GS31 | 8:00–9:30 am
Staying on Top of Your Game
Moderator: Richard C. Karl, MD, FACS, Tampa, FL
This session will address the need to assess and benchmark one’s professional and personal development. Topics will include evaluating professional and personal growth and identifying strategies to select and acquire new skills while maintaining and honing older ones. Discussion will focus on factors that allow some individuals to easily keep pace while others struggle, the ability to adapt to change, and development and use of other life skills. Continuous professional development strategies will be described in the context of the core competencies and Maintenance of Certification.
Sponsored by the Committee on Continuous Professional Development
GS32 | 8:00–9:30 am
Evolving Strategies for Patient Safety in the Operating Room: Time-Out and the Debriefing
Moderator: Julie Ann Freischlag, MD, FACS, Baltimore, MD
At the end of an operation, a debriefing should occur that discusses the good, the bad, and the ugly that occurred during the procedure. Examples will be given, and techniques will be described.
Sponsored by the Program Committee
GS33 | 8:00–9:30 am
Recognition and Treatment of Necrotizing Soft Tissue Infections
Moderator: Eileen M. Bulger, MD, FACS, Seattle, WA
This symposium will update participants on the current, most effective ways to diagnose this increasingly prevalent problem. The pitfalls in diagnosis and physiologic and clinical criteria of concern will be demonstrated. The therapeutic approach, including antibiosis and extensive broad-based resection, will be covered in detail.
Sponsored by the Program Committee
GS34 | 8:00–10:00 am
Upper Gastrointestinal Hemorrhage: Diagnostic and Treatment Strategies to Optimize Outcomes
Moderator: Steven C. Stain, MD, FACS, Albany, NY
This program will review current diagnostic and therapeutic approaches for patients with acute upper gastrointestinal hemorrhage, including bleeding from peptic ulcer disease, gastritis, malignancy, and variceal hemorrhage.
Sponsored by the Program Committee
GS35 | 8:00–10:00 am
Those Problematic Competencies: Evaluation of Medical Students
Moderator: Nancy L. Gantt, MD, FACS, Youngstown, OH
The six core competencies, as established for residents by the Accreditation Council for Graduate Medical Education, are now being used in medical schools. However, teaching and evaluating these competencies (except for medical knowledge) have challenged traditional educational techniques. A Clinical Skills Assessment Examination has been introduced into Step 2 of the National Boards, but this action can only be expected to address professionalism and interpersonal and communication skills. The remaining competencies—patient care, practice-based learning and improvement, and systems-based practice—remain problematic. This panel will address practical techniques of evaluating the core competencies at the medical student level.
Sponsored by the Committee on Medical Student Education
GS36 | 8:00–10:00 am
Neoadjuvant Therapy for Thoracic Cancer
Moderator: Valerie W. Rusch, MD, FACS, New York, NY
The use of multimodality therapy in both lung and esophageal cancer has expanded considerably during the past decade. Therefore, it is increasingly important for surgeons to understand the indications for both induction and adjuvant therapy in these malignancies and the potential impact of chemotherapy and radiotherapy on surgical management. This program will review the controversies surrounding multimodality therapy for lung and esophageal cancer in relationship to surgical treatment and will also discuss novel investigational therapies for these diseases.
Sponsored by the Commission on Cancer
GS37 | 8:30–10:00 am
Practicing Surgeons and Work-Hour Restrictions
Moderator: Kenneth W. Sharp, MD, FACS, Nashville, TN
The 80-hour week restriction on residents in surgery is a de facto measure of competence—if a resident exceeds the limits imposed by the Accreditation Council for Graduate Medical Education, he or she is deemed incompetent to continue. The same public perception that 80-hour workweeks are unsafe will soon focus on practicing surgeons. The panel will address current work hours of practicing surgeons (to include data generated from surveys of the Fellows), the available science applicable to the effects of sleep deprivation or fatigue on performance, and parallels to other professions with established work-hour restrictions (pilots).
Sponsored by the Governors’ Committee on Physician Competency and Health
GS38 | 9:00–10:30 am
Rectal Prolapse: Diagnostic and Therapeutic Options
Moderator: H. Randolph Bailey, MD, FACS, Houston, TX
This session will focus on diagnostic and treatment options for patients with pelvic floor disorders associated with rectal prolapse.
Sponsored by the Program Committee
GS39 | 9:30–11:00 am
Gastroesophageal Reflux: Selecting the Correct Procedure to Optimize Outcomes
Moderator: Lee L. Swanstrom, MD, FACS, Portland, OR
This session will review current diagnostic algorithms for patients with symptoms of gastroesophageal reflux. Evolving new technologies and procedures to treat this condition will be presented.
Sponsored by the Program Committee
GS40 | 10:00–11:30 am
Intestinal Failure: Management Strategies
Moderator: Kareem M. Abu-Elmagd, MD, FACS, Pittsburgh, PA
This session will focus on the pathophysiology and spectrum of intestinal failure from the surgical perspective. Nutritional management will be discussed with special reference to new therapeutic strategies, including new novel enterotrophic agents to enhance natural adaptation with the aim to supraadapt the gut. Surgical management will highlight preventive measures, reconstructive procedures, bowel lengthening, and replacement therapy, including intestinal transplantation.
Sponsored by the Program Committee
GS41 | 10:00 am–1:00 pm
Grant-Writing Symposium for New Investigators
Moderator: Ori D. Rotstein, MD, FACS, Toronto, ON
The objectives of this session are to (1) provide an overview of the role of the surgeon-investigator in advancing research and in clinical surgery; (2) review the steps involved in the preparation of a grant proposal; and (3) review discipline-specific approaches to grant writing in a small group setting.
Sponsored by the Committee for the Forum on Fundamental Surgical Problems
GS42 | 10:30 am–12:00 noon
Acquisition and Validation of New Surgical Skills
Moderator: Ajit K. Sachdeva, MD, FACS, FRCSC, Chicago, IL
The major impact of scientific advances and emerging technologies on surgical practice and the intense focus on competence, accountability, and patient safety have brought into sharp focus issues relating to the acquisition and validation of new surgical skills. Key decisions need to be made by surgeons regarding selection of and participation in appropriate educational programs. Assessment of the newly acquired skills needs to be conducted using valid and reliable evaluation methods to permit documentation of the new skills for use in local credentialing and privileging processes. The panel presentation will address these topics and outline the new directions of the American College of Surgeons Division of Education in supporting surgeons’ learning needs.
Sponsored by the Program Committee
GS43 | 10:30 am–12:30 pm
Current Management of Thyroid Cancer
Moderator: Martha A. Zeiger, MD, FACS, Baltimore, MD
This session will discuss molecular advances, specifically the use of microarray technology for diagnosis and prognosis of thyroid cancer. This session will examine updates on the extent of surgery, including indications and extent of nodal dissection, intraoperative adjuncts, and clinical outcomes. Finally, this session will address postoperative follow-up and treatment, reviewing the role of ultrasound, serum thyroglobulin, recombinant thyroid-stimulating hormone and radioiodine therapy, and positron emission tomography/computed tomography.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS44 | 11:00 am–12:30 pm
Acute Pancreatitis: Evidence-Based Management
Moderator: John C. Alverdy, MD, FACS, Chicago, IL
This session will present evidence-based strategies to optimize the management of patients with acute pancreatitis. The session will consider clinical presentation, pathophysiology, diagnosis, and treatment plans.
Sponsored by the Program Committee
APDS | 1:00–5:00 pm
Preparing the Surgeons of Tomorrow
Co-Moderators:
Karen R. Borman, MD, FACS, Jackson, MS
R. James Valentine, MD, FACS, Dallas, TX
This session will address the updated mission statement of the Association of Program Directors in Surgery, “To prepare the surgeons of tomorrow to provide excellence in patient care.” Part I “Surgeons as Cheaters: ABS Examination Security Issues” will examine recent cheating incidents involving the American Board of Surgery’s Qualifying, Certifying, and In-Training examinations. Speakers will review ABS examination purposes, construction, and scoring; describe approaches taken by program directors and residents to prepare for the examinations; and discuss pressures within the current residency education climate that might foster cheating. Part II “Reducing the Length of Surgical Residencies: Are the Experiments Working?” will examine the structures and outcomes to date for shorter surgical training paradigms. A plastic surgeon will present a well-established pathway, a vascular surgeon will present a recently implemented pathway, a cardiothoracic surgeon will present a newly approved pathway, and a pediatric surgeon will discuss why this specialty has chosen to reject shorter pathways. A brief APDS business meeting will follow the second panel.
Sponsored by the American College of Surgeons and the Association of Program Directors in Surgery
GS45 | 1:30–3:00 pm
Surgical Innovators
Moderator: Barbara L. Bass, MD, FACS, Houston, TX
This session will feature surgeons who have dramatically improved the status of a large number of patients with their creative surgical approaches to various disease entities. Patients as well as surgeons have benefited from these innovators’ contributions to the practice of surgery. Panelists will discuss their experiences and the impact of their innovations on surgical practice. Panelists: John F. Burke, MD, FACS, Boston, MA; Thomas J. Fogarty, MD, FACS, Portola Valley, CA; and Michael R. Harrison, MD, FACS, San Francisco, CA.
Sponsored by the Program Committee
GS46 | 1:30–3:00 pm
Surgical Simulators and Continued Learning in Surgery
Moderator: Carlos A. Pellegrini, MD, FACS, Seattle, WA
This session will look at educating the surgeon of today and the future with a focus on simulators. The current state of simulators along with successes and failures of simulators as teaching tools will be discussed. In addition, the next wave of simulators will be reviewed along with educational algorithms for the resident and the new and established surgeon in relation to maintenance of competence.
Sponsored by the Program Committee
GS47 | 1:30–3:00 pm
Evaluation and Management of Incidental Findings
Moderator: Frank J. Schaberg, Jr., MD, FACS, Pawtucket, RI
Surgeons are frequently confronted with incidental findings in their practices. This session will address the appropriate evaluation, management, and follow-up of several of the more common incidental findings for which patients are referred or that may be encountered at surgery, including adrenal lesions, hepatic lesions, pulmonary nodules, ovarian lesions, and asymptomatic gallstones.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS48 | 1:30–3:00 pm
Neoplasms of the Adrenal Gland
Moderator: Jeffrey E. Lee, MD, FACS, Houston, TX
This session will describe current evaluation and treatment algorithms for patients with the most common tumors of the adrenal gland. The extent of evaluation necessary for patients with an incidentally identified mass in the adrenal gland (incidentaloma) will be described, and guidelines for recommending surgical resection versus observation will be outlined. Appropriate evaluation and current recommendations for preoperative medical preparation (adrenergic blockade) for patients with pheochromocytoma will be discussed. The extent of medical evaluation, including indications for selective venous sampling, and medical and surgical treatment options for patients with suspected aldosteronoma will be presented. The relative advantages, disadvantages, and limitations of open versus minimally invasive (laparoscopic and retroperitoneoscopic) surgical approaches for patients with adrenal tumors selected for operation will be summarized. Clinical scenarios that illustrate a variety of patients with adrenal tumors will be presented, including patients with adrenal incidentalomas, functioning adrenal tumors, adrenal cortical carcinomas, and metastases to the adrenal gland. Participants can join the discussions on evaluation and suggested management of the patients presented.
Sponsored by the Commission on Cancer
GS49 | 1:30–3:00 pm
Prevention of Nosocomial Infections on the Surgery Service
Moderator: Philip S. Barie, MD, MBA, FACS, New York, NY
Lowering the incidence of nosocomial infections is a major goal of patient safety initiatives. Topics to be discussed include the current risk factors for and incidence of nosocomial infections, suggested approaches for lowering the incidence of such infections, and appropriate therapies should infection occur.
Sponsored by the Advisory Council for General Surgery
GS50 | 1:30–4:30 pm
The On-Call Specialist Crisis: A Moral Dilemma
Moderator: Mary H. McGrath, MD, FACS, San Francisco, CA
This colloquium will focus on ethical dilemmas underlying the current crisis in specialist on-call coverage for emergencies. Case studies will be used to consider factors such as moral responsibility and duty to society, role of payment for on-call coverage, uninsured and litigious patient populations, obligations to other patients, financial loss, and distribution of finite physician resources. A pro-con debate format with the interactive audience response system will be used, together with a distinguished panel of experts to lead the discussion.
Sponsored by the Committee on Ethics
GS51 | 1:30–4:30 pm
Papers Session I
Presiding Officer: Lena M. Napolitano, MD, FACS, Ann Arbor, MI
Sponsored by the Program Committee
GS52 | 1:30–4:30 pm
Designing Your Operating Room: What You Need to Know
Co-Moderators: Gerald M. Fried, MD, FACS, Montreal, QC Steven D. Schwaitzberg, MD, FACS, Boston, MA
This session will focus on design of operating room environments that take full advantage of recent advances in technology and current concepts. Topics will include designing an operating room to improve efficiency and designing processes and systems to foster safety in the operating room. The identification and selection of various devices for use and their integration into the environment to enhance accessibility will be discussed. How to manage digital information in the new operating room will be presented, including strategies to capture, route, store, and retrieve data. Use of the operating room for innovative educational opportunities and a variety of research purposes also will be highlighted.
Sponsored by the Committee on Emerging Surgical Technology and Education
GS53 | 1:30–4:30 pm
Latin American Day: Education of Laparoscopic Surgery and Prevention of Complications
Co-Moderators:
Hugo V. Villar, MD, FACS, Tucson, AZ
Enrique S. Caruso, MD, FACS, Buenos Aires, Argentina
Latin American Day will focus on the teaching and implementation of laparoscopic surgery. The certification process will be reviewed. In addition, we will recognize the Latin American Fellows chosen as honorary members of the College.
Sponsored by the Program Committee
GS54 | 2:00–4:00 pm
Current Topics in Health Care Policy
Moderator: Josef E. Fischer, MD, FACS, Boston, MA
Topical issues in health care policy affecting surgeons, their practices, and their patients will be reviewed in depth. Specific discussion topics will be identified at a later date to ensure timeliness, but may include issues such as quality measurement and pay for performance, risk management, patient access to care, or the surgical workforce. This panel discussion will feature Fellows and policymakers who are experts on the issues.
Sponsored by the Health Policy Steering Committee
GS55 | 2:00–4:00 pm
The Role of the Surgeon in International Disaster Assistance: Special Opportunities and Special Challenges
Co-Moderators:
Susan M. Briggs, MD, MPH, FACS, Boston, MA
William P. Schecter, MD, FACS, San Francisco, CA
Many surgeons contribute to the community by volunteering to participate in rescue efforts abroad. The opportunity to do so presents special challenges to the surgeon, as a physician and as a surgeon. This panel will discuss special opportunities to participate, clinical settings, clinical problems, improvisation, management issues, technologies, and patient and provider safety.
Sponsored by the Committee on Perioperative Care
GS56 | 2:30–4:30 pm
Comorbid Conditions and the Trauma Patient
Moderator: Demetrios Demetriades, MD, PhD, FACS, Los Angeles, CA
This session will provide in-depth education on the effect of various common comorbid conditions, such as old age, obesity, liver cirrhosis, and cardiovascular diseases, on clinical presentation and outcomes and in trauma patients. It will also provide practical algorithms for the evaluation and management of these patients.
Sponsored by the Committee on Trauma
GS57 | 3:00–4:00 pm
Evolving options in Breast-Preserving Treatment of Breast Cancer
Moderator: V. Suzanne Klimberg, MD, FACS, Little Rock, AR
This session will present the current status of breast-preserving treatment options for breast cancer patients. Imaging modalities, ablation technologies, and partial breast irradiation will be discussed.
Sponsored by the Program Committee
GS58 | 3:00–5:00 pm
The Special Challenges of Multispecialty Surgical Teams
Moderator: Sharon M. Henry, MD, FACS, Baltimore, MD
As surgical procedures have become more complex, the deployment of multispecialty surgical teams has increased. In many cases in trauma, elective spine and base of skull surgery, plastic, and oncological surgery, access to multiple surgical specialties has led to the development of more effective surgical procedures and better patient outcomes. Nevertheless, many aspects of patient safety and care are complicated by multispecialty collaboration. This panel will address specific challenges in patient care presented by complex operations and the special types of collaboration multispecialty teams generally involve. Topic to be discussed include surgical planning, consent, coordination, time requirements, and staffing requirements.
Sponsored by the Committee on Perioperative Care
GS59 | 3:00–5:00 pm
Multidisciplinary Management of Gastrointestinal Malignancies
Moderator: Peter W. T. Pisters, MD, FACS, Houston, TX
Indications and approaches to preoperative chemo-induction as adjuvant therapy for surgery and the impact on surgical approaches to advanced disease will be discussed.
Sponsored by the Program Committee
GS60 | 3:00–5:00 pm
Surgical Decision Making in the Elderly: Breast Cancer
Moderator: Monica Morrow, MD, FACS, Philadelphia, PA
This session will address issues involved in choosing the appropriate therapy for breast cancer in older patients. Discussion will include systemic therapy and issues of undertreatment in the elderly, options for local treatment, and patient involvement in breast cancer treatment decision making.
Sponsored by the Task Force on Geriatric Surgery
GS61 | 3:00–5:00 pm
Hazard Reduction in the Operating Room
Moderator: T. Forcht Dagi, MD, FACS, Newton Centre, MA
This session will cover multiple topics on safety issues in the operating room and methods of hazard reduction for patients, surgeons, and hospital personnel. Topics will include wrong-site surgery, reduction of errors in anesthesia, development of safer technology, and occupational exposure to blood-borne agents.
Sponsored by the Governors’ Committee on Blood-Borne Infection and Environmental Risk
GS62 | 3:00–5:00 pm
Operation Giving Back and Surgical Volunteerism
Moderator: William A. Rough, MD, FACS, Mount Holly, NJ
Operation Giving Back and “Surgical Volunteerism” highlight the many Fellows of the College who provide uncompensated care—often at their own expense—to underserved areas of the United States and around the world. Annually, the Governors’ Committee on Socioeconomic Issues reviews nominations for awards in these areas and selects the recipients. The criteria used in the selection will be explained. This year’s recipients will discuss their work, and opportunities for attending surgeons and residents to participate in various voluntary programs will be presented.
Sponsored by the Governors’ Committee on Socioeconomic Issues
GS63 | 3:00–5:30 pm
Advances in Critical Care for Surgeons
Moderator: George C. Velmahos, MD, PhD, FACS, Boston, MA
The objective of this session is to describe diagnostic and treatment methods for surgical patients cared for in an intensive care unit (ICU). Issues related to mechanical ventilation, hemodynamic assessment, infection control, thrombosis, neurologic management, and nutrition will be explored. The lectures will offer a fine balance between standard treatments and challenging innovations. Surgeons are becoming involved in critical care with increasing frequency. This session will provide a unique opportunity for surgeons to refresh their mastery of current standards of care, while advancing their knowledge of cutting-edge ICU techniques.
Sponsored by the Committee on Emerging Surgical Technology and Education
GS64 | 3:30–5:00 pm
Thoracic Trauma for the General Surgeon
Moderator: Juan A. Asensio-Gonzalez, MD, FACS, Newark, NJ
Thoracic injuries are responsible for a significant number of deaths for patients involved in traumatic incidents. Although the majority of thoracic injuries are successfully managed nonoperatively, patients who need surgical interventions often require life-saving procedures. The purpose of this session is to familiarize the general surgeon with the operative exposure and management of intrathoracic injuries.
Sponsored by the Advisory Council for General Surgery
GS114 | 1:30–3:00 pm
Equity Investments versus Fixed Income Investments - Sold Out
Introduction: John L. Cameron, MD, FACS, Baltimore, MD, Treasurer, American College of Surgeons
The panel will include four nationally recognized money managers from leading investment management firms discussing investment options, risk tolerances, and the advantages and disadvantages of equity versus fixed income. This session is sponsored by the Division of Member Services as a continuing effort to assist members in need of new ideas and innovative resources to enhance their ability to manage money now and in the future.
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GS115 | 4:00–5:00 pm
An Open Discussion of Investment Experiences - Sold Out
College leaders will share investment experiences, mistakes, and lessons learned. The goal of the session is to increase participants’ investment savvy so they can become smarter money managers. This High Tea Event will be held at the Hilton Chicago. Participating leadership: Charles D. Mabry, MD, FACS, Pine Bluff, AR; Thomas R. Russell, MD, FACS, Executive Director, American College of Surgeons; Josef E. Fischer, MD, FACS, Boston, MA; and John L. Cameron, MD, FACS, Baltimore, MD.
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