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2015 Surgery Report Inova Fairfax Medical Campus 2015 Surgery Report Table of Contents Inova Fairfax Medical Campus 1 Welcome 3 Education 5 Quality and Patient Safety 6 ASTEC 8 Research 9 Midlevel Clinical Practice Providers 10 Surgery Department Administration 11 Surgical Department Organizational Chart 13 Surgical Specialty Areas 24 Surgery by the Numbers 26 Selected Honors, Presentations, Publications and Research Mission Statement John J. Moynihan, MD, FACS Chairman, Department of Surgery To work collaboratively with the entire Associate Professor, VCU School of Medicine - Inova Campus healthcare team to provide the highest quality, most innovative and effective patient-centered surgical care to the diverse population we serve In 2015, the Inova Fairfax Medical Campus Department of Surgery had another Inova “Vision 2020” is to exciting and successful year. Build the Future of Health: The dedication and determination of our surgeons resulted in significant progress in the department’s mission to deliver world-class patient care, conduct 1 We will reinvent hospital-based care to cutting edge research in a multidisciplinary fashion and provide state-of-the-art increase value for our patients undergraduate and graduate medical education. 2 We will look outside our hospitals to build an integrated network of facilities, In addition to advancing surgical care through adoption of new technologies, the providers and programs to support our members of the department continue to be strong advocates for improvements community in the quality of care and the experience of patients who receive their care at our 3 We will gain national and international institution. recognition and funding – as well as an Recognition of the accomplishments of our department’s surgeons at regional, expanded patient base – through world- national and international levels further promotes the widespread value of the work renowned specialty care and leading-edge our surgeons are doing. Not only do our surgeons participate in many national corporate and consumer health programs specialty specific governing bodies, they often have leadership roles and therefore are instrumental in changing the way surgical care is provided well beyond the walls of this campus. We welcome you to learn more about the Department of Surgery and hope you enjoy the 2015 Annual Report! 1 Education 2 Education Our 2015 residency graduates will proudly represent us in their fellowship programs and beyond: Jonathan Dort, MD, FACS • Enrico Danzer (PGY 5), Pediatric Surgical Oncology, Memorial Sloan- Vice Chair, Education; Director, Surgery Kettering Residency Program; Associate Professor, VCU School of Medicine - Inova Campus • Allison Key (PGY 5), Trauma/Critical Care, Washington Hospital Center • Matthew LaPorta (PGY 6), Trauma/Critical Care, Inova Fairfax Medical Campus The Division of Education enjoyed another very successful year in 2015. • George Younan (PGY 5), Hepatobiliary Surgery, Medical College of Once again, growth in training programs, academic productivity, and personnel Wisconsin advancement, defined the extraordinary efforts of the outstanding residents • Anjali Gresens (PGY 6 – Bariatric/MIS Fellow), VAMC, New Orleans, LA and faculty of this department. As part of the expansion of the residency to 25 positions, five new first year residents started this summer for the first time. Our residents and fellows continued their high level of academic productivity We also welcomed new leadership of both the Bariatric/MIS Fellowship and and scholarly representation in nearly all areas of surgical care. Highlights of the the VCU Surgery Clerkship. academic presence of our residents include: New Residents and Fellows: • Dr. Ashley McCusker (PGY 5) presented her work “Implementation of a Volume Based Enteral Feeding Protocol in a Single Center Trauma ICU” at In July we welcomed the following new residents and fellows: the American Association for the Surgery of Trauma annual meeting. • Dr. Libby Copeland-Halperin (PGY 3) presented her work “Re-evaluating the Role of Blood Cultures in the Evaluation of Postoperative Fever,” at the annual Clinical Congress of the American College of Surgeons. • Dr. Allison Key (PGY 5) presented her work on a colorectal ERAS protocol at the Chesapeake Colorectal Society annual meeting, where she was Laura Adams Catherine Denkler Therese Pamela Henry Joshua Stodghill awarded first place for best paper presentation PGY 1 PGY 1 Federowicz PGY 1 PGY 1 Michigan State University of Miami PGY 1 Eastern Virginia Edward Via The Department of Surgery was well represented at the annual Graduate University, School Miller School of State University Medical School School of of Human Medicine Medicine of New York Osteopathic Medical Education Quality Research Forum: School of Medicine Medicine • Dr. McCusker won second prize for her presentation of her work on ICU nutritional delivery. • Dr. Matthew LaPorta, who presented posters on “A Formal General Surgery Residency Didactic Curriculum Derived From Quality In-Training Initiative Guidelines” and “Establishing the Role of Chief Resident in Quality Improvement and Patient Safety.” Both projects further secured the Meredith Meyer Carly Allred Matthew LaPorta Aram Jawed education and participation of all of the residents in the hospital mission PGY 2 PGY 3 PGY 6 PGY 6 University of South University of Critical Care Fellow Bariatric Fellow of enhancing patient care, improving patient experiences, and maximizing Dakota School of Oklahoma IFMC Residency Morristown patient outcomes. Medicine School of Medicine Program Residency Program 3 • Dr. Alex Kaminsky presented his work “General Surgery Quality We were also pleased to welcome two new team members to our education Improvement Project for Communication between Nursing Staff and staff. Ms. Mariam Hashimi joins us as our new residency coordinator. Mariam Residents.” Dr. Libby Copeland-Halperin presented her work on re- received her Bachelor of Science in evaluating the use of blood cultures in the work up of postoperative fever. Health Science from George Mason • Dr. Natalie Banks presented “Implementation of a Standardized Protocol University with a concentration in for the Treatment of Refractory Clostridium Difficile Infection,” and health systems management. We also welcomed Erica Emery as our • Dr. Edward Wills presented “Early Mobilization in the PACU as a Strategy to new project research coordinator. Reduce Deep Vein Thrombosis and Pulmonary Embolism.” Erica comes to us from McGill The Division of Education was pleased to name Dr. Amir Moazzez as the new University in Montreal, where she Program Director of the Bariatric/MIS Fellowship. Dr. Moazzez is the Medical obtained her Bachelor of Science Director of the Inova Bariatric Center, a Bariatric Center of Excellence, and a in Biology and her Master of Pictured left to right: Jenise Perez, Sharon bariatric surgeon with the Inova Medical Group. The operative experience, Science in Biostatistics. They join Bachman, MD, FACS, Jonathan Dort, MD, FACS, Mariam Hashimi, Diann Carreker personalized mentorship, and academic and didactic resources create one of our longstanding Surgery the best bariatric fellowship training experiences. Residency Program Manager, Diann Carreker, who continues to provide unparalleled leadership in this period of unprecedented growth. Also this year, Dr. Sharon Bachman was named the new Surgery Clerkship Director for the Inova Campus of the Virginia Commonwealth University School In summary, the great successes of our educational programs continue to be of Medicine. Dr. Bachman has an extensive background in surgical education a product of our outstanding people. With a group of highly talented residents and simulation, scholarly activity, and minimally invasive surgery. Weekly and fellows, world class faculty, and hospital leadership committed to creating protected time for students in ASTEC, in the structure of a simulation curriculum an elite training environment, the future of Surgical Education at Inova Fairfax designed just for them, has been one of many positive additions to make an Medical Campus has never looked brighter. already robust clerkship experience even stronger. Jenise Perez continues to support the students as the clerkship coordinator and was voted the outstanding clerkship coordinator in the institution by the VCU/Inova Class of 2015. 44 Quality And Patient Safety drive continued improvement. In many areas, significant progress has been made with notable reductions in venous thromboembolism (VTE), Surgical Site Infection (SSI) and C. difficile. The Safety Always quality reporting system has H. David Reines, MD, FACS, FCCM become a useful tool to help us identify problems, especially in the pre-op, OR Vice Chair, Quality and Safety; and PACU, with over 1200 Safety Always reports filed, sorted and reviewed. A Professor, VCU School of Medicine - Inova Campus; Medical Director, CME multidisciplinary group identified and rectified problems in a number of areas including: environmental conditions in the OR, blood wastage, availability of OR pharmacy, and issues with sterile processing services and transport. A new committee, the Surgical Services Quality Operations Committee, (SSQOC), The Department of Surgery continues to lead the way in many areas of quality a subcommittee of the Surgical Services Operations Council (SSOC), is now and patient safety with the result that our patients and surgeons are benefiting co-chaired by H. David Reines, MD and Steve Lussos, MD from