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GS10
How Can Professionalism Enhance Safety, Decrease Liability and Increase Profitability (1.5 CME credits)
Moderator: Alden H. Harken, MD, FACS
Professionalism is one of the six competencies; indeed, we will present data confirming professionalism as fundamental to the other five. Successful professionalism is what distinguishes the master surgeon. Conversely, we will analyze national tort/liability experience and conclude that missteps in professionalism are the most common denominator to an unwelcome outcome. Professionalism is at the heart of being a surgeon and can be translated into enhanced patient safety, decreased liability and increased profitability.
GS11
New Technology in the Operating Room: Safe Implementation (2 CME credits
Moderator: Eric J. DeMaria, MD, FACS
This panel will focus on how to safely introduce new technology into the operating room and hospital environments. Issues regarding training for staff, in-house services, and support systems will be addressed and discussed. This topic is particularly important because of the many new advanced technologies being used by all surgical specialties in the operating room.
GS15
Regional Support for Skills Training and Abdominal Sepsis: A Strategy for Management (2 CME credits)
Moderator: Ajit K. Sachdeva, MD, FACS, FRCSC
Surgical education centers have evolved as a result of the growth of minimal access surgery; however, no national standards exist for the accreditation of these centers. In the future, these centers will play an increasingly pivotal role in the acquisition and maintenance of competence and in offering surgeons opportunities to acquire skills in new procedures and emerging technologies. Various activities of the College relative to accrediting skills centers and supporting education needs of surgeons will be discussed.
SP07-CR1
Diverticulitis - Dealing with the Complications (2 CME credits)
Moderator: David J. Schoetz, Jr., MD, FACS
This session will address the evolving treatment of diverticulitis, considering the new understanding of the definitions of complications of diverticular disease. Particular emphasis will be placed on approaches to diverticular disease in both young and old patients. Current indications for and timing of surgery will be reviewed and conventional operations discussed, including multiple staged operations, bowel prep and on-table lavage. Laparoscopic approaches to diverticular resections will be discussed, with review of the benefits of the laparoscopic approach, particularly for complicated diverticulitis.
GS18
What's New in Breast Cancer? From Ductal Lavage to Abliation and Adjuvant Strategies (1.5 CME credits)
Moderator: S. Eva Singletary, MD, FACS
This panel will discuss the latest development in breast cancer including management of high-risk patients, use of novel imaging modalities, and use of ductal lavage and imaging. Summaries of ongoing and recently completed adjuvant trials will be presented. Topics will include the current status of ductal lavage in clinical practice; role of primary tumor ablation and American College of Surgeons Oncology Group's new clinical trial of cryoablation; and novel approaches to breast irradiation. An update on adjuvant strategies of systemic therapy will be provided with the focus on what the general surgeon should know in breast cancer management. A lively panel discussion of breast case management issues with questions from the audience will be presented.
GS25
Cystic Neoplasms in the Pancreas: When To Operate/When Not To Operate (2 CME credits)
Moderator: Murray F. Brennan, MD, FACS
With the frequent use of abdominal imaging, particularly MRI and CT for minor non-specific complaints, cystic neoplasms are being identified with increasing frequency. The relevance of cystic neoplasms is difficult to appreciate, and many advise a very aggressive surgical approach. The frequency with which the lesions are identified implies that not all lesions are precursors of malignancy. Conversely, early identification and operation on lesions that show beginning invasive malignancy offer the possibility of cure. Topics included the pathology and imaging of cystic neoplasms, an argument for aggressive approach to resection, and an alternative, more conservative approach with further evaluations. A discussion and consensus panel should provide a reasonable algorithm for the practicing surgeon that is appropriate for the patient and avoids unnecessary and potentially morbid operations without overlooking curable malignancy.
MD02
Complications in Surgery: Getting Out of Trouble in the Operating Room (2 CME credits)
Moderator: Alan S. Livingstone, MD, FACS
This panel will focus on unexpected problems encountered during abdominal, pelvic, and thyroid operations. Specific scenarios that will be addressed include "damage control" for the unstable patient, management of the difficult duodenum, invasive thyroid cancer, the difficult low anterior resection, and the positive esophageal margin with gastrectomy for cancer.
GS37
The Devil's in the Details: Avoiding Complications in Laparoscopic Cholecystectomy (1.5 CME credits)
Moderator: Steven M. Strasberg, MD, FACS
Complications of cholecystectomy, especially biliary injuries, continue to be a serious problem in general surgery. In this session, experts will present the fine points of strategies to avoid these complications. A safety-first approach will be defined. Topics will include ductal identification and techniques for dissection during laparoscopic cholecystomy, strategies and techniques after conversion, intraoperative imaging of the bile ducts, and management of choledocholithiasis.
GS50
GERD Today: Medicate, Inject, Staple or Wrap? (1.5 CME credits)
Moderator: Carlos A. Pellegrini, MD, FACS
Participants of this session will hear four presentations that will provide them with a critical analysis of the latest data on the medical, endoscopic and surgical treatment of abnormal gastroesophageal reflux. The discussion that follows will center on the outcomes of the treatment for GERD and should help participants determine the most appropriate procedure for the most appropriate patient.
GS54
Critical Decisions in Surgical Workforce Issues (1.5 CME credits)
Moderator: Michael J. Zinner, MD, FACS
Nurse practitioners, physician assistants, and residents can be useful in patient care, depending on the nature of the service. Experts will describe the different teams that work and those that are not.
GS62
What You Need To Know about Maintenance of Certification (1.5 CME credits)
Moderator: Frank R. Lewis, Jr., MD, FACS
This session will describe the evolving maintenance of certification effort by the American Board of Medical Specialities and other surgical boards, including the specific requirements beginning in 2005.
GS64
Minimal Access Surgery: What's Proven, What's Not (3 CME credits)
Moderator: Gerald M. Fried, MD, FACS
This program will be an update of emerging surgical technologies and procedures related to minimal access surgery. At the completion of the session, participants will know how to use the best available evidence to incorporate these procedures and emerging technologies into their own clinical practice. Expert panelists will discuss minimal access surgery, driven by the best available evidence. Discussion will first focus the four indications for minimal access surgery: inflammatory diseases of the colon and rectum; cancer of the colon and rectum; incisional hernia; and gastroesophageal reflux disease. Each speaker will provide data comparing the laparoscopic approach to a competing technology, either open laparotomy or new transluminal therapies. In the second part, speakers will discuss innovative technologies that enable the surgeon to learn and practice minimal access surgery efficiently, safely, and effectively. They will discuss energy sources developed to control bleeding to facilitate dissection, the use of robotics to perform general surgery and to educate surgeons both locally and at a distance, and the ways in which new endosuites may contribute to safety and efficiency in clinical practice.
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