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

ACU News: Fall 2016

Introduction

Welcome to the first edition of the American College of Surgeons (ACS) Advisory Council for Urology (ACU) newsletter, ACU News. ACU News is a biannual publication that delivers up-to-date information about the American College of Surgeons’ activities for urologists, by urologists. This edition serves as a preview to our highly anticipated program at the upcoming Clinical Congress, spotlights the Advisory Council for Urology’s work from the spring meeting, and shares important information available from the College.

I’m a Urologist. Why Should I Join the ACS?

The College’s top priority is providing value for its members. Become a member and take advantage of opportunities and resources available for urologists.

There is strength in numbers, and the ACS membership includes more than 3,400 urologists. The ACS is the largest and strongest voice supporting surgeons in Congress and in front of important regulatory agencies. It coordinates its advocacy with the American Urological Association as part of the annual Joint Advocacy Conference held in March of every year. The College also promotes the highest ethical standards for professionalism, quality, and safety in surgery.

Learn more about the benefits of becoming a member today.

Advisory Council for Urology in Action

The ACS Advisory Councils are tasked with providing input and communication to the Board of Regents regarding issues related to the surgical specialties. The ACU met at the American Urological Association (AUA) annual meeting and accomplished a number of tasks.

Nominations

The ACU serves in a nominating capacity on behalf of the ACS for the Board of Regents as well as to a number of organizations, including the American Board of Urology and the Review Committee (RC) for Urology.

Howard Snyder III, MD, FACS, is completing his final year as a member of the ACS Board of Regents. We thank him for his extensive service to both the College and the field of urology. The ACU provided a list of potential Regent candidates to the Nominating Committee of the Board of Governors. The Nominating Committee’s candidate recommendations for the Board of Regents will be announced during Clinical Congress 2016.

The RC for Urology membership includes three ACS Fellows. The ACU recommended two Fellows for consideration by the Accreditation Council for Graduate Medical Education (ACGME) for an upcoming ACS vacancy.

The ACU also discussed nominations for some of the College’s major awards, including Honorary Fellowship, the Sheen Award, and the Jacobson Innovation Award. The names of the nominees are kept confidential, and the finalists will be announced publically.

The Advisory Councils have been reorganized in a format similar to the Board of Governors’ model of representative committees based on the five pillars of College activities. The five Advisory Council pillars are Advocacy, Communication, Education, Member Services, and Quality. The ACU representatives are:

  • Advocacy: P. Miller Ashman, MD, FACS (Pillar Chair)
  • Communication: Joshua A. Broghammer, MD, FACS
  • Education: Steven Nakada, MD, FACS, and Raj Pruthi, MD, FACS
  • Member Services: Raj Pruthi, MD, FACS
  • Quality: Fred Govier, MD, FACS

Clinical Congress 2016 Programming for Urologists

There will be a number of special sessions of interest to urologists at Clinical Congress 2016 in Washington, DC, October 16–20. Clinical Congress also includes programming pertinent to the practice of surgery for all disciplines. Many of these sessions can help satisfy state Continuing Medical Education (CME) requirements in topics like ethics, pain management, palliative care, and geriatrics.

The Scientific Forum is a unique opportunity for junior faculty or residents to present their research. The urological surgery section of the Forum includes a range of topics with a focus on health services, advanced technology, and basic sciences. A senior expert in the field serves as a discussant to review the work. This format offers great interaction among colleagues. The collegial and intimate atmosphere of the Urology Scientific Forum sessions creates lively discussion, more so than traditional urology meetings, which are often heavily specialized. There is ample time for high-quality discussion. For example, when an oncology expert asks a question about a urolithaisis presentation, interesting outside-the-box questions may arise, leading to increased learning all around and, in some cases, fodder for future research directions. Additionally, other nonurology sessions are equally interesting, and innovative ideas in diverse areas such as care improvement pathways will be educational to the practicing urologist and the urologist-in-training. Please agree if called on to serve as a discussant.

At the Video-Based Education Sessions, surgeons present their videos describing successful approaches and innovative techniques in urologic surgery, including open, robotic/laparoscopic, and endoscopic procedures.

Additionally, the AUA has the pleasure of sponsoring the Martin Memorial Lecture following the Opening Ceremony. Make sure to attend.

Search sessions by track to see offerings of interest to urologists.

Monday, October 17

Dr. CosgroveNL01 | Martin Memorial Lecture—Transforming Health Care
9:00–9:30 am
Lecturer: Delos M. Cosgrove III, MD, FACS, Cleveland, OH
Sponsored by the American Urological Association

PS110 Complications of Radical Pelvic Surgery
11:30 am–1:00 pm

SF08 Urological Surgery I
2:30–5:45 pm

Tuesday, October 18

PS215 Transgender Surgery: Management of the Transgender Patient
9:45–11:15 am

SF17 Urological Surgery II
12:45–2:15 pm

PS239 Workup and Management of a Functional Adrenal Mass
4:15–5:45 pm

Wednesday, October 19

VE24 Urological Surgery
9:45–11:15 am

ME304 Genitourinary Trauma
11:30 am–12:30 pm

PS338 Undescended Testis
4:15–5:45 pm

The ACU has also started developing the urological program for Clinical Congress 2017, scheduled for October 22–26 in San Diego, CA. Mark your calendars and plan to attend.

Important Information from the ACS

The American College Surgeons often tackles issues related to the House of Surgery. These are topics that stretch across all areas of surgical subspecialties. The College is a great resource for statements and guidelines. Some recently published statements are highlighted here.

Statement on the Aging Surgeon

The average age of the practicing surgeon is rising along with the age of the American population. Approximately one-third of all practicing surgeons are older than 55. Since its founding more than 100 years ago, the ACS has emphasized the importance of high-quality and safe surgical care. To address concerns that advanced age may influence competency and occupational performance, the ACS has developed the ACS Statement on the Aging Surgeon.

Statement on Operating Room Attire

The tenets of the American College of Surgeons include professionalism, excellence, inclusion, innovation, and introspection. Appropriate attire is a reflection of professionalism and facilitates establishing and maintaining a patient-physician rapport based on trust and respect. In addition, in so far as clean and properly worn attire may decrease the incidence of health care-associated infections, it also speaks to a desire and drive for excellence in clinical outcomes and a commitment to patient safety. The ACS guidelines for appropriate attire are based on professionalism, common sense, decorum, and the available evidence.

Statements on Principles Update: Concurrent Operations

The ACS Statements on Principles now includes a section on the “Intraoperative Responsibility of the Primary Surgeon.” This addition contains new language on concurrent, overlapping, and multidisciplinary operations. Overlapping two distinct operations occurs in two general circumstances.

The first and most common scenario is when the key or critical elements of the first operation have been completed and there is no reasonable expectation that there will be a need for the primary attending surgeon to return to that operation. In this circumstance, a second operation is started in another operating room while a qualified practitioner performs noncritical components of the first operation (allowing the primary surgeon to initiate the second operation, for example, during wound closure of the first operation). This scenario requires that a qualified practitioner is physically present in the operating room of the first operation.

The second and less common scenario is when the key or critical elements of the first operation have been completed and the primary attending surgeon is performing key or critical portions of a second operation in another room. In this scenario, the primary attending surgeon must assign immediate availability in the first operating room to another attending surgeon.

The patient needs to be informed in either of these circumstances. The performance of overlapping procedures should not negatively impact the seamless and timely flow of either procedure.

Advisory Council for Urology Roster

The ACU roster includes members appointed from throughout the urological community by a variety of nominating bodies. The nominating body and their representatives are listed here.

Hunter Wessells, MD, FACS, Seattle, WA
Chair

P. Miller Ashman, MD, FACS, Rochester, NY
American Association of Clinical Urologists

David A. Bloom, MD, FACS, Ann Arbor, MI
ACS Governor/American Association of Genitourinary Surgeons

Joshua A. Broghammer, MD, FACS, Kansas City, KS
Young Surgeon Representative/American Urological Association

Patrick C. Cartwright, MD, FACS, Salt Lake City, UT
ACS Governor/Society for Pediatric Urology

Michael Coburn, MD, FACS, Houston, TX
ACS Committee on Trauma

Michael S. Cookson, MD, FACS, Oklahoma City, OK
American Urological Association

Fred E. Govier, MD, FACS, Seattle, WA
American Board of Urology

Michael H. Johnson, MD, Baltimore, MD
ACS Resident Associate Society

Gerald H. Jordan, MD, FACS, Norfolk, VA
ACS Governor/American Urological Association

Viraj Master, MD, FACS, Atlanta, GA
ACS Scientific Forum

Stephen Y. Nakada, MD, FACS, Madison, WI
American Association of Genito-Urinary Surgeons

Raj S. Pruthi, MD, FACS, Chapel Hill, NC
ACS Governor/Society of Academic Urologists
Program Representative

Arthur I. Sagalowsky, MD, FACS, Dallas, TX
ACS Governor/ American Urological Association

Howard M. Snyder III, MD, FACS, Philadelphia, PA
ACS Board of Regents

Patricia L. Turner, MD, FACS
Director, Member Services

Mark Peterson
Advisory Council Administrator