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

Ongoing Communications to the Profession

Bulletin of the American College of Surgeons

August 2017 Opioids-dedicated issue

Surgeon stewardship of the opioid epidemic: An introduction
by Nicolas J. Mouawad, MD, MPH, MBA, RPVI
August 2017
In this introduction to the annual RAS-ACS issue, the author describes the surgeon’s role in alleviating the opioid epidemic at the national, state, and local levels.

The general surgeon’s role in enhancing patient education about prescription opioids
by Madeline Torres, MD, Mariam F. Eskander, MD, MPH, Jenny Held, MD, Yu-Wei Chang, MD, and Jennifer Harris, MD, PhD
August 2017
The role of an interdisciplinary approach to minimize opioid use and enhance pain management, as well as the benefits of the Opioid Safety Initiative Toolkit, are described.

Postoperative opioid prescriptions: How surgeons can alleviate the opioid crisis
by Yewande Alimi, MD, MHS, Konstantinos P. Economopoulos, MD, PhD, Woodson Smelser, MD, April Tanner, MD, Monisha Sudarshan, MD, MPH, and Heidi Hon, MD
August 2017
The Turn the Tide initiative is summarized as are alternative postoperative pain management strategies.

Surgeons and the opioid epidemic: Treatment and education strategies for the practicing surgeon
by Benjamin Flink, MD, MPH, Eileen M. Duggan, MD, MPH, Madalyn G. Neuwirth, MD, Lauren B. Nosanov, MD, Jacob A. Petrosky, MD, Austin D. Williams, MD, MSED, and Luke V. Selby, MD, MS
August 2017
This article explains the effect of implicit biases on assessment and treatment of patient pain and describes how enhanced recovery after surgery protocols are used across  many specialties to reduce rates of opioid use.

Surgical leadership is required to reverse the opioid crisis
by Christopher F. Mcnicoll, MD, MPH, MS, Brian K. Yorkgitis, DO, Naveen F. Sangji, MD, MPH, Alisha D. Reiss, MD, Kaylene Barrera, MD, and Hari B. Keshava, MD, MS
August 2017
Describes how surgeons can help to reverse the opioid crisis through research and advocacy efforts and describes recent ACS efforts in this area.

Preoperative communication promotes opioid stewardship
by Sara Scarlet, MD, Christopher F. Mcnicoll, MD, MPH, MS, Christina Colosimo, DO, Edward S. Shipper, MD, Heather J. Logghe, MD, and John C. Hardaway, MD, PhD
August 2017
Strategies for improving communication at the preoperative stage are summarized, and the role of informed consent in opioid stewardship is described.

The opioid epidemic: What can surgeons do about it?
by Saurabh Saluja, MD, MPP, Don Selzer, MD, FACS, John G. Meara, MD, DMD, MBA, FACS, Kathleen Heneghan, PhD, RN, PN-C, and John M. Daly, MD, FACS, FRCSI(Hon)
July 2017
The surgeon’s role in addressing the U.S. opioid crisis is described, as are the College’s efforts to educate policymakers, providers, and patients about opioid abuse prevention.

Joint Commission details new pain assessment, management standards in R3 Report
by Carlos A. Pellegrini, MD, FACS, FRCSI(Hon), FRCS(Hon), FRCSED(Hon)
November 2017
The revised and updated pain assessment and management standards published in the R3 Report are described.

Joint Commission executive vice-president addresses pain management standard concerns
by Carlos A. Pellegrini, MD, FACS, FRCSI(Hon), FRCS(Hon), FRCSED(Hon)
July 2016
An update on the Joint Commission’s standards for pain assessment and treatment is provided, along with five misconceptions that are commonly associated with these standards.

State legislative update: Lawmakers address prescribing practices and pill mills
by Charlotte Grill
April 2013
This article examines the growing epidemic of overuse and availability of narcotic painkillers, describes state legislative and regulatory efforts to control the problem, and presents examples of how state medical boards are currently seeking to address this issue.