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JANUARY 2017 | VOLUME 102 NUMBER 1 | AMERICAN COLLEGE OF SURGEONS Bulletin Contents FEATURES COVER STORY: Reimbursement changes in 2017 The 2017 Medicare physician fee schedule: An overview of provisions that will affect surgical practice 11 Lauren Foe, MPH; Jan Nagle, MS, RPh; and Vinita Ollapally, JD 2017 CPT coding changes 16 Albert Bothe, MD, FACS; Megan McNally, MD, FACS; and Jan Nagle, MS, RPh Profiles in surgical research: Mary T. Hawn, MD, MPH, FACS 26 Juliet A. Emamaullee, MD, PhD, FRCSC, and Kamal M. F. Itani, MD, FACS The 2016 RAS-ACS annual Communications Committee essay contest: An introduction 33 Erin Garvey, MD | 1 First-place essay: Paying it forward: When the mentee becomes the mentor 34 Kevin Koo, MD, MPH, MPhil Highlights of Clinical Congress 2016 35 ACS Officers, Regents, and Board of Governors’ Executive Committee 46 JAN 2017 BULLETIN American College of Surgeons Contents continued COLUMNS A look at The Joint Commission: ASCPA-SurgeonsPAC makes an Annual report provides details impact on 2016 congressional Looking forward 8 on patient safety, quality elections 80 David B. Hoyt, MD, FACS improvements 69 Katie Oehmen ACS NSQIP Best Practices case Carlos A. Pellegrini, MD, Call for nominations for the ACS studies: Impact of SSI reduction FACS, FRCSI(Hon), FRCS(Hon), Board of Regents and ACS strategy after colorectal resection 49 FRCSEd(Hon) Officers-Elect 82 Lisa A. Wilbert, RN NTDB data points: Annual Report Nominations for 2017 Dispatches from rural surgeons: 2016: Almost a 10 71 volunteerism and humanitarian Rural surgery: High pressure Richard J. Fantus, MD, FACS awards due February 28 84 but rewarding 55 Report on ACSPA/ACS activities, Susan Long, MD, FACS NEWS October 2016 86 From residency to retirement: In memoriam: Jay L. Grosfeld, Diana L. Farmer, MD, FACS, FRCS Trust: The keystone of the physician- MD, FACS, champion for pediatric ACS in the news 90 patient relationship 58 surgery patients 73 Carlos A. Pellegrini, MD, FACS, Keith T. Oldham, MD, FACS SCHOLARSHIPS FRCSI(Hon), FRCS(Hon), Coming next month in JACS, 2 | Applications for 2017 Nizar N. FRCSEd (Hon) and online now 74 Oweida, MD, FACS, Scholarship ACS Clinical Research Program: Important changes made in the due March 1 92 Surgery versus monitoring and AJCC Cancer Staging Manual, Apply through February 15 endocrine therapy for low-risk DCIS: Eighth Edition 75 for International ACS NSQIP The COMET Trial 62 David J. Winchester, MD, FACS Scholarships 2017 93 Linda M. Youngwirth, MD; Judy C. ACS Clinical Scholars in Residence 2017 Heller School Executive Boughey, MD, FACS; and E. Shelley benefit from access to outcomes Leadership Program Scholarship Hwang, MD, MPH measures and mentors 77 applications due February 1 94 From the Archives: J. Marion Sims: Karl Y. Bilimoria, MD, MS, FACS, Paving the way 64 and Clifford Y. Ko, MD, MS, MSHS, MEETINGS CALENDAR LaMar S. McGinnis, Jr., MD, FACS FACS Calendar of events 96 ACS Foundation insights: ACS NSQIP honors 60 hospitals New ACS Foundation board for meritorious outcomes in members installed 66 surgical care 79 Sarah B. Klein, MPA V102 No 1 BULLETIN American College of Surgeons Craig Miller, MD, FACS, researched and wrote The American College of Surgeons is dedicated this engaging account of the impressive life to improving the care of the surgical patient and career of Robert M. Zollinger, MD, FACS. The narrative is a compelling read for anyone and to safeguarding standards of care in an interested in the story behind one of the optimal and ethical practice environment. legends of the surgical profession. EDITOR-IN-CHIEF Letters to the Editor Diane Schneidman should be sent with the writer’s DIRECTOR, DIVISION OF name, address, INTEGRATED COMMUNICATIONS e-mail address, and Praise for Lynn Kahn daytime telephone The Big Z: The Life of SENIOR EDITOR number via e-mail to Robert M. Zollinger, MD Tony Peregrin dschneidman@facs. org, or via mail to “ …a magnificent piece EDITORIAL & PRODUCTION ASSISTANT Diane S. Schneidman, of prose. This is a Matthew Fox Editor-in-Chief, surgical sequel to The Greatest Generation. Bulletin, American CONTRIBUTING EDITOR A superb effort.” College of Surgeons, Jeannie Glickson 633 N. Saint Clair St., — Hiram C. Polk, Jr., SENIOR GRAPHIC DESIGNER/ Chicago, IL 60611. MD, FACS PRODUCTION MANAGER Letters may be edited Professor Emeritus, University of Louisville Tina Woelke for length or clarity. Permission to publish “ A very easy read about an authoritarian giant in a time of EDITORIAL ADVISORS letters is assumed Charles D. Mabry, MD, FACS giants. The inherent message—complete care of the patient unless the author and the patient’s cares—remains. Leigh A. Neumayer, MD, FACS indicates otherwise. Marshall Z. Schwartz, MD, FACS Dr. Zollinger would like this book; Dr. Dunphy would say he Mark C. Weissler, MD, FACS wasn’t that good! I enjoyed it immensely.” FRONT COVER DESIGN — Murray Brennan, MD, FACS Benno C. Schmidt Chair in Clinical Oncology, Tina Woelke Memorial Sloan-Kettering Cancer Center “ Driven, devoted, dedicated, accomplished. Dr. Zollinger was Bulletin of the American College of Surgeons (ISSN 0002-8045) is all of these and much more. Herein learn how greatness was published monthly by the American College of Surgeons, 633 N. forged and how the impact continues. If you like a good tale— Saint Clair St., Chicago, IL 60611. It is distributed without charge to an inspiring, richly told story—you will find it here. This is the Fellows, Associate Fellows, Resident and Medical Student Members, stuff that made American surgery and America what it is.” Affiliate Members, and to medical libraries and allied health personnel. Periodicals postage paid at Chicago, IL, and additional — LaMar McGinnis, Jr., MD, FACS mailing offices. POSTMASTER: Send address changes to Bulletin of the Senior Medical Advisor and Liaison, American College of Surgeons, 3251 Riverport Lane, Maryland Heights, American Cancer Society MO 63043. Canadian Publications Mail Agreement No. 40035010. Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5. Ordering Information The American College of Surgeons’ headquarters is located at 633 N. Saint Clair St., Chicago, IL 60611-3211; tel. 312-202-5000; To order online, visit facs.org/publications/catalog toll-free: 800-621-4111; e-mail: [email protected]; website: facs.org. The Washington, DC, Office is located at 20 F Street N.W. To order by phone, call 312-202-5474 Suite 1000, Washington, DC. 20001-6701; tel. 202-337-2701. Price: $14.95, plus sales tax, shipping, and handling Unless specifically stated otherwise, the opinions expressed and statements made in this publication reflect the authors’ Dr. Miller is chief of vascular services and director of vascular imaging personal observations and do not imply endorsement by at Margaret Pardee Memorial Hospital, the University of North Carolina nor official policy of the American College of Surgeons. Health System. ©2017 by the American College of Surgeons, all rights reserved. Contents Published by the American College of Surgeons. may not be reproduced, stored in a retrieval system, or transmitted in any form by any means without prior written permission of the publisher. Library of Congress number 45-49454. Printed in the USA. Publications Agreement No. 1564382. 2016_IC_BulletinAd_ZollingerBook_3.75x9.925in_v01.indd 1 11/8/2016 10:44:32 AM Officers and Staff of the American College of Surgeons Timothy J. Eberlein, MD, FACS James W. Fleshman, Jr., Patrick V. Bailey, MD, FACS Officers St. Louis, MO MD, FACS, FASCRS Medical Director, Advocacy James K. Elsey, MD, FACS Dallas, TX Christian Shalgian Courtney M. Townsend, Atlanta, GA Samual R. Todd, MD, Director Jr., MD, FACS Henri R. Ford, MD, FACS FACS, FCCM Galveston, TX Houston, TX AMERICAN COLLEGE OF PRESIDENT Los Angeles, CA SURGEONS FOUNDATION J. David Richardson, MD, FACS Gerald M. Fried, MD, FACS, FRCSC Shane Hollett Louisville, KY Montreal, QC Advisory Council Executive Director IMMEDIATE PAST-PRESIDENT James W. Gigantelli, MD, FACS ALLIANCE/AMERICAN to the Board COLLEGE OF SURGEONS Hilary A. Sanfey, MB, Omaha, NE CLINICAL RESEARCH PROGRAM BCh, MHPE, FACS B. J. Hancock, MD, FACS, FRCSC of Regents Kelly K. Hunt, MD, FACS Springfield, IL Winnipeg, MB FIRST VICE-PRESIDENT (Past-Presidents) Chair Enrique Hernandez, MD, FACS Kathryn D. Anderson, MD, FACS CONVENTION AND MEETINGS Mary C. McCarthy, MD, FACS Philadelphia, PA Dayton, OH Eastvale, CA Robert Hope Director SECOND VICE-PRESIDENT Lenworth M. Jacobs, Jr., MD, FACS W. Gerald Austen, MD, FACS Edward E. Cornwell III, Hartford, CT Boston, MA DIVISION OF EDUCATION Ajit K. Sachdeva, MD, MD, FACS, FCCM L. Scott Levin, MD, FACS L. D. Britt, MD, MPH, Washington, DC Philadelphia, PA FACS, FRCSC FACS, FCCM Director SECRETARY Mark A. Malangoni, MD, FACS Norfolk, VA William G. Cioffi, Jr., MD, FACS Philadelphia, PA John L. Cameron, MD, FACS EXECUTIVE SERVICES Providence, RI Fabrizio Michelassi, MD, FACS Baltimore, MD Maxine Rogers TREASURER Director, Leadership Operations New York, NY Edward M. Copeland III, MD, FACS David B. Hoyt, MD, FACS FINANCE AND FACILITIES Chicago, IL Leigh A. Neumayer, MD, FACS Gainesville, FL Tucson, AZ Gay L. Vincent, CPA 4 | EXECUTIVE DIRECTOR A. Brent Eastman, MD, FACS Director Gay L. Vincent, CPA Linda G. Phillips, MD, FACS Rancho Santa Fe, CA Galveston, TX HUMAN RESOURCES Chicago, IL Gerald B. Healy, MD, FACS AND OPERATIONS CHIEF FINANCIAL OFFICER Marshall Z. Schwartz, MD, FACS Wellesley, MA Michelle McGovern Philadelphia, PA R. Scott Jones, MD, FACS Director Anton N. Sidawy, MD, FACS Charlottesville, VA INFORMATION TECHNOLOGY Officers-Elect Washington, DC Edward R. Laws, MD, FACS Brian Harper (take office October 2017) Beth H. Sutton, MD, FACS Boston, MA Interim Director Wichita Falls, TX Barbara L. Bass, MD, FACS LaSalle D. Leffall, Jr., MD, FACS DIVISION OF INTEGRATED Houston, TX Courtney M. Townsend, Jr., Washington, DC COMMUNICATIONS PRESIDENT-ELECT MD, FACS LaMar S. McGinnis, Jr., MD, FACS Lynn Kahn Galveston, TX Director Charles D.

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