Archive for August, 2017

David B. Hoyt, MD, FACS

Looking forward – August 2017

The College’s and the ABS’ role in addressing concerns related to MOC requirements is the focus of this month’s column.

Medications

Surgeon stewardship of the opioid epidemic: An introduction

In this introduction to the annual RAS-ACS issue, the author describes the surgeon’s role in alleviating the opioid epidemic at the national, state, and local levels.

Medications

The general surgeon’s role in enhancing patient education about prescription opioids

The role of an interdisciplinary approach to minimize opioid use and enhance pain management, as well as the benefits of the Opioid Safety Initiative Toolkit, are described.

Medications

Postoperative opioid prescriptions: How surgeons can alleviate the opioid crisis

The Turn the Tide initiative is summarized as are alternative postoperative pain management strategies.

Medications

Surgeons and the opioid epidemic: Treatment and education strategies for the practicing surgeon

This article explains the effect of implicit biases on assessment and treatment of patient pain and describes how enhanced recovery after surgery protocols are used across  many specialties to reduce rates of opioid use.

Figure 1. CDS licensing and registration and medical education training requirements by state, as of June 21, 2017

Surgical leadership is required to reverse the opioid crisis

Describes how surgeons can help to reverse the opioid crisis through research and advocacy efforts and describes recent ACS efforts in this area.

Medications

Preoperative communication promotes opioid stewardship

Strategies for improving communication at the preoperative stage are summarized, and the role of informed consent in opioid stewardship is described.

Reframing Surgical Leadership

Reframing surgical leadership in 2017: Surgeon-scientist or surgeon-advocate?

The subject of this article—the benefits and challenges associated with the surgeon-scientist and the surgeon-advocate roles—will be debated at this year’s RAS-ACS Symposium at Clinical Congress 2017 in San Diego, CA.

ACS seal

Statement on Gender Salary Equity

The following Statement on Gender Salary Equity was developed by the ACS Women in Surgery Committee in partnership with the Association of Women Surgeons; it was approved by the ACS Board of Regents at its June 2017 meeting.

ACS seal

Statement on the Opioid Abuse Epidemic

The following Statement on the Opioid Abuse Epidemic was developed by the Division of Advocacy and Health Policy and the Division of Education Patient Education Committee;  it was approved by the ACS Board of Regents at its June 2017 meeting.

ACS seal

Revised Statement on the Development and Use of Proprietary Guidelines for Accountable Patient-Centered Care

The following Revised Statement on Proprietary Guidelines for Accountable Patient-Centered Care was developed by the Board of Governors’ Surgical Care Delivery Workgroup and approved by the ACS Board of Regents at its June 2017 meeting.

ACS seal

Revised Statement on the Rationale for Emergency Surgical Call

The following Revised Statement on the Rationale for Emergency Surgical Call was developed by the Board of Governors’ Surgical Care Delivery Workgroup and was approved by the ACS Board of Regents at its June 2017 meeting.

Health insurance audit processes, penalties, and appeals

The nine common Medicare and Medicaid audits that could affect surgeons are summarized.

Doctor with file

Unlisted procedures: Strategies for successful reimbursement

Reporting unlisted CPT codes, and fee-setting considerations for these codes, are the focus of this month’s column.

Figure 1. Mechanism of checkpoint blockade

Current role of immunotherapy in urologic cancers

The role of immunotherapy in the treatment of urologic cancers is summarized and the efficacy of novel immunotherapeutics, particularly checkpoint inhibitors, are described, which may hold promise for a wide variety of tumor types.

Surgeon Specific Registry (SSR)

Next generation SSR helps surgeons comply with regulatory mandates and improve performance

The Surgeon Specific Registry’s new features are described, including the opportunity for individual surgeons to fulfill clinical practice needs, such as logging cases, tracking outcomes, and analyzing data.

The Joint Commission

Improper sterilization and high-level disinfection of equipment challenges organizations

The causes and effects of substandard sterilization and disinfection, including lack of training and access to evidence-based guidelines, are described.

Figure 1. Hospital discharge status

“Gone viral”: Trauma and hepatitis C

This month’s column examines the occurrence of injured patients with a diagnosis of hepatitis C in the National Trauma Data Bank® (NTDB®) research dataset.

Letters-to-the-editor

Letters to the Editor

A letter regarding a recent article published in the Bulletin and the author’s response are featured.

Dr. Chuter (left) accepts his award from ACS President Courtney M. Townsend, Jr., MD, FACS

Dr. Timothy Chuter receives 2017 ACS Jacobson Innovation Award

The 2017 Jacobson Innovation Award honors the accomplishments of Timothy A.M. Chuter, MB, BS, DM, FACS, a general vascular surgeon known for his pioneering work in the development of microsurgery.

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