Archive for October, 2013

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Looking forward – October 2013

In Dr. Hoyt’s column this month he offers advice on how surgeons can plan a financially secure future for themselves and their families, particularly if should they find themselves with a disabling illness or injury.

SCORE

SCORE provides residents with Web-based curriculum for developing key competencies

This article describes the Surgical Council on Resident Education’s Web-based curriculum for surgical residents, which focuses on the six core competencies identified by the Accreditation Council for Graduate Medical Education. The author also provides information on the SCORE portal and its features.

Chapter lobby days forge ahead in state capitals

The goals of the ACS Chapter Lobby Day Grant Program and the advocacy activities of several chapters that received the grants are described in this article.

Progress or retrogress? Status of the 113th Congress

This overview of the first seven months of the 113th Congress provides updates on all of the College’s priority legislative issues including Medicare payment, trauma care, scope of practice, workforce issues, and medical liability.

Photo 1: Immersion training allows for the actual intervention at all levels of care. Here an actor is undergoing a cricothyroidotomy by the first responder.  (Anthony LaPorta)

Operating room crisis management leadership training: Guidance for surgical team education

This month’s cover story provides details on how the military medical services and other first responders are using a unique simulation model and other techniques to train personnel to lead in crisis situations. The article also explores the myths regarding performance improvement techniques that are frequently embedded in the culture of high-risk professions, often to their detriment, and suggests ways to address these challenges.

Surgical intensive care unit, Hue University of Medicine and Pharmacy

Surgeons lead educational program to improve kidney care in Vietnam

In this article, the authors describe how they used a scholarship from the Vietnam Education Foundation to develop an educational course designed to improve care and outcomes of patients with kidney disease. The evolution of this type of training program and its role in global health care also are presented.

Centennial reprint: The College’s ongoing commitment to the quality imperative

To help commemorate the ACS’ Centennial, the Bulletin is reprinting articles centered on the issues and developments that have defined the character of the organization and the surgical profession for the last 100 years. To close out this series, this month’s reprint from the March 2003 issue provides details on the College’s ongoing efforts to improve quality and patient safety.

The complexities of coding bilateral procedures

Coding for bilateral procedures is particularly challenging as the service is defined in various ways. This column addressed the complexities of coding these procedures and provides clinical case scenarios to clarify these guidelines.

Figure 1: Geography and population demographics of Canada

Rural surgery in “The Great White North”— universal care or universal challenge?

Access to timely, affordable, and quality surgical care is an ongoing challenge for Canadians, particularly those individuals living in rural communities. This column highlights several factors that affect the provision of rural surgical services in Canada, including training, certification and licensing issues, and challenges related to recruitment and retention.

MEAL flowchart

Does altering diet affect progression of prostate cancer? The MEAL study

Experimental consideration confirming or refuting the impact of diet on cancer progression or its ability to protect consumers against carcinogenesis is needed, according to the authors of this month’s column. The Men’s Eating and Living study, which will follow prostate cancer patients under expectant management, will provide important data on the actual, short-term impact of the adoption of a diet that increases vegetable intake and limits meat and dairy intake.

Finding new solutions to hand hygiene problems

To address the endemic challenge of hand-washing compliance, The Joint Commission Center for Transforming Healthcare developed the Targeted Solutions Tool which has demonstrated a 40 percent improvement in compliance by systematically addressing the entire improvement process.

Hospital discharge status

London Bridge is falling down

This column examines the occurrence of bridge collapse injuries in the National Trauma Data Bank research dataset for 2012.

ACS joins campaign to encourage use of surgical crisis checklists

To ensure that surgical teams are capable of effectively responding to emergency situations, the ACS, through its membership on the Council on Surgical and Perioperative Safety, is participating in a campaign to introduce and implement crisis checklists in the operating room and the perioperative arena.

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ACS NSQIP National Conference: Speakers promote professionalism, collaboration to achieve quality improvement

More than 1,000 individuals who work in hospital quality improvement programs participated in the ACS National Surgical Quality Improvement Program 2013 National Conference, July 13–16, at the Bayfront Hilton San Diego, CA. Attendees participated in a variety of sessions aimed at reducing surgical complications, applying quality improvement concepts to difficult surgical problems, and maximizing efficiency and resource use in health care.

New ACS NSQIP® Surgical Risk Calculator offers personalized estimates of surgical complications

According to a study that will appear in the Journal of the American College of Surgeons later this year, the new ACS National Surgical Quality Improvement Program Surgical Risk Calculator uses highly detailed and accurate data collected from nearly 400 hospitals and 1.4 million patients to develop a universal risk calculator that covers more than 1,500 unique surgical procedures across multiple specialties.

Dr. Morris

Dr. Arden Morris appointed to National Quality Forum Committee

The National Quality Forum (NQF) recently appointed Arden Morris, MD, MPH, FACS, colorectal surgeon and professor of surgery at the University of Michigan, Ann Arbor, to serve on the NQF Consensus Standards Approval Committee.

Mr. Niespodziewanski

ACS Convention and Meetings Director featured in magazine

ACS Convention and Meetings Director, Felix Niespodziewanski, appears on the cover of the July 2013 issue of the M & C, Meetings and Conventions magazine.

Issues discussed at the AMA House of Delegates meeting include definition of surgery, obesity

The annual meeting of the American Medical Association (AMA) House of Delegates took place June 15–19 in Chicago, IL. More than 550 delegates as well as alternate delegates converged on the Windy City to consider and adopt policy for the AMA.

Print

ACS and CoC join Choosing Wisely Campaign to identify overused procedures

The College and the ACS Commission on Cancer have joined more than 30 leading medical specialty societies in phase III of the Choosing Wisely campaign initiated by the American Board of Internal Medicine Foundation. The campaign is a response to a 2012 report from the Institute of Medicine, Best Care at Lower Cost, which noted that up to 30 percent of health care spending is duplicative or unnecessary.

Two ACS NSQIP® collaboratives receive AHA Davidson Quality Awards

The American Hospital Association (AHA) presented the Dick Davidson Quality Milestone Award, one of the AHA’s top national awards, to hospital collaboratives in Tennessee and Florida participating in the ACS National Surgical Quality Improvement Program.

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