Friday, May 20th, 2005
When Jeff Olson was in high school and thought about becoming a doctor, he did not have brain surgery in mind. "Even as an undergrad I imagined myself as a physician, like a family doctor;; as it was what I was familiar with," he said. Along the way, Olson's career path took a turn down the arcane streets of neurosurgery. But Olson is not simply a brain surgeon. He is in the field of surgical neurooncology - the surgical therapy of brain tumors.
This specialized field is a mix of research and applied science. Olson recalls in high school experiencing the satisfaction of understanding how abstract concepts apply to the real world in Kenneth Swenson's algebra II and calculus classes. "He didn't make it fearsome at all," said Olson. "He made the application of math in the sciences easy to understand."
Looking back on school, Olson has a hard time naming a single teacher or experience in school that may have influenced his career. Rather, he experienced the cumulative effect of many good teachers. "I had excellent teachers from the beginning, even in elementary school, who had a knack for making you understand," he said.
Anyone looking to work in a highly specialized field needs help from people who already work in that field. Classes on brain anatomy did little to spark Olson's interest in the brain surgery, he said. It wasn't until his third year of medical school when he was invited by a neurosurgeon at
Hennepin County Medical Center to spend time at the hospital that he took a serious interest in the brain. Watching the surgeon deal with gunshot wounds to the head or stroke victims suddenly put the science of operating on the brain into hard reality. "There's not a lot of people who do what I do," said Olson. "So you need someone who makes it clear to you how great this work can be."
After medical school at the University of Minnesota, he started his residency - doctors' form of on-the-job training - at the University of Iowa.
Because neurosurgery is a small cadre of doctors nationwide, many neurosurgical residents conduct research in addition to surgical training so as to help improve the field. An opportunity to work in cancer research opened up yet more avenues to Olson. At that time, in the mid-1980s, the hormone drug RU-486 was first introduced in the U.S., and it later made national headlines in the abortion debate as the "morning-after pill." The University of Iowa was interested in the drug as a potential cancer treatment. Under strict oversight from the Food and Drug
Administration, Olson was one of the researchers who showed that the drug inhibited tumor growth in mice. In human tests, the drug proved to be unusable for this purpose because of serious side effects, but that information has guided development of other hormone therapies for cancer treatment.
After his six-year residency, he did a three-year stint working on the issue of radiation protection with the National Institutes of Health in
Washington, D.C. "We can cure most brain tumors with radiation, unfortunately, the level of radiation required is lethal to the patient," he said. From there, Emory University was looking for a specialist who could also lead their brain tumor research effort. This combination suited
Olson very well and he has been there since 1990.
Becoming a doctor, much less a specialist, takes a long time and a lot of work, said Olson. Before embarking on that path, Olson recommends young people considering medicine connect with someone, a physician or researcher, who can show them the ropes. As co-director of the
Emory Brain Tumor Program, Olson is involved in hiring doctors and residents. "At this level, every applicant has straight-As, so applicants have to set themselves apart," he said. "Things like volunteer work at a free medical clinic, or conduct of research with a university show evidence of additional talents. As an example, we have had candidates that, in addition to demonstrating outstanding academic credentials, did special projects, such as raising money to assist in a vaccination program in the inner city - in other words we are interested in something that will make us take a second look."
He added, "Careers in medicine, neurosurgery, and research are the sorts of activities that have to be sought out. In entering these fields you will probably be told 'no' a lot, but eventually you will find someone as mentor and role model who, when you explain that you are earnest, will help you."