Archive for January, 2021

David B. Hoyt, MD, FACS

Looking forward – January 2021

The College’s initiatives to address the challenges of 2020, including the coronavirus 2019 (COVID-19) pandemic and Medicare reimbursement cuts, as well as efforts to promote and ensure diversity, equity, and inclusion in all ACS-related activities, are summarized.

Presidential Address: Lessons for a rewarding career learned along the way to this podium

J. Wayne Meredith, MD, FACS, MCCM, underscored the importance of embracing diversity as a sustainable approach to moving the surgical profession forward in his Presidential Address at Clinical Congress 2020.

ACS Resident and Associate Society: Diversity, equity, and inclusion in surgical patient care

The theme for this year’s RAS-ACS issue is Diversity, Equity, and Inclusion in Surgery.

Introduction: Diversity, equity, and inclusion: The House of Surgery needs work

This introduction to the annual RAS-ACS issue provides an overview of the benefits and challenges associated with developing processes and policies that support diversity, equity, and inclusion.

Diversity, equity, and inclusion: Leveling the playing field for surgical patients

Describes how the College can play a leadership role in reducing surgical care inequities to surgical care and identifies how the RAS-ACS Fellows are uniquely positioned to advocate for health care parity for underserved populations.

Glass ceilings and sticky floors: Examining diversity and inclusion in the surgical workforce

Identifies historical milestones in achieving a level of diversity in health care and summarizes areas requiring additional work, specifically the attitudes regarding gender equity and sexual orientation in the surgical workforce.

Mirror, mirror: How current societal issues reflect changes arising in surgery

HIGHLIGHTS Compares the challenges facing LGBTQ+ individuals, minorities, and women in surgery with emerging societal issues Describes lessons learned in other industries that could be used to improve diversity and equity in the surgical workforce Highlights the importance of intersectionality At one time, # meant “number” or was called the pound sign. Since the advent […]

Shoring up the pipeline: Increasing diversity in surgery by enhancing equity and inclusion in the surgical learning environment

HIGHLIGHTS Describes the importance of increasing diversity in surgery at the key phases of surgical training: recruitment, retention, and promotion Identifies how mentorship and sponsorship enhance equitable recruitment of surgeons Explores how policies that address both traditional and nontraditional family structures increase surgeon diversity and retention Summarizes how diverse role models help maintain an inclusive […]

Increasing membership diversity in surgical societies through intentional inclusion

HIGHLIGHTS Describes disparities facing URiMs in surgery and outlines solutions to increase diversity within surgical societies Summarizes how fostering inclusion in the surgical profession is important for both moral and practical reasons, including improved access to care and enhanced patient-provider communication Outlines how professional societies with inclusive policies demonstrate increases in recruitment and retention of […]

Task force reports on how the ACS can confront racism in surgery

Editor’s note: Following is the report from the American College of Surgeons (ACS) Task Force on Racial Issues. In his Presidential Address, J. Wayne Meredith, MD, FACS, MCCM, Chair of the task force and ACS President, summarizes the process the workgroup used to develop its recommendations, which included weekly Zoom meetings in June−September 2020. The […]

Teaching trainees how to write: Surgical resident opioid prescribing and perioperative pain management

HIGHLIGHTS Describes the role of residents in managing the opioid epidemic Outlines interventions, including education, to empower residents to make smart prescribing decisions Identifies the need for management of buprenorphine in the postoperative setting Opioid use disorder is rampant across the U.S. and has become a leading cause of injury-related death in the nation. In […]

A decade of bridging nationalities and surgical specialties: The RAS-ACS International Exchange Program

HIGHLIGHTS Outlines the aim of the RAS-ACS International Exchange Program Summarizes the findings of a recent RAS-ACS survey Describes three components for providing a high-value international exchange program Since 2011, the American College of Surgeons (ACS) has partnered with surgical societies around the world to foster connections among early-career surgeons. This article describes the College’s Resident […]

2021 CPT coding changes affect payment for E/M and other services

Numerous changes in American Medical Association (AMA) Current Procedural Terminology (CPT)* coding will be implemented in 2021. This article describes coding changes that are relevant to general surgery and its related specialties. Office and other outpatient E/M services For the first time in nearly 30 years, the office and other outpatient evaluation and management (E/M) […]

RAS-ACS Communications Committee Essay Contest: Artificial intelligence in surgery: A call to action

Tyler J. Loftus, MD, the 2020 RAS Communications Committee essay winner, describes the role of artificial intelligence in surgery.

STOP THE BLEED®: A model for surgeon leaders looking to initiate a new program

Surgeons are experienced, take-charge problem solvers who are dedicated to improving the lives of the patients they serve. Leaders of the American College of Surgeons (ACS), such as members of the Board of Regents, Board of Governors, Advisory Councils, and various committees, achieve their stature within the organization by consistently identifying health care issues that […]

Clinical Congress 2020 highlights

More than 30,000 health care professionals—nearly 16,000 of whom practice outside of the U.S. and Canada—registered to participate in the virtual Clinical Congress 2020 October 3−7. The American College of Surgeons (ACS) leadership decided to provide the virtual meeting at no cost given the financial impact the coronavirus 2019 (COVID-19) pandemic has had on surgical […]

2020 CoC operative standards: Where are we now?

An increasing body of evidence demonstrates that adherence to specific operative techniques during cancer surgery directly improves key patient outcomes, including survival and quality of life. The 2020 Commission on Cancer (CoC) accreditation standards, Optimal Resources for Cancer Care, includes six new operative standards. Standards 5.3 through 5.8 were developed from review of the critical […]

ACS Officers, Regents, and Board of Governors’ Executive Committee

The ACS Officers, Regents, and Board of Governors’ Executive Committee were elected at the Annual Business Meeting at Clinical Congress 2020.

ONLINE FIRST: 2021 Medicare physician fee schedule: How will it affect your practice?

Editor’s note: This article is being posted electronically with the January Bulletin so that surgeons will have access to the important information it provides regarding changes in Medicare payment that took effect this month. Because of delays in the release of the final rule on the updates, this information was unavailable when the print version […]

Pediatric surgeons and gastroenterologists collaborate with outpatient community services to streamline outpatient gastrostomy tube placement

Gastrostomy tube (G-tube) placement is often a crucial component in a medically complex child’s care and one of the more common procedures performed at children’s hospitals; however, approaches to patient counseling and postoperative management for this procedure varies. Families often agonize over the decision and worry about their ability to care for their child after […]


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