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

NewsScope: April 19, 2019

Researchers Develop New Model to Categorize Surgical Access Disparities

Measuring disparities in surgical access can pose a challenge for research efforts focused on ensuring high-quality care for all surgical patients. However, a research team has developed a novel paradigm to conceptualize surgical access disparities, illustrating critical gaps in the medical literature. Their findings were published in the March issue of the Journal of the American College of Surgeons.

The authors completed a systematic review to “identify measures of disparities in surgical access in the U.S., produce a conceptual model for operationalizing them, and build an evidence map of this literature.” They found 223 measures of surgical access disparities in the U.S., which were placed into one of four categories: Provider Access, Surgical Indication Detection, Progression to Surgery, and Receipt of Optimal Care. They next developed an evidence map to identify areas where more research is needed and where disparity improvement initiatives can be targeted. “Our work describes the current landscape of disparity metrics in surgery—including identifying gaps—and is the foundation needed to guide us as we move closer to providing equity in surgical access and care for all our patients,” said Melinda A. Maggard-Gibbons, MD, FACS, corresponding author of the study.

Supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health, the study is part of the Metrics for Equitable Access and care in SURgery (MEASUR) Project, which aims to identify and develop measures that capture disparities in access to surgical care. This collaboration is led by the American College of Surgeons (ACS) in conjunction with Eastern Virginia Medical School, Norfolk; Brigham and Women’s Hospital, Boston, MA; the National Quality Forum; and the University of California, Los Angeles.

“Our work through the MEASUR project and this systematic review provides focus for efforts to reduce surgical disparities, helping to ensure optimal access and care to the American surgical care system for all patients,” said L.D. Britt, MD, MPH, DSc(Hon), FACS, FCCM, FRCSEng(Hon), FRCSEd(Hon), FWACS(Hon), FRCSI(Hon), FCS(SA)(Hon), FRCSGlasg(Hon), ACS Past-President, and Chair of the ACS Committee on Health Care Disparities.

State Lobby Days Engage Surgeons and State Legislators

The American College of Surgeons (ACS) Chapter Lobby Day Grant Program has provided grants to 27 states in 2019, and since mid-January, there has been a flurry of activity in state capitols. Upcoming state lobby days include California (April 24), New York (April 30), North Carolina (May 1), Wisconsin (May 1), Delaware (May 14), Illinois (May 15), Louisiana (May 22), and Michigan (May 23). 

Fellows interested in being grassroots advocates and participating in a state lobby day should contact their respective chapters for agendas and other event information.

Call for Nominations for ACS Secretary and Treasurer Positions

The 2019 Nominating Committee of the Board of Regents (NCBR) will be selecting nominees for the positions of Secretary and Treasurer of the American College of Surgeons (ACS). The deadline for submitting nominations is May 6.

The responsibilities of these two positions are as follows:

  • The Secretary shall oversee the minutes of the Annual Meeting of the Members, give notices in accordance with the provisions of law and the Bylaws of the ACS, keep the records and corporate seal, and perform such other duties as from time to time may be assigned by the Board of Regents. The Secretary has the co-responsibility with the Executive Director to provide such oversight.
  • The Treasurer shall oversee, in conjunction with the Chief Financial Officer, the funds of the College under the supervision of the Finance Committee and shall make such reports to the Finance Committee, the Executive Committee of the Board of Regents, and the Board of Regents as may be required. The Treasurer will attend the meetings of the Board of Regents and will have a reporting relationship to both the Finance Committee and the Executive Director. The College shall purchase a bond or insurance coverage to ensure the faithful performance of the duties of the office of Treasurer. In the absence or inability to act as the Treasurer, the duties of the Treasurer shall be performed by such person and in such manner as the Finance Committee may direct.

Visit the Bulletin website to view the criteria for nominations for the two positions, as well as details on how to submit a nomination and the nomination process. 

Nominations should be submitted to If you have questions, contact Lynese L. Kelley, Director of Leadership Operations for the NCBR, at or 312-202-5203.