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APRIL 2016 | VOLUME 101 NUMBER 4 | AMERICAN COLLEGE OF SURGEONS Bulletin Face forward: Transplant surgeon overcomes challenges with teamwork and technology Contents FEATURES COVER STORY: Face forward: Transplant surgeon overcomes challenges with teamwork and technology 9 Tony Peregrin A family tradition: Fellows describe influence of surgeon parents and other relatives 15 Jeannie Glickson ACS CoC creates awareness of cancer issues at state and federal levels 25 Tara Leystra Ackerman 2015 ACS Governors Survey: Surgeons express concerns regarding the EHR 29 Mark W. Puls, MD, FACS | 1 AMERICAN COLLEGE OF SURGEONS | DIVISION OF EDUCATION AMERICAN COLLEGE OF SURGEONS Blended Surgical Education and Training for Life DIVISION OF EDUCATION “Your Lung Operation” provides patients with the knowledge and training to support full participation and optimal recovery. Safety measures such as site marking, ID band checks, and pneumonia prevention strategies are demonstrated to support the surgeon and health care professional in meeting all CMS and Joint Commission guidelines YOUR LUNG for safe surgical procedures and optimal recovery. OPERATION The program is free to members and contains: Education for a Better Recovery ● A 20-page booklet and 30-minute DVD with information on preoperative prep, cancer staging, procedure overview, potential risks, discharge, and home care. ● Information sheets, including lung images, medication lists, exercise and pulmonary rehab activity guides, quit smoking resources, and survivorship plans. PARTNERS IN YOUR SURGICAL CARE© ● Additional resources, including a patient evaluation form. ● For nonmembers, this program can be purchased individually, or bulk pricing is available. ● Hospital broadcast rights are also available for purchase. To order, visit www.facs.org/education/patient-education. This Surgical Patient Education Program is a collaborative by the American College of Surgeons with the Society of Thoracic Surgery, the American Association for Thoracic Surgery, the Association of periOperative Registered Nurses, and the Commission on Cancer. THIS PROGRAM IS FUNDED IN PART BY A GRANT FROM ETHICON ENDO-SURGERY. YourLungOp_Half Horizontal_Bulletin_2_6_15.indd 1 2/6/2015 11:19:34 AM APR 2016 BULLETIN American College of Surgeons Contents continued STATEMENTS Your ACS benefits: Insure your Modernizing the AMA Code of family’s future with life and Medical Ethics 55 Statement on the importance of disability insurance 45 John H. Armstrong, MD, FACS, parental leave 35 Bob Winkleblack and Jon H. Sutton, MBA COLUMNS A look at The Joint Commission: 27 cancer care facilities receive CoC Hand hygiene TST helps hospitals Outstanding Achievement Award 56 Looking forward 7 reduce HAI rates 47 Chapter news 57 David B. Hoyt, MD, FACS Carlos A. Pellegrini, MD, Jennifer Connelly, FACHE, CAE, Dispatches from rural surgeons: FACS, FRCSI(Hon), FRCS(Hon), and Donna Tieberg Skills course helps rural surgeons FRCSEd(Hon) stay current 37 MHSSPACS and Excelsior Surgical NTDB data points: Society issue call for abstracts 61 Amy Halverson, MD, FACS Look up and die 49 ACS Clinical Research Program: Richard J. Fantus, MD, FACS, and SCHOLARSHIPS How successful is NST in increasing Robert J. Fantus Report from the 2015 Murray F. breast-conserving surgery rates in Brennan, MD, FACS, International TNBC patients? 40 NEWS Guest Scholar 63 David W. Ollila, MD, FACS; Mehra In memoriam: Tracey Irvine, MB, BS, MSc, MA, FRCS 2 | Golshan, MD, FACS; and Judy C. Dr. John Connolly, pioneering Boughey, MD, FACS Apply now for the 2016 Claude cardiothoracic surgeon 52 H. Organ, Jr., MD, FACS, Traveling From the Archives: Dr. Rudolph Peter H. Connolly, MD; Fellowship 67 Matas: Learned trailblazer, father of James G. Chandler, MD, FACS; vascular surgery 43 and David B. Hoyt, MD, FACS MEETINGS CALENDAR Craig A. Miller, MD, FACS Connect with the College.Calendar of events 68 Connect with the College. Connect with the College. Twitter.com/AmCollSurgeons Facebook.com/AmCollSurgeons YouTube.com/AmCollegeofSurgeons Twitter.com/ACSTrauma Facebook.com/ACSTrauma Twitter.com/AmCollSurgeons Facebook.com/AmCollSurgeons YouTube.com/AmCollegeofSurgeons Twitter.com/CoC_ACS Facebook.com/RASACS Twitter.com/ACSTrauma Facebook.com/ACSTrauma Twitter.com/NAPBC_ACS Facebook.com/NAPBC.acs Twitter.com/AmCollSurgeonsTwitter.com/CoC_ACS Facebook.com/AmCollSurgeonsFacebook.com/RASACS YouTube.com/AmCollegeofSurgeons Twitter.com/ACSTraumaTwitter.com/NAPBC_ACS Facebook.com/ACSTraumaFacebook.com/NAPBC.acs Twitter.com/CoC_ACS Facebook.com/RASACS SocialTwitter.com/NAPBC_ACS Media Questions? Facebook.com/NAPBC.acs For more information or if you have comments about theSocial American Media College Questions? of Surgeons’ social media sites, sendFor more an e-mail information to [email protected] or if you have comments. about the American College of Surgeons’ social media sites, Social Media Questions? Forsend more an e-mail information to [email protected] or if you have comments. about the American College of Surgeons’ social media sites, 2015 ACS Social Media Ad Update_08-10-15_SeptBULL.indd 1 8/10/2015 1:37:29 PM V101 No 4 BULLETINsend anAmerican e-mail to College [email protected] of Surgeons . 2015 ACS Social Media Ad Update_08-10-15_SeptBULL.indd 1 8/10/2015 1:37:29 PM 2015 ACS Social Media Ad Update_08-10-15_SeptBULL.indd 1 8/10/2015 1:37:29 PM The American College of Surgeons is dedicated to improving the care of the surgical patient CLINICAL and to safeguarding standards of care in an optimal and ethical practice environment. CONGRESS EDITOR-IN-CHIEF Letters to the Editor Diane Schneidman should be sent 2016 with the writer’s DIRECTOR, DIVISION OF name, address, INTEGRATED COMMUNICATIONS e-mail address, and OCTOBER 16–20 Lynn Kahn daytime telephone WALTER E. WASHINGTON CONVENTION CENTER number via e-mail to SENIOR EDITOR WASHINGTON, DC Tony Peregrin dschneidman@facs. org, or via mail to EDITORIAL & PRODUCTION ASSISTANT Diane S. Schneidman, Matthew Fox Editor-in-Chief, Bulletin, American CONTRIBUTING EDITOR College of Surgeons, Jeannie Glickson 633 N. Saint Clair St., The Best Surgical SENIOR GRAPHIC DESIGNER/ Chicago, IL 60611. PRODUCTION MANAGER Letters may be edited Education Tina Woelke for length or clarity. Permission to publish All in One Place EDITORIAL ADVISORS letters is assumed Charles D. Mabry, MD, FACS unless the author Leigh A. Neumayer, MD, FACS indicates otherwise. Marshall Z. Schwartz, MD, FACS Mark C. Weissler, MD, FACS FRONT COVER DESIGN Tina Woelke Bulletin of the American College of Surgeons (ISSN 0002-8045) is published monthly by the American College of Surgeons, 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 Chicago, IL, and additional mailing offices. POSTMASTER: Send address changes to Bulletin of the American College of 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: facs.org. The Washington, DC, Office is located at 20 F Street N.W. Suite 1000, Washington, DC. 20001-6701; tel. 202-337-2701. Unless specifically stated otherwise, the opinions expressed 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. ©2016 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. 16-1814_CC2016_Bulletin_3.75x9.83in_v8.indd 1 3/16/2016 3:46:02 PM Officers and Staff of the American College of Surgeons Henri R. Ford, MD, FACS AMERICAN COLLEGE OF Officers Los Angeles, CA Advisory Council SURGEONS FOUNDATION Gerald M. Fried, MD, FACS, FRCSC Shane Hollett J. David Richardson, MD, FACS Montreal, QC to the Board Executive Director Louisville, KY of Regents ALLIANCE/AMERICAN PRESIDENT James W. Gigantelli, MD, FACS COLLEGE OF SURGEONS Andrew L. Warshaw, MD, FACS Omaha, NE (Past-Presidents) CLINICAL RESEARCH PROGRAM Boston, MA B. J. Hancock, MD, FACS, FRCSC Kathryn D. Anderson, MD, FACS Kelly K. Hunt, MD, FACS IMMEDIATE PAST-PRESIDENT Winnipeg, MB Eastvale, CA Chair Ronald V. Maier, MD, FACS Enrique Hernandez, MD, FACS W. Gerald Austen, MD, FACS CONVENTION AND MEETINGS Seattle, WA Philadelphia, PA Boston, MA Robert Hope FIRST VICE-PRESIDENT Director Lenworth M. Jacobs, Jr., MD, FACS L. D. Britt, MD, MPH, Walter J. Pories, MD, FACS Hartford, CT FACS, FCCM DIVISION OF EDUCATION Greenville, NC Ajit K. Sachdeva, MD, SECOND VICE-PRESIDENT L. Scott Levin, MD, FACS Norfolk, VA Philadelphia, PA FACS, FRCSC Edward E. Cornwell III, John L. Cameron, MD, FACS Director MD, FACS, FCCM *Mark A. Malangoni, MD, FACS Baltimore, MD Philadelphia, PA EXECUTIVE SERVICES Washington, DC Edward M. Copeland III, MD, FACS Jane J. Lee-Kwon, MPS SECRETARY *Leigh A. Neumayer, MD, FACS Gainesville, FL Director, Executive Operations Tucson, AZ William G. Cioffi, Jr., MD, FACS A. Brent Eastman, MD, FACS Maxine Rogers Providence,
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  • Alton Ochsner, MD: Physician

    Alton Ochsner, MD: Physician

    Ochsner Profiles Alton Ochsner, MD: Physician Hector O. Ventura, MD Ochsner Heart and Vascular Institute, Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA he contributions of Alton Ochsner (1) to the principles and practice of medicine are internationally recognized. THis professional legacy has been recorded in numerous manuscripts and books during his long and fruitful medical career, and his personal legacy has been documented in multiple biographies. It is, therefore, both an honor and a daunting task to write on the life and career of Dr. Alton Ochsner for Ochsner Profiles. It is an honor because my name will be associated with others who have written about this renowned figure and a daunting task because I have to reach into Dr. Ochsner’s mind and heart through his interviews and through the minds and hearts of those who knew him on a personal level. I hope that my exploration of Alton Ochsner’s achievements and personality will lend tribute to one of the greatest figures in medicine. Life and Medical Career In 1881, Alton Ochsner’s parents, Edward Philip (EP) Alton Ochsner, MD Ochsner and Clara Leda Shontz, left Bear Valley, Wisconsin, for Kimball, South Dakota, a new community on the railroad line. for others’ shortcomings.” Alton Ochsner simply said, “I loved Kimball was named in honor of Edmund Kimball, father of the my mother” (2). railroad surveyor Frank Kimball. From 1881 and for the next 4 School lessons were easy for Dr. Ochsner. In the early grades decades the Ochsner family would be prominent in the business, he finished his assignments before anybody else, then he looked political, social, and religious life of Kimball, SD.