Archive for August, 2012

Looking forward – August 2012

ACS Executive Director David B. Hoyt, MD, FACS

Members of Dr. Cole's FRSS on sand dunes in Morocco

From battlefield to bedside—and back again

On April 4, James Cole, DO, FACS, boarded a commercial plane in Chicago, IL, for the 36-hour journey to the Far Western Desert, Morocco, an expanse of the Sahara in the southeastern part of the country.

Advanced degrees for surgeons and their impact on leadership

Inadequate leadership education and preparation in the curricula of most U.S. medical schools and residency programs has contributed to this shift. Success in academic medicine requires scientific and clinical aptitude.

Surgeons from around the globe and at all levels work together and have an exchange in surgical education. Haitian attending surgeon Dr. Marie May Louisfils (center) repairs the cleft lip of a young boy while surgery residents from Canada and Haiti, a Cuban nurse anesthetist, and an American global surgery fellow learn and assist. (Haiti map courtesey of the United Nations.)

Training global surgery fellows

Access to surgical care is a necessary public health provision and, in many people’s opinion, a basic human right. While access to medical care in resource-poor countries has increased with the global health movement, surgical care has largely been neglected.

Surgery at the end of life: For love or money?

A total of 18 percent of Medicare beneficiaries undergo a major operation in the last four weeks before their death. The discussion regarding risks and benefits of operative interventions in an end-of-life situation can be emotionally charged and ethically complex.

Dr. Turner

Surgical leadership across generations

Over the last decade, a transformation has occurred in surgery. With rapid technological advances, changes in reimbursement, and modifications to resident training programs, strong leadership is needed to ensure future success.

Dr. Anderson

Women leaders in surgery: Past, present, and future

Over the past 25 years the proportion of women entering medical school has increased dramatically, such that nearly half of today’s graduating medical students are women. Several notable women surgeons have, despite many barriers, achieved the highest levels of leadership in surgery—Olga Jonasson, MD, FACS; Kathryn Anderson, MD, FACS; and Patricia Numann, MD, FACS.

From the Chair of the RAS-ACS: Leadership skills continue to serve past RAS-ACS Chairs in their current roles

Surgeons lead in many different ways. Surgeons lead in the operating room (OR), heading a team of practitioners caring for a single patient who has put his or her well-being in their hands. Surgeons lead on rounds, heading a clinical team responsible for the day-to-day progress of a patient’s surgical care.

Surgical leadership and political advocacy

Most surgeons seek to directly assist our patients through the course of their illnesses, paying little attention to the political environment or health care policy. However, over the last decade, it has become increasingly apparent that the independent patient-surgeon relationship is slowly vanishing.

Table 1: Overview of the eRx incentives and penalties for 2012 through 2014

Participating in the Medicare eRx Incentive Program

The deadline to file for a hardship exemption from the 2013 eRx Incentive Program has passed, and by now surgeons should be thinking about the requirements for the next few years. Eligible professionals who successfully e-prescribe in 2012 can qualify for an incentive payment of 1 percent.

What’s new in renal cell carcinoma

Over the past decade, significant changes have occurred in the presentation, understanding, and treatment of renal cell carcinoma. New technology has provided the opportunity to change the surgical management of renal cancers.

SafeCare offers quality framework in resource-restricted settings

Surgeons are aware of the gap between the care patients in resource-restricted countries receive and the ideal standard of care. To help providers deliver safe care to their patients—regardless of available resources—the new SafeCare Foundation is offering surgeons and other health care professionals a comprehensive system that can be used to improve outcomes.

Hospital discharge status

Surf’s up

Throughout the year, we will be highlighting data through brief reports in the Bulletin. This issue of the Bulletin is examining the occurrence of surfing injuries in the National Trauma Data Bank® (NTDB).

State Leadership Advocacy Conference attendees. Front row: Susan Lee, MD, FACS; Manmeet Malik, MD; and Marcie Leeds, MD. Second row: Ms. Macias; James Hinsdale, MD, FACS; Paula Hammer; Ms. Starkey; Karen Rieger, MD, FACS; William Nowlin, MD, FACS; and Dr. Masiakos. Back row: Chris Tasik; Dr. Schwarz; Dr. Guillamondegui; Dr. McAneny; Kimberly Lieber, MD, FACS; Kristin Poppalardo; Charlotte Grill; and Jon Sutton.

From surgeon to grassroots advocate: Chapter leaders engage in advocacy development

ACS presented the State Leadership Advocacy Conference in April at the College’s headquarters in Chicago, IL. Attendees had the opportunity to network, learn how to structure their chapter to maximize advocacy efforts, explore innovative ways to motivate chapter members, identify best practices for communicating with legislators, and consider programs on building effective legislative messages and coalitions.

Armstrong_John 04012011 038 copy

Dr. Armstrong named Florida Surgeon General, Secretary of Health

John H. Armstrong, MD, FACS, a member of the ACS Board of Governors and past Chair of the American College of Surgeons Professional Association’s political action committee assumed the role of Florida Surgeon General and Secretary of the Florida Department of Health on May 23.

Surgical quality forum focuses on how QI can help curb health care costs

ACS hosted a Surgical Health Care Quality Forum in Boston, MA, on June 4, with health care policy and clinical experts discussing how quality surgical care leads to better patient and financial outcomes. The ACS Surgical Health Care Quality Forum Boston is part of the College’s Inspiring Quality initiative.

Forum participants, left to right: Drs. Slavin, Gawande, Warshaw, Altman, Zinner, Finlayson, and Hutter.

HPRI representatives visit Lord Ribeiro at U.K.’s House of Lords

Erin P. Fraher, PhD, MPP, and Thomas C. Ricketts III, PhD, MPH, of the American College of Surgeons (ACS) Health Policy Research Institute (HPRI), were guests of Sir Bernard F. Ribeiro, KtCBE, FACS(Hon), FRCSEng, FRCPEng, May 22–23 at the United Kingdom’s House of Lords. Several doctoral students from the University of North Carolina (UNC), Chapel Hill, accompanied Drs. Fraher and Ricketts on the trip, where they witnessed firsthand the art of legislative compromise.

Dr. Bahnson

New leadership at the helm of ACSPA-SurgeonsPAC

Robert R. Bahnson, MD, FACS, First Vice-President of the American College of Surgeons, has been named the new Chair of the Board of Directors of the ACSPA-SurgeonsPAC (the American College of Surgeons Professional Association’s political action committee).

Murphy Memorial Building

Dr. W. Hardy Hendren III receives 2012 Jacobson Innovation Award

W. Hardy Hendren III, MD, FACS, FRCS (Ire, Eng, Glas[Hon]), a pediatric surgeon from Boston, MA, received the 2012 Jacobson Innovation Award of the American College of Surgeons (ACS) at a dinner in his honor on June 8 in Chicago, IL.

November 1 closing date for Faculty Research Fellowship applications

Thanks to the generosity of Fellows, Chapters, and friends of the College, the American College of Surgeons (ACS) is offering two-year faculty research fellowships, running from 2013 to 2015, to surgeons entering academic careers in general surgery or a surgical specialty. The fellowships offer assistance to surgeons seeking to establish new and independent research programs.

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