Clinical implications for the practicing surgeon
In this podcast series, hosts Jamie Coleman, MD, FACS, and Dante Yeh, MD, FACS, speak with recently published Journal of the American College of Surgeons authors about the motivation behind their latest research and the clinical implications it has for the practicing surgeon. Spread the word on social media by using the hashtag #JACSOperativeWord.
In this episode, Dr. Jamie Coleman is joined by Elzerie de Jager, MBBS(Hons), PhD, from the University of Vermont and the Center for Surgery and Public Health, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School and Harvard TH Chan School of Public Health; and LD Britt MD, MPH, FACS, from the Department of Surgery, Eastern Virginia Medical School. They discuss their study, in which a Delphi panel identified 125 potential disparity-sensitive measures which could be used to track health disparity, evaluate the impact of focused interventions, and reduce healthcare inequity.
In this episode, Dr. Dante Yeh is joined by Flavio Malcher, MD, MSc, from the Department of Surgery at New York University. They discuss his study, which validates the findings of recent randomized controlled trials in a larger multicenter cohort, suggesting that permanent mesh is the ideal prosthetic to enhance ventral hernia repair even in contaminated fields, which challenges a longstanding surgical dogma.
In this episode, Dr. Coleman is joined by Dorothy Andriole, MD, FACS, who is a surgeon and the Senior Director of Medical Education Research at the Association of American Medical Colleges, and Jonathan Amiel, MD, who is a professor of psychiatry and Senior Associate Dean for Innovation in Health Professions Education at Columbia University. They discuss their recent study, which found that many graduating students intending to enter surgery agreed they had skills to perform some, although not all, Core Entrustable Professional Activities for Entering Residency. Continued efforts to prepare graduates more optimally for the start of residency training are warranted.
In this episode, Dr. Yeh is joined by Claire Rosen, MD, from the Hospital of the University of Pennsylvania. They discuss her recent paper, which demonstrates that past medical history, specifically multimorbidity, influences the risk of adverse outcomes after emergency general surgery, from increased mortality to limited independence and function. When surgeons understand and communicate these risks, shared decision-making is improved.
In this episode, Dr. Coleman is joined by Nestor F. De la Cruz-Muñoz Jr, MD, Professor of Surgery and Section Chief of Bariatric Surgery at the University of Miami. They discuss his recent study, which demonstrates the lasting, positive impact of bariatric surgery even decades later, and confirms that bariatric surgery should not be denied to adolescents struggling with morbid obesity.
In this episode, Dr. Yeh is joined by lead author Danielle C. Sutzko, MD, MS, from the University of Alabama at Birmingham, and senior author Andrea T. Obi, MD, FACS, from the University of Michigan, both vascular surgeons. They discuss their recent work on outcomes associated with direct oral anticoagulant and vitamin K antagonist use after lower extremity bypass.
In the inaugural episode, Jamie Coleman, MD, FACS, and Dante Yeh, MD, FACS, speak with Craig Goolsby, MD, MEd, FACEP, Professor and Vice Chair of Emergency Medicine at the Uniformed Services University of the Health Sciences and Science Director at the National Center for Disaster Medicine and Public Health in Bethesda, MD about his group’s latest research, which was conducted using a Delphi process and resulted in 19 recommendations for training, public education, triage, communication, patient tracking, medical records, family reunification, and mental health. These consensus recommendations from the surgeons, physicians, and medics who cared for recent mass shooting patients will help everyone prepare for future incidents.
Dante Yeh, MD, FACS, is a professor of surgery and chief of emergency general surgery at Denver Health. He is an acute care surgeon specializing in trauma, emergency general surgery, and surgical critical care, with additional expertise in advanced nutrition support and short bowel syndrome. He completed his general surgery residency in Miami at Jackson Memorial Hospital and his trauma and surgical critical care fellowship in San Francisco at San Francisco General Hospital.
Disclosure Information: Dr Yeh receives author royalties from UpToDate, advisory panel/training honoraria from Takeda Pharmaceuticals, and advisory panel honoraria from Baxter, Eli Lilly, and Fresenius Kabi.
Jamie Coleman, MD, FACS, is an associate professor of surgery and the vice-chair of wellness in the department of surgery at the University of Louisville. She is an acute care surgeon specializing in trauma, emergency general surgery, and surgical critical care. She completed her general surgery residency in Chicago at Cook County Hospital and Rush University and her trauma and surgical critical care fellowship in Atlanta at Grady Memorial Hospital with Emory University.
Her research focus is on the physiologic impact of sleep deprivation, stress, and burnout amongst physicians and surgeons. She is the PI for the SuPer Trial (Surgeon Performance Trial), the largest study of continuous physiologic monitoring of acute care surgeons. In addition to her scientific publications, her focus on the intersection of physician wellness and work-life integration has been featured in Forbes, Huffington Post, and US News and World Report.
Disclosure Information: Dr Coleman has nothing to disclose.
The opinions expressed in this podcast are those of the participants and not necessarily that of the ACS.