GS65 | 8:00–9:30 am
How Practicing Surgeons Can use the ACS Web Portal to Enhance their Practice
Moderator: David A. Krusch, MD, FACS, Rochester, NY
Participants will learn how to use the new ACS Web portal, e-FACS.org, to gain access to ACS resources that are specific to their needs and those of their patients.
Sponsored by the Committee on Informatics
GS66 | 8:00–9:30 am
Colorectal Hepatic Metastases: Evidence-Based Treatment Protocols
Moderator: William R. Jarnagin, MD, FACS, New York, NY
This panel will present the current evidence to guide evolution of multidisciplinary management of colorectal hepatic metastases.
Sponsored by the Program Committee
GS67 | 8:00–9:30 am
Choledocholithiasis: Diagnostic and Management Strategies
Moderator: Myriam J. Curet, MD, FACS, Stanford, CA
This session will review imaging and diagnostic modalities for patients with complications of choledocholithiasis, biliary obstruction, ascending cholangitis, and gallstone pancreatitis.
Sponsored by the Program Committee
GS68 | 8:00–10:00 am
Practice-Based Learning and Improvement: An Essential Component of MOC
Moderator: Richard J. Finley, MD, FACS, Vancouver, BC
Practice-based learning and improvement is a critical core competency for practicing surgeons. Both the American Board of Medical Specialties and the Accreditation Council for Graduate Medical Education require this competency to be addressed within the context of Maintenance of Certification and Residency Training. This presentation will highlight the requirements relating to this competency, outline the activities of the American College of Surgeons to address the competency, and the educational implication of the competency.
Sponsored by the Task Force on Practice-Based Learning and Improvement
GS69 | 8:00–10:30 am
The College’s International Travelers, 2006: International Perspectives on Surgery
Moderator: Stanley M. Goldberg, MD, FACS, Minneapolis, MN
Since 1968, the College has supported more than 250 International Guest Scholars and other international travelers. The 2006 international travelers, promising young surgeons from 13 different countries, will offer brief presentations on the surgical experience in their homelands and their own research pursuits. The Australia New Zealand Traveller, a North American Fellow, will comment on his visit to the annual meeting of the Royal Australasian College of Surgeons and surgical centers in Australia and New Zealand. The ACS/Japan Exchange Fellows will speak on their experiences in Japan, and the ACS/German Exchange Fellows will discuss their experiences in Germany.
Sponsored by the Committee on International Relations
GS70 | 9:00–10:30 am
Reducing Surgical Delay: Improving Efficiency—What Works?
Moderator: Michael Belkin, MD, FACS, Boston, MA
Surgical delays represent a constant source of frustration to all involved in the perioperative setting. They are costly, and they can represent a source of additional risk to the patient, professional staff, and institution. This panel will examine the sources of and the institutional management of surgical delays in the inpatient and outpatient setting and the development of processes to track and overcome recurring delays.
Sponsored by the Committee on Perioperative Care
GS71 | 9:00–11:00 am
Establishing an Office-Based Ultrasound Practice
Moderator: Jay K. Harness, MD, FACS, Orange, CA
Office-based ultrasound is a rapidly expanding area of general surgery practice. This session will address the following topics: space and equipment requirements for the practice; areas of scanning and interventions, such as breast, head and neck, and others; the economics of running an office-based ultrasound practice; coding and billing, revenues, reimbursement, and return on investment issues; and accreditation and certification requirements. Case studies also will be presented. The session will provide a chance for participants to address their questions to a panel of experienced surgeons who have office-based ultrasound practices.
Sponsored by the National Ultrasound Faculty
GS72 | 9:00 am–12:00 noon
What’s New in Wound Healing
Moderator: Thomas A. Mustoe, MD, FACS, Chicago, IL
This course, intended for all surgeons, will be especially of interest to general and plastic surgeons. A multidisciplinary group of wound healing experts will discuss state-of-the-art techniques and devices to aid healing of difficult wounds, as well as presenting basic wound healing knowledge. Emphasis will be placed on pragmatic application of this new knowledge, with translation from bench to bedside.
Sponsored by the Advisory Council for Plastic and Maxillofacial Surgery
GS73 | 9:30 am–12:30 pm
Advances in Therapeutic Endoscopy
Co-Moderators:
Jeffrey M. Marks, MD, FACS, Lydenhurst, OH
Brian J. Dunkin, MD, FACS, Miami, FL
This session will update participants with the latest information on therapeutic endoscopy as it pertains to surgeons and illustrate how flexible endoscopy is changing the face of minimally invasive surgery. This session will include a description of available and emerging therapeutic endoscopic techniques. Topics will include data in the endoluminal management of gastroesophageal reflux disease and how these technologies fit into the therapeutic armamentarium for GERD; new technology for enteral stenting to improve the prevention and management of benign and malignant strictures; techniques for endoscopic management of gastrointestinal neoplasia; endoscopic tools available for management of upper/lower gastrointestinal bleeding; use of flexible endoscopy for performing minimally invasive operations; latest developments in endoluminal and transluminal surgery and how these techniques will change the face of general and minimally invasive surgery; and options for gaining expertise in therapeutic endoscopy.
Sponsored by the Program Committee
GS74 | 10:00 am–11:30 am
Tight Glucose Control: Impact on Outcomes
Moderator: Mitchell P. Fink, MD, FACS, Pittsburgh, PA
Many have advocated tight glucose control for patients in the surgical intensive care unit to help prevent postoperative complications and infections. The data will be discussed, and the technique described.
Sponsored by the Program Committee
GS75 | 10:00–11:30 am
E-Learning
Moderator: Peter S. Greene, MD, FACS, Baltimore, MD
Methods of learning are changing drastically in the age of multimedia and the Internet. This session will review the ways in which surgeons will learn online today and in the future. Online resources available to the surgeon will be reviewed, as well as the ways in which those resources can be used for new approaches to continuing education such as practice-based learning. The resources for e-learning available on the ACS Web portal will also be presented. Topics will include the following: E-learning—Is it really that different? What e-learning is out there? Practice-based learning—It’s how we’re going to keep up. E-learning at the ACS.
Sponsored by the Committee on Informatics
GS76 | 10:00–11:30 am
Crohn’s disease: Evolving Therapeutics
Moderator: Barbara L. Bass, MD, FACS, Houston, TX
This session will consider evolving therapeutic options for patients with Crohn’s disease, including the use of bowel-sparing surgical procedures, endoscopic options, and novel adjuvant therapeutic agents.
Sponsored by the Program Committee
GS77 | 10:00–11:30 am
Intraabdominal Catastrophies: Timely Diagnosis and Emergency Treatment
Moderator: Christine S. Cocanour, MD, FACS, Houston, TX
This session will review the clinical presentation and emergency management of patients with life-threatening intraabdominal conditions, including mesenteric ischemia, strangulated small bowel obstruction, colonic volvulus, and ruptured abdominal aortic aneurysm. Strategies to enhance efficiency of diagnoses and treatment will be presented.
Sponsored by the Program Committee
GS78 | 10:00–11:30 am
The Volume and Quality Conundrum: What Are the Data?
Moderator: Robin S. McLeod, MD, FACS, FRCSC, Toronto, ON
This session will examine the available literature related to quality of surgical care and volume of cases performed by the surgeon and the hospital related to cancer. Topics to be addressed will include hepatobiliary cancer including pancreas and colorectal cancer. The speakers will address issues related to recurrence and complications.
Sponsored by the Program Committee
GS79 | 10:00–11:30 am
Management of Uncommon Cancers
Moderator: Oliver F. Bathe, MD, FACS, Calgary, AB
This session will address the current knowledge related to uncommon cancers such as sarcomas, large liver and pancreatic tumors, gastrointestinal tumors, endocrine tumors, and metastases. The discussants will review the impact of a team approach to these tumors and data supporting or negating the process of super-specialization in surgery in the 21st century.
Sponsored by the Program Committee
GS80 | 10:00 am–12:00 noon
Finding Clinical Perspective When No One Wants to Quit: Who is Needed, What is Needed?
Co-Moderators:
Geoffrey P. Dunn, MD, FACS, Erie, PA
Gretchen P. Purcell, MD, PhD, Pittsburgh, PA
This session will explore the tensions between pushing the boundaries of surgical science and understanding the limitations of operative intervention in complex, life-threatening illness. Using scenarios from several surgery subspecialties, participants in this symposium will discuss perspectives on balancing efforts as surgeons to advance the ability to prolong meaningful life with an obligation to provide dignified death. Principles of palliative care will be applied to challenging medical decisions to stimulate reflection on the surgical role in supporting patients and their families. Actively practicing surgeons with expertise in ethics, religion, and palliative care will present scenarios and contribute to a panel discussion after each segment.
Sponsored by the Task Force on Palliative Care and the Committee on Perioperative Care
GS81 | 10:00 am–12:00 noon
Running an Academic Division or Department of Surgery
Moderator: Michael J. Zinner, MD, FACS, Boston, MA
This session is designed to help those new and not-so-new division chiefs to organize and run their divisions. Prioritization, recruiting, education, and financial aspects of the job will be discussed.
Sponsored by the Program Committee
GS82 | 10:30 am–12:30 pm
International Panel 2006: English by Nonnative Speakers in Surgical Publications
Moderator: John R. Benfield, MD, FACS, Los Angeles, CA
At least 50 percent of publications in surgical journals are from nonnative English speaking, English International Language (EIL) authors. This session seeks to improve the quality of EIL publications by enhancing awareness of the challenge EIL manuscripts pose for authors, reviewers, and editors. Presenting their perspectives will be an EIL peer, the founder of a Japanese university–based EIL author assistance program, an editor, an applied linguistics teacher of EIL authors, and a renowned applied linguist. The panel will answer questions and discuss approaches for ameliorating the problem.
Sponsored by the Committee on International Relations
GS83 | 10:30 am–12:30 pm
Less is More: Short-Stay Endocrine Surgery
Moderator: Herbert Chen, MD, FACS, Madison, WI
This session will discuss the required technology and its interpretation; indications and patient selection; and techniques, results, and benefits of the following topics: minimal dissection parathyroidectomy, endoscopic thyroidectomy, and laparoscopic adrenalectomy.
Sponsored by the Governors’ Committee on Surgical Practice in Hospitals and Ambulatory Settings
GS84 | 1:30–3:00 pm
Image-Detected Breast Cancer: State-of-the-Art Diagnosis and Treatment
Moderator: Melvin J. Silverstein, MD, FACS, Los Angeles, CA
In many practices, image-detected breast cancer, with no clinical symptoms, represents as many as 60 percent of the new cases of breast cancer. In January 2005, a consensus conference was adjourned to discuss nonpalpable image-detected lesions. The proceedings of that conference were published in the Journal of the American College of Surgeons in October 2005. Numerous issues were discussed, including screening, imaging, biopsy, pathology, prognosis, specimen handling, estimating tumor size, margins, tumor markers, sentinel node biopsy, treatment with and without radiation therapy, partial breast irradiation, oncoplastic surgery, systemic therapy, economics, and more. In this session, an overview of the conference will be presented, and three esteemed surgeons will discuss the consensus proceedings: what they agree with, what they disagree with, and how the final document might have been different if they had attended the consensus conference.
Sponsored by the Program Committee
GS85 | 1:30–3:00 pm
Pediatric Tumors: Common and Uncommon Challenges
Moderator: Eugene D. McGahren III, MD, FACS, Charlottesville, VA
The diagnosis and management of the most frequent pediatric tumors will be reviewed. The newest surgical approaches will be described.
Sponsored by the Program Committee
GS86 | 1:30–3:30 pm
General Surgery Problems in Transplantation Patients
Moderator: Lynt B. Johnson, MD, FACS, Washington, DC
This session will focus on issues in management of common general surgery problems that affect patients’ candidacy for solid organ allografts or present difficult general surgery management problems in patients following solid organ transplantation. Perioperative management of the immunocompromised patient will also be discussed.
Sponsored by the Program Committee
GS87 | 1:30–3:30 pm
Trauma—Emergency Care Management Scenarios
Co-Moderators:
Col. John B. Holcomb, MD, FACS, Fort Sam Houston, TX
Jeffrey S. Young, MD, FACS, Charlottesville, VA
This presentation will include common trauma scenarios with innovative approaches to both management and teaching. The session will cover both complex and routine emergency situation simulations.
Sponsored by the Program Committee
GS88 | 1:30–3:30 pm
Trends in the U.S. and U.K. Surgical Education: A Case for Collaboration?
Co-Moderators:
Edward M. Copeland III, MD, FACS, Gainesville, FL
Bernard F. Ribeiro CBE, London, United Kingdom
This program will focus on key issues in surgical education in the United States and the United Kingdom, including recent curriculum initiatives, developments in skills teaching, the implications of working time directives for surgical learning and teaching, and possible opportunities for collaborative educational research.
Sponsored by the Program Committee
GS89 | 1:30–4:30 pm
Modeling, Simulation, and Virtual Reality: What’s Proven, What’s Not
Moderator: Philip L. Glick, MD, FACS, Buffalo, NY
The use of models, simulations, and virtual reality will be explored for the purposes of training students, residents, and fellows, as well as for use with complex cases. Use of this technology for preoperative planning and intraoperative guidance will be presented in the context of a variety of complex cases, such as those in general surgery, neurological surgery, and orthopaedic, vascular, urologic, and otolaryngology cases. Use of the technology for telesurgery cases, battlefield trauma cases, and surgical procedures under zero-gravity conditions will also be explored.
Sponsored by the Committee on Emerging Surgical Technology and Education
GS90 | 1:30–4:30 pm
Papers Session II
Presiding Officer: V. Suzanne Klimberg, MD, FACS, Little Rock, AR
Sponsored by the Program Committee
GS91 | 3:00–4:30 pm
Point-of-Care Clinical Decision Making: Making the Most of Your PDA
Moderator: Grant V. Bochicchio, MD, FACS, Baltimore, MD
This program will describe Web-based clinical information systems that facilitate decision making based on clinical guidelines, treatment protocols, and databases. The use of handheld and point-of-care technology to enhance clinical decision making will be presented.
Sponsored by the Program Committee
GS92 | 3:00–4:30 pm
Molecular Fingerprints: Targeted Therapeutics for Solid Tumors
Moderator: Timothy J. Yeatman, MD, FACS, Tampa, FL
The principles of molecular diagnostics and therapeutics for solid tumors will be reviewed. Current and emerging strategies will be presented.
Sponsored by the Program Committee
GS93 | 3:30–5:00 pm
Emerging Technologies in Surgical Education
Moderator: Michael J. Sutherland, MD, Vacaville, CA
The use of simulation in surgical training has lagged behind other medical disciplines, in large part because of the limitations in technology and the inability to realistically simulate surgical procedures. As simulator technology has improved, there has been a marked expansion of the use of simulation for training surgeons, particularly in the field of minimally invasive surgery. This panel will provide an update of the current state of surgical simulation and speculation as to the future role of simulation in the training, certification, Maintenance of Certification, and recertification of surgeons.
Sponsored by the Resident and Associate Society
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GS116 | 10:30 am–12:00 noon
Global Challenge of Health Workforce Shortage
Moderator: George F. Sheldon, MD, FACS, Chapel Hill, NC
As we enter the 21st Century, we are confronted with a substantial world wide health workforce shortage. The shortages are of different nature, with developing countries lacking basic health care needs but losing their physicians by migration to developed countries with increasing demand for advanced health care service. A recent report of the World Health Organization (WHO) has declared a program of a decade of attention to world wide health worker shortage. This session will discuss the problem of the workforce shortage and the US and international approaches to mitigating the problem.
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