Archive for November, 2019

David B. Hoyt, MD, FACS

Looking forward – November 2019

This column focuses on lessoned learned from ACS delegation visits to Cuba, Israel, and Kosovo, and identifies the goals of the upcoming delegation trip to Morocco in March 2020.

Primary palliative care

Practicing primary palliative care: A call to action

The surgical patient populations with unmet palliative care needs are identified and the validity of training clinicians in providing this care, particularly as part of an interdisciplinary team, is described.

the RTTDC

Longitudinal experience with the RTTDC: Improving outcomes through collaboration

The challenges rural trauma centers face, including practice variability, tertiary care referral, and staffing shortages, are summarized as is the evolution of the RTTDC, including evidence-based research that underscores the effectiveness of the program.

Stop the Bleed

Stopping the bleed in Texas: The importance of surgeons and health care professionals as advocates

The steps taken by the North and South Texas Chapters to achieve passage of hemorrhage control legislation that supports bleeding control kits in public schools are identified.

State legislatures consider surprise billing legislation in 2019

State legislatures consider surprise billing legislation in 2019

A status update of state-level surprise billing legislation in 2019.

Commission on Cancer

The CoC: Ensuring quality cancer care and a commitment to advocacy for cancer research and prevention

The development of the CoC and its focus on improving cancer patient care is described, as are the state-level and federal legislative CoC advocacy efforts.

RAS-ACS Symposium essays: Shift work surgery: Loss of continuity or sensible balance of responsibility?

RAS-ACS Symposium essays: Shift work surgery: Loss of continuity or sensible balance of responsibility?

The topic of this year’s ACS Resident and Associate Society Symposium is Shift Work Surgery: Loss of Continuity or Sensible Balance of Responsibility; the following are the second-place essays submitted, offering views from both sides of the debate.

RAS-ACS Symposium essays: Shift work surgery: Loss of continuity or sensible balance of responsibility?

Pro: Shift work surgery: Loss of continuity or sensible balance of responsibility?

This essay supports the perspective that shift work has been successfully implemented in other surgical specialties, including acute care and in hospitalist programs, and can help address the issues of burnout and work-life integration.

RAS-ACS Symposium essays: Shift work surgery: Loss of continuity or sensible balance of responsibility?

Con: Shift work surgery: Loss of continuity or sensible balance of responsibility?

This essay asserts that shift work disrupts the continuum of surgical patient care and interferes with residents’ full exposure to all phases of surgical care delivery.

Coding and Practice Management

ACS responds to frequently asked questions about CPT coding

This column responds to some frequently asked Current Procedural Terminology coding questions posed to the ACS Coding Hotline.

NSQIP Case Studies

New protocol leads to improved trauma decannulation rate

This column outlines the results of a new tracheostomy decannulation protocol and lessons learned in developing the quality initiative at Christiana Hospital, Newark, DE.

From Residency to Retirement

Moving the mark on harassment in surgical training

The importance of upholding standards of conduct and the role surgical trainees can play in promoting a positive, equitable learning environment on explored.

ACS CRP

Could axillary reverse mapping be useful in reducing surgical comorbidities?

A summary of some of the research that evaluates the role of axillary reverse mapping in cancer patients.

Undated portrait of Dr. Evans (courtesy of Legacy Center: Archives & Special Collections, College of Medicine, Drexel University, Philadelphia, PA)

Matilda Arabella Evans, MD: Resolute, resilient, resourceful

Matilda Evans, MD—the first African-American woman surgeon licensed to practice medicine in South Carolina—is the focus of this month’s column.

Figure 1. Opioid prescription trends

JAMA Surgery “Viewpoint” misrepresents Joint Commission’s role in the opioid epidemic

This month’s column is a response to a “Viewpoint” published in JAMA Surgery that erroneously describes The Joint Commission’s role in the opioid epidemic.

Figure 1. Hospital Discharge Status

Trauma at Thanksgiving

This month’s column examines National Trauma Data Bank® records on the occurrence of injuries sustained during the 24 hours of Thanksgiving Day 2017.

Dateline DC

Dateline DC: ACS advises policymakers on problematic CMS proposed rule on E/M global codes

The ACS opposes the CMS proposal to adopt new E/M codes and to increase the values of most of the new standalone office/outpatient E/M codes.

Valerie W. Rusch, MD, FACS

Valerie W. Rusch, MD, FACS, installed as 2019–2020 ACS President

Valerie W. Rusch, MD, FACS, was installed as ACS President and John A. Weigelt, MD, DVM, FACS, and F. Dean Griffen, MD, FACS, were installed as First and Second Vice-President, respectively, at Clinical Congress 2019, San Francisco, CA.

Patricia J. Numann, MD, FACS

Patricia J. Numann, MD, FACS, receives ACS Lifetime Achievement Award

Patricia J. Numann, MD, FACS, received the ACS Lifetime Achievement Award at Clinical Congress 2019, San Francisco, CA.

Norman M. Rich, MD, FACS, DMCC, MC

Colonel Norman M. Rich, MD, FACS, receives inaugural Distinguished Military Lifetime Achievement Award

The inaugural recipient of the ACS Distinguished Military Lifetime Achievement Award is retired U.S. Army Colonel Norman M. Rich, MD, FACS, DMCC, MC.

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