Archive for April, 2021

David B. Hoyt, MD, FACS

Looking forward – April 2021

The last year has been mentally, physically, and emotionally exhausting for health care professionals, particularly those individuals on the front lines of providing care to coronavirus 2019 (COVID-19) patients and those who have had to postpone operations for patients needing nonurgent care. Add to that situation constant threats of payment cuts, hospital and private practice […]

Letters to the Editor

The following comments were received regarding the business of health care and the importance of maintaining appropriate surgical training, particularly during the pandemic.

Surgeons wield influence on social media

HIGHLIGHTS Describes the role and evolution of general surgery social media influencers Summarizes the benefits and challenges of virtual conferences Examines the activity of trainees and programs participating in the 2020–2021 general surgery match cycle Identifies strategies for developing a social media presence Social media, particularly Twitter and Instagram, has played an increasingly prominent role […]

Adopting telemedicine in surgical care: What you need to know

HIGHLIGHTS Discusses logistics for implementing telemedicine for pre- and postoperative patient visits Describes institutional and user-related factors that may impede telemedicine adoption Summarizes opportunities for innovation in patient care, communication, and education Outlines reimbursement and regulatory considerations for expanded use of telehealth Telemedicine is a rapidly accelerating new avenue for delivering health care services. Although […]

Today’s surgeon compensation models fall short: Aligning incentives to create more equitable and value-based compensation models

HIGHLIGHTS Summarizes the evolution of physician reimbursement models and the transition to value-based care Describes the continuum of surgeon compensation, ranging from fixed pay to exclusively volume-based plans Outlines how nonclinical activities create value for current and future patients Describes a better compensation model, one that incorporates value creation as a guiding principle Identifies the […]

The rise and fall of gender identity clinics in the 1960s and 1970s

Editor’s note: This article is based on the second-place poster in the American College of Surgeons History of Surgery poster contest at the virtual Clinical Congress 2020. The authors note that as the field of medicine and society have evolved to better understand the experiences of transgender individuals, terminology has changed significantly. The authors have […]

Federal surprise billing legislation becomes law

HIGHLIGHTS Describes congressional committees’ perspectives on surprise medical billing Summarizes the bipartisan, bicameral agreement on the No Surprises Act Outlines patient protections under the No Surprises Act Provides an overview of payment dispute resolution processes For two years, from the end of 2018 through the end of 2020, congressional leaders explored different policy solutions to […]

2020 ACS Governors survey: Evolving surgical practice trends and needs

Editor’s note: The American College of Surgeons (ACS) Board of Governors (B/G) conducts an annual survey of its domestic and international members. The purpose of the survey is to provide a means of communicating the concerns of the Governors to the College leadership. The 2020 ACS Governors Survey, conducted in June and July 2020 by […]

Profiles in ACS leadership: A few questions for Ronald J. Weigel, MD, PhD, MBA, FACS

Editor’s note: The Bulletin of the American College of Surgeons is launching a new series of articles profiling leaders of the College. This feature will be published monthly. The questions are intended to give readers a look at the person behind the surgical mask and to inspire other members of the College to consider taking […]

Reducing returns to the operating room

Technology has continued to drive advances in surgery toward more minimally invasive, cost-conscious, patient-centric procedures. At the same time, the battle to prevent surgical complications has taken center stage as a means to improve patient outcomes and reduce overall health care costs for both patients and hospitals. Complications and their associated costs after surgical intervention […]

Neoadjuvant immunotherapy: Results in melanoma show promise and pave the way for other solid tumors

It is astonishing to consider that it was only 10 years ago that the first immune checkpoint blockade inhibitor garnered Food and Drug Administration approval. Modern immunotherapy began as single-agent therapy in patients with widely metastatic disease in just a few types of cancer, whereas today, hundreds of different agents targeting various aspects of the […]

Where there’s smoke: Quick Safety article recommends safety precautions

Identifies precautionary measures related to the removal of surgical smoke, including engineering controls, smoke evacuators, and high-filtration masks.

Showing up: The education, pain, and progress of a pediatric surgeon in East Africa

Practicing medicine in a low- and middle-income country (LMIC) is a challenge—for everyone. Everything from human capital to clean water is in short supply relative to the massive demand. Access to care is low, complication rates high, and mortality rates tragic. Physicians are stretched thin and asked by flawed and underdeveloped systems to practice medicine […]

Dateline DC

Dateline DC: The American Rescue Plan signed into law

Describes the public health provisions outlined in the American Rescue Plan, including COVID-19 vaccine distribution and expanded Medicare and Medicaid coverage.

2021 Virtual Leadership & Advocacy Summit offers opportunities for surgeon leaders and advocates

The American College of Surgeons (ACS) will host the Leadership & Advocacy Summit, May 15–17, 2021. The summit is a dual meeting offering comprehensive and specialized sessions that provide ACS members, leaders, and advocates with the skills and tools necessary to be effective in these roles. The summit will take place virtually this year, enabling […]

Your ACS benefits: ACS program focuses on surgeon well-being

With 52 percent of surgeons reporting burnout, the American College of Surgeons (ACS) is committed to fostering well-being, resilience, and work-life integration for surgeons at every career stage. Through education, resources, tools, and advocacy, the ACS fosters and encourages surgeons’ health and well-being to ensure they have the physical and mental strength necessary to support […]

Faculty Research Fellows for 2021–2023 announced

The American College of Surgeons (ACS) has awarded four Faculty Research Fellowships for 2021–2023. The fellowship is to assist a surgeon in the establishment of their research program under mentorship with the goal of transitioning to becoming an independent investigator. Each fellowship award is $40,000 per year for each of two years and is supported […]

ACS awards six Resident Research Scholarships for 2021–2023

Dr. Smith

New GSV Implementation Course module explores function and mobility

The American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) Implementation Course is a unique, comprehensive resource available to all hospitals participating in the GSV Program and is intended to guide hospitals through the implementation process as they prepare for verification. The course is unique to the GSV program, not only as a comprehensive resource […]

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