American Academy of Otolaryngology –Head and Neck Surgery, [4] [2] he is also a member of the National Academy of Medicine. [5]
Minor was born in Little Rock,Arkansas,in 1957. His father was an accountant and his mother worked as a kindergarten teacher. He graduated from Brown University with a Bachelor of Science in biology in 1979 and received his M.D. from the Warren Alpert Medical School of Brown University in 1982. [1]
Minor completed his initial residency training in surgery at Duke University Medical Center [2] [6] from 1982 until 1984. [7] From 1984 until 1988,he was a research fellow in vestibular neurophysiology at the University of Chicago Department of Pharmacological and Physiological Sciences,under the supervision of Jay M. Goldberg. [7] From 1988 until 1992 he was a resident in otolaryngology at the University of Chicago Medical Center. [7] From 1992 to 1993,Minor completed a clinical fellowship in otology and neurotology at The Otology Group and The EAR Foundation in Nashville,Tennessee. [7]
In 1993 Minor joined the faculty of the Johns Hopkins University School of Medicine as an assistant professor [2] of laryngology and otology. He became an associate professor in 1997 and a professor in 2001 in the departments of otolaryngology–head and neck surgery,neuroscience,and biomedical engineering. [7] In 2003 Minor was appointed the Andelot Professor and director (chair) of the Department of Otolaryngology–Head and Neck Surgery and otolaryngologist-in-chief at Johns Hopkins Hospital. During his six years as department chair,Minor expanded annual research funding by more than 50 percent and increased clinical activity by more than 30 percent. [2] During his tenure,the department was ranked number one by U.S. News &World Report's Best Hospital rankings by specialties. [1]
On September 1,2009 [2] Minor became provost of Johns Hopkins University,making him both chief academic officer and the second-ranking member of the administration. [2] [8] He also served as University Distinguished Service Professor in the Department of Otolaryngology–Head and Neck Surgery from 2009 until 2012, [7] while remaining a professor in the departments of biomedical engineering and neuroscience. [7] During his tenure as provost,Minor launched a number of university-wide initiatives,among them the Gateway Sciences Initiative to increase innovation in teaching,and the Doctor of Philosophy Board to encourage quality education on the doctoral level. He helped coordinate the Individualized Health Initiative,which aims to use genetic information to improve health care, [9] and worked to improve recruitment and retention of faculty. [10]
Minor has been dean of Stanford University School of Medicine since December 1,2012. [11] His role as dean gives him oversight for Stanford Medicine's clinical enterprise (Stanford Health Care and Lucile Packard Children's Hospital), [12] and also gives him oversight for Stanford Medicine's clinical enterprise strategy. He also has oversight of the physicians chosen to serve on the faculty and in Stanford Medicine's clinical network. [12] At Stanford University,Minor also serves by courtesy as a professor of otolaryngology (head and neck surgery),bioengineering,and neurobiology. [11]
Minor has used his position as Dean to push for Stanford Medicine to focus on "precision health",which is intended to tailor care to patients' individual variations. [11] [13] He has written about precision health in op-eds for publications such as The Wall Street Journal and Forbes . Minor espouses it as both a form of treatment and preventive medicine [14] that is focused on prediction by accounting for factors such as behavior and socioeconomic conditions. [15] Working across Stanford Medicine and Stanford University,Minor also oversaw the development and implementation of a new cancer research and care model, [11] [16] and launched an initiative concerning biomedical big data and a health care system with learning capabilities. [16] [17] He was re-appointed the dean in March 2017,to a second five-year term. [18]
Concerning grants and finances,at Stanford Minor has supported competitive innovation grants that back basic science research,also increasing support for other core areas and resources. [16] [19] In particular,he expanded clinical and patient-centered research, [20] helped support new educational models, [21] and supported financial assistance covering students' first four years of Ph.D. training. [19] He furthermore worked to cut down on financial barriers for students," [22] increased faculty development programs and leadership options, [23] and pushed for programming with diversity and "accountability". [22] [24] Between 2012 and 2016,Stanford credited Minor with helping raise the number underrepresented minority students from 10% of incoming graduate students to 28%. [18] In 2017,he introduced the Health Trends Report published by Stanford Medicine,with research and reviews on emerging trends in health care. [25]
Minor is an expert in balance and inner ear disorders, [4] and since 1980 [7] he has published over 140 articles and chapters. [26] He published four key studies between 1999 and 2001 articulating the connection between head motion and eye movements and how they are controlled by the balancing mechanisms centered in the inner ear. [4] Through neurophysiological investigations of eye movements and neuronal pathways,Minor has identified adaptive mechanisms responsible for compensation to vestibular injury in a model system for studies of motor learning (the vestibulo-ocular reflex). By 2010,synergies between this basic research and clinical studies have led to improved methods for the diagnosis and treatment of balance disorders. [4]
In 1995 Minor discovered superior canal dehiscence syndrome,a debilitating disorder characterized by sound- or pressure-induced dizziness. [27] Key to this discovery was Minor's finding that the eye movements evoked by sound and pressure stimuli in patients with superior canal dehiscence syndrome often align with the plane of the superior canal. [6] He and his colleagues publicly published the findings on superior canal dehiscence syndrome for the first time in Archives of Otolaryngology–Head &Neck Surgery [6] in 1998,describing clinical manifestations of the syndrome and relating its cause to an opening (dehiscence) in the bone covering the superior canal. [28] [3] In addition to describing the syndrome,he also later developed a surgical procedure that corrects the problem and alleviates symptoms. [29]
He is a fellow of the American College of Surgeons and the American Academy of Otolaryngology –Head and Neck Surgery. [4] [2] Before that,he had been president of the Association for Research in Otolaryngology and chair of the Auditory Research Study Section of the National Institutes of Health. [2] [4] In 2012 Minor was elected [11] to the National Academy of Medicine. [5]
In recognition of his work in refining a treatment for Ménière's disease using gentamicin,Minor received the Prosper Ménière Society's gold medal in 2010. [4] [30] In 2015 he also won the Joseph Toynbee Memorial Medal from the Royal Society of Medicine and Royal College of Surgeons. [31]
Minor is married to Lisa Ann Keamy,a family practice physician. They have two children. [1]
Otorhinolaryngology is a surgical subspecialty within medicine that deals with the surgical and medical management of conditions of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists,otolaryngologists,head and neck surgeons,or ENT surgeons or physicians. Patients seek treatment from an otorhinolaryngologist for diseases of the ear,nose,throat,base of the skull,head,and neck. These commonly include functional diseases that affect the senses and activities of eating,drinking,speaking,breathing,swallowing,and hearing. In addition,ENT surgery encompasses the surgical management of cancers and benign tumors and reconstruction of the head and neck as well as plastic surgery of the face,scalp,and neck.
Ménière's disease (MD) is a disease of the inner ear that is characterized by potentially severe and incapacitating episodes of vertigo,tinnitus,hearing loss,and a feeling of fullness in the ear. Typically,only one ear is affected initially,but over time,both ears may become involved. Episodes generally last from 20 minutes to a few hours. The time between episodes varies. The hearing loss and ringing in the ears can become constant over time.
Cholesteatoma is a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process. Cholesteatomas are not cancerous as the name may suggest,but can cause significant problems because of their erosive and expansile properties. This can result in the destruction of the bones of the middle ear (ossicles),as well as growth through the base of the skull into the brain. They often become infected and can result in chronically draining ears. Treatment almost always consists of surgical removal.
Otology is a branch of medicine which studies normal,pathological anatomy and physiology of the ear,as well as their diseases,diagnosis and treatment. Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media,such as tympanoplasty,or ear drum surgery,ossiculoplasty,or surgery of the hearing bones,and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss,such as stapedectomy surgery for otosclerosis.
Patulous Eustachian tube is the name of a physical disorder where the Eustachian tube,which is normally closed,instead stays intermittently open. When this occurs,the person experiences autophony,the hearing of self-generated sounds. These sounds,such as one's own breathing,voice,and heartbeat,vibrate directly onto the ear drum and can create a "bucket on the head" effect,making it difficult for the patient to attend to environmental sounds. Patulous Eustachian tube is a form of Eustachian tube dysfunction,which is said to be present in about 1 percent of the general population.
A bone-anchored hearing aid (BAHA) is a type of hearing aid based on bone conduction. It is primarily suited for people who have conductive hearing losses,unilateral hearing loss,single-sided deafness and people with mixed hearing losses who cannot otherwise wear 'in the ear' or 'behind the ear' hearing aids. They are more expensive than conventional hearing aids,and their placement involves invasive surgery which carries a risk of complications,although when complications do occur,they are usually minor.
The House Institute Foundation (HIF),formerly the House Ear Institute,is a non-profit 501(c)(3) organization,based in Los Angeles,California,and dedicated to advancing hearing science through research,education,and global hearing health to improve quality of life.
New York Eye and Ear Infirmary of Mount Sinai (NYEE) is located at East 14th Street and Second Avenue in lower Manhattan,New York City. Founded on August 14,1820,NYEE is America's first specialty hospital and one of the most prominent in the fields of ophthalmology and otolaryngology in the world,providing primary inpatient and outpatient care in those specialties. Previously affiliated with New York Medical College,as of 2013 it is affiliated with the Icahn School of Medicine at Mount Sinai as a part of the membership in the Mount Sinai Health System.
Tullio phenomenon,sound-induced vertigo,dizziness,nausea or eye movement (nystagmus) was first described in 1929 by the Italian biologist Prof. Pietro Tullio. (1881–1941) During his experiments on pigeons,Tullio discovered that by drilling tiny holes in the semicircular canals of his subjects,he could subsequently cause them balance problems when exposed to sound.
A mastoidectomy is a procedure performed to remove the mastoid air cells,air bubbles in the skull,near the middle ear. This can be done as part of treatment for mastoiditis,chronic suppurative otitis media or cholesteatoma. In addition,it is sometimes performed as part of other procedures or for access to the middle ear. There are classically five different types of mastoidectomy:
The semicircular canal dehiscence (SCD) is a category of rare neurotological diseases/disorders affecting the inner ears,which gathers the superior SCD,lateral SCD and posterior SCD. These SCDs induce SCD syndromes (SCDSs),which define specific sets of hearing and balance symptoms. This entry mainly deals with the superior SCDS.
Neurotology or neuro-otology is a subspecialty of otolaryngology—head and neck surgery,also known as ENT medicine. Neuro-otology is closely related to otology,clinical neurology and neurosurgery.
Dr. Charles Limb is a surgeon,neuroscientist,and musician at the University of California,San Francisco (UCSF) who has carried out research on the neural basis of musical creativity and the impact of cochlear implants on music perception in hearing impaired individuals. As an otologic surgeon and otolaryngologist,he specializes in treatment of ear disorders.
Nicholas John Frootko is a retired South African / British Otolaryngologist / Head and Neck Surgeon with a special interest and expertise in Ear Surgery.
Eustachian tube dysfunction (ETD) is a disorder where pressure abnormalities in the middle ear result in symptoms.
Muaaz Tarabichi is a Syrian otolaryngologist,lecturer,researcher,and author. He is recognized around the world as the father of endoscopic ear surgery. He is the co-founder of Tarabichi Stammberger Ear and Sinus Institute. He was elected as the chairman of the International Advisory Board of the American Academy of Otolaryngology–Head and Neck Surgery.
LaVonne Bernadene Bergstrom was an American surgeon,otolaryngologist,and medical school professor. She was president of the American Auditory Society in 1987.
Konstantina Marka Stankovic is an otolaryngologist and physician-scientist working as the Bertarelli Foundation Professor and Chair of Nanotechnology–Head and Neck Surgery at Stanford University School of Medicine since 2022.
David William Kennedy is an American academician,surgeon,and otolaryngologist. He is currently serving as an emeritus professor at the University of Pennsylvania.
Charlotte Martinez Tantoco Chiong is a Filipino otolaryngologist with a subspecialty in neurotology,focusing on hearing health,cochlear implants,and neurotological skull base surgery based in Malolos and Manila,Philippines. She is best known for her research on children's implantable hearing devices,which built the foundation for the Republic Act No. 9709 of the Philippines that organized a universal screening program for hearing loss in newborns.