MARCH 2019 | VOLUME 104 NUMBER 3 | AMERICAN COLLEGE OF SURGEONS Bulletin Olga M. Jonasson, MD, Lecture: A path toward diversity, inclusion, and excellence Let them know they had an impact on your career. NATIONAL DOCTORS DAY My father “was a general march 30, 2019 surgeon in a small south Texas town for 30 years. He is the reason I chose surgery, and he was my biggest support when I decided to pursue pediatric surgery.” Bob taught me the — Mauricio A. Escobar, Jr., MD, FACS, FAAP, “ elegance and beauty in honor of Mauricio Escobar, Sr., MD of surgery performed well and efficiently. His surgical expertise was legendary, and he was an excellent teacher. celebrate and honor someone ” who has inspired you. — Sandra S. Engwall, MD, FACS, in honor of Donate today! Robert Allaben, MD facs.org/honor 312-202-5338 #NationalDoctorsDay • Donations made in honor of someone are a thoughtful way to say thank you. • Give a gift to honor surgeons and other physicians, family members, colleagues, and friends. • All donors and their honorees will be featured in a special recognition listing in the Bulletin of the American College of Surgeons and on the ACS website. 2019_FD_Ad_NatlDrsDay_Bulletin_7.5x10.25in_v02c.indd 1 2/12/2019 12:17:00 PM Contents FEATURES COVER STORY: Olga M. Jonasson, MD, Lecture: A path toward diversity, inclusion, and excellence 12 Joan Reede, MD, MS, MPH, MBA Improving global emergency and essential surgical care in Latin America and the Caribbean: A collaborative approach 24 Gregory L. Peck, DO, FACS; Lina Roa, MD; Ernest J. Barthélemy, MD, MA; Sammy South, MD; Esteban Foianini, MD, FACS; Rodrigo Vaz Ferreira, MD, FACS; Nivaldo Alonso, MD, PhD; Andrés M. Rubiano, MD, PhD(c); Gabriel Herrera, MD, FACS; Martha P. Vega, MD, MMSc; Edgar Rodas, MD, FACS; Pierre Marie Woolley, MD; Antonio Ramos-De la Medina, MD, FACS; Laura Martinez-Perez Maldonado, MD; Jordan W. Swanson, MD, MSc; and Neema Kaseje, MD Collected papers of the ACS Metabolic Surgery Symposium—Part IV 40 Bariatric surgery and psychiatry: A review 41 | 1 James E. Mitchell, MD, FACS; Bruce Wolfe, MD, FACS; Scott A. Shikora, MD, FACS; David Sarwer, PhD; Robin P. Blackstone, MD, FACS; and James W. Maher, MD, FACS Neurologic metabolic surgery: A review 48 Scott A. Shikora, MD, FACS; James W. Maher, MD, FACS; Michel Gagner, MD, FACS; and Samer G. Mattar, MD, FACS, FRCSEd, FASMBS MAR 2019 BULLETIN American College of Surgeons Contents continued COLUMNS A look at The Joint Commission: Register for 2019 ACS Residents as Sentinel Event Alert focuses on Teachers and Leaders Course 78 Looking forward 9 developing a reporting culture by ACS in the news 79 David B. Hoyt, MD, FACS learning from close calls 71 Correction 80 ACS quality and safety case Carlos A. Pellegrini, MD, studies: Dedicated pre- and FACS, FRCSI(Hon), FRCS(Hon), SCHOLARSHIPS postoperative unit leads to fast- FRCSEd(Hon) Apply for Gerald B. Healy, MD, track pathway for noncomplicated NTDB data points: Traumatic FACS, Traveling Mentorship pediatric appendicitis 60 injuries below the belt 73 Fellowship 82 Angela M. Kao, MD Richard J. Fantus, MD, FACS, and Apply for ACS/SVS Foundation/ ACS Clinical Research Program: Richard Jacob Fantus, MD NIH Research Career Development Atezolizumab in the adjuvant Award 83 treatment of stage III colon cancer: NEWS Apply for ACS/Triological Society Can PD-L1 inhibition improve Call for nominations for ACS Clinical Scientist Development survival? 65 Secretary and Treasurer positions 75 Award 83 Walter Peters, MD, FACS, FASCRS; Members in the news 76 Frank A. Sinicrope, MD, FACP; and MEETINGS CALENDAR Judy C. Boughey, MD, FACS ACS and MacLean Center offer 2 | fellowships in surgical ethics 77 Calendar of events 84 From the Archives: The book that Coming next month in JACS established plastic surgery in the and online now 77 U.S. 68 Mary H. McGrath, MD, MPH, FACS V104 No 3 BULLETIN American College of Surgeons The American College of Surgeons is dedicated CLINICAL to improving the care of the surgical patient and to safeguarding standards of care in an CONGRESS 2019 The Best Surgical Education. All in One Place. optimal and ethical practice environment. October 27–31 Moscone Convention Center | San Francisco, CA EDITOR-IN-CHIEF Letters to the Editor Diane Schneidman should be sent with the writer’s SENIOR GRAPHIC DESIGNER/ name, address, Get the lowest hotel rates PRODUCTION MANAGER e-mail address, and Tina Woelke and support ACS with onPeak, daytime telephone SENIOR EDITOR number via e-mail to the official hotel provider Tony Peregrin dschneidman@facs. org, or via mail to for Clinical Congress! NEWS EDITOR Diane S. Schneidman, Matthew Fox Editor-in-Chief, Bulletin, American EDITORIAL AND PRODUCTION ASSISTANT College of Surgeons, Kira Plotts 633 N. Saint Clair St., Chicago, IL 60611. EDITORIAL ADVISORS Letters may be edited Book your hotel today! Charles D. Mabry, MD, FACS for length or clarity. Leigh A. Neumayer, MD, FACS Permission to publish Marshall Z. Schwartz, MD, FACS letters is assumed Mark C. Weissler, MD, FACS unless the author indicates otherwise. Lowest rates. Choose from more than FRONT COVER DESIGN 30 hotels in San Francisco. Tina Woelke Flexible terms. Book today and have the flexibility to change or cancel your reservation without charge up to 72 hours prior to arrival. Bulletin of the American College of Surgeons (ISSN 0002-8045) is published monthly by the American College of Surgeons, 633 N. Saint Clair St., Suite 2400, Chicago, IL 60611-3295. It is distributed without Customer service. onPeak is your advocate charge to Fellows, Associate Fellows, Resident and Medical Student Members, Affiliate Members, and to medical libraries and allied health for hotel questions or concerns. 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, Free transportation. Enjoy free shuttle MO 63043. Canadian Publications Mail Agreement No. 40035010. bus service between most ACS-contracted Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5. The American College of Surgeons’ headquarters is located at hotels and the Moscone Convention Center. 633 N. Saint Clair St., Suite 2400, Chicago, IL 60611-3295; 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’ facs.org/clincon2019/hotel personal observations and do not imply endorsement by nor official policy of the American College of Surgeons. ©2019 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. 2019_Bulletin_HalfPage_3.75x9.83in_all_v01.indd 2 2/13/2019 1:36:50 PM Officers and Staff of the American College of Surgeons Henri R. Ford, MD, FACS Patrick V. Bailey, MD, MLS, Officers Miami, FL Advisory Council FACS James W. Gigantelli, MD, FACS Medical Director, Advocacy Ronald V. Maier, MD, FACS Omaha, NE to the Board Christian Shalgian Seattle, WA PRESIDENT B.J. Hancock, MD, FACS, FRCSC of Regents Director Barbara L. Bass, MD, FACS Winnipeg, MB (Past-Presidents) AMERICAN COLLEGE OF SURGEONS FOUNDATION Houston, TX Enrique Hernandez, MD, FACS Kathryn D. Anderson, MD, FACS IMMEDIATE PAST-PRESIDENT Philadelphia, PA Shane Hollett Eastvale, CA Executive Director Mark C. Weissler, MD, FACS Lenworth M. Jacobs, Jr., MD, FACS W. Gerald Austen, MD, FACS ALLIANCE/AMERICAN Chapel Hill, NC Hartford, CT Boston, MA FIRST VICE-PRESIDENT COLLEGE OF SURGEONS L. Scott Levin, MD, FACS L. D. Britt, MD, MPH, CLINICAL RESEARCH PROGRAM Philip R. Caropreso, MD, FACS Philadelphia, PA FACS, FCCM Kelly K. Hunt, MD, FACS Iowa City, IA Chair SECOND VICE-PRESIDENT Fabrizio Michelassi, MD, FACS Norfolk, VA New York, NY CONVENTION AND MEETINGS Edward E. Cornwell III, John L. Cameron, MD, FACS Lena M. Napolitano, MD, FACS Baltimore, MD Robert Hope MD, FACS, FCCM Director Washington, DC Ann Arbor, MI Edward M. Copeland III, MD, FACS SECRETARY Linda G. Phillips, MD, FACS Gainesville, FL DIVISION OF EDUCATION William G. Cioffi, Jr., MD, FACS Galveston, TX A. Brent Eastman, MD, FACS Ajit K. Sachdeva, MD, Providence, RI Rancho Santa Fe, CA FACS, FRCSC Kenneth W. Sharp, MD, FACS Director TREASURER Nashville, TN Gerald B. Healy, MD, FACS David B. Hoyt, MD, FACS Anton N. Sidawy, MD, FACS Wellesley, MA EXECUTIVE SERVICES Chicago, IL Washington, DC Lynese Kelley EXECUTIVE DIRECTOR R. Scott Jones, MD, FACS Director, Leadership Operations Beth H. Sutton, MD, FACS Charlottesville, VA Gay L. Vincent, CPA Wichita Falls, TX FINANCE AND FACILITIES 4 | Chicago, IL Edward R. Laws, MD, FACS Gay L. Vincent, CPA CHIEF FINANCIAL OFFICER Gary L. Timmerman, MD, FACS Boston, MA Director Sioux Falls, SD LaSalle D. Leffall, Jr., MD, FACS HUMAN RESOURCES Steven D. Wexner, MD, FACS Washington, DC AND OPERATIONS Officers-Elect Weston, FL LaMar S. McGinnis, Jr., MD, FACS Michelle McGovern (take office October 2019) Douglas E. Wood, MD, FACS Atlanta, GA Director Seattle, WA David G. Murray, MD, FACS INFORMATION TECHNOLOGY Valerie W. Rusch, MD, FACS Michael J. Zinner, MD, FACS Syracuse, NY Brian Harper New York, NY Miami, FL Director PRESIDENT-ELECT Patricia J. Numann, MD, FACS Syracuse, NY DIVISION OF INTEGRATED John A. Weigelt, MD, FACS COMMUNICATIONS Sioux Falls, SD Carlos A. Pellegrini, MD, FACS FIRST VICE-PRESIDENT-ELECT Board of Seattle, WA Interim Director J. David Richardson, MD, FACS JOURNAL OF THE AMERICAN F.