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Monday, October 9, 2006
GS01 | 9:45–11:15 am
Inguinal Hernia Repair: An Evidence-Based Approach
Moderator: Leigh A. Neumayer, MD, FACS, Salt Lake City, UT
This session will consider factors determining outcomes for operative procedures for inguinal hernia repair. The program will focus on evidence-based decision making, including patient risks, operative approach, and surgeon experience.
Sponsored by the Program Committee
GS02 | 9:45–11:15 am
Cultural Competency: Does it Facilitate Better Delivery of Health Care?
Moderator: Susan Kaiser, MD, FACS, Jersey City, NJ
Doctors and their patients often come from very different cultures, and for many reasons in addition to language barriers, the effectiveness of health care may be compromised. Cultural competency, defined for medical practice by Davis in 1997, is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to improve the quality of health care. The panel will discuss strategies to integrate the teaching of cultural competency into medical school and methods to assess both the effectiveness of teaching and its effect on the delivery of health care.
Sponsored by the Committee on Medical Student Education
GS03 | 9:45–11:15 am
Information Systems:How the Information Explosion Will Change How We Educate Surgeons and Treat Patients
Moderator: John R. Clarke, MD, FACS, Wynnewood, PA
This session will review advances in imaging, robotics, and virtual reality and look at the cutting-edge technology that is becoming available and how it will change surgical education and practice. In addition, this session will explore related cost issues, how we evaluate the cost effectiveness and benefits of new technology, and what we can and cannot afford to get.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS04 | 9:45–11:15 am
Update on Blood Transfusion
Moderator: Scott R. Petersen, MD, FACS, Phoenix, AZ
This session will offer an update on current principles of blood banking for the general surgeon. Topics to be covered include the time necessary for a complete or lesser cross-match, the current risks of blood transfusion, techniques for the rapid warming of blood, the indications for transfusion of blood components, the diagnosis and treatment of transfusion reactions, and the role of artificial blood.
Sponsored by the Advisory Council for General Surgery
GS05 | 9:45–11:45 am
Breast Cancer Update: What Every Surgeon Needs to Know
Moderator: Lorraine Tafra, MD, FACS, Annapolis, MD
The course will look at the latest in current surgery, including margins, sentinel node trials, state-of-theart radiation therapy, and chemohormonal therapy.
Sponsored by the Program Committee
GS06 | 9:45–11:45 am
Evidence-Based Perioperative Risk Reduction
Moderator: Jeffrey E. Doty, MD, FACS, San Jose, CA
Abundant evidence supports the implementation of numerous interventions for the reduction of perioperative risk. However, many of these procedures have not been universally adopted. This panel will discuss treatments and processes that have good evidence for their efficacy and methods to increase their use.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS07 | 9:45 am–12:45 pm
Laparoscopic Colectomy: Beyond the Basics
Co-Moderators: Jeffrey L. Cohen, MD, FACS, Hartford, CT Deborah A. Nagle, MD, FACS, Philadelphia, PA
This symposium will build on the basic techniques of laparoscopic colectomy. Presenters will review challenging topics in laparoscopic colon surgery, including complex diverticular disease, reoperation, pelvic laparoscopic surgery, and complications. The program is designed for the surgeon who has incorporated laparoscopic colectomy into his or her practice and wants to progress up the curve of complexity.
Sponsored by the Program Committee
GS08 | 10:00–11:30 am
Postoperative Pneumonia: Strategies for Prevention, Diagnosis, and Treatment
Moderator: Lena M. Napolitano, MD, FACS, Ann Arbor, MI
Pneumonia is the most common infection in the postoperative period and is associated with high mortality rates. This session will review currently available and new strategies for the prevention of health care–associated and ventilator-associated pneumonia in surgical patients. Newer strategies include new silver-coated endotracheal tubes, early tracheostomy, continuous aspiration of subglottic secretions, endotracheal tubes, chlorhexidine application to the posterior pharynx, and noninvasive ventilation approaches. Recently published guidelines for treatment will be reviewed, data from the Surgical Care Improvement Project will be discussed, and data from the Centers for Disease Control and Prevention regarding the incidence of pneumonia in surgical patients will be reviewed.
Sponsored by the Committee on Perioperative Care
GS09 | 10:00–11:30 am
Pancreatic Pseudocysts and Chronic Pancreatitis: Evidence-Based Management
Moderator: William H. Nealon, MD, FACS, Galveston, TX
Many treatment options are now available for the treatment of chronic pancreatitis and pancreatic pseudocysts, including percutaneous, endoscopic, laparoscopic, and open drainage and resection. The evidence for the techniques, the pros and cons, and indications and contraindications will be discussed.
Sponsored by the Program Committee
GS10 | 10:00 am–12:00 noon
2006 Initiates Program—Achieving Balance
Moderator: Allan D. Levi, MD, FACS, Miami, FL
Surgeons’ time commitments at work are increasing, leaving less time for family and a balanced life. By sharing real-life stories and experiences, this session will feature several speakers who have achieved balance in their personal and professional lives through trial and tribulation. In addition, a physician-psychologist will explain how to set goals and limitations in and out of the operating room for achieving satisfying personal and career experiences.
Sponsored by the Committee on Young Surgeons
GS11 | 10:00–12:00 noon
Surgical Care in Challenging Environments
Moderator: Susan A. Stuart, MD, FACS, Phoenix, AZ
This session will describe operating conditions in various areas with limited resources. Participants will discuss innovative ways of dealing with the limited resources. Specific situations will include rural surgery, missionary surgery, frontline wartime surgery, the Indian Health Service, and disaster relief.
Sponsored by the Committee on Perioperative Care
GS12 | 10:00 am–12:00 noon
Marketing Your Surgical Practice: Would You? Could You? Should You?
Co-Moderators: Terry L. Buchmiller, MD, FACS, Boston, MA Gregory S. Cherr, MD, Buffalo, NY
Many surgeons don’t consider marketing when developing and managing their practices. This session will explore the following topics: how marketing will improve referrals to a practice; how marketing can change patients’ and referring physicians’ perceptions of a surgical practice; the financial, legal, and ethical issues of marketing; and the specific tools available to market a surgical practice.
Sponsored by the Committee on Young Surgeons and the Resident and Associate Society
GS13 | 10:00 am–12:00 noon
The Financial and Fiscal Balance Sheet for Residency Training: Outcomes Versus Incomes
Co-Moderators: Brian J. Rowlands, MD, FACS, Nottingham, United Kingdom Anton N. Sidawy, MD, MPH, FACS, Washington, DC
Throughout the world, training programs are facing pressures and constraints that may adversely affect the training of younger surgeons and their ability to care for patients. This session will examine and compare these pressures and constraints, as well as identify models that can be employed to ensure that residents are trained appropriately to provide high-quality surgical care.
Sponsored by the Governors’ Committee on Chapter Activities/Subcommittee on International Activities
GS14 | 10:00 am–12:00 noon
Effective Communication: An Essential Competency to Enhance Surgical Care, Promote Safety, and Reduce Liability
Moderator: L. D. Britt, MD, MPH, FACS, Norfolk, VA
Both the American Board of Medical Specialties and the Accreditation Council for Graduate Medical Education have defined effective communication as an essential core competency. Each practicing surgeon and surgical resident must demonstrate skills in this area. Effective communication is key to the delivery of optimum patient care and plays a critical role in enhancing surgical outcomes and reducing liability risk. The panel presentation will address the contemporary trends and new mandates that have brought this core competency into sharp focus; discuss the perspective of the American College of Surgeons in supporting acquisition in maintenance of such skills; outline the perspective of the Federation of State and Medical Boards within the context of Maintenance of Licensure; discuss the importance of this competency in providing optimum patient care and reducing liability risk; highlight educational approaches available to practicing surgeons and residents to address this competency; and outline the key features of the recently implemented Surgeons as Effective Communicators course of the American College of Surgeons to specifically address such skills.
Sponsored by the Program Committee
GS15 | 10:00 am–12:45 pm
Image-Guided Surgery
Moderator: Pedro J. Del Nido, MD, FACS, Boston, MA
The objectives of this program are to outline the key areas for research and development to improve image-guided surgical intervention, including use of noninvasive imaging for tracking anatomic targets such as tumors or lesions, instrument visualization, enhanced three-dimensional displays and stereotactic vision, and computer-enhanced instrumentation for minimally invasive procedures and control of tissue injury.
Sponsored by the Committee for the Forum on Fundamental Surgical Problems
GS16 | 1:00–3:00 pm
Perioperative Management of the Obese Surgical Patient
Moderator: Max D. Hammer, MD, FACS, Springfield, IL
Obesity has reached epidemic proportions in the United States, with no end in sight. Obese patients present special and unique challenges to the surgeon. This panel will discuss practical problems and solutions in the surgical care of the obese patient, including preoperative evaluation, airway management, postoperative sleep apnea management, vascular access, venous thrombosis prophylaxis, pharmacology and drug dosing, transport, skin care, and operative exposure.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS17 | 1:30–3:00 pm
Prevention and Treatment of Venous Thromboembolic Disorders
Moderator: Thomas W. Wakefield, MD, FACS, Ann Arbor, MI
This symposium will provide an update on risk assessment for venous thromboembolism (VTE) formation and a description of the natural history of deep venous thrombosis and pulmonary embolism. Additionally, the symposium will provide an update on the current status of treatment of VTE, including thrombolysis, venous thromboectomy, and heparin-based therapies. New alternative modes of prevention and treatment will be presented, and the risks and benefits discussed.
Sponsored by the Program Committee
GS18 | 1:30–3:00 pm
Esophageal-Gastric Junction Carcinoma
Moderator: Jeffrey H. Peters, MD, FACS, Rochester, NY
There has been a strong trend of gastric carcinoma moving proximally and of distal esophageal tumors being adenocarcinoma rather than squamous cell carcinoma. This trend has led to confusion regarding classification of adenocarcinomas in this region. This panel will discuss classification and appropriate surgical management of these increasingly frequent and challenging tumors.
Sponsored by the Program Committee
GS19 | 1:30–3:00 pm
Laparoscopic Colectomy: How, Who, Why?
Moderator: Heidi Nelson, MD, FACS, Rochester, MN
This session will present indications for laparoscopic colectomy, review surgical techniques, and discuss strategies to incorporate this procedure into one’s surgical repertoire.
Sponsored by the Program Committee
GS20 | 1:30–4:00 pm
Latest Advances in Surgical Adhesives and Sealants
Moderator: William D. Spotnitz, MD, FACS, Gainesville, FL
The latest developments in the field of surgical adhesives and sealants will be provided by experts who have significant operative experience with successfully employing these materials. The five major groups of fibrin sealants, cyanoacrylates, gelatin and thrombin, polyethylene glycol polymers, and albumin cross-linked with glutataldehyde, will be presented. New products and uses will be reviewed within this framework, including specific applications in cardiac, thoracic, head and neck, plastic, neuro, and vascular surgery. A demonstration of materials will be given, and a panel discussion describing the best clinical uses of these products will be provided.
Sponsored by the Program Committee
GS21 | 1:30–4:30 pm
Accreditation of Surgery Centers to Optimize Patient Care
Moderator: Andrew L. Warshaw, MD, FACS, Boston, MA
ACS Centers of Care Program has developed a generic template for establishing disease-oriented specialty centers. This template stipulates human and physical resources, case volume performance standards, guideline-driven and clinical pathway–driven processes of care, a rigorous outcomes database, and site visits conducted every three years. The ACS currently seeks opportunities for working with surgical specialty organizations to develop specialty centers.
Sponsored by the Committee on Research and Optimal Patient Care
GS22 | 3:00–5:00 pm
Acute Lower Gastrointestinal Hemorrhage: Diagnostic and Management Strategies
Moderator: Deborah A. Nagle, MD, FACS, Philadelphia, PA
This program will review the principles of diagnosis and treatment options of acute lower gastrointestinal hemorrhage and conditions such as angiodysplasias and diverticulosis.
Sponsored by the Program Committee
GS23 | 3:00–5:00 pm
Management of the Elderly Surgical Patient
Co-Moderators:
James C. Thompson, MD, FACS, Galveston, TX
James M. Watters, MD, FACS, Ottawa, ON
The aging of the American population is a fact well known to practicing general surgeons. Topics to be discussed include a description of the normal aging process, appropriate preoperative workup of elderly patients with borderline organ reserve, and adjuncts to improve the safety of major operations for these patients.
Sponsored by the Advisory Council for General Surgery
GS24 | 3:00–5:00 pm
Disaster Planning in the Modern Era of Terrorism
Moderator: Kenneth Waxman, MD, FACS, Santa Barbara, CA
This session will cover multiple topics on the types of injuries that need surgical expertise, disaster planning and education for surgeons, and cooperation among multiple entities (city, county, state, military). Topics will include modern injuries secondary to acts of terrorism (Madrid, Israel); education of surgical specialists in disaster planning unified command center (the San Antonio experience); modern day triage and hospital preparedness; role of the ACS Committee on Trauma in the verification process for disaster preparedness; and computer modeling to assess hospital resources for response to major disasters.
Sponsored by the Governors’ Committee on Blood-Borne Infection and Environmental Risk
GS25 | 3:00–5:00 pm
Focused Whole-Body Radiosurgery: Concepts and Surgical Applications
Moderator: Richard D. Bucholz, MD, FACS, St. Louis, MO
Stereotactic radiosurgery—the ability to deliver a highly focused dose of radiation by coupling radiotherapy to anatomic imaging—has been developed by neurosurgeons over the past two decades and has had a tremendous impact on the management of specific neurosurgical conditions such as the treatment of vestibular schwannoma. Through the use of new computer-driven robotic delivery techniques, radiosurgery can now be applied anywhere in the body and promises to have a similar impact on all surgical practice. This panel will discuss the history of stereotactic radiosurgery, its effect on the practice of neurosurgery, and the advent of whole-body focused radiosurgery. Topics will include a discussion of techniques to administer focused radiosurgery; radiobiology and dosimetry for the surgeon; the effect of hypofractionation of dose; techniques for tracking organ systems during radiosurgery; accuracy of these complex systems as dependent upon the target organ as well as the delivery system; the efficacy of radiosurgery for cranial lesions; a report of preliminary efficacy in spinal tumors, pancreatic cancer, lung cancer, and prostate cancer; application of radiosurgery in functional procedures; and a discussion of the role of the surgeon in this exciting new field. Speakers will focus on the scientific evidence for the application of this technology to the following organ systems: spine, lung, liver, pancreas, breast, and prostate.
Sponsored by the Committee on Emerging Surgical Technology and Education
GS26 | 3:00–5:00 pm
Surgical Errors and Adverse Outcomes: Impact on Surgical Residents
Moderator: Stephen R. T. Evans, MD, FACS, Washington, DC
Since the Institute of Medicine report was published in 1999, more scrutiny and attention has been drawn to the magnitude of errors and adverse outcomes that occur in the practice of medicine. This session will examine the magnitude of the problem in surgery and will explore methods to help residents manage errors in which they may be involved or observe during training. Methods for managing the psychological impact of such events on young trainees will be discussed, along with new insights into the causes of adverse outcomes and preventative measures to improve patient outcomes and minimize errors.
Sponsored by the Committee on Resident Education
GS27 | 3:30–5:00 pm
Management of Complications of Portal Hypertension
Moderator: Layton F. Rikkers, MD, FACS, Madison, WI
This program will focus on optimal strategies to treat patientswith bleeding from portal hypertensive lesions. Pathophysiology,diagnostic strategies, and therapeutic options will be presented.
Sponsored by the Program Committee
GS28 | 3:30–5:00 pm
Ventral Hernia Repair: Selecting the Right Operation for the Right Patient
Moderator: Patrick R. Reardon, MD, FACS, Houston, TX
This session will focus on patient selection andchoice of surgical approach to optimize outcomesfor patients undergoing ventral hernia repair.
Sponsored by the Program Committee
GS29 | 3:30–5:00 pm
Capsule Endoscopy for Surgical Disordersof the Gastrointestinal Tract
Moderator: Richard A. Hodin, MD, FACS, Boston, MA
Video capsule endoscopy has become the procedureof choice for diagnosis of occult mucosal disordersof the gastrointestinal tract. This session will review the current indications for capsule endoscopy and strategies to optimize utilization of this technology.
Sponsored by the Program Committee
GS30 | 4:00–5:00 pm
Aftermath of Hurricane Katrina
Moderator: J. Patrick O’Leary, MD, FACS, New Orleans, LA
When Katrina struck the Gulf South Coast and New Orleans, the medical preparedness of this community and its Level I trauma center was as prepared for the emergency as any similarsized community could be. The cascade of events that followed was of such magnitude that the system failed in multiple areas. What did not fail were the ingenuity, creativity, dedication to duty, and the unfailing resilience of the human spirit. This panel will review the events from the vantage point of a surgical resident, an attending physician—both of whom were in the hospital during Katrina and the subsequent flood—and from an administrative physician as one medical school attempted to reestablish itself in the months that followed.
Sponsored by the Program Committee
GS113 | 9:45–10:45 am
Fundamentals of Prudent Investing - Sold Out
Introduction: Thomas R. Russell, MD, FACS, Executive Director, American College of Surgeons
George Pendergast, a managing director of Cambridge Associates, will discuss the fundamentals of investing, including asset allocation, diversification, and rebalancing. Surgeons need to plan early in their careers in order to build a solid financial future for their medical practices and themselves. The task sounds daunting; however, with a little fundamental knowledge and by following a few simple strategies, any surgeon can gain considerable investment savvy. This session is beneficial for both members of the College and spouses.
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