Department of Surgery

Total Page:16

File Type:pdf, Size:1020Kb

Department of Surgery Department of Surgery of Department Department of Surgery Case Western Reserve University School of Medicine 11100 Euclid Avenue Cleveland, OH 44106 Telephone: 216.844.8087 Facsimile: 216.983.7230 2013 ANNUAL REPORT ANNUAL 2013 www.casesurgery.com University Hospitals Case Medical Center Department of Surgery 11100 Euclid Avenue Cleveland, Ohio 44106 MetroHealth Medical Center Department of Surgery 2500 MetroHealth Drive Cleveland, Ohio 44109 Louis B. Stokes Cleveland VA Medical Center Surgical Services 112 10701 East Boulevard Medicine of School University Reserve Western Case Cleveland, Ohio 44106 2013 2013 ANNUAL REPORT Department of Surgery Case Western Reserve University School of Medicine Department of Surgery Case Western Reserve University School of Medicine Acknowledgements Editor Karen Young Graphic Designer Robin Ott Design Photographer Gary Coffey Special Thanks Craig Anderson Diane Gorbey Stephanie Larson Jennifer Lastic Rita Rys Chuck Sullivan DEPARTMENT OF SURGERY Case Western Reserve University School of Medicine University Hospitals Case Medical Center Department of Surgery CHAIR'S OFFICE 11100 Euclid Avenue Conor Delaney, MD, MCh, PhD Cleveland, OH 44106 Interim Chair The Jeffrey L. Ponsky Professor of Surgical Education Department of Surgery Case Western Reserve University School of Medicine 11100 Euclid Avenue Cleveland, OH 44106 216.844.8087 Phone 216.983.7230 Fax MetroHealth Medical Center Department of Surgery www.casesurgery.com 2500 MetroHealth Drive Cleveland, OH 44109 Louis B. Stokes Cleveland VA Medical Center Surgical Services 112 10701 East Boulevard Cleveland, OH 44106 TABLE OF CONTENTS INTRODUCTION Chairman’s Introduction 1 Case Faculty Leadership 2 School of Medicine History 3 SURGICAL RESIDENCY PROGRAM Program Director’s Introduction 9 1 Surgical Residency Program 10 2 Center for Skills and Simulation 23 3 Post-Graduate Education 26 UNIVERSITY HOSPITALS CASE MEDICAL CENTER 4 University Hospitals Case Medical Center Faculty 29 5 Division of Cardiac Surgery 41 6 Division of Colorectal Surgery 53 7 Division of General and Gastrointestinal Surgery 68 8 Division of Oral and Maxillofacial Surgery 77 9 Division of Pediatric Surgery 81 10 Division of Surgical Oncology 86 11 Division of Thoracic and Esophageal Surgery 94 12 Division of Hepatobiliary and Transplant Surgery 98 13 Division of Vascular Surgery and Endovascular Therapy 107 14 Surgical Research 112 METROHEALTH MEDICAL CENTER Chairman’s Introduction 123 15 MetroHealth Medical Center Faculty 124 16 MetroHealth Medical Center Divisions of Surgery 129 17 Division of Cardiothoracic Surgery 134 18 Division of General Surgery 135 19 Division of Oral and Maxillofacial Surgery 140 20 Division of Plastic Surgery 141 21 Division of Surgical Oncology 143 22 Division of Trauma, Critical Care, Burns and Acute Care Surgery 146 23 Division of Vascular Surgery 149 LOUIS B. STOKES CLEVELAND VA MEDICAL CENTER Chairman’s Introduction 151 24 Louis B. Stokes Cleveland VA Medical Center Faculty 152 25 Louis B. Stokes Cleveland VA Medical Center Divisions 155 The Department of Surgery at Case Western Reserve University is proud to provide high quality patient care, integrated with clinical and CHAIRMAN’S basic science research, in an environment that is known for the high INTRODUCTION quality of education it provides. We are fortunate to have leaders in every surgical discipline among our faculty, who drive the quality of care provided and have earned the recognition enjoyed by the Department. Across the breadth of our practice, we provide all types of care, from the most novel and inventive types of hernia repair and diaphragm pacing, to the more routine, and yet equally important minimally invasive cardiac, colorectal, general surgical, hepatobiliary, oncologic, pediatric, thoracic and vascular procedures. Our residency and fellowship programs continue to be an integral part of the Department, whilst adding to the rich culture of education and research. Our teaching hospitals include University Hospitals Case Medical Center, MetroHealth Medical Center, and the Louis B. Conor Delaney, MD, MCh, PhD Stokes Cleveland VA Medical Center. Each has a dedicated and unique faculty with special expertise that enriches patient care, and each adds a different perspective to the educational experience. Our faculty continue to present and publish some of the best international clinical outcomes, based on their skill at optimizing the care they provide daily to their patients. The Department has also distinguished itself, both nationally and internationally, for its creative and innovative hands-on “Our residency and and web-based postgraduate educational courses. fellowship programs In this latest edition of the Annual Report, you will find a summary of continue to be an the state of each Department and Division, and a brief listing of some integral part of the of the accomplishments of our team. Department, whilst adding to the rich culture of education Conor Delaney, MD, MCh, PhD and research.” Interim Chair, Department of Surgery The Jeffrey L. Ponsky Professor of Surgical Education Case Western Reserve University Chief, Division of Colorectal Surgery University Hospitals Case Medical Center 1 University Hospitals Case Medical Center CASE FACULTY Faculty Leadership Pediatric Surgery LEADERSHIP INTERIM CHAIR Edward Barksdale, MD Conor M. Delaney, MD, MCh, PhD Surgical Oncology DIVISION CHIEFS Julian Kim, MD Cardiac Surgery Soon Park, MD Thoracic and Esophageal Surgery Philip Linden, MD Colorectal Surgery Conor Delaney, MD, MCh, PhD Hepatobiliary and Transplant Surgery General and Gastrointestinal Surgery Christopher Siegel, MD, PhD Michael Rosen, MD Vascular Surgery and Oral and Maxillofacial Surgery Endovascular Therapy Dale Baur, DDS Vikram Kashyap, MD RESIDENCY PROGRAM MetroHealth Medical Center Directors General Surgery Residency Faculty Leadership Plastic Surgery PROGRAM DIRECTOR DEPARTMENT CHAIR Roderick B. Jordan, MD Jeffrey Marks, MD Christopher P. Brandt, MD Surgical Oncology ASSOCIATE PROGRAM DIRECTORS DIVISION DIRECTORS Christopher McHenry, MD Cardiothoracic Surgery (Acting Director) Jeremy Lipman, MD Inderjit S. Gill, MD Gilles Pinault, MD Trauma, Critical Care, Burns and Sharon L. Stein, MD General Surgery Acute Care Surgery Christopher McHenry, MD Jeffrey A. Claridge, MD, MS Oral and Maxillofacial Surgery Residency Program Oral and Maxillofacial Surgery Vascular Surgery PROGRAM DIRECTOR Michael R. Zetz, DDS J. Jeffrey Alexander, MD Faisal A. Quereshy, MD, DDS Surgery Clerkship Directors PROGRAM DIRECTOR Louis B. Stokes Cleveland VA Medical Center Marjie Persons, MD Faculty Leadership Plastic Surgery CHIEF, SURGICAL SERVICE Devra Becker, MD ASSOCIATE PROGRAM DIRECTORS Brian Cmolik, MD Jeremy Lipman, MD Surgical Critical Care Gilles Pinault, MD SECTION CHIEFS Edward Noguera, MD Cardiothoracic Surgery Yakov Elgudin, MD, PhD Vascular Surgery Jessie Jean-Claude, MD General Surgery Eric Marderstein, MD 2 SCHOOL OF MEDICINE HISTORY 3 Medical Education in the 19th Century In the mid 1800’s, medical students first completed a 3-year preceptorship after which they were able to practice medicine in Ohio. However, to obtain a medical degree a student had to attend two sets of 16-week lectures at a medical college. They then had to pass an examination by a committee composed of medical school faculty and County Medical Society physicians. Major changes were occurring among the hospitals and colleges 1834 – 1856 1856 – 1863 in Cleveland, which resulted in Dr. Horace A. Ackley Dr. Gustav Carl Erich Weber the medical school and hospital • First Chairman of the Department • Realized the importance of using systems of today. The Cleveland of Surgery inpatients for student teaching – City Hospital eventually combined • Original founder of the Willoughby used the Marine Hospital for this with Marine Hospital, becoming purpose Lakeside Hospital. Also during Medical College; moved the school to Cleveland to start what • Was the Surgeon General for Ohio this period, a new City Infirmary, ultimately became the Medical during the Civil War called the City Hospital, was built Department of the Western on Scranton Road - known today • Started an alternative medical Reserve College school at St. Vincent’s Charity as MetroHealth Medical Center. • The original Medical Department Hospital Metro has been part of the Case in Willoughby eventually became Department of Surgery since the the Starling Medical College at 1970’s. Due to the generosity of the Ohio State University several Cleveland industrialists, • A skilled anatomist, a formidable Lakeside Hospital and Western surgeon and a community activist Reserve University School of Medicine eventually moved East • The first to use ether in surgery to University Circle, where they reside today. In the late 1800s, Lakeside Hospital underwent a major expansion and the Cleveland Medical Library Association was founded. This Association currently exists as the Allen Medical Library, which is the clinical library for Case School of Medicine. It was built with Dr. Allen’s endowment of the marble building next to University Hospitals. 4 SCHOOL OF MEDICINE HISTORY 1863 – 1890 1890 – 1893 1893 – 1910 Dr. Proctor Thayer Dr. Charles Barnsdall Parker Dr. Dudley Peter Allen • A long period of growth for the • The medical school curriculum • Begins the “modern” era of Department during his tenure was extended to 3 years of formal surgical and medical education • Along with Dr. Weber, brought the instruction • Actively revised the medical two downtown
Recommended publications
  • Download Article
    SGA200171.qxp 3/24/11 1:50 PM Page 158 Abstracts SGNA’S 38TH ANNUAL COURSE May 6-11, 2011 | Indianapolis, Indiana WE ARE PLEASED TO PRESENT THE ABSTRACTS FROM SGNA’S 38TH ANNUAL COURSE, SGNA: THE LINK BETWEEN PRACTICE AND CARE. THE DIVERSITY OF THESE TOPICS CERTAINLY REFLECTS THE RICHNESS AND BREADTH OF OUR SPECIALTY.IN KEEPING WITH THE TRADITION OF THE ANNUAL COURSE, WE HOPE THE FOLLOWING ABSTRACTS WILL ENCOURAGE DISCUSSIONS FOR IMPROVING NURSING PRACTICE AND PATIENT CARE OUTCOMES. Kathy A. Baker, PhD, RN, ACNS-BC, CGRN, FAAN Editor TRAIN THE TRAINER: THE NURSE quality of care and patient safety; and a growing need MANAGER’S GUIDE TO THE REPROCESSING COMPETENCY to solve the fiscal dilemma of meeting the significant care demands of the patients we serve are just some of Jane Allaire, RN, CGRN the drivers for improved performance. In an effort to James Collins, BS, RN, CNOR improve efficiency, numerous facilities have begun to Michelle E. Day, MSN, RN, CGRN use Lean methods. These methods have been successful Cynthia M. Friis, MEd, BSN, RN, BC in eliminating waste and redundancy in endoscopy work processes resulting in improved financial, patient Patricia Maher, RN, CGRN satisfaction, and safety performance. Identifying the Joan Metze, BSN, RN waste, creating standard work processes, and using data which also serve as benchmarks will provide a The process for reprocessing flexible gastrointestinal baseline for the implementation of Lean methods. An endoscopes, as outlined by the Society of important part of implementing new processes in the Gastroenterology Nurses and Assocciates, will be thor- gastrointestinal unit is facilitating the change process.
    [Show full text]
  • Evaluation of Nipple Discharge
    New 2016 American College of Radiology ACR Appropriateness Criteria® Evaluation of Nipple Discharge Variant 1: Physiologic nipple discharge. Female of any age. Initial imaging examination. Radiologic Procedure Rating Comments RRL* Mammography diagnostic 1 See references [2,4-7]. ☢☢ Digital breast tomosynthesis diagnostic 1 See references [2,4-7]. ☢☢ US breast 1 See references [2,4-7]. O MRI breast without and with IV contrast 1 See references [2,4-7]. O MRI breast without IV contrast 1 See references [2,4-7]. O FDG-PEM 1 See references [2,4-7]. ☢☢☢☢ Sestamibi MBI 1 See references [2,4-7]. ☢☢☢ Ductography 1 See references [2,4-7]. ☢☢ Image-guided core biopsy breast 1 See references [2,4-7]. Varies Image-guided fine needle aspiration breast 1 Varies *Relative Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate Radiation Level Variant 2: Pathologic nipple discharge. Male or female 40 years of age or older. Initial imaging examination. Radiologic Procedure Rating Comments RRL* See references [3,6,8,10,13,14,16,25- Mammography diagnostic 9 29,32,34,42-44,71-73]. ☢☢ See references [3,6,8,10,13,14,16,25- Digital breast tomosynthesis diagnostic 9 29,32,34,42-44,71-73]. ☢☢ US is usually complementary to mammography. It can be an alternative to mammography if the patient had a recent US breast 9 mammogram or is pregnant. See O references [3,5,10,12,13,16,25,30,31,45- 49]. MRI breast without and with IV contrast 1 See references [3,8,23,24,35,46,51-55].
    [Show full text]
  • Ductoscopy-Guided and Conventional Surgical Excision
    Breast Cancer Ductoscopy-guided and Conventional Surgical Excision a report by Seema A Khan, MD Department of Surgery Feinberg School of Medicine and Robert H Lurie Comprehensive Cancer Center of Northwestern University DOI: 10.17925/OHR.2006.00.00.1i Radiologic imaging is routinely used to evaluate unhelpful. Galactography has been used to evaluate women with spontaneous nipple discharge (SND), but women with SND with variable success.6,7 When SND definitive diagnosis is usually only achieved by surgical is caused by peripheral intraductal lesions, terminal duct excision (TDE). Ductoscopy has been galactography provides localizing information and can reported to result in improved localization of also assess the likelihood of malignancy,4 although intraductal lesions and may avoid surgery in women definitive diagnosis requires central or terminal duct with endoscopically normal ducts. excision (TDE). Duct excision is also therapeutic unless malignancy is discovered.2,8 Mammary endoscopy Nipple discharge is responsible for approximately 5% of (ductoscopy) is a recently introduced technique that annual surgical referrals.1 Not all forms of spontaneous may allow more precise identification and delineation nipple discharge (SND) are associated with significant of intraductal disease but is not currently a standard pathologic findings. The clinical features of SND that practice among most surgeons. Ductoscopy has been are associated with a high likelihood of intraductal reported to result in improved localization of neoplasia include unilaterality, persistence, emanation intraductal lesions9–11 and may avoid surgery in women from a single duct, and watery, serous, or bloody with endoscopically normal ducts. However, appearance.2,3 Discharges with these characteristics are ductoscopy adds to time and expense in the operating classified as pathologic and have traditionally been room (OR), and the yield of significant pathologic considered an indication for surgical excision of the lesions reported in separate series of women who are involved duct.
    [Show full text]
  • Master of Surgery (Mch) by Module - Programme Brochure 2021 MASTER of SURGERY (MCH) by MODULE INTRODUCTION ENHANCE YOUR CAREER in SURGERY
    Master of Surgery (MCh) by Module - Programme Brochure 2021 MASTER OF SURGERY (MCH) BY MODULE INTRODUCTION ENHANCE YOUR CAREER IN SURGERY The Royal College of through research alone. Scholars will continue to Surgeons in Ireland develop practical research skills and originality welcomes you to the Master in their research as a result of exposure to new of Surgery (MCh) by module. subject areas in the taught modules, which will This programme, the first encourage scholars to explore surgery within the of its kind in Ireland, aims greater healthcare context. to equip scholars with a combination of research skills Scholars must attend lectures for five modules and practical knowledge of totalling 45 credits and successfully complete the healthcare environment in order to enhance all module assignments. During this time, they opportunities for professional development. must also prepare and submit a research protocol for the dissertation. Once approved, students Multiple departments at the RCSI have will undertake their research in the latter half of contributed to the development of this their programme and submit a preliminary copy programme. Each module will introduce new of the dissertation by end of June. Following a areas of learning, and many resources will be review, the student may undertake revisions and made available during the delivery of these submit the final hard copy no later than early modules. However, the overall success of the September. On successful completion of these programme will also depend on the drive of two components, students will be awarded the the scholars. The class comprises people from degree of Master of Surgery.
    [Show full text]
  • Ideals in Surgery
    SURGERY GYNECOLOGY AND OBSTETRICS ~ THIRTY-THREE years ago a group in the past eight years, of the length and char- lI) of very wise men founded the Amer~ acter of the training required. Others felt, ~ ican College of Surgeons. It was however, that all those who proposed to spe- : their hope that by gathering to- cialize should be forced at an early stage in &: gether in such a College all the surgeons and their graduate training to demonstrate to a t..D surgical specialists who were known to be court of examiners that they were proficient in ~ morally and ethically fit and who had demon- the principles of surgery and in the allied basic ~ strated by their training and by their standing medical sciences. From this arose the Ameri- j in the professional world that they were prop- can Board of Surgery and the boards of the ~ erly qualified, the standard of surgical care various surgical specialties, to which the Col- might be raised to the level that a great people lege elects representatives. ':£ deserves. It was hoped, too, that with the The aim of both the College and the Boards r-4 lapse of a few years the diploma of Fello"wship has been the improving of the quality of in the College would become so desirable and American surgery and both have been success- so necessary that all who proposed to practice ful. The College insisted on minimum periods surgery would seek it and that by and by it of apprenticeship, evidence of high moral and would constitute a clear index whereby those ethical standing, and proof that the candidate who were qualified to do surgery could be dis- had shown ability in practice.
    [Show full text]
  • Simulcast Journal Club : the First Year
    Published by Simulcast, Brisbane, Queensland, Australia First Edition, October 2018 This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/ or send a letter to Creative Commons, PO Box 1866, Mountain View, CA 94042, USA. ISBN-13: 978-0-6481679-2-1 Case Studies, Infographics and Summaries Author : Dr Benjamin Symon Editors : Dr Victoria Brazil Mr Jesse Spurr Expert Opinion Authors : Dr Peter Dieckmann Ms Karenne Marr Dr Chris Nickson Dr Vicki LeBlanc Dr Komal Bajaj & Dr Michael Meguerdichian Ms Stephanie Barwick Dr Sarah Janssens Ms Liz Crowe Ms Jane Stanford Dr Gabriel Reedy Blog Contributors : Adam Cheng Demian Szyld Lucinda Mithen Sami Rahman Ann Mullen Derek Louey Luke Summers Sarah Janssens Ayidah Alqarni Eve Purdy Marrice King Shaghi Shaghaghi Bec Szabo Farrukh Jafri Mary Fey Shane Pritchard Ben Lawton Glenn Posner Matt Nettle Shannon McNamara Bishan Rajapakse Ian Summers Melanie Barlow Sophie Brock Carrie Hamilton Jane Stanford Melanie Rule Steph Barwick Cathy Grossman Janine Kane Melissa Morris Stuart Rose Chris Speirs Jenny Rudolph Nemat Alsaba Suneth Jayasakera Christina Choung Jessica Stokes-Parish Nick Harvey Smith Susan Eller Clare Thomas Karenne Marr Paul Elliott Suzanne Nelson Daniel Lugassy & NYSIM Komal Bajaj Peter Dieckmann Vince Grant team journal club Laura Rock Rebecca Smith Walter Eppich Debra Nestel Lauren Kennedy Rowan Duys Warwick Isaacson Introduction Is there anything more exhilarating than growth? Feeling yourself become someone new as you level up your skills and you can taste it! New powers, new places to explore, remembering where you came from and smiling at your old naivety.
    [Show full text]
  • Fulfilling the Specialist Neurosurgery Workforce Needs in Africa: a SWOT Analysis of Training Programs and Projection Towards 2030
    Fulfilling the Specialist Neurosurgery Workforce Needs in Africa: a SWOT Analysis of Training Programs and Projection Towards 2030 by Alvan-Emeka Kelechi Ukachukwu Duke Global Health Institute Duke University Date:_______________________ Approved: ___________________________ Michael M. Haglund, Advisor ___________________________ Joseph R. Egger ___________________________ Anthony T. Fuller Thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Global Health in the Duke Global Health Institute in the Graduate School of Duke University 2021 ABSTRACT Fulfilling the Specialist Neurosurgery Workforce Needs in Africa: a SWOT Analysis of Training Programs and Projection Towards 2030 by Alvan-Emeka Kelechi Ukachukwu Duke Global Health Institute Duke University Date:_______________________ Approved: ___________________________ Michael M. Haglund, Advisor ___________________________ Joseph R. Egger ___________________________ Anthony T. Fuller An abstract of a thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Global Health in the Duke Global Health Institute in the Graduate School of Duke University 2021 Copyright by Alvan-Emeka Kelechi Ukachukwu 2021 Abstract Background/Objectives Africa has only 1% of the global neurosurgery workforce, despite having 14% of the global population and 15% of the global neurosurgical disease burden. Also, neurosurgical training is hampered by paucity of training institutions, dearth of training faculty, and deficiency of
    [Show full text]
  • Mammary Ductoscopy, Aspiration and Lavage
    Cigna Medical Coverage Policy Effective Date ............................ 2/15/2014 Subject Mammary Ductoscopy, Next Review Date ...................... 2/15/2015 Coverage Policy Number ................. 0057 Aspiration and Lavage Table of Contents Related Coverage Policies Coverage Policy .................................................. 1 Emerging Breast Biopsy/Localization General Background ........................................... 1 Procedures Coding/Billing Information ................................. 10 Electrical Impedance Scanning (EIS) and References ........................................................ 10 Optical Imaging of the Breast Genetic Testing for Susceptibility to Breast and Ovarian Cancer (e.g., BRCA1 & BRCA2) Magnetic Resonance Imaging (MRI) of the Breast Mammography Prophylactic Mastectomy INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna companies. Coverage Policies are intended to provide guidance in interpreting certain standard Cigna benefit plans. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a customer’s benefit plan document always supersedes the information in the Coverage Policies. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in each specific instance require consideration of 1) the terms of the applicable benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies and; 4) the specific facts of the particular situation.
    [Show full text]
  • Mammary Ductoscopy in the Current Management of Breast Disease
    Surg Endosc (2011) 25:1712–1722 DOI 10.1007/s00464-010-1465-4 REVIEWS Mammary ductoscopy in the current management of breast disease Sarah S. K. Tang • Dominique J. Twelves • Clare M. Isacke • Gerald P. H. Gui Received: 4 May 2010 / Accepted: 5 November 2010 / Published online: 18 December 2010 Ó Springer Science+Business Media, LLC 2010 Abstract terms ‘‘ductoscopy’’, ‘‘duct endoscopy’’, ‘‘mammary’’, Background The majority of benign and malignant ‘‘breast,’’ and ‘‘intraductal’’ were used. lesions of the breast are thought to arise from the epithe- Results/conclusions Duct endoscopes have become lium of the terminal duct-lobular unit (TDLU). Although smaller in diameter with working channels and improved modern mammography, ultrasound, and MRI have optical definition. Currently, the role of MD is best defined improved diagnosis, a final pathological diagnosis cur- in the management of SND facilitating targeted surgical rently relies on percutaneous methods of sampling breast excision, potentially avoiding unnecessary surgery, and lesions. The advantage of mammary ductoscopy (MD) is limiting the extent of surgical resection for benign disease. that it is possible to gain direct access to the ductal system The role of MD in breast-cancer screening and breast via the nipple. Direct visualization of the duct epithelium conservation surgery has yet to be fully defined. Few allows the operator to precisely locate intraductal lesions, prospective randomized trials exist in the literature, and enabling accurate tissue sampling and providing guidance these would be crucial to validate current opinion, not only to the surgeon during excision. The intraductal approach in the benign setting but also in breast oncologic surgery.
    [Show full text]
  • Faculty of Medicine Handbook, 1969
    THE UNIVERSLTY OF MELBOURNE FACULTY OF MEDICINE HANDBOOK, 1969 PUBLISHED BY THE UNIVERSITY TABLE OF CONTENTS Off cers of the University 5 Faculty of Medicine; University Teaching Staff . 7 Staff of Recognized Hospitals ., . .. 18 CHAPTER 1: IMPORTANT DATES Applications, Enrolments, Terms and Examinations, Graduation 32 CHAPTER 2: DEGREES AND DIPLOMAS M.В., B.S. 33 . Combined course in Medicine and Medical Science .. 33 M.D., M.S. and M.G.O. ..................... 33 Postgraduate Diplomas 33 Ph.D. .. .. .. .. .. 34 CHAPTER 3: ADVICE TO THOSE PREPARING TO ENTER THE MEDICAL COURSE Prerequisite Subjects; Preparatory Studies .... 39 CHAPTER 4: POLICIES GOVERNING ADMISSION First Year (Division I) 36 Second Year ( Division IIA). 37 Third Year (Division II) .......... 37 Fourth Year ( Division III) .. • . 37 Admission Ad Eundem Statum 38 39 CHAPTER 5: SCHOLARSHIPS, BURSARIES, PRIZES Entrance Awards .. 40 Undergraduate Awards .... ...... ..... 40 Postgraduate Awards .. .. .. 41 CHAPTER 6: NOTICES TO MEDICAL GRADUATES Hospital Appointments .. 42 Commonwealth Medical Advisory Bureau . .. .. .. 42 Registration in the United Kingdom 43 CHAPTER 7: REGULATIONS Degrees of Bachelor of Medicine and Bachelor of Surgery 44 Degree of Bachelor of Medical Science . 51 Degree of Doctor of Medicine .. 51 Degree of Master of Surgery . .. .. 52 Degree of Master of Gynaecology and Obstetrics 54 Postgraduate Medical Diplomas ....... 55 CHAPTER 8: DETAILS FOR 1969 DECREES OF M.B., B.S. (1) General Requirements: Matriculation; Prerequisites; Admission to First Year Admission to Second Year; Attendance at Lectures; Vacation Study; Honour Work; Divisions, Subjects and Times of Examination; Examinations; Repeti- tion of Year .. .• 58 (2) Time. Table 61 ( 3 ) Summary of Principle Dates . 62 (4) Division's, Subjects and Books .
    [Show full text]
  • Mammary Ductoscopy, Aspiration and Lavage
    Medical Coverage Policy Effective Date ............................................. 1/15/2021 Next Review Date ....................................... 1/15/2022 Coverage Policy Number .................................. 0057 Mammary Ductoscopy, Aspiration and Lavage Table of Contents Related Coverage Resources Overview .............................................................. 1 Coverage Policy ................................................... 1 General Background ............................................ 2 Medicare Coverage Determinations .................. 10 Coding/Billing Information .................................. 10 References ........................................................ 10 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may
    [Show full text]
  • MC 8/E the Medical Council of Hong Kong List of Quotable Qualifications (As at 8 September 2021)
    Ref: MC 8/E The Medical Council of Hong Kong List of Quotable Qualifications (as at 8 September 2021) [Doctors in quoting qualifications in dissemination of service information to the public should follow the “Guidelines on Quoting of Qualifications” available at the Medical Council’s website at http://www.mchk.org.hk/english/guideline/files/Guidelines_on_Quoting_of_Qualifications.pdf] (A) List of Additional Quotable Qualifications maintained by the Medical Council before 1997 1. Master’s Degrees Title in Full Abbreviation Title in Chinese Remarks General Terms Master of Surgery ( *** ) MS ( *** ) ) XYZ國ABC大學外科碩士 The use of the abbreviation MS is not MCh ( *** ) ) permitted unless the user is entitled to an MChir ( *** ) ) additional qualification accepted by the CM ( *** ) ) Medical Council of Hong Kong. ChM ( *** ) ) Master of Obstetrics ( *** ) MAO ( *** ) XYZ國ABC大學產科碩士 ) Confined to qualifications attained in the ) United Kingdom by examination and ) qualifications registrable in the United Master of Radiology ( *** ) M Rad ( *** ) Kingdom. XYZ國ABC大學放射學碩士 ) ) Notes ( *** ) ) In quoting any of the listed qualifications, ) the conferring authority/medical school ) must be specified. ) e.g. MS (Sydney) ) MAO (Dubl) ******************************** 2 Title in Full Abbreviation Title in Chinese Remarks Hong Kong Master of Surgery, The University MS (HK) 香港大學外科碩士 of Hong Kong Master of Philosophy, The MPhil (HK) 香港大學哲學碩士 University of Hong Kong Master of Medical Sciences, M Med Sc (HK) 香港大學醫療科學碩士 The University of Hong Kong Master of Philosophy,
    [Show full text]