CREATE TABLE table_203_509 (id DECIMAL, "year" DECIMAL, "laetare medalist" TEXT, "position" TEXT)

who has won this medal and the nobel prize as well ?
SELECT "laetare medalist" FROM table_203_509 WHERE "position" = 'surgeon & nobel prize winner'
SELECT "laetare medalist" FROM "table_203_509" WHERE "position" = 'surgeon & nobel prize winner'