{"id":71381,"date":"2021-07-29T00:00:00","date_gmt":"2021-07-29T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2021\/07\/29\/time-out-with-t-o-a-doggone-good-physician\/"},"modified":"2022-08-29T17:12:21","modified_gmt":"2022-08-29T22:12:21","slug":"time-out-with-t-o-a-doggone-good-physician","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2021\/07\/29\/time-out-with-t-o-a-doggone-good-physician\/","title":{"rendered":"Time out with T.O. – A doggone good physician"},"content":{"rendered":"

Thankfully, Tom Tape, MD, loves dogs. Otherwise, it’s unlikely that his brilliant 35-year career at UNMC would ever have happened.
\n

In 1985, Dr. Tape was doing a fellowship in general internal medicine at the University of Rochester. He was in the market for a new dog — specifically, a Great Pyrenees.<\/p>\n

\n

The art of interviewing patients<\/h3>\n

When Tom Tape, MD, did his internal medicine residency and fellowship at the University of Rochester, he was fortunate to learn from one of the best — George Engel, MD.
\n

Dr. Engel pioneered the biopsychosocial method for interviewing patients. It encourages physicians to consider biological, psychological and sociological history from patients as a way to better understand their illness and to formulate a successful treatment plan.
\n

“After I met Dr. Engel, I realized that I didn’t really know how to interview patients. He would take the four of us general medicine fellows down to the emergency room. Each of us would interview a patient with the others observing and later critiquing. Then, Dr. Engel would interview a patient, and we got to watch the master at work.”
\n

The key, Dr. Engel would say, is to start with open-ended questions and immediately follow up on incidental references that the patient might make to significant others, jobs and life events.
\n

“Patients feel more valued and are more likely to share important details that you might not think to ask about,” Dr. Tape said, “If a patient was in for a twisted ankle, you should never start by saying, ‘So, you’re here for a twisted ankle?’ Rather, you should start by saying, ‘Tell me about your concerns today.’
\n

“Doctors typically interrupt the patient within seven seconds of asking the first question. If you interrupt the patient too soon, they may never come back to what they were saying. The message they hear is that you are too busy to care about them as a person.”
\n

It’s all about getting to better understand where the patient is coming from, Dr. Tape said. Failure to understand a patient’s milieu can lead to suboptimal care.
\n

“For example, it’s preposterous to tell someone who is homeless to start working out in the gym,” Dr. Tape said. “It’s all about building trust and not being judgmental.”
\n

Teaching medical students and residents how to conduct better patient interviews has become a passion for Dr. Tape.
\n

“I’m eternally grateful for Dr. Engel. I love sharing his pearls with students and residents,” Dr. Tape said. “It’s priceless.”\n<\/p>\n<\/div>\n

He heard about a Nebraska breeder who had a litter of 11 Great Pyrenees puppies for sale. He had never been to Nebraska before, but he decided to check it out.
\n

“I flew out with a breeder friend from New York,” said Dr. Tape, who is retiring in September from the UNMC Department of Internal Medicine. “A gentleman picked us up at Eppley Airfield, and we drove for two hours to a farm in Pender, Nebraska. I had no idea where we were going, but Pender rang a bell — I remembered it was the hometown of Susanna Von Essen, my anatomy partner in medical school.”
\n

He scanned the Pender phone book and noticed only one Von Essen listing. “I called and got Susanna’s mother,” Dr. Tape said. “I learned that Susanna was doing a fellowship in pulmonary medicine at UNMC. I wound up going to lunch with her before I headed back to New York.”
\n

The lunch got the ball rolling. Dr. Von Essen arranged a meeting with Robert Wigton, MD, a key member of the UNMC Department of Internal Medicine.
\n

Turns out, it was a perfect match. Both doctors were interested in the same research area — medical decision-making. By the time Dr. Tape finished his fellowship in 1986, a position had been created for him in internal medicine at UNMC.
\n

Over the past 35 years, Dr. Tape has been instrumental in building the general internal medicine division into a powerhouse as well as creating a program for hospitalists, an area that has exploded over the past two decades.
\n

By the fall of 2020 when hospital medicine was split off as a separate division, the general internal medicine division included more than 100 faculty members — 10 times the number of faculty as when Dr. Tape began. The general internal medicine division is celebrating its 50th anniversary this year, and Dr. Tape has compiled an in-depth history on the division.
\n

The accolades roll in for Dr. Tape. They include: “selfless servant” . . . “a gift to the internal medicine department” . . . “an amazing mentor” . . . “an extraordinary leader” . . . “someone who always puts UNMC first.”
\n

When he retires, Dr. Tape will assume a professor emeritus appointment and will continue to periodically teach medical classes in how to interview patients and in health care policy.
\n

One of the leading experts at UNMC on health care policies, such as the Affordable Care Act (ACA), Dr. Tape gained his expertise primarily through his longtime association with the American College of Physicians (ACP). With 161,000 members, the ACP is the largest medical-specialty organization in the United States.
\n

It all started with a phone call one evening in 2006 when Dr. Tape was walking his Newfoundland dog. The call was from Laurel Preheim, MD, who was a past governor in the ACP. Dr. Preheim encouraged Dr. Tape to run for governor of the Nebraska chapter
\n

See more information about Dr. Tape’s career<\/a><\/b><\/p>\n

\n

Retirement reception<\/h3>\n

A retirement reception is planned for Dr. Tape on Aug. 24, from 3-5 p.m., in the Olson Atrium on the fourth floor of the Wigton Heritage Center.<\/p>\n<\/div>\n

“Everything I learned about health care policy, I learned from ACP,” Dr. Tape said. “It created a career within a career.”
\n

Dr. Tape served as governor of the Nebraska chapter (2008-2012). He was encouraged by John Benson, MD, a UNMC professor who was an icon in internal medicine, to seek national leadership positions within ACP.
\n
\n
\n
\n

\n\"picture
\n<\/TD>
\n<\/TR>
\n

\nTom Tape, MD<\/span>
\n<\/TD>
\n<\/TR>
\n<\/TABLE>

“I told Dr. Benson, ‘You’ve got to be kidding me. That would mean I’d be running to lead 85 other governors.'”
\n

Dr. Benson knew best. Dr. Tape was elected chair of the ACP Board of Governors (2012-13) and chair of the ACP Board of Regents (2016-2017).
\n

“Health care should be non-partisan — what’s best for the public,” Dr. Tape said. “We’re the only industrialized nation that doesn’t treat health care as a right. Most people don’t know what’s in the ACA — it has become a political hot potato. But, they love some of the elements in the ACA, such as coverage for preexisting conditions and children being able to stay on their parents’ policy until age 26.”
\n

Learn more about general internal medicine at UNMC<\/a><\/b>

At age 65, Dr. Tape said the time was right to retire. “I like to use the example of the opera singer Beverly Sills. She said the best time to retire is when you’re at the top of your game. You don’t want to hang on after you start going downhill.
\n

“But, more than that, there’s a three-year-old granddaughter in Minneapolis who is calling to us. With the pandemic, it had been a year between visits. That’s way too long.”
\n

Dr. Tape and Elizabeth, his wife of 38 years, are planning to move to Minneapolis. Both their two sons, Sam and Ben, live there along with that granddaughter, Emilia, and a daughter-in-law, Jess. A second grandchild is expected in November.
\n

Beverly Sills would totally understand.<\/p>\n vyC oLRwbkSoKDdkLbk xktvgDwBCz<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"

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