American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Advisory Council for Orthopaedic Surgery News: Winter 2017

Greetings from the Chair

Danielle Katz, MD, FACSAs Chair of the American College of Surgeons (ACS) Advisory Council for Orthopaedic Surgery, I would like to take this opportunity to update our ACS members who are orthopaedic surgeons on the activities of your Council and the projects we are working on with our colleagues at the College.

Regards,

Danielle A. Katz, MD, FACS

Who We Are and What We Do

For those not familiar with the structure of the ACS, the Advisory Council for Orthopaedic Surgery serves as a conduit for your ideas and concerns to College leadership. Some of the goals of this council have been to develop educational sessions for Clinical Congress, to nominate members for awards given by the College, and to bring forward issues of concern to orthopaedic surgeons. Additionally, for those of you interested in becoming more actively involved in the ACS, the Advisory Council for Orthopaedic Surgery can help facilitate those opportunities. As described in the brief essay below by John C. Elfar, MD, FACS, the ACS can provide meaningful opportunities for orthopaedic surgeons. If you would like to get involved, please take a moment to fill out a brief survey via the link below and/or contact me directly at katzd@upstate.edu with questions, comments, or suggestions.

Update Your ACS Profile

Members are encouraged to update their ACS Profile. Your personalized profile can include information about your practice, medical school, residency, fellowships, and areas of special interest including bone infection, hand/wrist disorders/procedures, sports medicine, and joint replacement.

Get Involved: Take This Survey

The Advisory Council for Orthopaedic Surgery is often asked to review guidelines such as the Clinical Practice Guidelines published by the American Academy of Orthopaedic Surgeons and other guidelines or statements on various topics of importance to orthopaedic surgeons such as osteochondritis dissecans, anterior cruciate ligament injuries in adolescents, and carpal tunnel syndrome. If you are willing to review and comment on position statements and guidelines, please take a brief survey and you may be contacted for this opportunity.

Welcome to New Ortho FACS

This year’s Initiate class was the largest ever, with 1,823 new members! Congratulations to the 30 orthopaedic surgeons that received their Fellow of the ACS (FACS) status at the Clinical Congress 2016 (all of the following are MD, FACS):

Maher W. Abdulrahman, Baghdad, Iraq
David Ajibade, Rockford, IL
Sabah M.K. Aljanabi, Al-Diwaniyah, Iraq
David U. Arango, Lake Wales, FL
Youssef R. Bassim, Al Hofuf, Saudi Arabia
Karl A. Bergmann, Omaha, NE
Sujoy K. Bhattacharjee, Faridabad, India
Kevin J. Bozic, Austin, TX
Bennett H. Brown, Woodbury, NY
Barry C. Davis, Fort Pierce, FL
Huseyin Demirors, Ankara, Turkey
Nicholas A. DiNubile, Havertown, PA
Robert C. Gillis, Gettysburg, PA
Rene Hartensuer, Muenster, IN
Erik Hasenboehler, Lutherville Timonium, MD
Nader M. Hebela, Philadelphia, PA
Riaz H. Lakdawala, Karachi, Pakistan
Mark A. Lee, Sacramento, CA
Charbel D. Moussallem, Ain Wazein-Shouf, Lebanon
Brian H. Mullis, Indianapolis, IN
Mahmoud M. Odat, Amman, Jordan
Greg M. Osgood, Baltimore, MD
John S. Papakonstantinou, Oakland Township, MI
Javier E. Penagos, Cabo San Lucas, Mexico
Robert N. Reddix, Fort Worth, TX
Ali M. Shami, Islamabad, Pakistan
Christopher S. Smith, Virginia Beach, VA
Chris Steyn, Port Stanley, ON
Ismail C. Tuncay, Ankara, Turkey
Michael J. Weaver, Boston, MA

What I Learned by Joining the YFA

https://echo4.bluehornet.com/cimages/276a7eee9af0bb7cc8a10643e54b93dd/spacer.gif?1441293298John ElfarA College of Many Tribes

John C. Elfar, MD, FACS
YFA Liaison to the ACS Advisory Council for Orthopaedic Surgery

A life in orthopaedic surgery teaches you that different types of surgeons do not usually mix. We learn our lessons from our own kind—in the back rooms and hallways when the senior residents tell us what to do. Our tribe is for our kind. We self-segregate through medical school and residency training and then in our professional life.

A life in orthopaedic surgery teaches you that different types of surgeons do not usually mix. We learn our lessons from our own kind—in the back rooms and hallways when the senior residents tell us what to do. Our tribe is for our kind. We self-segregate through medical school and residency training and then in our professional life.

The College, however, changed my perspective. Before I became a Fellow, I thought that other types of surgeons were so different from orthopaedists. My first Clinical Congress was actually the first time I spoke with some of the general surgeons in my own institution. Through shared experiences with ACS colleagues, I learned how much we had in common. Now, we are friends.

I joined the Young Fellows Association (YFA) on the advice of a general surgeon and friend at my hospital. I met a great group of people interested advancing advocacy initiatives and establishing a voice for young surgeons within the College and beyond. I was lucky to join because the YFA really broadened my horizons.

At the ACS 2016 Leadership & Advocacy Summit, in Washington, DC, I lobbied on Capitol Hill for causes important to our patients, the College, and all surgeons. These were initiatives that I never would have considered if I had remained cloistered within my tribe. There is a place for all surgeons in the College; that inclusion is critical. The ACS is a melting pot for surgical advocacy and leadership training across specialties, which is key in the new health care landscape. I learned that from my friends in the YFA.

I decided to apply for the YFA Governing Council and was honored to be chosen. The YFA Governing Council put me in touch with many of the leaders who help shape policy across all of health care. This year, I was named the liaison to the Advisory Council for Orthopaedic Surgery.

Fellowship in the American College of Surgeons has been entirely positive for me. Even my research horizons have been broadened by active membership. There is a great deal to gain from blurring the lines between tribes. I am first a surgeon and then an orthopaedist. We all want to think that our one little group is most likely to enrich us, but it is inclusion, unity, and the crossing of tribal lines that makes us better surgeons. My friends in the College allow me to trade more than simple banter and go beyond the hospital-hallway grins and nods. I have a community outside of orthopaedic surgery.

Hot Topics For ACS Members

MACRA and QPP

Payment policies outlined in the Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act (MACRA) using the newly developed Quality Payment Program (QPP) are in the early stages of implementation. Read more about what the ACS is doing to prepare surgeons and support patients in the adoption of these new reimbursement schemes.

Concurrent Surgery

The issues of controversy related to distinguishing overlapping and concurrent surgery have received considerable attention in the lay and professional media, prompting the College to explore and restate its position in its “Statement on Principles—the intraoperative responsibilities of the primary surgeon.”

OR Attire

The publication of operating room (OR) attire recommendations by the Association for periOperative Registered Nurses (AORN), and their adoption as required standards by regulatory agencies such as the Centers for Medicare & Medicaid Services (CMS), led the ACS to develop its own guidelines for appropriate OR attire. In response to the original AORN recommendations, the YFA surveyed its constituents and has published a thoughtful article examining the issues of policy implementation without strong supporting evidence, and its effect on morale and maintaining an optimal and ethical practice environment.