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

OHNS News Summer 2014

Editor and Chair, ACS Advisory Council for Otolaryngology—
Head and Neck Surgery: Craig S. Derkay, MD, FACS

Important Dates

Clinical Congress
October 26–30
San Francisco, CA

AAO-HNS Meeting
September 20–24
Orlando, FL

Recent Activities

Button Battery Task Force

In order to establish a best practice guideline for treatment, a survey will be sent to all surgeons who encounter button battery ingestion/aspiration emergencies.

Optimal Resources for Providing Pediatric Surgical Care

The Advisory Council has been actively engaged in the joint effort by the American College of Surgeons (ACS) and the Children’s Hospital Association (CHA) to identify what constitutes optimal resources for the provision of surgical care to children. The project is well into its second year with broad representation from surgeons of multiple specialties as well as our colleagues in anesthesia, radiology, neonatology, pediatric critical care, emergency medicine, pathology, and hospitalists. We envision the final product will parallel the trauma designation system (Levels I, II, and III and ambulatory centers) with a verification process that involves regular site visits to ensure that quality and safety measures are in place.

2014 Leadership and Advocacy Summit

The ACS Leadership and Advocacy Summit took place in Washington, DC, at the end of March. It was anticipated that the event would coincide with finally repealing the Sustainable Growth Rate (SGR) after bipartisan, bicameral negotiations had taken place over the prior year. Unfortunately, this hope was scuttled at the last minute by the House Republican leadership in a politically partisan attempt to link the repeal of the SGR to the repeal of the Affordable Care Act (ACA). The Summit did produce opportunities for state-by-state advocacy efforts and featured an excellent motivational speaker discussing emotional intelligence.

Updated ACS Website

A redesigned ACS website will launch later this summer. Be sure to visit www.facs.org to see the new look and take advantage of enhanced member services features.

ACS Advisory Council Restructure Recommendations

Craig S. Derkay, MD, FACS, is a member of a working group of Advisory Council Chairs that is charged with exploring reorganization of the Advisory Councils into a pillar structure paralleling the reorganization of the Board of Governors. The express purpose of the Advisory Council restructuring is to enhance horizontal integration across the 13 Advisory Councils and eventually the Board of Governors. The five pillars to be populated by Advisory Council members are Member Services, Education, Communication, Advocacy and Health Policy, and Quality, Research, and Optimal Patient Care.

Top Reasons Your Otolaryngology Colleagues Should Join ACS

The Advisory Council offers the following top reasons why an otolaryngologist would join the ACS and why current ACS members who are otolaryngology specialists should maintain their membership and attend Clinical Congress:

  • Representation in governmental affairs that affect surgeons
  • Surgical volunteer opportunities internationally, nationally, and locally with surgical colleagues (cancer screening, humanitarian missions)
  • Maintenance of Certification (MOC) opportunities
  • Access to the ACS National Surgical Quality Improvement Program (ACS NSQIP) for head and neck surgery and pediatrics
  • ACS support for specialty-specific issues (for example, audiology and PA scope of practice)
  • Access to the Find-a-Surgeon search engine for patient referrals
  • Health policy scholarship opportunities and support for young otolaryngology investigators
  • Collaboration and recognition of contributions with colleagues in fields such thyroid/parathyroid/head and neck/reconstruction/pediatric airway
  • Unique multi-disciplinary programming with associated continuing medical education (CME) credit at Clinical Congress that cannot be obtained elsewhere
  • Association with an organization that promotes the highest ethical standards for professionalism/ethics, quality, and safety in surgery
  • Access to the Resident and Associate Society (RAS-ACS), which complements the AAO-HNS resident and fellow activities
  • Contract negotiation support for our members
  • The prestige associated with belonging to the American College of Surgeons

Scholarship Opportunities for Otolaryngologists

Among the $1.895 million in scholarships, fellowships, and awards offered by the ACS, there are specific opportunities for otolaryngologist awardees:

  • The 2014 ACS/AAO-HNS Health Policy Scholarship was awarded to James C. Denneny III, MD, FACS, of Columbia, MO. Dr. Denneny attended the Leadership Program for Health Policy and Management at Brandeis University. The intensive one-week program equips health leaders with the knowledge and skills essential for creating innovative and sustainable solutions to improve the quality, cost effectiveness, and efficiency of health care service delivery, and participating in health care policy and reform.
  • The ACS/Triological Society Clinical Scientist Development Award is a competitive grant program to provide supplemental funding to otolaryngologists–head and neck surgeons who have received a new National Institutes of Health Mentored Clinical Scientist Development Award (K08/K23) or have an existing award with a minimum of three years remaining in their funding period.

More information on ACS scholarship and research opportunities is available.

Announcement of Jacobson Award to Robin Cotton

The 20th Jacobson Award for Surgical Innovation was presented to Robin Cotton, MD, FRCS, FACS, for his seminal work in the care and reconstruction of the stenotic pediatric airway. Dr. Cotton received his award at a dinner in his honor in Chicago, IL, on June 5. He is the first otolaryngologist to receive this prestigious honor. Children who were sentenced to a lifetime of breathing through a tracheotomy and having their lifestyle altered as a result are now afforded the opportunity for reconstructive surgery and a much more normal lifestyle thanks to Dr. Cotton’s pioneering work.

Honorary Fellowship Nominations

The Regents may elect as Honorary Fellows individuals who: (a) possess an international reputation in the field of surgery or medicine, or (b) have rendered distinguished humanitarian services in the field of medical sciences. The Advisory Council is putting forward several nominations this year of otolaryngologists for consideration as Honorary Fellows of the College.

Substantial Changes to the Clinical Congress Program

The ACS Program Committee has gone through a retreat process in which it has identified more than 25 changes to be implemented over the next two years. Highlights include:

  • Offering self-assessment credits for all panel sessions, didactic courses, and skills courses
  • Offering special certificates to meet MOC, MOL, and other regulatory requirements
  • Providing webcasts of all Named Lectures, panel sessions, and didactic courses
  • Developing merit-based travel awards for young investigators
  • Switching to electronic evaluation of all sessions; requiring evaluation for all sessions (in other words, no evaluation, no CME credit)
  • Defining “multidisciplinary” topics based on specialty taxonomy; developing cycles for presentation at Clinical Congress
  • Possibly switching to an electronic format for posters
  • Improving recognition of course directors through special certificates and CME credits
  • Implementing use of case-based and multidisciplinary panel sessions
  • Implementing new mission statements for Meet-the-Expert Luncheons and Town Hall sessions

Program for the 2014 Clinical Congress in San Francisco, CA

An outstanding otolaryngology program is planned for the Clinical Congress 2014. There are 11 panel sessions spread out over the week along with an otolaryngology video session.

Monday, October 27

Free-Flap Surgery: The Revolution of Reconstruction

Advanced Thyroid and Parathyroid Ultrasound

HPV Disease: From Oral Cavity to Anus

Tuesday, October 28

Zoning in on Neck Injury: The Multimodality Treatment of Penetrating and Blunt Trauma to the Neck

Contemporary Management of Aerodigestive Tract Foreign Bodies

Wednesday, October 29

Otolaryngology–Head and Neck Surgery Video-Based Education Session

Parathyroidectomy for Primary Hyperparathyroidism

Airway Emergencies for the General Surgeon

Melanoma in 2014: What Does the Surgeon Need to Know?

Controversies over the Extent of Surgery and Treatment for Well-Differentiated Thyroid Cancer

Thursday, October 30

Management of Complications in Mandible Fracture Treatment

Ultrasound for Surgeons

There are at least 26 additional panel sessions that otolaryngologists would find of general interest. A sampling of these include:

Medicare’s Approach to Value-Based Purchasing: Aligning E-Rx, PQRS, and EHR with the New Medicare Value-Based Payment Modifier

An Update on Health Care Reform

What’s New in Advocacy and Health Policy: Top 10 Advances in the Past Year

The Surgeon’s Role in Reducing Health Care Costs

Better Outcomes through Preoperative Optimization: Getting Your Patients Strong for Surgery

The Environmentally Responsible Surgical Practice

Initiates’ Program: The Rewards of the Surgical Career and Joy of Surgical Practice

Managing Debt While Starting a Practice

How Can I Get Credentialed for Something I’ve Never Done Before?

The Surgeon as Artist

Gaming in Patient Care and Surgical Education

Learning from Mistakes: Teaching Transparency and Self-Reflection

Perioperative Patient Safety

Innovation and Invention in Surgery: From Concept to Market

The Great Work/Life Debates

My Cup Runneth Over: Surgeon Suffering and Burnout

Association of Program Directors in Surgery (APDS) Panels: The Future of GME Funding; Assessment of Intraoperative Skills

Transition from Medical School to Surgery Residency

Transition to Practice in General Surgery

HIT, CPOE, HIE, and other EHR Alphabet Soup for the Practicing Surgeon

Operative Access: What’s Proven, What’s Not

Surgical Critical Care Workforce: 2014 and Beyond

ACS NSQIP: A Quality Improvement Program that Improves Outcome and Reduces Costs

The Tyranny of Distance: Interhospital Transfers—A Worldwide Issue for Quality Patient Care

Enrolling Patients on Cancer Clinical Trials: The Nuts and Bolts

Lumps, Bumps, and Sarcomas: The Aftermath of the Unplanned Sarcoma Excision and How to Avoid It

Human Genomics and Personalized Medicine in Surgical Practice

Program Topics for 2015

The Advisory Council has submitted the following topics for consideration by the ACS Program Committee for the 2015 Clinical Congress in Washington, DC.

Thyroid Surgery: How Much Is too Much with Regards to Preoperative Workup

Adult Neck Mass: Contemporary Evaluation and Strategies

Update on Molecular Diagnostic Studies for Thyroid Evaluation

Extra-Esophageal Reflux: How to Treat and When to Operate

Head and Neck Cutaneous Malignancies

Button Batteries and Magnets: Ingestion of Foreign Bodies in Children

Thyroid Surgery: Review of New Published Guidelines

Dates for Future ACS and AAO-HNS Meetings

2015

ACS Leadership and Advocacy Summit
April 18–21
Washington, DC

ACS Clinical Congress
October 4–8
Chicago, IL

AAO-HNS
September 27–30, 2015
Dallas, TX

2016

ACS Clinical Congress
October 16–20
Washington, DC

AAO-HNS
September 18–21
San Diego, CA

Roster of Advisory Council for Otolaryngology–Head Neck Surgery for ACS

Craig S. Derkay, MD, FACS, Norfolk, VA
craig.derkay@chkd.org
Chair

Jeffrey M. Bumpous, MD, FACS, Louisville, KY
jmbump01@louisville.edu
Governor / Society of University Otolaryngologists

James A. Burns, MD, FACS, Dover, MA
American Bronchoesophagological Association

James C. Denneny III, MD, FACS, Columbia, MO
Denneny28@gmail.com
Governor / American Academy of Otolaryngology–Head and Neck Surgery, Inc.

Megan Durr, MD, San Francisco, CA
megandurr@gmail.com
ACS Resident and Associate Society

Fred G. Fedok, MD, FACS, Hershey, PA
ffedok@psu.edu
Governor / American Academy of Facial Plastic and Reconstructive Surgery

Ellen M. Friedman, MD, FACS, Houston, TX
ellenf@bcm.tmc.edu
American Board of Otolaryngology

Christine G. Gourin, MD, FACS, Baltimore, MD
cgourin1@jhmi.edu
Governor / Triological Society

Gregory A. Grillone, MD, FACS, Boston, MA
gregory.grillone@bmc.org
American Broncho-Esophagological Association

Dennis H. Kraus, MD, FACS, New York, NY
dkraus@nshs.edu
Governor / American Laryngological Association

Alan G. Micco, MD, FACS, Chicago, IL
agm109@northwestern.edu
Governor / American Otological Society

Sanjay R. Parikh, MD, FACS, Seattle, WA
sanjay.parikh@seattlechildrens.org
Program Representative
Young Surgeon Representative / American Academy of Otolaryngology–Head and Neck Surgery, Inc.

Gregory W. Randolph, MD, FACS, Boston, MA
gregory.randolph@meei.harvard.edu
American Academy of Otolaryngology–Head and Neck Surgery, Inc.

Brent A. Senior, MD, FACS, Chapel Hill, NC
brent_senior@med.unc.edu
American Rhinological Society

Theodoros N. Teknos, MD, FACS, Columbus, OH
ted.teknos@osumc.edu
American Head and Neck Society

Mark C. Weissler, MD, FACS, Chapel Hill, NC
mark_weissler@med.unc.edu
ACS Board of Regents

ACS Staff Liaison

Patricia L. Turner, MD, FACS Director, Member Services
pturner@facs.org

Mark Peterson Advisory Council Administrator
mpeterson@facs.org