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Program Highlights from the 90th Annual Clinical Congress
October 10-14, 2004, New Orleans, LA

Program highlights are posted below. The American College of Surgeons sponsored 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.

The content of materials made available in this portion of the American College of Surgeon's Web site is not verified or endorsed by the American College of Surgeons, which does not guarantee the accuracy, thoroughness, reliability or quality of the materials and will not be responsible for any errors, inaccuracies or omissions. The materials' authors are solely responsible for the content of their materials. The American College of Surgeons will not be liable for any loss or damage caused by reliance on information obtained from the materials made available from this portion of its Web site. THE AMERICAN COLLEGE OF SURGEONS MAKES NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, REGARDING THE INFORMATION HEREIN, WHICH IS PROVIDED "AS IS."

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*Note: Not all slide presentations were made availabe to the ACS at the time of this web publishing.

The Surgeon and the Law (GS01)

Legal Impediments to Patient Safety (18 Slides, 135K PDF)
Bryan A. Liang, MD, PhD, JD

Liability That Your Professional Liability Insurance Does Not Cover (26 Slides, 510K PDF)
Devin O'Brien, JD

The Acute Abdomen (GS02)

Acute Abdomen in the Octagenarian (28 Slides, 125K PDF)
Larry C. Carey, MD, FACS

Acute Abdomen in the Anti-coagulated Patient (33 Slides, 1330K PDF)
Philip S. Barie, MD, MBA, FACS

Acute Abdomen in the Immunosuppressed Patient (27 Slides, 620K PDF)
Charles M. Miller, MD, FACS

Resuscitation Fluids and Monitors in the Injured Hypovolemic Patient (GS03)

What's Wrong With Our Current Resuscitation Fluids? (53 Slides, 1670K PDF)
Peter Rhee, MD, FACS

Hypertonic Saline, Colloids, Designer Crystalloids: When Should You Use Them? (41 Slides, 630K PDF)
Eileen M. Bulger, MD, FACS

Fluid Resuscitation of the Trauma Patient: Elemental or Detrimental? (94 Slides, 3235K PDF)
Paul E. Pepe, MPH, FACEP, FCCM

Goal-Directed Cardiovascular Resuscitation of the Injured Patient (56 Slides, 230K PDF)
Michael C. Chang, MD, FACS

Resuscitation of the Severely Injured Patient: What Technologies and End? Points Should You Use? (104 Slides, 5445K PDF)
Frederick A. Moore, MD, FACS

Application of Robotic Surgery in All Surgical Specialties (GS04)

Overview and Robotic Pediatric Surgery (44 Slides, 1015K PDF)
Thomas M. Krummel, MD, FACS

Robotic Urologic Surgical Applications (Prostatectomy) (25 Slides, 430K PDF)
Joseph A. Smith, Jr., MD, FACS

Robotic Cardiac Surgery (91 Slides, 4565K PDF)
W. Randolph Chitwood, Jr., MD, FACS

Management of Early Breast Cancer (GS05)

Efficient Diagnosis (111 Slides, 5490K PDF)
Patrick W. Whitworth, MD, FACS

Treatment Options and Factors to Consider (69 Slides, 1600K PDF)
Peter D. Beitsch, MD, FACS

Pitfalls Leading to Litigation (41Slides, 525K PDF)
Michael J. Edwards, MD, FACS

Selected Topics in Perioperative Pain Management (GS06)

Periopertive Pain Management in the Pediatric Patient (75 Slides, 830K PDF)
Diana L. Farmer, MD, FACS

Perioperative Pain Management in the Geriatric Patient (45 Slides, 290K PDF)
Jan K. Horn, MD, FACS

Perioperative Pain Management in the Pregnant Patient (30 Slides, 210K PDF)
Donna M. Pietrocola, MD, FACS

Non-Pharmacologic Adjuncts to Perioperative Pain Management (31 Slides, 595K PDF)
Arthur W. Wallace, MD, PhD

Volunteerism by American Surgeons: Domestic, International and Military Giving Back Programs (GS07)

Out of Africa 2004, A Personal Diary (56 Slides, 15155K PDF)
Thomas R. Russell, MD, FACS

Discovering Migrant Healthcare in the Virginia Eastern Shore (41 Slides, 8155K PDF)
Juan M. Montero, II, MD, FACS

Cleft and Craniofacial Missions in the 21st Century (72 Slides, 3900K PDF)
Lisa R. David, MD, FACS

Volunteerism Within the United States Military (23 Slides, 1260K PDF)
Brad E. Waddell, MD, FACS

American College of Surgeons' Volunteer Network Website (11 Slides, 1290K PDF)
Kathleen M. Casey, MD, FACS

Soft Tissue Sarcomas (GS08)

Localized GIST in the Gleevac Era (33 Slides, 440K PDF)
Ronald P. DeMatteo, MD

New Approaches to Retroperitoneal Sarcoma (83 Slides, 1895K PDF)
Peter W.T. Pisters, MD, FACS

The Pathologist as Integral to the Multidisciplinary Team (53 Slides, 5375K PDF)
Brian Rubin, MD

Gastrointestinal Hemorrhage (GS10)

Panelist (Slides, K PDF)
R. Matthew Walsh, MD, FACS

Panelist (38 Slides, 3840K PDF)
Scott A. Strong, MD

Panelist (Slides, K PDF)
Mark J. Sands, MD

Advances in the Recognition and Treatment of Sepsis and Septic Shock (GS11)

Case Report (32 Slides, 3225K PDF)
Nina Totenberg,

Recognition and Treatment of Sepsis - 2004 (111 Slides, 4650K PDF)
Lena M. Napolitano, MD, FACS

Sepsis Case (71 Slides, 1475K PDF)
Lena M. Napolitano, MD, FACS

Mediators and Their Roles in the Septic Response (47 Slides, 1350K PDF)
Stephen F. Lowry, MD, FACS

The Future: The Role of Genomics in the Septic Patient (43 Slides, 2735K PDF)
J. Perren Cobb, MD, FACS

Multidisciplinary Cancer Management: Interactive Tumor Board Discussion of GIST, G-E Junction Carcinoma, DCIS, and Melanoma (GS12)

Case No. 1: Gastric GIST (23 Slides, 3195K PDF)
Benjamin F. Calvo, MD, FACS

Case No. 3: Extensive DCIS Requiring Total Mastectomy. Sentinel Node Biopsy Done and Positive for Micrometastases (11 Slides, 60K PDF)
Stephen B. Edge, MD, FACS

Case No. 4: Non-ulcerting, 2.8 mm Subungual Melanoma With Negative H&E But Positive IHC Sentinel Node in Groin (48 Slides, 415K PDF)
Richard L. White, Jr., MD, FACS

Optimizing the Learning Environment in Surgical Training Programs (GS13)

Best Practices in Measuring Competencies (48 Slides, 360K PDF)
Gary L. Dunnington, MD, FACS

Current Practices in Enhancing the Learning Environment and Practical Solutions to Address Work Hours Issues and Hand-offs (4 Slides, 60K PDF)
Edward R. Laws, MD, FACS

A Systems-based Approach to Optimizing the Learning Environment in the OR (41 Slides, 1055K PDF)
Reid B. Adams, MD, FACS

An Operational Approach to Optimizing Learning Environment in Ambulatory Settings (20 Slides, 240K PDF)
Stephen R. T. Evans, MD, FACS

Combat Trauma: Lessons from the Military Surgeons (GS14)

Naval Medical Support of the US Marine (49 Slides, 1475K PDF)
Harold R. Bohman, MD, FACS

US Air Force (24 Slides, 1640K PDF)
Deborah L. Mueller, MD, FACS

Canadian Forces in Afghanistan (50 Slides, 3550K PDF)
Jay J. Doucet, MD, FACS

How ACS Leverages Power in Washington, DC (GS15)

Doctors for Medical Liability Reform (DMLR) (17 Slides, 1360K PDF)
Gail Rosseau, MD, FACS

ACSPA-Surgeons PAC Vice Chair (Slides, K PDF)
Jean Hausheer, MD, FACS

Member of the ACS Health Policy Steering Committee (Slides, K PDF)
Frank G. Opelka, MD, FACS

Rectal and Perineal Trauma (GS17)

Blunt Open Pelvic Fracture Wounds (27 Slides, 560K PDF)
Eddy H. Carrillo, MD, FACS

Penetrating Wounds to the Rectum (27 Slides, 810K PDF)
Edward E. Cornwell, III, MD, FACS, FCCM

Wound Coverage in the Complex Wounds of the Buttock and Perineum (108 Slides, 6980K PDF)
Stephen J. Mathes, MD, FACS

Case Presentations (38 Slides, 1390K PDF)
Richard J. Mullins, MD, FACS

e-FACS: Surgeons, the College, and the Web (GS18)

FACS.org (21 Slides, 625K PDF)
Terry L. Buchmiller-Crair, MD, FACS

Surgical Case Activity Log with PDA Technology (32 Slides, 2900K PDF)
M. Michael Shabot, MD, FACS

Web-based Educational Resources and Portal Development (35 Slides, 3090K PDF)
Peter S. Greene, MD, FACS

Operating Room Management for Surgeons (GS19)

Ambulatory Surgery Center Operations (25 Slides, 70K PDF)
T. Forcht Dagi, MD, FACS

Financial Management of the Operating Room (35 Slides, 26420K PDF)
Philip S. Barie, MD, MBA, FACS

Specialty Coverage in Trauma Centers: Can Trauma Centers Survive? (GS22)

Defining the Problems (32 Slides, 6070K PDF)
J. Wayne Meredith, MD, FACS

Specialty Coverage of Trauma by Orthopedics: Problems and Solutions (27 Slides, 2720K PDF)
Mark S. Vrahas, MD, FACS

Specialty Coverage of Trauma by Neurosurgery: Problems and Solutions (55 Slides, 930K PDF)
Alex B. Valadka, MD, FACS

Solutions From the Patient's Perspective (23 Slides, 40K PDF)
Gregory J. Jurkovich, MD, FACS

Update on Surgical Tissue Adhesives (GS24)

Cyanoacrylate (56 Slides, 7830K PDF)
Dean M. Toriumi, MD, FACS

Bovine Collagen and Thrombin (28 Slides, 34510K PDF)
Edward R. Laws, MD, FACS

Polyethylene Glycol Polymer (42 Slides, 18020K PDF)
Marc H. Glickman, MD, FACS

Bovine Albumin and Glutaraldehyde (64 Slides, 7105K PDF)
Scott A. LeMaire, MD, FACS

Demonstration (12 Slides, 10850K PDF)
Sandra G. Burks, BSN

Correlative Clinic #2- Carcinoid (GS26)

Behavior of Carcinoid Tumors (39 Slides, 3540K PDF)
Stanley W. Ashley, MD, FACS

Pharmacologic Management of Metastases and Syndrome (22 Slides, 625K PDF)
Lowell Anthony, MD

The Role of Surgery for Metastatic Disease (24 Slides, 50K PDF)
Douglas P. Slakey, MD, FACS

Stress Behaviors: Impact on Medical Education and Career Choice (GS27)

Edward M. Copeland, III, MD, FACS (11 Slides, 15K PDF)

Josef E. Fischer, MD, FACS (7 Slides, 30K PDF)

Assessment of Surgical Innovation (GS28)

The Investigator's Perspective (42 Slides, 5510K PDF)
Steven M. Strasberg, MD, FACS

A Health System Perspective (53 Slides, 1240K PDF)
Hugh Gurley, MD, MPH

An Ethicist's Perspective (21 Slides, 20K PDF)
Bernard Lo, MD

Patient Advocate Perspective (20 Slides, 15360K PDF)
Paula Kim

Appropriate Use of Antibiotics (GS29)

Appropriate Use of Antibiotics as Therapy (90 Slides, 2500K PDF)
Lena M. Napolitano, MD, FACS

Squeezing the Balloon-Novel Administration: Strategies and Unintended Consequences (92 Slides, 3715K PDF)
Robert G. Sawyer, MD, FACS

Laparoscopic Inguinal Herniorrhaphy versus Tension-Free: Implications of Veterans Affairs Cooperative Trials (GS31)

What are the Implications: A View from a Laparoscopist? (20 Slides, 215K PDF)
Maurice E. Arregui, MD, FACS

What are the Implications: A View from a Conventionalist? (23 Slides, 100K PDF)
Parviz K. Amid, MD, FACS

What are the Implications: An Analysis from the European Hernia Trialist Group? (Slides, K PDF)
Peter M.N.Y.H. Go, MD

Secondary Analysis of the Data (12 Slides, 125K PDF)
Leigh A. Neumayer, MD, FACS

Do Health-Related Quality of Life Scores Predict Surgical Complications? (16 Slides, 115K PDF)
Thomas Anthony, MD, FACS

Effectiveness & Efficacy: The Challenge of Moving from a Single Center Series to a Multi-Center Trial (Slides, K PDF)
Anita Giobbie-Hurder, MS

Some Thoughts on Learning Curves (18 Slides, 85K PDF)
Quan-Yang Duh, MD, FACS

Protecting the Patient During Surgical Innovation (5 Slides, 60K PDF)
Olga Jonasson, MD, FACS

Papers Session I (GS33)

Hyperglycemia Prolongs Length of Stay Following Coronary Artery Bypass Grafting (32 Slides, 625K PDF)
Anthony P. Furnary, MD, FACS

Acute Non-Specific Abdominal Pain (NSAP): A Randomised Controlled Trial Comparing Early Laparoscopy vs Observation (14 Slides, 125K PDF)
Patrizio Mao, MD, FACS

Reduced Common Bile Duct Exploration (CBDE) Rates are Associated with an Increasing Technical Complication Rate (18 Slides, 150K PDF)
Edward H. Livingston, MD, FACS

Population-level Outcomes and Trends in the Management of Diverticulitis (26 Slides, 460K PDF)
Daniel A. Anaya, MD

The Evolution of Trauma Care at a Level I Trauma Center (23 Slides, 260K PDF)
Walter L. Biffl, MD, FACS

A New Surgical Service: Emergency General Surgery (17 Slides, 400K PDF)
Mary T. Austin, MD

The Evaluation of Casualties from Operation Iraqi Freedom on Return to the Continental United States (20 Slides, 1000K PDF)
Sean P. Montgomery, MD

Weight Loss and Adverse Events Following Bariatric Surgery: A Meta-Analysis (53 Slides, 460K PDF)
Melinda A. Maggard, MD

Laparoscopic Vertical Sleeve Gastrectomy, A Novel Bariatric Operation: Superior to Established Bariatric Operations? (27 Slides, 865K PDF)
Crystine M. Lee, MD

Royal College of Surgeons of Edinburgh: Famous and Flourishing Society - From James IV to the Internet (GS34)

499 Years and Counting (62 Slides, 4350K PDF)
Iain M. Macintyre

The College Today - and Tomorrow (35 Slides, 1600K PDF)
J D Orr, MD

The Quincentenary (19 Slides, 1620K PDF)
D. A. Tolley, MD

The Quincentenary (18 Slides, 1750K PDF)
O. James Garden, MD

The College and Environs (191 Slides, 10,000K PDF)
J R C Foster

Terrorism, Disasters and Mass Casualty Events: The Challenge for Surgeons (GS35)

What is the Threat, What is the Planned Response, Why Be Involved, and Why Surgeons? (72 Slides, 2800K PDF)
Lenworth M. Jacobs, Jr., MD, FACS

Basic Principles--What's Different About Disasters and Mass Casualties? (63 Slides, 1125K PDF)
Eric R. Frykberg, MD, FACS

Essentials of Planning (38 Slides, 1330K PDF)
David W. Tuggle, MD, FACS

The Military Perspective (22 Slides, 215K PDF)
T. Forcht Dagi, MD, FACS

Scene and Hospital Management--The Nuts and Bolts (24 Slides, 1750K PDF)
Asher Hirshberg, MD, FACS

Chronic Pancreatitis (GS36)

Surgical Management of Chronic Pancreatitis with the Resection and Drainage Procedures (24 Slides, 215K PDF)
Michael G. Sarr, MD, FACS

New Developments in Resection and Drainage Procedures for Chronic Pancreatitis (26 Slides, 1400K PDF)
Thomas J. Howard, MD, FACS

Autologous Islet Cell Transplantation and Total Pancreatectomy in the Management of Chronic Pancreatitis (46 Slides, 1560K PDF)
Horacio L. Rodriguez Rilo, MD

Issues Surrounding the Decision to Retire (GS37)

Economic Planning at Retirement (24 Slides, 135K PDF)
Arthur J. Donovan, MD, FACS

Applying the Years of Hard-Won Experience (17 Slides, 475K PDF)
Thomas L. Dent, MD, FACS

The College's International Travelers, 2004: International Perspectives on Surgery (GS38)

Surgical Challenges in Zambia (24 Slides, 1360K PDF)
Kasonde Bowa, MB, ChB

Bomb Explosions in the Act of Terrorism: Injuries and Management Strategies (10 Slides, 200K PDF)
Dan D. Hershko, MD

Perspectives in Esophageal and Tracheal Surgery (19 Slides, 400K PDF)
Sophie M. Jaillard, MD

Evolution of an Endocrine Surgery Service in Mexico (19 Slides, 575K PDF)
Juan Pablo Pantoja, MD

Gallbladder Cancer in New Zealand (21 Slides, 680K PDF)
Jonathan B. Koea, MBChB

Endocrine Surgery in Hong Kong (28 Slides, 465K PDF)
Chung-Yau Lo, MB, BS, MS, FACS

Panelist (11 Slides, 430K PDF)
Carlos G. Ocampo, MD

Romanian Surgery at the Beginning of the 3rd Millennium (39 Slides, 1530K PDF)
Emil F. Popa, MD

Panelist (25 Slides, 155K PDF)
Hassan S. Saidi, MBChB

Better Than Gettting Poked in the Eye with a Burnt Stick (15 Slides, 650K PDF)
Joseph J. Cullen, MD, FACS

Evaluation of Intra-abdominal and Retroperitoneal Spindle Cell Tumors (23 Slides, 325K PDF)
Takahiro Sato, MD, PhD

Indian Perspective on E.N.T. & Head Neck Surgery (93 Slides, 4425K PDF)
Saurabh Varshney, MBBS

Academic Surgery in Japan, 2004 (15 Slides, 400K PDF)
George K. Gittes, MD, FACS

Past, Present, and Future Roles of Minorities in Surgery (GS41)

Preconceived Notions and Biases Experienced During Surgical Training and Practice (37 Slides, 295K PDF)
Barbara L. Bass, MD, FACS

Professionalism, Enthusiasm and Leadership Will Attract Students and Minorities into Surgery (50 Slides, 2980K PDF)
L. D. Britt, MD, MPH, FACS

How Can Program Directors Objectively Identify Talented Foreign Medical Graduates? (34 Slides, 250K PDF)
Carlos A. Pellegrini, MD, FACS

The New Technology and the Changing Role of the Surgeon Worldwide (GS42)

Teaching of Minimally Invasive Surgery in Mexico (50 Slides, 1800K PDF)
Jorge Cervantes, MD, FACS

Surgeons and Volunteerism: The Nicaragua Laparoscopic Cholecystectomy Program (24 Slides, 1250K PDF)
Ramon Berguer, MD, FACS

Information Technology and Surgical Practice, Teaching and Research in Nigeria (23 Slides, 1250K PDF)
Adebayo C. Adebamowo, MB, BS, FACS

International Surgery in an Electronic Continuum (29 Slides, 1420K PDF)
Ronald C. Merrell, MD, FACS

Allied Health Professionals in the Operating Room: Roles, Responsibilities, and Privileges (GS43)

The VA: Current and Future (37 Slides, 1470K PDF)
Douglas E. Rosendale, DO, FACS

The Forces That Will Define the Future (37 Slides, 500K PDF)
Peter J. Fabri, MD, FACS

The Operating Room of the Future (GS44)

New Developments in OR Redesign and Patient Safety (22 Slides, 2730K PDF)
Gerald R. Moses, PhD

The Anesthesiologists' Perspective (23 Slides, 6700K PDF)
Warren Sandberg, MD, PhD

Telesurgery and Telemedicine for the OR (22 Slides, 770K PDF)
Ronald C. Merrell, MD, FACS

Outcomes Beyond Survival in Surgical Care: What the Patient Wants and What the Surgeon Should Know (GS45)

Re-Defining Success: Learning Patient Goals (25 Slides, 210K PDF)
Robert Milch, MD

America's Melting Pot: Do Expectations Differ? (27 Slides, 125K PDF)
Robert S. Krouse, MD

A New Preoperative Checklist: Quality of Life Assessment (22 Slides, 950K PDF)
Joan L. Huffman, MD, FACS

Practical, Validated Tools to Measure Success (22 Slides, 270K PDF)
Karen J. Brasel, MD, MPH, FACS

The Surgeon and Weapons of Mass Destruction (GS46)

Weapons of Mass Destruction: Just What is the Issue? (138 Slides, 2200K PDF)
Lt. Gen Paul K. Carlton, Jr., MC, USAF (Ret.)

Biologic Agents & Toxins (Including Viruses and Prions) (60 Slides, 1250K PDF)
Paul E. Bankey, MD, FACS

Chemical, Radiologic, and Nuclear Threats (43 Slides, 425K PDF)
Donald E. Fry, MD, FACS

Hospital Treatment and Protection Plan (47 Slides, 1375K PDF)
Jan K. Horn, MD, FACS

The Architecture of General Surgery Residency Training - Making Less into More (GS47)

We Moved Into a Smaller House - What Has Been the Actual Impact of the 80-Work Week? (41 Slides, 400K PDF)
Debra A. DaRosa, PhD

A Structural Inspection of Our House - Is Our Current Training Model Sound? (Slides, K PDF)
Richard K. Reznick, MD, FACS

Considering Rebuilding - Should We Start Over From The Ground Up? (21 Slides, 270K PDF)
C. Daniel Smith, MD, FACS

Venturing Into Modern Design - Competency-Based Training (27 Slides, 540K PDF)
Stephen R. T. Evans, MD, FACS

The Surgeon's Personal Guide to Risk Management and Trial Participation (GS48)

Panelist (8 Slides, 40K PDF)
Thomas J. Donnelly, JD

Papers Session II (GS49)

Does Detection of Asymptomatic Recurrence After Curative Resection Improve Survival in Patients with Gastric Cancer? (24 Slides, 275K PDF)
Joseph J. Bennett, MD

A Randomized, Double-Bind, Placebo-Controlled Trial to Determine the Effectiveness of Antibiotic Prophylaxis for Tension Free Mesh Herniorrhaphy (42 Slides, 560K PDF)
Anthony R. Perez, MD

Factors Predicting Success Following Islet Auto-Transplantation in 32 Patients with Severe Chronic Pancreatitis (23 Slides, 2600K PDF)
Syed A. Ahmad, MD

Modern 5-year Survival of Resectable Esophageal Adenocarcinoma is Nearly 50%: Single Institution with 263 Patients (20 Slides, 190K PDF)
Giuseppe Portale, MD

Detection of Pheochromocytoma: Defining the Most Sensitive Test (41 Slides, 430K PDF)
Ulrich Guller, MD, MHS

Complications Following Preoperative Combined Modality Therapy and Rectal Cancer Resection: A 14 Year Experience from a High-Volume Specialty Service (18 Slides, 550K PDF)
David B. Chessin, MD

Treatment of Liver Metastases in Well-Differentiated Endocrine Tumors in Relation to the Different Types of Metastatic Growth: A 10-year Single Center Prospective Study on 110 Patients (14 Slides, 2150K PDF)
Andrea Frilling, MD, FACS

Prolonged Survival After Complete Resection and Adjuvant Immunotherapy for AJCC Stage IV Melanoma Metastatic to Distant Sites (24 Slides, 600K PDF)
Donald L. Morton, MD, FACS

How to Get Published: Tips from Surgical Editors (GS50)

How To Get Published: Tips for Surgical Writers (13 Slides, 150K PDF)
Claude H. Organ, Jr., MD, FACS

Ethical Considerations (16 Slides, 230K PDF)
Andrew L. Warshaw, MD, FACS

Measurement of Quality in Surgical Care (GS52)

Measuring Quality: The National Surgical Quality Improvement Program (81 Slides, 2000K PDF)
Shukri F. Khuri, MD, FACS

Quality in Surgical Care: The CMS Perspective (20 Slides, 115K PDF)
David R. Hunt, MD, FACS

Measurement of Quality in Surgery: The Impact on the Practicing Surgeon (35 Slide, 2500K PDF)
Charles D. Mabry MD, FACS

Quality in Surgical Care: The Leapfrog Program and the Interests of Industry (42 Slides, 1700K PDF)
Reed V. Tuckson, MD

Neoadjuvant Therapy of Gastrointestinal Tumors (GS53)

Preoperative Therapy for Rectal Cancer - The New Standard of Care? (43 Slides, 510K PDF)
Joel Tepper, MD

Multimodality Approaches to Esophageal and Gastroesophageal Junction Tumors (31 Slides, 900K PDF)
Stephen G. Swisher, MD, FACS

Preoperative Chemoradiation: Practical and Oncologic Advantages for the Treatment of Operable Pancreatic Adenocarcinoma (74 Slides, 700K PDF)
Peter W.T. Pisters, MD, FACS

Surgical Nutrition (GS54)

Enteral Nutrition and Musosal Immunity (48 Slides, 600K PDF)
Kenneth A. Kudsk, MD, FACS

Specialized Nutrition, Host Defenses and Wound Healing (37 Slides, 2000K PDF)
Adrian Barbul, MD, FACS

Rethinking the Human Colon: A Dynamic Metabolic Organ (31 Slides, 225K PDF)
John L. Rombeau, MD, FACS

Genetic Diagnostics and the Influence on Surgical Practice (GS55)

The Biology of Stress and Injury: Genomics, Proteomics and the Unknown (52 Slides, 2150K PDF)
Stephen F. Lowry, MD, FACS

Pharmacogenomics: The Quest for Individualized Therapy (31 Slides, 1300K PDF)
Howard McLeod, MD

Molecular and Genetic Heterogeneity of Breast Cancer (25 Slides, 460K PDF)
J. Dirk Iglehart, MD, FACS

Perioperative Care of the Anemic Patient (GS56)

Risks and Benefits of Blood Transfusion: Surgical Adjuncts (49 Slides, 590K PDF)
Philip S. Barie, MD, MBA, FACS

Preoperative Autologous Donation: Risks/Benefits (23 Slides, 100K PDF)
Julie Ann Freischlag, MD, FACS

Transfusion Trigger - When to Transfuse? (32 Slides, 375K PDF)
John C. Marshall, MD, FRCSC, FACS

Alternatives to Blood Transfusion: rHuEpo (78 Slides, 1500K PDF)
Lena M. Napolitano, MD, FACS

Alternatives to Blood Transfusion: Hemoglobin-based Oxygen Carriers (27 Slides, 2800K PDF)
Stephen M. Cohn, MD, FACS

Marketing and Surgery: Is it Ethical? Is it Effective? (GS57)

Case No. 1: Pro - Drug Dispensing for Profits (8 Slides, 200K PDF)
Rene Lafreniere, MD, FACS

Case No. 1: Con - Drug Dispensing for Profits (10 Slides, 50K PDF)
Mary H. McGrath, MD, FACS

Case No. 2: Con - Fee Splitting Updated (16 Slides, 85K PDF)
Anna M. Ledgerwood, MD, FACS

Case No. 3: Con - 'Makeover' Profits (5 Slides, 20K PDF)
Robert E. Falcone, MD, FACS

Case No. 4: Con - Rewarding Referrals (15 Slides, 120K PDF)
Barbara L. Bass, MD, FACS

Increasing Successful Organ Recovery to Enhance the Supply of Available Organs (GS58)

Donor Management to Maximize Thoracic Organ Procurement (39 Slides, 1160K PDF)
Alberto Pochettino, MD, FACS

Strategies to Increase the Number of Pancreas and Islet Donors (44 Slides, 690K PDF)
Luis A. Fernandez, MD

The Use of Extended Criteria Grafts Extend the Donor Pool (45 Slides, 520K PDF)
Ronald W. Busuttil, MD, PhD, FACS

Maximizing Use of In Situ Split and Living Donor Grafts (74 Slides, 3000K PDF)
Jean C. Emond, MD, FACS

Programa Hispanico (GS59)

Minimal Invasive Surgery in the Management of Esophageal Carcinoma (33Slides, 460K PDF)
Eugenio A. Ferreira, MD, FACS

Robotic Pediatric Surgery (37 Slides, 1300K PDF)
Hector M. Azuara Fernandez, MC, FACS

Current Concepts in Endovascular Neurosurgery (Slides, K PDF)
Rafael Rodriguez-Mercado, MD, FACS

Laparoscopic Adrenalectomy, The Chilean Experience (16 Slides, 260K PDF)
Jose Amat, MC, FACS

Gastric Cancer, The Argentinian Experience (47 Slides, 895K PDF)
Enrique A. Sivori, MD, FACS

Effective Principles and Management of Wound Care for the Practicing Surgeon (GS60)

Why Wounds Won't Heal: Pathophysiology of Chronic Wounds (31 Slides, 1190K PDF)
Martin C. Robson, MD, FACS

The Diabetic Ulcer (43 Slides, 2025K PDF)
David L. Steed, MD, FACS

Managing Lymphedema and Leg Wounds (60 Slides, 1000K PDF)
John M. MacDonald, MD, FACS

Soft Tissue Coverage for the Difficult to Heal Wound (38 Slides, 810K PDF)
W. Thomas Lawrence, MD, FACS

Improving Reimbursement for the Care of the Trauma Patient: Coding Tools and Practice Management Techniques (GS61)

Improving Reimbursement for Trauma Surgeons (46 Slides, 785K PDF)
Charles D. Mabry, MD, FACS

The ACS National Surgical Quality Improvement Program: An Idea Whose Time Has Come (GS63)

The American College of Surgeons and Quality of Surgical Care (28 Slides, 1800K PDF)
Thomas R. Russell, MD, FACS

A Viewpoint from a Related Specialty (30 Slides, 265K PDF)
Robert S. Lagasse, MD

The Viewpoint of Purchasers and Insurers of Healthcare (42 Slides, 960K PDF)
Darrell A. Campbell, Jr., MD, FACS

The ACS-NSQIP: How? (27 Slides, 540K PDF)
R. Scott Jones, MD, FACS

Fistula First: High Quality for Hemodialysis Patients (GS64)

Fistula First: The Perspective of the Centers for Medicare & Medicaid Services (12 Slides, 65K PDF)
David R. Hunt, MD, FACS

Fistula First: The Surgeon's Role (39 Slides, 3300K PDF)
Lawrence M. Spergel, MD, FACS

Sequencing Access Sites to Emphasize the Autogenous AV Fistula (36 Slides, 975K PDF)
Samuel E. Wilson, MD, FACS

Reporting Fistula Procedures to Payers (17 Slides, 100K PDF)
Robert M. Zwolak, MD, FACS

Immigration and Surgery in America: The Ever-Changing Face of the ACS (GS65)

Panelist (40 Slides, 820K PDF)
Carlos A. Pellegrini, MD, FACS

Panelist (64 Slides, 3050K PDF)
James S. T. Yao, MD, FACS

*Note: Not all slide presentations were made availabe to the ACS at the time of this web publishing.

Division of Education

Clinical Resources

 

Revised February 1, 2006

 


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