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

Advisory Council for Vascular Surgery News: Spring 2017

Message from the Chair

Dr. Dardik

Welcome to the first American College of Surgeons (ACS) Advisory Council for Vascular Surgery newsletter! Membership in the ACS provides many benefits, including this concise newsletter focused on topics of importance to vascular surgeons. We welcome your ideas on any information that you want to receive via this new communication platform.

I want to highlight three important College-related news items that are described in more detail below. First, you may be aware that the ACS has developed the national Stop the Bleed® campaign focused on providing the public with bleeding control tools and training. This initiative is similar in concept to the automatic external defibrillators that are now present in many public places. With the Stop the Bleed campaign, the general public will have access to kits that include tourniquets, bandages, and gloves to help stabilize bleeding. As surgeons who excel in bleeding control, our ideas to help support and publicize these kits are critical.

Another news item of note pertains to Timothy A.M. Chuter, MB, BS, FACS, from the University of California, San Francisco, who will receive the Jacobson Innovation Award next month. The prestigious Jacobson Innovation Award honors living surgeons who have contributed to the development of a new device or technique in any field of surgery, and is made possible through a gift from Joan and Julius H. Jacobson II, MD, FACS. This award is especially meaningful to our community because Dr. Chuter is such an accomplished and innovative vascular surgeon. Congratulations to Dr. Chuter and his entire team.

Lastly, the ACS Division of Education has developed the Evidence-Based Decisions in Surgery program, which features concise and focused practice guidelines, including topics related to vascular surgery, to assist surgeons in providing quality care to their patients.

I look forward to hearing from you regarding the future of this newsletter. And of course, I hope to see you in San Diego in October for Clinical Congress 2017.

Best regards,
Alan Dardik, MD, PhD, FACS
Chair, ACS Advisory Council for Vascular Surgery

Advisory Council Updates

Stop the Bleed

BleedingControl.org is an initiative of the ACS and the Hartford Consensus and features news, illustrations, videos, and other resources developed by a variety of private and not-for-profit partners to assist first responders in a bleeding control emergency.

Anton N. Sidawy, MD, FACS, a member of the Board of Regents, presented a report on the Stop the Bleed campaign to the Society for Vascular Surgery (SVS) Board of Directors at its biannual meeting in November 2016. Dr. Sidawy also provided information on how to become a Stop the Bleed instructor and he shared samples of the approved equipment kits. The SVS board agreed that the society should support the Stop the Bleed campaign.

Dr. Chuter

Dr. Chuter to receive Jacobson Innovation Award

Timothy A. M. Chuter, MB, BS, FACS, of San Francisco, California is the recipient of the 23rd Jacobson Innovation Award. Dr. Chuter was nominated by Linda Harris, MD, FACS, on behalf of the Advisory Council in August 2011, in recognition of his innovative research and clinical development of minimally invasive treatments for aortic aneurysms. Dr. Chuter has more than 40 patents and was the first to use bifurcated stent grafts to treat abdominal aortic aneurysms and arch aortic aneurysms; the first to use modular multi-branched stent grafts to treat common iliac aneurysms; and the first to perform endovascular repair of inflammatory aneurysms and aortobronchial fistulae. He will receive the award at a dinner in his honor in June.

Evidence-Based Decisions in Surgery

The ACS Evidence-Based Decisions in Surgery (EBDS) program, developed and administered by the ACS Division of Education, provides concise and focused practice guidelines that assist surgeons in providing quality care to their patients. These point-of-care modules address diagnoses and conditions most relevant to general surgeons and are derived from currently available evidence, practice guidelines, and consensus recommendations from experienced surgeons. These modules should be used as appropriate, based on the patient’s surgical condition and the surgeon’s experience. Vascular surgery modules include Management of Lower Extremity Varicose Veins, Risk Adjusted Approaches for Prevention of Perioperative Venous Thromboembolism, and Management of Asymptomatic Lower Extremity Vascular Occlusive Disease and Intermittent Claudication.

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. Videos are available on the ACS website to explain how to navigate the new Medicare physician payment system.

Concurrent Surgery

The issues 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 ACS Young Fellows Association 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.

Access New Surgeon and Resident Well-Being Resources

Personal and professional well-being are vital to the success of members of the ACS and your patients. Many health care professionals experience periods of distress, yet few physicians seek help. In an effort to provide relief to interested surgeons, the ACS has compiled several resources to support surgeons and residents as they confront the challenges associated with surgical care.

One of these new resources is the Physician Well-Being Index. All U.S. Fellows and Associate Fellows in active practice, as well as Residents Members and Fellows in training, are invited to use this validated screening tool that provides an opportunity for you to better understand your overall well-being and identify areas of risk in comparison with physicians and residents across the nation. (Access for International members is not yet available). Local and national resources also will be tailored to you based on your results. The tool is completely anonymous. Your information and score is private, and your individual score will not be shared with anyone, including the ACS.

Visit the ACS Surgeon Well-Being page to learn more about the tool and how to access it, as well as review other helpful resources.

Advisory Council for Vascular Surgery Roster

The Advisory Council for Vascular Surgery consists of representatives from the Board of Regents and seven specialty societies, including the American Association for Vascular Surgery, the American Venous Forum, the Association of Program Directors in Vascular Surgery, the Canadian Society for Vascular Surgery, the Society for Clinical Vascular Surgery, the Society for Vascular Surgery, the Vascular and Endovascular Surgery Society; and representatives from the Board of Governors, the Accreditation Council for Graduate Medical Education Review Committee for Surgery, and the American Board of Surgery.

The Advisory Council is interested in hearing your concerns and suggestions. Please submit your comments to the Council's staff liaison.

Clinical Congress 2017: Save the Date

This year’s Clinical Congress is scheduled for October 22–26 in San Diego, at the San Diego Convention Center.