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Program Highlights from the 92nd Annual Clinical Congress
October 8-12, 2006, Chicago, IL

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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GS02 Cultural Competency: Does it Facilitate Better Delivery of Health Care?

Social Context (115K PDF)
Heena P. Santry, MD, Chicago, IL

Is Empathy a Fundamental Substrate for Cultural Competency (800K PDF)
James A. McCoy, MD, FACS, Atlanta, GA

When is Disparate Not Equivalent to Disparate (1070K PDF)
Sylvia M. Ramos, MD, FACS, Albuquerque, NM

GS03 Information Systems - How the Information Explosion Will Change How We Educate Surgeons and Treat Patients

Instant Communication and Imaging Representation of Critical Information (6625K PDF)
M. Michael Shabot, MD, FACS, Los Angeles, CA

Embedding Practice Guidelines into Computerized Provider Order Entry Systems (80K PDF)
John R. Clarke, MD, FACS, Wynnewood, PA

Simulation of Clinical Procedures and Robotic Surgery (5000K PDF)
Richard M. Satava, Jr., MD, FACS, Seattle, WA

GS04 Update on Blood Transfusion

Red Cells Transfusions When, What, How, and Complications (850K PDF)
Jordan A. Weinberg, MD, Memphis, TN

Ideal Hemoglobin Level (950K PDF)
Robert C McIntyre, Jr., MD, FACS, Denver, CO

Blood Substitutes - Ready for Prime Time (3275K PDF)
Ernest E. Moore, MD, FACS, Denver, CO

GS05 Breast Cancer Update: What Every Surgeon Needs to Know

Breast Imaging (11,825K PDF)
Arthur G. Lerner, MD, FACS, White Plains, NY

Breast Surgery (4175K PDF)
Shawna C. Willey, MD, FACS, Washington, DC

Radiation Therapy (1275K PDF)
Peter D. Beitsch, MD, FACS, Dallas, TX

Chemo-Hormonal Rx (200K PDF)
Helen A. Pass, MD, FACS, Bronxville, NY

GS06 Evidence-Based Perioperative Risk Reduction

Risk Factor Assessment As a Guide to Thrombosis Prophylaxis in Surgical Patients (950K PDF)
Joseph A. Caprini, MD, FACS, Glenview, IL

Nutritional Interventions (3250K PDF)
Robert G. Martindale, MD, PhD, FACS, Portland, OR

Cardiac Risk Reduction (1365K PDF)
Arthur W. Wallace, MD, PhD, San Francisco, CA

Reducing Infections and Their Impact (2925K PDF)
Donald E. Fry, MD, FACS, Chicago, IL

GS07 Laparoscopic Colectomy: Beyond the Basics

Can Hand Assisted Techniques Facilitate the Difficult Laparoscopic Colectomy-Pro (125K PDF)
William R. Timmerman, MD, FACS, Richmond, VA

Can Hand Assisted Techniques Facilitate the Difficult Laparoscopic Colectomy-Con (1685K PDF)
Conor P. Delaney, MD, PhD, FACS, Cleveland, OH

The Approach to the Previously Operated Abdomen (165K PDF)
Richard L. Whelan, MD, FACS, New York, NY

Intraoperative  Problems Bleeding, Enterotomies, Ureter Identification (2650K PDF)
Peter W. Marcello, MD, FACS, Burlington, MA

Complex Crohns Disease (1520K PDF)
Tonia M. Young-Fadok, MB, BCh, FACS, FASCRS, Scottsdale, AZ

Complicated Diverticular Disease (30K PDF)
Laurence F. Yee, MD, FACS, San Francisco, CA

Laparoscopic Hartmann Closure (633K PDF)
Paul V. Vignati, MD, FACS, Hartford, CT

Proctectomy with or without Reconstruction (3225K PDF)
Sang Lee, MD, New York, NY

GS08 Postoperative Pneumonia: Strategies for Prevention, Diagnosis and Treatment

Epidemiology and Risk Factors for Pneumonia in Surgical Patients (540K PDF)
Robert G Sawyer, MD, FACS, Charlottesville, VA

Diagnosis of Pneumonia Bronchoalveolar Lavage, Sputum Culture, or Clinical (100K PDF)
Martin A. Croce, MD, FACS, Memphis, TN

Pneumonia Treatment American Thoracic Society Infectious Diseases Society of America (200K PDF)
Philip S. Barie, MD, MBA, FACS, New York, NY

Preventive Strategies for Pneumonia What Works (3950K PDF)
Lena M. Napolitano, MD, FACS, Ann Arbor, MI

GS09 Pancreatic Pseudocysts and Chronic Pancreatitis: Evidence-Based Management

Endoscopic Management of Pancreatic Leak-Pseudocysts, Pleural Effusion, Pancreatic Ascites (1870K PDF)
Richard Kozarek, MD, Seattle, WA

Surgical Management of Pseudocysts (1825K PDF)
Kevin E. Behrns, MD, FACS, Gainesville, FL

Surgical Managment of Chronic Pancreatitis (10,435K PDF)
Richard H. Bell, Jr., MD, FACS, Chicago, IL

Impact of Ductal Anatomy on Natural Course of Pseudocysts and Organized Necrosis (1750K PDF)
William H. Nealon, MD, FACS, Galveston, TX

GS10 2006 Initiates Program - Achieving Balance

So Many Roles, So Little Time (6940K PDF)
Susan E. Mackinnon, MD, FACS, St. Louis, MO

A Surgeons Story, Successes, Failures, and a Rx for a Balanced Life (6695K PDF)
Joseph C. Maroon, MD, FACS, Pittsburgh, PA

Letting Go of What's Holding You Back From Thriving (265K PDF)
Wayne M. Sotile, PhD, Winston Salem, NC

GS11 Surgical Care in Challenging Evnironments

Rural Surgery (5950K PDF)
Tyler G. Hughes, MD, FACS, McPherson, KS

Surgery in the Indian Health Service (5825K PDF)
Thomas K. Stempel, MD, FACS, Phoenix, AZ

Surgery In Developing Countries (2990K PDF)
Rosemary B. Duda, MD, FACS, Boston, MA

Surgery at the Frontline (10,210K PDF)
Gerald B. Demarest III, MD, FACS, Albuquerque, NM

Surgery in a Diaster (2325K PDF)
J. Patrick O'Leary, MD, FACS, New Orleans, LA

GS13 The Financial and Fiscal Balance Sheet for Residency Training - Outcomes vs. Incomes

South Africa (840K PDF)
Kenneth D. Boffard, MD, FACS, Johannesburg, South Africa

Italy (1220K PDF)
Emanuele Lezoche, MD, FACS, Rome, Italy

Chile (730K PDF)
Pedro Uribe Jackson, MD, FACS, Vina del Mar, Chile

Mexico (490K PDF)
Jorge Cervantes, MD, FACS, Mexico City, Mexico

United Kingdom (930K PDF)
Brian J. Rowlands, MD, FACS, Nottingham, UK

Canada (1215K PDF)
Ravindar Singh Sidhu, MD, Vancouver, BC

GS14 Effective Communication: An Essential Competency to Enhance Surgical Care, Promote Safety, and Reduce Liability

Contemporary Trends and New Mandates (8710K PDF)
L. D. Britt, MD, MPH, FACS, Norfolk, VA

Perspective From The Federation of State Medical Boards (150K PDF)
J. William McCord, DO, Dallas, TX

Impact on Surgical Care and Liability Risk (135K PDF)
F. Dean Griffen, MD, FACS, Shreveport, LA

Educational Implications for Practicing Surgeons and Surgical Residents (575K PDF)
Ajit K. Sachdeva, MD, FACS, FRCSC, Chicago, IL

GS15 Image Guided Surgery

Imaging and Computer Automation (K PDF)
Russell Taylor, MD, Baltimore, MD

Optical Imaging and Vascular Surgery (990K PDF)
Warren S. Grundfest, MD, FACS, Los Angeles, CA

Image Guided Intervention and Cardiac Surgery (K PDF)
Pedro J. Nido, MD, FACS, Boston, MA

GS16 Perioperative Management of the Obese Surgical Pateint

Introduction to Perioperative Mgt of the Obese Surgical Patient (480K PDF)
Max D. Hammer, MD, FACS, Springfield, IL

Management of Deep Vein Thrombosis (1170K PDF)
James A. Madura, MD, FACS, Indianapolis, IN

Operative Exposure (905K PDF)
Scott A. Shikora, MD, FACS, Boston, MA

Wound Issues, Pharmacology, HIPPA, and Cardiac Issues (360K PDF)
J. Chris Eagon, MD, Saint Louis, MO

GS17 Prevention and Treatment of Venous Thromboembolic Disorders

Modern Risk Assessment and VTE Formation (860K PDF)
Joseph A. Caprini, MD, FACS, Glenview, IL

The Natural History of DVT and Pulmonary Embolism (555K PDF)
Mark H. Meissner, MD, FACS, Seattle, WA

Current and Future Drug Prophylaxis and Treatment of VTE (1240K PDF)
Thomas W. Wakefield, MD, FACS, Ann Arbor, MI

GS18 Esophageal-Gastric Junction Carcinoma

Pathogenesis and Classification of Gastroesophageal Junction Tumors (1290K PDF)
Para Chandrasoma, MD, Pasadena, CA

Nonsurgical Treatment of Early Cancer, Photodynamic Therapy, Endoscopic Mucosal Resection and Ablation (3245K PDF)
Thomas Watson, MD, Rochester, NY

Lymphadenectomy for Esophegael Cancer Is It Time to Revisit (890K PDF)
Jeffrey H. Peters, MD, FACS, Rochester, NY

Adjuvant Therapy for Esophagael and Cardiac Cancer Are We Following the Evidence (920K PDF)
Wayne Hofstetter, MD, Houston, TX

GS19 Laparoscopic Colectomy: How, Who, Why?

Laparoscopic Colectomy How (1480K PDF)
Mark H. Whiteford, MD, FACS, Portland, OR

Laparoscopic Colectomy Who (825K PDF)
George J. Chang, MD, Houston, TX

Laparoscopic Colectomy Why (85K PDF)
Luca Stocchi, MD, Cleveland, OH

GS21 Accreditation of Surgery Centers to Optimize Patient Care

Accreditation of Surgery Centers to Optimize Patient Care (10K PDF)
Andrew L. Warshaw, MD, FACS, Boston, MA

The Template for Accreditation (1035K PDF)
R. Scott Jones, MD, FACS, Charlottesville, VA

Quality of Patient Care (1035K PDF)
Clifford Y. Ko, MD, MPH, FACS, Los Angeles, CA

Benefits vs. Costs (530K PDF)
Murray F. Brennan, MD, FACS, New York, NY

The Future of the General Surgeon in the Era of Subspecialty Centers (35K PDF)
J. David Richardson, MD, FACS, Louisville, KY

GS22 Acute Lower Gastrointestinal Hemorrhage: Diagnostic and Management Strategies

Epidemiology, Etiology, and Medical Management (1365K PDF)
C. Neal Ellis, Jr., MD, FACS, Mobile, AL

Nuclear Imaging for Lower GI Bleeding (635K PDF)
Bertram T. Chinn, MD, FACS, Edison, NJ

Arteriography and Selective Embolization (1705K PDF)
William V. Sardella, MD, FACS, Hartford, CT

GS23 Management of the Elderly Surgical Patient

Lessons in Care for Elderly Trauma Victims (200K PDF)
Philip S. Barie, MD, MBA, FACS, New York, NY

GS24 Disaster Planning in the Modern Era of Terrorism

Progress in the Preparation of the Unthinkable (1560K PDF)
Lt. Gen Paul K. Carlton, Jr., USAF, MC (Ret.), College Station, TX

Multiple Casualty Trauma Management, The Israeli Experience (1740K PDF)
William P. Schecter, MD, FACS, San Francisco, CA

What Is the ACS' Role in Disaster Planning and Response (5935K PDF)
Eric R. Frykberg, MD, FACS, Jacksonville, FL

GS25 Focused Whole Body Radiosurgery: Concepts and Surgical Applictions

Radiobiology and Review of Techniques (680K PDF)
Irving Kaplan, MD, Boston, MA

Tracking the Moving Target, Radiosurgery of the Lung (4510K PDF)
John B. Adler, Jr., MD, Stanford, CA

Radiosurgery of the Liver and Pancreas (4070K PDF)
Mukund S. Didolkar, MD, FACS, Baltimore, MD

Radiosurgery of the Lung and Prostate (8885K PDF)
Debra Freeman, MD, Naples, FL

GS27 Management of Complications of Portal Hypertension

Emergency Management of Variceal Bleeding
Greg V. Stiegmann, MD, FACS, Denver, CO

Management of Ascites Secondary to Portal Hypertension
Alexander S. Rosemurgy II, MD, FACS, Tampa, FL

Surgery in the Pateint with Portal Hypertension
W. Scott Helton, MD, FACS, Chicago, IL

GS28 Ventral Hernia Repair: Selecting the Right Operation for the Right Patient

Laparoscopic Ventral Hernia Repair
Karl A. LeBlanc, MD, MBA, FACS, Baton Rouge, LA

Open Ventral Hernia Repair
Michael J. Rosen, MD, Cleveland, OH

Biologic Mesh and Appropriate Situations for Its Use
W. Scott Helton, MD, FACS, Chicago, IL

Difficult Ventral Hernias
B. Todd Heniford, MD, FACS, Charlotte, NC

GS29 Capsule Endoscopy for Surgical Disorders of the Gastrointestinal Tract

Capsule introduction
Richard A. Hodin, MD, FACS, Boston, MA

Gastrointestinal Bleeding and Other Difficult Cases
Myles Keroack, MD, Boston, MA

Retained Video Capsule - A Good Thing
James M. Swain, MD, Scottsdale, AZ

GS30 Aftermath of Hurricane Katrina

Resident and Patient Care Issues
Jean A. Fung, MD, Metairie, LA

Attending's View of the Trauma System Issues
John P. Hunt III, MD, FACS, New Orleans, LA

So You Want to Move a Health Sciences Center
Frank G. Opelka, MD, FACS, River Ridge, LA

GS31 Staying on Top of Your Game

Staying Sharp, How the Pros Do It
John Couture, Cleveland, OH

Staying Current, The Value of Recurrent Training
Robert Torti, Dallas, TX

Staying Safe, Simple Tools to Be a Safer Surgeon
Richard C. Karl, MD, FACS, Tampa, FL

Staying Balanced, How Outside Interests Augment a Career in Surgery
Hiram C. Polk, Jr., MD, FACS, Louisville, KY

GS33 Recognition and Treatment of Necrotizing Soft Tissue Infections

Making the Diagnosis of Necrotizing Soft Tissue Infection (2900K PDF)
Hugh M. Foy, MD, FACS, Seattle, WA

Surgical and Antibiotic Treatment of Necrotizing Soft Tissue Infections (845K PDF)
Addison K. May, MD, FACS, Nashville, TN

Clostridial Infections (695K PDF)
Jan K. Horn, MD, FACS, San Francisco, CA

Novel Adjuvant Therapies for Necrotizing Soft Tissue Infection (430K PDF)
Avery B. Nathens, MD, PhD, FACS, Toronto, ON

GS34 Upper Gastrointestinal Hemorrhage: Diagnostic and Treatment Strategies to Optimize Outcomes

Upper GI Hemorrhage, Diagnosis Strategy and Medical Management (1045K PDF)
Jeffrey W. Hazey, MD, FACS, Colombus, OH

Endoscopic Treament for Acute GI Bleeding (1250K PDF)
Jeffrey M. Marks, MD, FACS, Lyndhurst, OH

Operative Treatment for Acute Gastric and Duodenal Bleeding (510K PDF)
Ankesh Nigam, MD, FACS, Rensselaer, NY

Acute and Long-Term Strategies for Control of Variceal Hemorrhage (310K PDF)
Alexander S. Rosemurgy II, MD, FACS, Tampa, FL

GS35 Those Problematic Competencies: Evaluation of Medical Students

Medical Student Competency, A Longitudinal Perspective (215K PDF)
David Leach, MD, Chicago, IL

Conquering the Competencies Challenges (320K PDF)
Debra A. DaRosa, PhD, Chicago, IL

Teaching and Evaluating the Competencies, What Is Being Done (385K PDF)
Myriam J. Curet, MD, FACS, Stanford, CA

GS36 Neoadjuvant Therapy for Thoracic Cancer

Adjuvant and Induction Therapy for Non-Small Cell Lung Cancer (610K PDF)
Katherine Pisters, MD, Houston, TX

Pulmonary Resection (750K PDF)
Valerie W. Rusch, MD, FACS, New York, NY

Adjuvant and Induction Therapy for Esophageal Cancer (610K PDF)
David H. Ilson, MD, New York, NY

GS37 Practicing Surgeons and Work Hour Restrictions

Current Work Hours (250K PDF)
Thomas R. Gadacz, MD, FACS, Augusta, GA

Pilots and Work-Hour Restrictions (780K PDF)
Jack Rubino, MD, Denver, CO

Future Surgeons and Work-Hour Anticipation (180K PDF)
John R Potts III, MD, FACS, Houston, TX

GS38 Rectal Prolapse: Diagnostic and Therapeutic Options

Evaluation of Patients with Rectal Prolapse (3935K PDF)
Francis J. Scholz, MD, Burlington, MA

Surgical Treatment of Rectal Prolapse (4030K PDF)
Michael J. Snyder, MD, FACS, Houston, TX

Management of Patients with Internal Rectal Prolapse (720K PDF)
Anders F. Mellgren, MD, PhD, Minneapolis, MN

Treatment of Recurrent Rectal Prolapse (2025K PDF)
Scott R. Steele, MD, Olympia, WA

GS39 Gastoesophageal Reflux: Selecting the Correct Procedure to Optimize Outcomes

Preoperative Testing for Anti-Reflux Surgery (1810K PDF)
Blair A. Jobe, MD, Portland, OR

How Do Endoluminal Treatments Fit into the Anti-Reflux Treatment Algorithm (1285K PDF)
Lee L. Swanstrom, MD, FACS, Portland, OR

Motility Disorders, Do We Need More Than One Operation (1260K PDF)
Reginald C Bell, MD, FACS, Englewood, CO

Optimizing Outcomes in Anti-Reflux Procedures (1160K PDF)
Ronald A. Hinder, MD, FACS, Jacksonville, FL

The Failed Fundoplication-Evaluation and the Role of Reoperative Surgery (2905K PDF)
Jo Buyske, MD, FACS, Philadelphia, PA

GS40 Intestinal Failure: Management Strategies

Disease Spectrum from the Surgical Perspective (630K PDF)
Harry C. Sax, MD, FACS, Providence, RI

Nutritional Management & Gut Adaptation (1860K PDF)
Stephen J. O'Keefe, MD, MSc, Pittsburgh, PA

Therapy with Novel Enterotrophic Agents (780K PDF)
Thomas R. Ziegler, MD, Atlanta, GA

Preventive Measures and Surgical Treatment (585K PDF)
Jon S. Thompson, MD, FACS, Omaha, NE

Intestinal Transplantation-Current Consensus and Practical Guidelines (3920K PDF)
Kareem M. Abu-Elmagd, MD, PhD, FACS, Pittsburgh, PA

GS43 Current Management of Thyroid Cancer

Molecular Markers in Thyroid Tumors (5060K PDF)
Steven K. Libutti, MD, FACS, Bethesda, MD

Pre and Intraoperative Management of Thyroid Cancer (1210K PDF)
Christopher R. McHenry, MD, FACS, Cleveland, OH

Cervical Lymphadenectomy for Well-Differentiated Thyroid Cancer (3260K PDF)
Geoffrey B. Thompson, MD, FACS, Rochester, MN

Postoperative Treatment and Follow-Up of Thyroid Cancer (1200K PDF)
Paul W. Ladenson, MD, Baltimore, MD

GS45 Surgical Innovators

Surgical Innovators 1 (1110K PDF)
John F. Burke, MD, FACS, Boston, MA

Surgical Innovators 2 (575K PDF)
Thomas J. Fogarty, MD, FACS, Portola Valley, CA

Surgical Innovators 3 (7135K PDF)
M. Judah Folkman, MD, FACS, Boston, MA

GS47 Evaluation and Management of Incidental Findings

Hepatic Incidentaloma (1195K PDF)
Laurence E. McCahill, MD, FACS, Burlington, VT

Adrenal Incidentalomas (725K PDF)
Thomas J. Miner, MD, FACS, East Greenwich, RI

Incidental Pulmonary Nodule (2205K PDF)
Thomas T. Ng , MD, FACS, Providence, RI

Incidental Ovarian Masses (6130K PDF)
Dennis S. Chi, MD, New York, NY

Incidental Gallstones (475K PDF)
Desmond H. Birkett, MD, FACS, Burlington, MA

GS48 Neoplasms of the Adrenal Gland

Evaluation of the Incidental Mass (3270K PDF)
Nancy D. Perrier, MD, FACS, Houston, TX

Adrenal Cortical Carcinoma - Sysyemic Treatment Strategies (1440K PDF)
Alexandria Phan, MD, Houston, TX

Aldosteronoma - Diagnosis and Treatment (2270K PDF)
Geoffrey B. Thompson, MD, FACS, Rochester, MN

Case Presentations (1895K PDF)
Jeffrey E. Lee, MD, FACS, Houston, TX

GS49 Prevention of Nosocomial Infections on the Surgery Service

Prevention of Surgical Site Infections (220K PDF)
Philip S. Barie, MD, MBA, FACS, New York, NY

Prevention of Postoperative Pneumonia (770K PDF)
Pamela A. Lipsett, MD, FACS, Baltimore, MD

Prevention of Cather-Related Bloodstream Infections (1000K PDF)
Craig M. Coopersmith, MD, FACS, Saint Louis, MO

GS50 The On-Call Specialist Crisis: A Moral Dilemma

Facing the Potential Medical Liability Exposure (155K PDF)
Edward R Laws, MD, FACS, Charlottesville, VA

Facing the Potential Medical Liability Exposure (20K PDF)
F. Dean Griffen, MD, FACS, Shreveport, LA

Paying Specialists to Take Emergency Room Calls (195K PDF)
Bruce L. Gewertz, MD, FACS, Chicago, IL

Taking ER Call Is a Lifestyle Choice (775K PDF)
Alex B. Valadka, MD, FACS, Houston, TX

Taking ER Call Is a Lifestyle Choice (765K PDF)
Kimberly S. Kirkwood, MD, FACS, San Francisco, CA

Creating Acute Care Surgeons is the Solution (1050K PDF)
L. D. Britt, MD, MPH, FACS, Norfolk, VA


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

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