The Clinical Congress offers a wide variety of postgraduate courses from which to choose. This year, select from 22 skills-oriented (designated by SC) and 19 didactic (designated by PG) courses. Descriptions of each course follow.

Sunday, October 10

Monday, October 11

Tuesday, October 12

Wednesday, October 13

Thursday, October 14

SC01 4 hours
Breast Imaging for the General Surgeon
Chair: Edward J. Donahue, MD, FACS, Phoenix, AZ
Sunday, October 10, 8:00 am–12:30 pm
Fee: $250

This course is designed to provide the practicing surgeon with increased imaging skills in the analysis of both mammographic and breast sonographic images. Emphasis will be placed on correlating normal breast anatomy to both mammographic and sonographic images. The pathology of breast disease will be highlighted by analyzing sonographic and mammographic images and correlating the pathophysiologic findings presented to the image seen.

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SC02 6 hours
Surgical Education: Principles and Practice
Co-Chairs: Mary Maniscalco-Theberge, MD, FACS, Washington, DC, Col. Michael R. Marohn, DO, FACS, Baltimore, MD
Sunday, October 10, 8:30 am–12:30 pm and 2:00–5:00 pm
Fee: $300

The objective of this course is to enhance the teaching skills of surgeons active in student and/or resident teaching. The principles of adult learning, needs assessment, questioning and feedback skills, and performance evaluation will be reviewed. In addition, participants will develop a thorough understanding of the practical applications of these principles, both in and out of the operating room.

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SC03 5 hours
Vascular Ultrasound
Chair: David C. Han, MD, FACS, Hershey, PA
Sunday, October 10, 12:00 noon–5:30 pm
Fee: $800

(Due to limited seating and workshop capacity, early registration is encouraged.)

Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:

The objective of this course is to provide the practicing surgeon and surgical resident with core education and training in the indications, techniques, advantages, and limitations of ultrasound examinations in the diagnosis and treatment of patients with vascular diseases. Emphasis is given to those procedures that require some surgeon participation in image acquisition, such as intraoperative ultrasound. The surgeon should be able to obtain optimal images to improve therapy and direct treatment in the operative setting.

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SC04 4 hours
Advanced Stereotactic Breast Biopsy
Chair: Richard E. Fine, MD, FACS, Marietta, GA
Sunday, October 10, 1:00–5:30 pm
Fee: $300

This course has been designed to provide those surgeons already using stereotactic breast biopsy with the requisite number of CME hours required for the stereotactic recredentialing process. Topics will be discussed didactically and in interactive case presentation format. This four-hour course will stress practical solutions to targeting dilemmas, in-depth mammographic lesion analysis, mammographic/pathologic correlation, and image-guided intervention—the rationale for stereotactic versus ultrasound-guided biopsy.

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SC05 4 hours
Ultrasound Instructors Course
Chair: Reid B. Adams, MD, FACS, Marietta, GA
Co-Chair: Col. Michael R. Marohn, DO, FACS, Baltimore, MD
Monday, October 11, 8:00 am–12:00 noon
Fee: $100

Prerequisite: Approval by the National Ultrasound Faculty Vice-Chair for Education; application required. E-mail Kathy Johnson at kjohnson@facs.org for additional information.

The course is designed to provide the experienced surgeon sonographer with the skills necessary to teach ultrasound to surgical residents at the local level and to practicing surgeons at the national level.

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SC06 8 hours
Stereotactic Breast Biopsy
Chair: Arthur G. Lerner, MD, FACS, White Plains, NY
Monday, October 11, 8:00 am–12:00 noon and 1:00–5:15 pm
Fee: $800

(Due to limited seating and workshop capacity, early registration is encouraged.)

The objective of this course is to introduce the surgeon to the principles and practice of stereotactic biopsy as a minimal access means of obtaining tissue samples for diagnosing indeterminate or suspicious mammographic lesions. An overview of radiation safety issues as related to stereotaxis, as well as the technical efficacy and cost analysis of stereotactic versus other alternatives, will be presented. It is highly recommended that the skills-oriented postgraduate course Breast Imaging for the General Surgeon be taken prior to this course.

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SC07 7 hours
Head and Neck Ultrasound
Chair: Robert A. Sofferman, MD, FACS, Burlington, VT
Monday, October 11, 8:30 am–12:00 noon and 1:00–5:00 pm
Fee: $800

(Due to limited seating and workshop capacity, early registration is encouraged.)

Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:

The objective of this course is to provide the practicing surgeon with knowledge and practical skills in the application of diagnostic and interventional head and neck ultrasound. The program will consist of lectures and hands-on skill stations, using a variety of ultrasound equipment. Live model and phantom moulages will be used to develop skills in head and neck ultrasound imaging and ultrasound-guided head and neck biopsy.

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SC08 7 hours
Ultrasound in the Acute Setting
Chair: Mark G. McKenney, MD, FACS, Miami Beach, FL
Monday, October 11, 8:00 am–12:00 noon and 1:00–5:00 pm
Fee: $850

Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:

The objective of this course is to familiarize the participant with areas of ultrasound frequently used by general surgeons to evaluate patients with acute surgical problems. The participant will learn focused ultrasound examinations through individual hands-on experience and will acquire an understanding of the essentials of ultrasound technology and physics.

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SC09 7.5 hours
Bedside Procedures Workshop
Chair: George C. Velmahos, MD, FACS, Los Angeles, CA
Monday, October 11, 8:00–11:30 am and 1:00–5:30 pm
Fee: $850

The objective of this workshop is to teach surgeons how to perform three bedside procedures: percutaneous dilational tracheostomy, percutaneous endoscopic gastrostomy, and percutaneous vena caval filter placement. Bedside procedures have been shown to be safe, convenient, teachable, and cost-effective. Reimbursement rates are significant. Surgeons will be called on to perform these procedures with increasing frequency in the near future. Other specialists treating critically ill patients, such as medical intensivists, pulmonologists, cardiologists, and anesthesiologists, will compete with surgeons in this field. Surgeons should be adequately prepared to take an early lead in performing procedures by the bedside.

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SC10 (a or b–choose one) 3.5 hours
Computers in Surgery: Creating a Scientific Presentation
Chair: David A. Krusch, MD, FACS, Rochester, NY
Workshops (choice of one):
     (10a) Monday, October 11, 9:45 am–1:15 pm
     (10b) Monday, October 11, 2:00–5:30 pm
Fee: $375

The objective of this course is to provide the advanced computer user with instruction in creating a successful scientific presentation using PowerPoint, electronically manipulating still and moving images for presentation, improving presentation skills, and publishing the presentation on the Web. The course will focus primarily on advanced PowerPoint techniques and is designed to enhance the ability of the surgeon in the presentation and publication of scientific material in electronic format. As a prerequisite, participants should have knowledge of basic computer concepts and a familiarity with PowerPoint. This three and one-half hour course will be presented entirely in a workshop format and does not include a lecture component.

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SC11 6 hours
Foundations in CPT and ICD-9-CM Coding
Chair: Albert Bothe, Jr., MD, FACS, Chicago, IL
Monday, October 11, 9:45 am–12:45 pm and 2:00–5:30 pm
Fee: $350

This basic course will focus on introducing the attendee to CPT, ICD-9-CM and E&M coding principles. The attendee will use office and hospital notes to determine the appropriate components of the three required elements. At the conclusion of the course, participants will understand the differences between coding and reimbursement principles and how to navigate the diagnosis sections of ICD-9-CM and the AMA CPT Manual. They will be able to describe the key components for choosing CPT Evaluation and Management codes and to utilize diagnosis and CPT coding principles to ensure clean claim submission. Participants are required to bring their copy of Current Procedural Terminology (CPT) Coding, 2004 edition.

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SC12 6.5 hours
Computers in Surgery: Basic Course
Chair: David A. Krusch, MD, FACS, Rochester, NY
Lecture: Monday, October 11, 9:45 am–12:45 pm and
Workshop: Tuesday, October 12, 8:30 am–12:00 noon
Fee: $425

The objective of this course is to teach basic PC techniques to the beginning user. A lecture session, as well as a hands-on workshop, will provide the practicing surgeon with a practical working knowledge of current concepts. The course content will include an introduction to basic PC hardware and concepts, types and methods of Internet connectivity, remote access to clinical data, medical knowledge–based searching techniques, and medical resources available on the Internet. Upon successful completion of the course, participants should be able to choose appropriate personal computers and use the Internet to enhance professional productivity. Participants are required to attend the lecture and the workshop.

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SC17 5 hours lecture only; 12 hours entire course—SOLD OUT
Laparoscopic and Hand-assisted Laparoscopic Colon Resection
Chair: Deborah A. Nagle, MD, FACS, Philadelphia, PA
Lecture: Monday, October 11; 9:45 am–12:00 noon and 1:00–4:30 pm
Lab: Tuesday, October 12; 8:00 am–12:00 noon and 1:00–5:00 pm
Fee for lecture portion: TBA
Fee for entire course: TBA

(Due to limited seating and workshop capacity, early registration is encouraged.)

Course Sold Out. Wait listing is available by request. Please contact Stephanie Flynn by e-mail at sflynn@facs.org or by fax at 312-202-5003.

Prerequisite for entire course: Approval by course chair; application required. Please refer to information below.

The objective of this course is to increase participants' knowledge and skill in laparoscopic colon surgery and to support and practice the acquisition of more advanced laparoscopic skills, such as hand-assisted laparoscopic colon resection.

The course participant will:

• Review anatomy of the intestine as it relates to laparoscopic resection
• Learn hand-access laparoscopic techniques and understand how to use HAL as a bridge to more advanced laparoscopic skills
• Learn laparoscopic techniques for bowel mobilization and devascularization
• Learn laparoscopic techniques for extracorporeal and intracorporeal anastomoses
• Recognize and review surgical oncology principles as they apply to laparoscopic intestinal resection

Surgeons may register for the didactic portion of the course if they are interested in entry level laparoscopic skills.

Prerequisite for entire course: Approval by course chair; application required.

To participate in the entire course including the cadaveric portion, surgeons must complete an application and should have performed at least 100 laparoscopic operations, such as cholecystectomy, fundoplication, hernia, or appendectomy. E-mail Kathy Johnson at kjohnson@facs.org for additional information and an application.

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SC13 7.5 hours
Breast Ultrasound
Chair: Patrick W. Whitworth, MD, FACS, Nashville, TN
Co-Chair: Mark A. Gittleman, MD, FACS, Allentown, PA
Tuesday, October 12, 8:00 am–12:00 noon and 1:00–5:00 pm
Fee: $1,000

(Due to limited seating and workshop capacity, early registration is encouraged.)

Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:

The objective of this course is to introduce the practicing general surgeon to a focused module in diagnostic and interventional breast ultrasound. The program will consist of lectures and hands-on skill stations using a variety of ultrasound equipment. Live models and phantom breast moulages will be used to develop skills in breast ultrasound imaging and ultrasound-guided breast biopsy.

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SC14 12 hours
Abdominal Ultrasound: Transabdominal/Intraoperative/Laparoscopic
Chair: Maurice E. Arregui, MD, FACS, Indianapolis, IN
Co-Chair: Junji Machi, MD, PhD, FACS, Honolulu, HI
Tuesday, October 12, 8:00–10:00 am, 10:30 am–12:30 pm and 1:30–5:30 pm;
Wednesday, October 13, 8:00 am–12:30 pm
Fee: $1,500

(Due to limited seating and workshop capacity, early registration is encouraged.)

Prerequisite: Registrants must have completed a course in basic ultrasound in order to register for this course. Three options are available to meet the prerequisite:

The objective of this course is to provide the practicing surgeon and surgical resident with advanced education and training in abdominal ultrasound, including transabdominal, intraoperative, and laparoscopic ultrasound, as they are used in the diagnosis and treatment of abdominal diseases. This 1½-day course will consist of lectures and individual hands-on sessions. Human models, live animals, excised liver, and phantom moulages will be used to develop skills in abdominal ultrasound imaging and ultrasound-guided procedures. Endoscopic ultrasound and anorectal ultrasound will also be discussed.

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SC15 6 hours
Mastering Surgical Coding and Office-Based Coding
Chair: John T. Preskitt, MD, FACS, Dallas, TX
Tuesday, October 12; 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $350

This course will build upon and apply the coding principles discussed in the Foundations course (SC11) to surgical scenarios. These concepts will be expanded to include Medicare reimbursement rules and guidelines for surgical coding. Attendees will apply the skills learned to coding hands-on surgical case scenarios, including vascular access, coding for breast surgery and reconstruction, GI endoscopies, colon surgery, vascular cases, gallbladder, lesions, and wound repairs. At the conclusion of the course, participants will understand the AMA's definition of the surgical package, Medicare's definition of the Global Surgical Package and when to apply modifiers to surgical procedures and office encounters. They will also be able to identify the types of Explanation of Benefit (EOBs) that are important for the physician to review and to analyze physician profiles and identify profiles that may pose risk to the physician or practice. Participants are required to bring their copy of Current Procedural Terminology (CPT) Coding, 2004 edition.

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SC16 16 hours
Bariatric Surgery Primer
Chair: Henry Buchwald, MD, PhD, FACS, Minneapolis, MN
Associate Chair: Sayeed Ikramuddin, MD, FACS, Minneapolis, MN
Tuesday, October 12; 8:00 am–4:40 pm and 6:30–8:45 pm;
Wednesday, October 13, 8:00 am–5:30 pm
Fee: $850

This intense, two-day course will feature didactic presentations, panels, and live, interactive, closed-circuit televised sessions to provide a broad overview of bariatric surgery. Participants will be able to describe the epidemiology, etiology, and incidence of morbid obesity and outline the physiologic basis for bariatric surgery. Criteria for identification of appropriate surgical candidates will be outlined, and various bariatric surgical procedures, such as laparoscopic adjustable gastric banding, vertical banded gastroplasty, gastric bypass, and duodenal switch, will be presented. The pre-, intra-, and postoperative care associated with each procedure will be described, along with the possible postoperative complications and their appropriate management and prevention strategies. In addition, principles underlying a multidisciplinary approach to bariatric surgery and the consequences of post–bariatric weight loss will be discussed. Live, interactive, closed-circuit televised operations, primarily featuring laparoscopic techniques, will be performed by world-renowned surgeons. The course will also include presentations regarding insurance, billing, coding, and liability issues relating to bariatric surgery and the ethical perspectives on elective surgery for metabolic disease. A special evening presentation by an international expert and dinner are included as a part of the course.

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SC18 6.5 hours
The Basics of Handheld PDA Devices for Surgeons
Co-Chairs: Ronald B. Hirschl, MD, FACS, Ann Arbor, MI, and David A. Krusch, MD, FACS, Rochester, NY
Lecture: Tuesday, October 12, 1:30–5:00 pm
Workshop (Choice of one):
     (18a) Wednesday, October 13, 8:30 am–12:00 noon
     (18b) Wednesday, October 13, 1:30–5:00 pm
Fee: $425

This session will highlight the role of personal digital assistants (PDAs) and the use of interactive information for the surgeon's daily practice. The workshop sessions, designed for beginners who have never owned or used a PDA, will feature a hands-on demonstration of the use and function of PDAs. A PDA will be provided to participants. Participants are required to attend the lecture session and select one workshop session.

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SC19 5 hours — Revised 7/1/04
Mammogram Interpretation and Clinical Application for General Surgeons
Chair: Darius S. Francescatti, MD, FACS
Tuesday, October 12, 8:00 am–1:30 pm
Fee: $325

This one-day course will emphasize the acquisition of fundamental skills in viewing and analyzing the normal mammogram. Similarly, in a stepwise fashion, the characteristics of the abnormal mammogram will be delineated and categorized into abnormal patterns of calcifications, nodular densities, asymmetry, and architectural distortion. Pathologic image correlation of presented material will be stressed. The clinical correlation of the mammographic image and the selection of biopsy techniques will be included. Breast sonography, a vital component in the analysis of image-detected breast cancer, will be incorporated into clinical scenarios to more closely parallel and reflect the decision process faced by general surgeons in practice today. The important aspects of formulating clinical treatment plans based on mammographic and sonographic findings will be facilitated and reinforced by interactive case presentations between course participants and a panel of surgical experts in the field of breast surgery.

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SC20 7 hours
Lymphatic Mapping and the Significance of Sentinel Node Biopsy
Chair: Armando E. Giuliano, MD, FACS, Santa Monica, CA
Wednesday, October 13, 8:00 am–12:00 noon and 1:00–5:00 pm
Fee: $400

The objective of this course is to teach basic intellectual and practical aspects of sentinel lymph node dissection. Participants will learn about the use of sentinel node biopsy for melanoma and breast cancer. They will learn different techniques to perform the procedure and will understand the use of radioisotopes and lymphoscintigraphy. In addition, the histopathologic evaluation of sentinel nodes and the controversies surrounding special techniques will be discussed.

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SC21 7 hours
Advanced Breast Ultrasound
Chair: Richard E. Fine, MD, FACS, Marietta, GA
Wednesday, October 13, 8:00 am–5:30 pm
Fee: $800

Prerequisite: Approval by course chair; application required. E-mail Kathy Johnson at kjohnson@facs.org for additional information.

The didactic portion of this new course is designed to provide the physician currently using breast sonography in clinical practice with an advanced understanding of ultrasound to more effectively use this imaging modality. The practice incorporation of ultrasound guidance with innovative new devices for the diagnosis and treatment of breast cancer in both the office setting and the operating room will be stressed. Image to pathologic correlation and new pathologic diagnostic indications will be presented. The utilization of three-dimensional breast ultrasound in the evaluation of breast tumors will be discussed. At the conclusion of this part of the course, faculty, as a panel, will address questions relating to the topics discussed. Faculty will be available throughout the course to answer questions on an individual basis. The workshop session will focus on an in-depth understanding of improving the ultrasound image quality based on the ultrasound machine settings and tools. Practical understanding of the use of ultrasound with both established and new technology will be emphasized. Workstations will also highlight the use of three-dimensional sonography, cryoablation, cryo-assisted tissue sampling, vacuum-assisted devices for both treatment and diagnosis of breast lesions, and ultrasound-assisted placement of radiation catheter implants for localized brachytherapy following lumpectomy.

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SC41 6 hours
Health Care Leadership: An Adaptation of Aviation Team Training to Surgery
Co-Chairs: Jack Barker, PhD, Miami, FL, Donald W. Moorman, MD, FACS, Boston, MA
Wednesday, October 13, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $400

Approximately 25 years ago, mechanically sound aircraft were crashing because of crew errors. In order to reduce these errors, Crew Resource Management (CRM) training, which emphasizes leadership and teamwork skills, was initiated. The goal of this course is to introduce surgeons and other team members such as anesthesiologists and nurses to the techniques that will help the team reduce errors. Topics will include team functioning and leadership models; communication techniques; error science; mental models; preoperative and postoperative briefings; competence; and a just culture of accountability. The format is interactive, allowing individuals several opportunities for "hands-on" teamwork practice. A team training module from Beth Israel Deaconess Medical Center will be presented.

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PG40 7 hours
Charting a Sound Course for Surgical Practices: A Course in Practice Management for Surgeons by Surgeons
Chair: Charles D. Mabry, MD, FACS, Pine Bluff, AR
Co-Chair: Frank G. Opelka, MD, FACS, Boston, MA
Monday, October 11, 8:00 am–12:00 noon and 1:00–5:00 pm
Fee: $450

This educational seminar is designed for surgeons interested in improving the management and efficiency of their surgical practices. The course will include lectures as well as skills laboratories, in which participants will work with the instructors to solve real-life practice management problems.

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PG22 6 hours
Endocrine Surgery
Chair: Quan-Yang Duh, MD, FACS, San Francisco, CA
Monday, October 11, 9:45 am–12:45 pm and 2:00–5:30 pm
Fee: $300

The objective of this course is to provide a thorough summary and review of recent developments in the diagnosis and management of patients who need surgical therapy for thyroid, parathyroid, adrenal, and endocrine pancreas disorders.

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PG23 9 hours—CANCELED
SESAP 12 in Clinical Decision Making
Chair: John A. Weigelt, MD, FACS, Milwaukee, WI
Monday, October 11, 8:30 am–12:00 noon and 1:30–5:00 pm;
Tuesday, October 12, 8:30 am–12:00 noon
Fee: $475

Three sessions are planned in which a case-based approach will be used to illustrate the value of SESAP information for making clinical decisions. Panel moderators will present complicated cases to a panel of experts for review and discussion, concentrating on topics covered in SESAP 12. After each case discussion, the moderator will summarize the case and reference the pertinent questions in SESAP 12.

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PG24 6 hours
Diseases of the Liver, Biliary Tract, and Pancreas
Chair: Keith D. Lillemoe, MD, FACS, Indianapolis, IN
Monday, October 11, 9:45 am–12:45 pm; Tuesday, October 12, 8:30 am–12:00 noon
Fee: $400

This course will focus on the diagnosis and management of benign and malignant lesions of the pancreas. The objective of this course is to enable the participant to be up-to-date on the etiology, pathophysiology, diagnosis, and treatment, both surgical and nonsurgical, of patients with diseases of the pancreas. A number of innovative approaches, especially in diagnostics and therapeutics, as well as the evolution of surgical operations in this complicated area will be presented to the attendees. A multidisciplinary systems approach, including medicine, surgery, radiology, and other subspecialties, will be presented.

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PG25 6 hours
Vascular Surgery: Controversies in Vascular and Endovascular Surgery
Chair: Joseph L. Mills, MD, FACS, Tucson, AZ
Monday, October 11, 1:30–5:00 pm; Tuesday, October 12, 1:30–5:00 pm
Fee: $350

Vascular surgery is undergoing a major paradigm shift from major open operative procedures to minimally invasive endovascular interventions. The objective of this course is to provide a detailed current update and prognosis for the future with respect to major interventions for cerebral, aortic, visceral, and lower extremity arterial diseases as well as for venous thrombo-embolic disease. It has been estimated that 50%–90% of standard open operations performed in the 1980s and 1990s have already been or will soon be replaced by endovascular approaches. Which endovascular techniques are here to stay, which open operations are destined for extinction, and how does a vascular surgeon gain and maintain competence in this rapidly evolving field? Cutting-edge techniques for carotid intervention with cerebral embolic protection; advances in aortic endografts, including thoracic and branched grafts, management of complex lower extremity occlusive disease with cutting balloons, subintimal angioplasty, and small-caliber stents; and lytic therapy with retrievable IVC filters for deep vein thrombosis will be among the topics covered.

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PG26 6 hours
Gastrointestinal Disease
Chair: Desmond H. Birkett, MD, FACS, Burlington, MA
Monday, October 11, 1:30–5:00 pm;
Tuesday, October 12, 1:30–5:00 pm
Fee: $400

This course will focus on the diagnosis and management of benign and malignant lesions of the upper gastrointestinal tract, including the esophagus, stomach, and duodenum. The objective of this course is to enable the participant to learn and be aware of up-to-date and contemporary treatments of surgical gastrointestinal disease, as well as the medical therapies that pertain to them. In addition, emphasis will be placed on the diagnosis, especially the highly technical aspect, of the etiology and investigation of upper gastrointestinal disease as they apply to patients who may be candidates for surgery.

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PG27 6 hours
Thoracic Surgery
Chair: Richard I. Whyte, MD, FACS Stanford, CA
Monday, October 11, 1:30–5:00 pm;
Tuesday, October 12, 1:30–5:00 pm
Fee: $400

The purpose of this course is to provide an update on current issues facing the field of thoracic surgery. Topics to be covered include clinical controversies, emerging procedures, current educational challenges facing the field, and translational medicine as applied to thoracic surgery.

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PG28 6 hours
Controversial Issues in Trauma
Chair: Thomas M. Scalea, MD, FACS, Baltimore, MD
Tuesday, October 12, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $400

Current controversies and difficult challenges in resuscitation and management of the injured patient will be discussed in a series of sessions. The topics are divided into operative and nonoperative. Nonoperative topics include (1) hypothermia—friend or foe?; (2) FAST versus CT for blunt abdominal trauma; (3) blunt splenic injury: observation versus angiography; (4) blunt carotid injury: CT angiography versus magnetic resonance angiography versus biplanar angiography; (5) factor VIIa: magic cure or fad; and (6) targeted resuscitation strategies: do they help save lives? Operative topics include (1) combined bony and vascular injuries: who goes first?; (2) venous injuries: ligate or repair?; (3) ED thoracotomy: does it save lives?; (4) liver injuries: how much surgery is enough?; (5) colonic injuries: does anyone really need a colostomy?; and (6) damage control 2004: who really benefits?

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PG29 6 hours
Colon and Rectal Surgery: Benign Colorectal Disease
Chair: Jan Rakinic, MD, FACS, Springfield, IL
Tuesday, October 12, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $300

After completion of this course, participants should have a working understanding of (1) evaluation of constipation and determining what form of therapy may be indicated; (2) incidence, diagnosis, and therapy of emerging colorectal diseases; and (3) evaluation and management of specific urgent colorectal problems seen in consultation.

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PG30 6 hours
Cardiac Surgery
Chair: Keith A. Horvath, MD, FACS, Chicago, IL
Tuesday, October 12, 8:30 am–12:00 noon;
Wednesday, October 13, 1:30–5:00 pm
Fee: $350

The objective of this course is to provide practicing cardiac surgeons and residents in training with current information on timely topics in myocardial revascularization, surgery of the mitral and aortic valves, and surgery for congenital heart disease.

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PG31 6 hours
Optimal Outcomes to Maintain a Competitive Edge
Chair: Robin S. McLeod, MD, FACS, Toronto, ON
Tuesday, October 12, 8:30 am–12:00 noon;
Wednesday, October 13, 8:30 am–12:00 noon
Fee: $275

In recent years there has been increased emphasis on the need to assess outcome in the practice of surgery. Not only do surgeons need to know the evidence supporting the use of certain procedures and treatments, but additionally, to know the outcomes achieved by themselves and their individual hospital. However, certain skills are necessary in order to evaluate the literature and assess one's own results. The objectives of this course are to (1) provide surgeons with the skills necessary to practice evidence-based medicine (EBM), (2) understand how to measure outcome and how to use these data to improve outcome, and (3) know what tools are available to assist surgeons to practice EBM and to assess their own outcome.

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PG32 6 hours
Breast Disease
Chair: Sally M. Knox, MD, FACS, Dallas, TX
Tuesday, October 12, 1:30–5:00 pm;
Wednesday, October 13, 1:30–5:00 pm
Fee: $350

Surgical diagnosis and management of breast diseases have been the focus of research efforts and new technology during the past decade. As knowledge has increased regarding tumor biology and genetics, new technology has emerged for diagnosis, ablation, and surgical management. The participant will, after attending the course, be familiar with the various combinations and permutations in the treatment of malignant and premalignant breast disease, including a review of the latest randomized trials and emerging treatments and technologies for managing breast cancer.

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PG33 6 hours
Career Development
Chair: M. Margaret Kemeny, MD, FACS, Jamaica, NY
Tuesday, October 12, 1:30–5:00 pm;
Wednesday, October 13, 8:30 am–12:00 noon
Fee: $125

The objective of this course is to support the career advancement of young faculty members, with special emphasis on women faculty. At the end of the course, participants will be able to (1) develop a plan for their career advancement, (2) manage their time more effectively, and (3) enhance their negotiating skills to obtain the resources needed for their academic activities.

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PG34 6 hours
Vexing Problems in Minimally Invasive Surgery: Evidence, Experience, and Innovation
Chair: John G. Hunter, MD, FACS, Portland, OR
Tuesday, October 12, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $400

The common problems facing laparoscopic surgeons have largely been solved, but certain clinical, social and political issues facing laparoscopic surgery continue to be vexing. This course seeks to develop several case studies that represent a spectrum of such problems. Course faculty will lead the discussion with an evidence-based analysis of the problem, a discussion of personal experience dealing with similar cases, and some innovative solutions. Course registrants are encouraged to submit cases that they would like discussed. Illustrative cases must be sent electronically in their entirety (with x-rays in digital format) to the course chair (hunterj@ohsu.edu) by September 15, 2004, to be considered for presentation.

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PG35 6 hours
Pediatric Surgery Review Course
Co-Chairs: Michael P. LaQuaglia, MD, FACS, New York, NY, Samuel D. Smith, MD, FACS, Little Rock, AR
Wednesday, October 13, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $350

This interactive course is designed to help prepare pediatric surgeons for the recertification examination in pediatric surgery. The faculty will primarily review topics in oncology and neonatal and pediatric critical care relevant for pediatric surgeons. The course will also provide a useful update for other surgeons who care for children.

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PG36 6 hours
Urology Review for Recertification Candidates
Co-Chairs: Richard D. Williams, MD, FACS, Iowa City, IA, Jerome P. Richie, MD, FACS, Boston, MA
Wednesday, October 13, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $350

This course will help participants prepare for the recertification examination in urology. Faculty will review five domains of urology: pediatric urology; oncology and urinary diversion; obstruction, calculus disease, and trauma; impotence, infertility, and infection; and incontinence and voiding dysfunction.

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PG37 6 hours
Contemporary Treatment of the Pressure Sore Patient
Chair: Linda G. Phillips MD, FACS, Galveston, TX
Wednesday, October 13, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $275

Prevention and treatment of pressure sores continues to be a difficult chronic health burden. This course will review the measures for prevention of the pressure sore and the evaluation and treatment of the entire scope of the problems that patients with pressure sores have. Clinical interventions, including topical biologicals, dressings, and surgical intervention, will be discussed. Evaluation of concomitant medical problems, such as malnutrition, neurogenic bladder, spasticity, osteomyelitis, and other medical problems, will be discussed. Guidelines for selecting the optimal surgical intervention for specific pressure sores will be offered. Participants are invited to present difficult cases.

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PG38 6 hours
Technical Aspects of Exposure and Operative Management of Major Injuries
Chair: Demetrios Demetriades, MD, FACS, Los Angeles, CA
Wednesday, October 13, 8:30 am–12:00 noon and 1:30–5:00 pm
Fee: $400

This session will provide practical guidelines regarding exposure and technical approaches for the repair of serious injuries of various body areas (neck, chest, abdomen, vessels).

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PG39 6 hours
Surgical Infection and Antibiotics
Chair: Donald E. Fry, MD, FACS, Albuquerque, NM
Wednesday, October 13, 1:30–5:00 pm;
Thursday, October 14, 8:30 am–12:00 noon
Fee: $275

The proliferation of antibiotics, as well as their various specificities, has made infectious disease a surgical subspecialty over the past 20 to 30 years. This course will provide review of the mechanisms of antibiotic effects on various organisms, as well as the data concerning contemporary use of antibiotics in surgery, both prophylactically and therapeutically.

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The American College of Surgeons sponsors the Clinical Congress to promote advances in surgery and other areas of science. The information presented through the programs and exhibits is not verified or endorsed by the American College of Surgeons. Presenters and exhibitors are solely responsible for content.