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GS01
Inguinal Hernia Repair: An Evidence-Based Approach (1.5 CME Credits)
Moderator: Leigh A. Neumayer, MD, FACS
This session will consider factors determining outcomes for operative procedures for inguinal hernia repair. The program will focus on evidence-based decision making, including patient risks, operative approach, and surgeon experience.
GS14
Effective Communication: An Essential Competency to Enhance Surgical Care, Promote Safety, and Reduce Liability
Moderator: L. D. Britt, MD, MPH, FACS, Norfolk, VA
Both the American Board of Medical Specialties and the Accreditation Council for Graduate Medical Education have defined effective communication as an essential core competency. Each practicing surgeon and surgical resident must demonstrate skills in this area. Effective communication is key to the delivery of optimum patient care and plays a critical role in enhancing surgical outcomes and reducing liability risk. The panel presentation will address the contemporary trends and new mandates that have brought this core competency into sharp focus; discuss the perspective of the American College of Surgeons in supporting acquisition in maintenance of such skills; outline the perspective of the Federation of State and Medical Boards within the context of Maintenance of Licensure; discuss the importance of this competency in providing optimum patient care and reducing liability risk; highlight educational approaches available to practicing surgeons and residents to address this competency; and outline the key features of the recently implemented Surgeons as Effective Communicators course of the American College of Surgeons to specifically address such skills.
GS18
Esophageal-Gastric Junction Carcinoma (1.5 CME Credits)
Moderator: Jeffrey H. Peters, MD, FACS
There has been a strong trend of gastric carcinoma moving proximally and of distal esophageal tumors being adenocarcinoma rather than squamous cell carcinoma. This trend has led to confusion regarding classification of adenocarcinomas in this region. This panel will discuss classification and appropriate surgical management of these increasingly frequent and challenging tumors.
GS19
Laparoscopic Colectomy: How, Who, Why?
Moderator: Heidi Nelson, MD, FACS, Rochester, MN
This session will present indications for laparoscopic colectomy, review surgical techniques, and discuss strategies to incorporate this procedure into one’s surgical repertoire.
GS21
Accreditation of Surgery Centers to Optimize Patient Care (3 CME Credits)
Moderator: Andrew L. Warshaw, MD, FACS
ACS Centers of Care Program has developed a generic template for establishing disease-oriented specialty centers. This template stipulates human and physical resources, case volume performance standards, guideline-driven and clinical pathwaydriven processes of care, a rigorous outcomes database, and site visits conducted every three years. The ACS currently seeks opportunities for working with surgical specialty organizations to develop specialty centers.
GS26
Surgical Errors and Adverse Outcomes: Impact on Surgical Residents (2 CME Credits)
Moderator: Stephen R. T. Evans, MD, FACS
Since the Institute of Medicine report was published in 1999, more scrutiny and attention has been drawn to the magnitude of errors and adverse outcomes that occur in the practice of medicine. This session will examine the magnitude of the problem in surgery and will explore methods to help residents manage errors in which they may be involved or observe during training. Methods for managing the psychological impact of such events on young trainees will be discussed, along with new insights into the causes of adverse outcomes and preventative measures to improve patient outcomes and minimize errors.
GS32
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.
GS42
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.
GS44
Acute Pancreatitis: Evidence-Based Management (1.5 CME Credits)
Moderator: John C. Alverdy, MD, FACS
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.
GS46
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.
GS52
Designing Your Operating Room: What You Need to Know (3 CME Credits)
Co-Moderators: Gerald M. Fried, MD, FACS, Steven D. Schwaitzberg, MD, FACS
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
GS57
Evolving options in Breast-Preserving Treatment of Breast Cancer (1.5 CME Credits)
Moderator: V. Suzanne Klimberg, MD, FACS
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.
GS67
Choledocholithiasis: Diagnostic and Management Strategies (1.5 CME Credits)
Moderator: Myriam J. Curet, MD, FACS
This session will review imaging and diagnostic modalities for patients with complications of choledocholithiasis, biliary obstruction, ascending cholangitis, and gallstone pancreatitis.
GS68
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.
GS77
Intraabdominal Catastrophies: Timely Diagnosis and Emergency Treatment (1.5 CME Credits)
Moderator: Christine S. Cocanour, MD, FACS
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.
GS78
The Volume and Quality Conundrum: What Are the Data? (1.5 CME Credits)
Moderator: Robin S. McLeod, MD, FACS, FRCSC
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.
GS98
Pay for Performance: The Future Is Now (1.5 CME Credits)
Co-Moderators:R. Scott Jones, MD, FACS, David R. Hunt, MD, FACS
This program will evaluate the current status of the use of quality metrics in reimbursement models. Existing national quality measurement programs and strategies for future models will be presented.
GS104
The Disruptive Professional (1.5 CME Credits)
Moderator: Peter J. Fabri, MD, FACS
Disruptive behavior on the part of physicians and allied health professionals is a barrier to effective communication and high-quality patient care. This session will address the scope of the problem, the impact on allied health professionals, the legal issues, and the negative impact on patient safety. The panel will suggest solutions for preventing and resolving disruptive behavior.
GS110
Understanding and Reducing Disparities in Surgical Care (2 CME Credits)
Co-Moderators: John D. Birkmeyer, MD, FACS, Juan C. Cendan, MD, FACS
Access to surgical care and surgical outcomes are often suboptimal for minorities and low-income patients. This session will present an overview of disparities in surgical care as they affect patients with different social and cultural backgrounds. Five national leaders in the field will address important issues for understanding and reducing disparities in surgery, including current evidence and observations about disparities in surgery; social and behavioral strategies for reducing disparities in the use of surgery; racial disparities in surgical outcomes and growing evidence that minority patients have poorer outcomes because they are treated in lower quality hospitals; and finally, research and potential policy solutions for reducing such disparities.
NL05
Ethics and Philosophy Lecture: Disclosing Medical Errors to Patients: A Challenge for Physicians
Lecturer: Wendy Levinson, MD, Toronto, ON
Presiding Officer and Introducer: Mary H. McGrath, MD, FACS, San Francisco, CA
MD03
Complications in Surgery: Getting Out of Trouble in the Operating Room
Moderator: Mark A. Malangoni, MD, FACS, Cleveland, OH
This panel will focus on unexpected problems encountered during general surgery operative procedures. Each operation is punctuated by its own individual set of consequences. Some of these may be startling. An elite panel of accomplished surgeons has been assembled to express their opinions and it is anticipated that a spirited dialogue will ensue. Certain circumstances will be presented by the moderator, but the audience is encouraged to participate by sharing their own experience to test the panel as to how they would react to real-life intraoperative emergencies.
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