Department of Surgery
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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