Multi-Disiplinary Sessions

Monday, October 11, 2004

MD01—10:30 am-12:30 pm
Working Together in the Future: Interdisciplinary Surgical Teams
Moderator: Julie A. Freischlag, MD, FACS, Baltimore, MD
There is a growing need for interdisciplinary cooperation when surgeons are taking care of patients with complex clinical problems. This panel will focus on a systems approach to how such care can be delivered. It will also focus on the development and organization of interdisciplinary teams and how such teams should optimally function. The panel will present team building strategies used at Johns Hopkins to encourage different specialties to work efficiently in the perioperative environment. Specific examples will be discussed in the specialties of neurosurgery, cardiac surgery, general surgery and orthopaedic surgery.
Sponsored by the Advisory Councils for the Surgical Specialties

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MD02—3:30-5:00 pm
Facial Trauma: Assessment and Treatment
Moderator: Nelson H. Goldberg, MD, FACS, Baltimore, MD
Facial trauma assessment will be discussed from the first evaluation, through definitive soft tissue and bony repair and reconstruction. Initial evaluation, including physical examination and imaging techniques will include neurosurgical evaluation of the cranium and C-spine. Special topics will include discussion of periorbital injury, airway evaluation and stabilization, alveolar and mandibular injury, and principles of soft tissue and bone reconstruction.
Sponsored by the Advisory Councils for the Surgical Specialties

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Tuesday, October 12, 2004

MD03—8:30-10:00 am
Morbidly Obese Children and Young Adults
Moderator: Victor F. Garcia, MD, FACS, Cincinnati, OH
The panel of experts will discuss the major health risks associated with severe obesity in childhood and adolescents and which ones warrant aggressive weight loss. Guidelines for bariatric surgery in adolescents and the preferred operation will be discussed. What is known about adolescent compliance with medical regimens will be reviewed. Current recommendations for evaluation, nonoperative, and operative management will be emphasized through a discussion of comprehensive weight management strategies for adolescents.
Sponsored by the Advisory Councils for the Surgical Specialties

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Wednesday, October 13, 2004

MD04—8:00-10:00 am
Complications of Surgery: Getting out of Trouble in the Operating Room
Moderator: J. Patrick O'Leary, MD, FACS, New Orleans, LA
This panel will focus on unexpected problems encountered during general surgery operative procedures. Each operation is punctuated by its own individual set of consequences. Some of these may be startling. An elite panel of accomplished surgeons has been assembled to express their opinions and it is anticipated that a spirited dialogue will ensue. Certain circumstances will be presented by the moderator, but the audience is encouraged to participate by sharing their own experience to test the panel as to how they would react to real life intraoperative emergencies.
Sponsored by the Advisory Councils for the Surgical Specialties

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MD05—8:30-10:00 am
Abdominal and Pelvic Radiation: Late Management
Moderator: Leonard Zinman, MD, FACS, Burlington, MA
This multidisciplinary panel will address the methods of treatment of radiation-induced complications in patients treated for gynecologic, colorectal, urologic, and other abdominal and pelvic malignancies. Included in the discussion will be management of the early side effects and complications encountered, including radiation enteritis, proctitis, and cystitis. The use of preoperative radiation therapy and timing and safety of surgery, and the issue of anal sphincter dysfunction and resultant fecal incontinence will also be addressed.
Sponsored by the Advisory Councils for the Surgical Specialties

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MD06—1:00-2:30 pm
Management of Geriatric Patients
Moderator: K. Francis Lee, MD, MPH, FACS, Springfield, MA
This panel will focus on the management of geriatric patients in their terminal illnesses. The problems of advanced multisystem disease will be addressed, and decision making in these circumstances will be analyzed. Special consideration will be given to the provision of effective care and the role of surgical intervention, as well as to the role of the withdrawal or withholding of surgical care.
Sponsored by the Advisory Councils for the Surgical Specialties

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