Bulletin October 2013
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OCTOBER 2013 | VOLUME 98 NUMBER 10 | AMERICAN COLLEGE OF SURGEONS Bulletin Training in OR crisis management Contents FEATURES SCORE provides residents with Web-based curriculum for developing key competencies 10 Mary E. Klingensmith, MD, FACS, and Mark A. Malangoni, MD, FACS Chapter lobby days forge ahead in state capitals 16 Charlotte Grill and Jon Sutton Progress or retrogress? Status of the 113th Congress 19 John Hedstrom, JD COVer STorY: Operating room crisis management leadership training: Guidance for surgical team education 24 Kenneth A. Lipshy, MD, FACS, and Anthony LaPorta, MD, FACS Surgeons lead educational program to improve kidney care in Vietnam 34 | 1 Douglas P. Slakey, MD, and Ingemar Davidson, MD, FACS Centennial reprint: The College’s ongoing commitment to the quality imperative 41 Connect with the College via social media! Facebook.com/AmCollSurgeons Twitter.com/AmCollSurgeons Facebook.com/ACSTrauma Twitter.com/ACSTrauma Facebook.com/RASACS Event Hashtag: #ACS100 identifies tweets related to the College's centennial celebration, as well as highlights people and events from our 100-year history. Social media questions? For more assistance or if you have questions or com- YouTube.com/AmCollegeofSurgeons ments about the American College of Surgeons' social media sites, send an e-mail to [email protected]. Social Media post-CC half-page ad.indd 1 10/16/2012 10:34:21 AM OCT 2013 BULLETIN American College of Surgeons Contents continued COLUMNS NEWS Two ACS NSQIP® collaboratives receive AHA Davidson Quality Looking forward 8 ACS joins campaign to encourage Awards 78 use of surgical crisis checklists 64 David B. Hoyt, MD, FACS Register now for 2013 ACS Clinical Coding and practice management T. Forcht Dagi, MD, DmedSc, Trials Methods Course 80 MPH, FACS, FAANS, FRCS(Ed), corner: The complexities of coding Chapter news 81 bilateral procedures 47 and Gerald B. Healy, MD, FACS, FRCS(Eng)(Hon), FRCS(I)(Hon) Donna Tieberg Jenny J. Jackson, MPH, CPC; Commission on Cancer announces Charles D. Mabry, MD, FACS; ACS NSQIP® National Conference: 2013–2014 cancer research paper and Mark Savarise, MD, FACS Speakers promote professionalism, collaboration to achieve quality competition for physicians in Dispatches from rural surgeons: improvement 66 training 87 Rural surgery in “The Great ACS in the news 88 White North”— universal care or Jeannie Glickson universal challenge? 50 New ACS NSQIP® Surgical Risk ScHOLARSHIPS Nadine R. Caron, MD, Calculator offers personalized ACS Scholarship Endowment MPH, FRCS(C); Christine estimates of surgical Fund awards Faculty Research M. Kennedy; and Garth L. complications 72 Fellowships, 2013–2015 91 Warnock, MD, FACS, FRCS(C) Dr. Arden Morris appointed 2 | ACS Board of Regents awards ACS Clinical Research Program: to National Quality Forum Committee 73 six 2013 Resident Research Does altering diet affect progression Scholarships 92 of prostate cancer? The MEAL ACS Convention and Meetings study 57 Director featured in magazine 73 Apply by November 1 for Faculty Research Fellowships 93 J. Kellogg Parsons, MD, MHS, Issues discussed at the AMA House FACS; James R. Marshall, PhD; of Delegates meeting include 2013 Traveling Fellow to Germany and Heidi Nelson, MD, FACS definition of surgery, obesity 75 reports on experiences 95 Anneke T. Schroen, MD, MPH, FACS A look at The Joint Commission: John H. Armstrong, MD, FACS, Finding new solutions to hand and Jon H. Sutton hygiene problems 60 ACS and CoC join Choosing Wisely MEETINGS CALENDAR NTDB® data points: London Bridge Campaign to identify overused Calendar of events 100 is falling down 62 procedures 78 Richard J. Fantus, MD, FACS BULLETIN OF THE AMERICAN COLLEGE OF SURGEONS ONLINE EDITION • All of the content in the print version • Easily read on mobile devices as well as on desktop computers • Links to “related posts” • Share content across multiple Bulletinonline social media platforms including Facebook, Twitter, and LinkedIn http://bulletin.facs.org. V98 No 10 BULLETIN American College of Surgeons The American College of Surgeons is dedicated to improving the care of the surgical patient and to safeguarding standards of care in an optimal and ethical practice environment. 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 Lynn Kahn daytime telephone Senior EdiTor number via e-mail to SurgeonsVoice Tony Peregrin dschneidman@facs. org, or via mail to Educate | Advocate | Motivate CTonTribU inG EdiTorS Diane S. Schneidman, Jeannie Glickson Editor-in-Chief, Katie McCauley Bulletin, American SurgeonsVoice is a complete College of Surgeons, Graphic Designer grassroots advocacy resource 633 N. Saint Clair St., Tina Woelke providing you with the tools Chicago, IL 60611. and training necessary to be EdiTorial ADVisors Letters may be edited Charles D. Mabry, MD, FACS for length or clarity. an effective surgeon advocate. Leigh A. Neumayer, MD, FACS Permission to publish Marshall Z. Schwartz, MD, FACS letters is assumed Educate yourself and colleagues Mark C. Weissler, MD, FACS unless the author on how to get involved indicates otherwise. FOronT C Ver DESIGN Advocate on behalf of your Tina Woelke profession, practice, and patients Motivate policymakers to advance Bulletin of the American College of Surgeons (ISSN 0002-8045) is published monthly by the American College of Surgeons, surgical advocacy priorities 633 N. Saint Clair St., Chicago, IL 60611. It is distributed without charge to Fellows, Associate Fellows, Resident and Medical Student Members, Affiliate Members, and to medical libraries and allied health personnel. Periodicals postage paid at Have your voice heard. Chicago, IL, and additional mailing offices. POSTMASTER: Send address changes to Bulletin of the American College of www.SurgeonsVoice.org Surgeons, 3251 Riverport Lane, Maryland Heights, MO 63043. Canadian Publications Mail Agreement No. 40035010. Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5. The American College of Surgeons’ headquarters is located at 633 N. Saint Clair St., Chicago, IL 60611-3211; tel. 312-202-5000; toll-free: 800-621-4111; e-mail:[email protected]; website: www.facs.org. Washington, DC, office is located at 20 F Street N.W. Suite 1000, Washington, DC. 20001-6701; tel. 202-337-2701; website: www.tmiva.net/20fstreetcc/home. American College of Surgeons Professional Association Unless specifically stated otherwise, the opinions expressed Political Action Committee and statements made in this publication reflect the authors’ personal observations and do not imply endorsement by nor official policy of the American College of Surgeons. ©2013 by the American College of Surgeons, all rights reserved. Contents 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. Officers and Staff of the American College of Surgeons Gerald M. Fried, MD, Heidi Nelson, MD, FACS Officers FACS, FRCSC Advisory Council Chair Montreal, QC CONveNTION AND MEETINgs *A. Brent Eastman, MD, *Barrett G. Haik, MD, FACS to the Board Felix Niespodziewanski FACS, FRCS (Ed) (Hon) Memphis, TN Director San Diego, CA of Regents PresIdeNT B.J. Hancock, MD, FACS, FRCSC (Past-Presidents) DIVISION OF EDUcaTION R. Phillip Burns, MD, FACS Winnipeg, MB Ajit K. Sachdeva, MD, Chattanooga, TN Enrique Hernandez, MD, FACS Kathryn D. Anderson, MD, FACS FACS, FRCSC FIrsT VICE-PreSIdeNT Philadelphia, PA Corona, CA Director John M. Daly, MD, FACS Lenworth M. Jacobs, Jr., MD, FACS W. Gerald Austen, MD, FACS EXecUTIve SERVIceS Philadelphia, PA Hartford, CT Boston, MA Barbara L. Dean Director SecOND VICE-PreSIdeNT L. Scott Levin, MD, FACS L. D. Britt, MD, FACS Courtney M. Townsend, Jr., MD, FACS Philadelphia, PA Norfolk, VA FINANce AND FacILITIes Galveston, TX John L. Cameron, MD, FACS Gay L. Vincent, CPA SecreTarY *Mark A. Malangoni, MD, FACS Philadelphia, PA Baltimore, MD Director Andrew L. Warshaw, MD, FACS Raymond F. Morgan, MD, FACS Edward M. Copeland III, MD, FACS HUmaN ResOUrces AND Boston, MA Gainesville, FL TaleNT MANagemeNT TreasUrer Charlottesville, VA Michelle McGovern David B. Hoyt, MD, FACS *Leigh A. Neumayer, MD, FACS Gerald B. Healy, MD, FACS Director Salt Lake City, UT Boston, MA Chicago, IL INFOrmaTION TECHNOLOGY EXecUTIve DIreCTOR Valerie W. Rusch, MD, FACS R. Scott Jones, MD, FACS Howard Tanzman Gay L. Vincent, CPA New York, NY Charlottesville, VA Director Chicago, IL Marshall Z. Schwartz, MD, FACS Edward R. Laws, MD, FACS DIVISION OF INTegraTed C HIef FINANCIal OFFIceR Philadelphia, PA Boston, MA COmmUNICATIONS Howard Snyder III, MD, FACS LaSalle D. Leffall, Jr., MD, FACS Lynn Kahn Philadelphia, PA Washington, DC Director 4 | Officers-Elect Beth H. Sutton, MD, FACS Lloyd D. MacLean, MD, FACS Journal OF THE American Wichita Falls, TX Montreal, QC College OF Surgeons (take office October 2013) Timothy J. Eberlein, MD, FACS Steven D. Wexner, MD, FACS LaMar S. McGinnis, Jr., MD, FACS Editor-in-Chief *Carlos A. Pellegrini, MD, Weston, FL Atlanta, GA FACS, FRCS(I)(Hon) DIVISION OF Member SerVIceS Seattle, WA Michael J. Zinner, MD, FACS David G. Murray, MD, FACS Patricia L. Turner, MD, FACS PresIdeNT-EleCT Boston, MA Syracuse, NY Director Patricia J. Numann, MD, FACS Layton F. Rikkers, MD, FACS PERFORMANCE IMPROVEMENT Madison, WI *Executive Committee Syracuse, NY Will Chapleau, RN, EMT-P FIrsT VICE-PreSIdeNT-EleCT Richard R. Sabo, MD, FACS Director Bozeman, MT John T. Preskitt, MD, FACS DIVISION OF Research AND Dallas, TX Board of Seymour I. Schwartz, MD, FACS OpTImaL PATIENT CarE SecOND VIce- Rochester, NY Clifford Y. Ko, MD, MS, FACS PreSIdeNT-EleCT Governors/ Executive Frank C. Spencer, MD, FACS Director New York, NY Cancer: Committee David P. Winchester, MD, FACS Board of Regents Lena M. Napolitano, MD, FACS Medical Director *Julie A. Freischlag, MD, FACS Ann Arbor, MI Executive Staff Trauma: Baltimore, MD ChaIR John Fildes, MD, FACS ChaIR Gary L. Timmerman, MD, FACS EXecUTIve DIreCTOR Medical Director *Mark C.