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

ACS Program Updates, Resources and Announcements

ACS Searches for New Executive Director

After a long and successful tenure, David B. Hoyt, MD, FACS, will complete his exemplary service as ACS Executive Director in December 2021. Dr. Hoyt's leadership and accomplishments allow us to embark on the search for our new Executive Director as the largest organization of surgeons in the world and a powerful voice for innovation, quality, education and research.

Applicants must be Fellows of the College. If you know of potential candidates who might be interested in the position, please encourage them to visit www.imsearch.com/7749. Consider encouraging potential candidates of diverse backgrounds, including underrepresented minorities, women and specialty surgeons, among others. Early applications are strongly encouraged.

To learn more about the position or submit an application, please visit www.imsearch.com/7749.

ACS Creates New Position of Diversity Director, Seeks Applicants

The ACS is committed to anti-racism, diversity, equity and inclusion, with both ACS Board of Regents and Staff committees dedicated to working on related efforts. As part of this commitment, the College has recently created a new, important position of Diversity Director and is now seeking applicants.

The Diversity Director, a senior-level management position, will report to the ACS Executive Director and lead the proactive ADE&I initiatives in support of the College's strategic plan to create a learning and working environment where all have an opportunity to succeed. Apply today.

It May Be Too Late to Avoid a Crisis in the Surgery Match This Year

Ronald J. Weigel, MD, PhD, FACS; Steven C. Stain, MD, FACS; and L. Scott Levin, MD, FACS, FAOA

Are you hearing that outstanding medical students applying for surgical residencies are being wait-listed for an interview at top training programs? The problem may be yet another unfortunate consequence of the COVID-19 pandemic.

In normal years, programs have cancellations because there is a physical limitation for how many interviews a student can do. This year, the pandemic forced programs to go to virtual interviews, and a small group of top students nationally appear to be filling all the interview slots for the top programs. If this is true, then many of those programs may go unfilled in the match.

For example, if the average number of interviews offered by a program is 100, and these programs are all competing for the same pool of 100 intern applicants, the pool of top students interviewed may be too small to fill all the slots in these programs. Additionally, the current interview process may create disadvantages for minority applicants and students from schools that are not considered "top tier."

With virtual interviews allowing students to interview at a larger number of programs, we may need a different system nationally for the allocation of interview slots, such as rolling acceptances for interviews with students being required to commit only to a set number of programs, which would allow additional students the opportunity to be interviewed. The solution will require program directors and surgical leaders nationally to discuss this issue. It may be too late to avoid a crisis in the match this year.

Surgery Match: Considerations and Possible Solutions

In their article, "It May Be Too Late to Avoid a Crisis in the Surgery Match," Drs. Weigel, Stain and Levin highlight challenges with this year's surgery match. Regarding this, the ACS proposes that program directors, deans and chairs, as well as candidates, consider the following to ensure as fair and equitable a process as possible during this extraordinary time:

Program Directors, Deans, Chairs

  • Review the consequences that oversubscribing to slots has to programs and other candidates with students
  • Don't offer slots to more candidates until those offered have a reasonable time to respond
  • Make lists of candidates of interest who are not interviewed to ensure slots are offered when available

Candidates

  • Consider limiting the number of interviews scheduled to a reasonable amount. Consider the impact on your colleagues of taking up too many interview slots—be fair to other applicants
  • Release interview slots if you know you will not use them
  • Release slots when you have completed enough interviews and experienced reciprocal interest that you are confident you have a well-prepared rank list

Learn How to Become a Positive Disrupter—Disruptive Forces: Using Disruption to Positively Affect Change

As surgeons, the personality traits and leadership skills that attracted us to the field, combined with high stakes and high-stress situations, put us at increased risk for being labeled as disruptive physicians in today's workplace. While this label carries many negative connotations, personal consequences, and professional boundaries, it is imperative to discover and foster the idea that disruptive forces, when framed appropriately, are absolutely necessary to prevent complacency and eliminate the acceptance of mediocrity, especially in the role of patient and surgeon advocate.

In this webinar, you will:

  • Identify personal characteristics of surgeons that make them susceptible to being labeled as disruptive physicians
  • Discuss the personal and professional consequences of being labeled a disruptive physician
  • Explore the necessity of disruptive forces to create positive changes for health systems and patient care
  • Discuss the importance of reframing the term disruptive to influential and impactful for change

Disruptive Forces: Using Disruption to Positively Affect Change
Monday, December 14 | 7:00 pm CT
Register today

Reproductive Challenges in the Surgeon: Understanding Infertility and Pregnancy Complications in Our Profession – Take the Survey

Despite a growing number of women in the field of surgery, pregnancy remains challenging, with stigma, guilt related to imposing on colleagues, rigorous schedules, and variable parental leave benefits compelling many women to postpone starting a family. As surgeons reach the end of their training, this delay may have deleterious health consequences, as infertility and pregnancy complications may rise sharply at age 35.

We are asking for both male and female surgeons to participate in the following survey of assisted reproduction, infertility and pregnancy challenges. This IRB-approved survey aims to explore the monetary, emotional and physical costs of these challenges among surgeons and to understand how they impact burnout, career satisfaction and the surgical workforce. Your answers will be kept anonymous and you do not need to provide identifying information. Responses from nonchildbearing surgeons on their partners' experiences will provide important data for controls. We are cognizant of survey fatigue but the experiences you share are critical to guide support for surgeons wishing to start families.

Take the survey. (If the link is blocked by your firewall, use this link.)

ACS 2021 Leadership & Advocacy Summit Will Be Virtual – Dates Announced!

The ACS will host the virtual Leadership & Advocacy Summit, Saturday, May 15, through Tuesday, May 18, 2021, with the Leadership Summit beginning on May 15 and the Advocacy Summit beginning on May 16. The Summit is a dual meeting offering comprehensive and specialized sessions that provides ACS members, leaders and advocates with topics focused on effective surgeon leadership, as well as interactive advocacy training with coordinated visits to congressional offices.

Further details, including times and presenters, will be announced in the coming weeks and months.

Can't Miss Event! Hot Topics in General Surgery Tweet Chat Wednesday at 4:00 pm CT

Mark your calendars for a Tweet Chat on Hot Topics in General Surgery, Wednesday, December 16, 4:00–5:00 pm CT. Participate in a live conversation with moderators Bryan K. Richmond, MD, MBA, FACS, professor of surgery and chair, department of surgery, West Virginia University School of Medicine, Charleston; and Hiba Abdel Aziz, MBBCH, FACS, Chair, Fellowship Subcommittee of the International Relations Committee; Vice-Chair, Chapter Activities-International Workgroup; and senior consultant, Department of Surgery, Hamad General Hospital. Topics to be covered include robotic TAPP repairs; patients with traumatic brain injury who are taking an antiplatelet; endoluminal stenting for foregut leaks/perforations; detecting intimate partner violence and more. The moderators will answer your questions—and we welcome your participation. Follow along live on the College’s @AmCollSurgeons Twitter.

MBSAQIP Partners with Center for Medicare & Medicaid Innovation to Offer a New Verification Measure as Part of its Bundled Payment Program

The ACS and the American Society for Metabolic and Bariatric Surgery have partnered with the Center for Medicare & Medicaid Innovation (CMMI) to offer a new verification measure, the Bariatric Surgery Standards for Successful Programs, as part of CMMI's Bundled Payments for Care Improvement Advanced program. This partnership will offer meaningful quality measures for hospitals participating in the BPCI-A program.

The new verification measure is a voluntary measure for participants in the Bariatric Surgery Clinical Episode. The verification measure focuses overarchingly on the care of the patient, including the goals and outcomes important to the patient, while also valuing the infrastructure, resources, and processes needed to deliver optimal care and improvement. The measure follows the standards set forth by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, a joint quality program of the ACS and ASMBS. The MBSAQIP registry is the first ACS registry to be affiliated with the BPCI-A program. Hospitals participating in MBSAQIP that currently participate in another BPCI-A Clinical Episode have been invited to enroll in the Bariatric Clinical Episode for Model Year 4 (calendar year 2021).

Bundled payments cover all the care a patient receives for a specific condition or medical event, unlike traditional fee-for-service payments where providers are paid separately for each service. Bundled payment models aim to incentivize better care coordination and efficiency by improving quality at lower costs.

This collaboration will help to ensure that CMS value-based payment models rely on clinically relevant measures that can have a meaningful impact on the surgical care of patients. MBSAQIP was selected as a partner by CMMI because of its role as a verification program and the 100 percent data registry capture of metabolic and bariatric procedures performed at its accredited hospitals. The ACS anticipates that the implementation of this programmatic approach will help optimize the need to reward excellence in care by turning insurers' attention to the major elements for creating and sustaining a functioning and effective quality program.

Any MBSAQIP hospital that chooses to participate in this alternative measure set for 2021 must update its current existing agreements with CMS by December 10, 2020.

Further information about the BPCI-A program and the MBSAQIP standards is available in the MBSAQIP Participation Guide, as well as on CMMI's website.

ACS Publishes New TQIP Best Practice Guidelines for Acute Pain Management in Trauma Patients

The ACS has published its Trauma Quality Programs Best Practices Guidelines for Acute Pain Management in Trauma Patients. The goal of the ACS TQP BPG is to provide a resource for trauma center health professionals to identify, evaluate, and manage pain.

The BPG provides recommendations for managing given patient populations or injury types, with special attention to trauma care providers. Over the year, the TQIP Best Practices project team worked together with a panel of guest experts from appropriate specialties to create each guideline. The content is a result of both evidence-based literature and consensus of the group where substantial evidence was lacking. This publication is intended to provide an evidence-based, practical guide to acute pain management of the trauma patient. It begins with an overview of pain physiology, pain assessment, pharmacologic analgesia, nonpharmacologic pain management, and regional analgesia. Then considerations for pain management across unique phases of care are provided, from prehospital care through patient discharge. A discussion of acute pain management in special populations follows, including older adults, children, pregnant patients, patients with depression and mood disorders, those on chronic opioid therapy, and patients at the end of life. Finally, U.S. trauma centers are charged to strive for continual improvement in pain management, with steps for implementation. Visit the ACS website to download the Acute Pain Management in Trauma Patients guidelines.

Career Opportunities

New Surgeon Openings for Trauma Attending, Surgery Faculty, Chief of Trauma Surgery, Orthopaedic Surgeon

For surgeons only… Search more than 1,000 surgeon-specific positions and submit your application.

Trauma Attending-SIUH
Northwell Health | Staten Island, NY

Surgery Faculty
HCA Orange Park Medical Center | Jacksonville, FL

Chief of Trauma Surgery
Crozer Health | Philadelphia, PA

Orthopaedic Surgery
Pacific Companies | Western IL

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