Winter 2012

Advocacy Fall Statehouse Update: 129th General Assembly Ohio’s Own Shining Star: Ohio Chapter S-PAC Needs You!

Dr. Margaret Dunn Cutting Edge Ohio’s Own Shining Star: Dr. Margaret Dunn

Evening Under the Stars: Annual Meeting

Chapter News November Council Meeting Committee Reports

Resident Research Forum Annual Resident Research Forum Winners

Pulse Throughout Ohio District Councilor Reports

From the College Patricia L. Turner, MD, FACS, Named Director of American College of Surgeons Division of Member Services

New ACS Regents and Officers Elected during 2011 Clinical Congress

Plus Much More...

See page 9 for details Ohio Chapter, American College Ohio Chapter Committees Development of Surgeons Advocacy & Health Policy Linda M. Barney, MD, FACS Executive Committee Wright State University Dept of Surgery Michael E. Stark, MD, FACS [email protected] Alice Ann Dachowski, MD, FACS Toledo Surgical Specialists Chair Holzer Clinic [email protected] First Decade Society [email protected] Chair President Peter F. Klein, MD, FACS B. Mohan Das, MD, FACS TSSI Steven M. Steinberg, MD, FACS Chalmers P. Wylie Ambulatory Care [email protected] Ohio State University Center Chair [email protected] Vice-Chair President-Elect Medical Education/Program Association of Women Surgeons Nancy L. Gantt, MD, FACS Representatives Steven M. Steinberg, MD, FACS St Elizabeth Health Center Ohio State University [email protected] Natalie Joseph, MD, FACS [email protected] Ohio Chapter, Secretary MetroHealth Medical Center Chair njoseph@metrohealth.org American College of Surgeons Randy J. Woods, MD, FACS Co-Chair Membership Wright State University www.ohiofacs.org [email protected] Kristine Danielle Slam, MD, FACS Juan A. Crestanello, MD, FACS Treasurer [email protected] The Ohio State University Co-Chair [email protected] Joseph J. Sferra, MD, FACS Chair Toledo Surgical Specialists Inc Audit Table of Contents [email protected] Nominating Immediate Past President Bruce Jeffery Averbook, MD, FACS Advocacy MetroHealth Medical Center Joseph J. Sferra, MD, FACS Michael D. Sarap, MD, FACS [email protected] Toledo Surgical Specialists Inc President’s Message...... 3 Southeastern Ohio Physicians Inc Chair [email protected] [email protected] Chair Fall Statehouse Update: 129th General Assembly. . . . 5 Past President Awards Ohio Chapter S-PAC Needs You!...... 7 Resident Abstract District Councilors Linda M. Barney, MD, FACS S-PAC Contribution Form ...... 8 Wright State University Department of Surgery Walter Cha, MD, FACS Bruce Jeffrey Averbook, MD, FACS [email protected] MetroHealth Medical Center MetroHealth Medical Center [email protected] Cutting Edge [email protected] Christopher R. McHenry, MD, FACS Chair Northeast MetroHealth Medical Center Ohio’s Own Shining Star: Dr . Margaret Dunn. . . . . 9 [email protected] Resident and Associate Society Brent Michael Alan Bogard, MD, FACS Evening Under the Stars: Annual Meeting ...... 11 Cleveland Clinic Michael D. Sarap, MD, FACS Jeffrey A. Blatnik, MD [email protected] Southeastern Ohio Physicians Inc University Hospitals Case Medical Center Northeast [email protected] [email protected] Chair Chair Chapter News Michael Bielefeld, MD, FACS November Council Meeting Committee Reports. . . . 13 Surgical Specialists of Bowling Green Bylaws Ohio Committee on Trauma LLC [email protected] Gary B. Williams, MD, FACS Charles J. Yowler, MD, FACS Northwest Summa Health Systems MetroHealth Medical Center Resident Research Forum [email protected] [email protected] Annual Resident Research Forum Winners...... 19 Peter F. Klein, MD, FACS Chair TSSI CAC Representative [email protected] Jonathan M. Saxe, MD, FACS Northwest James I. Merlino, MD, FACS Wright State University Pulse Throughout Ohio Cleveland Clinic Foundation [email protected] David M. Hasl, MD, FACS [email protected] Vice-Chair District Councilor Reports...... 19 Lancaster Surgical Associates [email protected] Commission on Cancer Executive Office Southeast From the College Valeriy Moysaenko, MD, FACS Jennifer Starkey J. Allen McElroy, MD, FACS [email protected] [email protected] Patricia L . Turner, MD, FACS, Named Director of Surgical Associates of Marietta Chair Executive Director American College of Surgeons Division of Member [email protected] Services ...... 25 Southeast Communications New ACS Regents and Officers Elected during 2011 Apokfure Peter Ekeh, MBBS, MPH, FACS Scott Michael Wilhelm, MD, FACS Clinical Congress ...... 26 Wright State University University Hospital Cleveland [email protected] [email protected] Southwest Chair

Cari A. Ogg, MD, FACS Mallory Williams, MD, MPH, FACS Cincinnati General Surgeons Inc University of Toledo Medical Center [email protected] [email protected] Southwest Vice-Chair Community Hospital ACS Board of Governors: Ohio Members Mary Carey MacDonald, MD, FACS Alice Ann Dachowski, MD, FACS Samaritan Professional Corp Holzer Clinic Pulse is the official publication of the Ohio Chapter, [email protected] American College of Surgeons. It is published two times [email protected] a year in Columbus, Ohio as a benefit of membership Chair and circulated free of charge to Ohio Chapter members. David N. Linz, MD, FACS Information appearing in this publication is obtained Michael D. Sarap, MD, FACS from sources we believe to be reliable. The information Canton General Surgery Associates Southeastern Ohio Physicians Inc may not be a complete statement of all available data [email protected] and is guaranteed as such. Conclusions are based [email protected] soley on editorial judgment and analysis of technical Vice-Chair factors and surgical/medical industry information Christopher R. McHenry, MD, FACS sources. Pulse is copyrighted and portions may be reprinted with the permission of the Ohio Chapter. MetroHealth Medical Center Pulse is not responsible for the contents of its Delegate to OSMA advertisements and advises all members to investigate [email protected] claims before making any purchases. William C. Sternfeld, MD, FACS Michael D. Sarap, MD, FACS Permission requests to reproduce written material Toledo Clinic should be sent to: Southeastern Ohio Physicians Inc Ohio Chapter, ACS [email protected] P.O. Box 1715 [email protected] Delegate Columbus, OH 432176-1715 (877) 677-3227 Joseph J. Sferra, MD, FACS @ Copyright 2011, Oho Chapter, ACS. Toledo Surgical Specialists Inc All rights reserved. [email protected] President’s Message By Alice Dachowski, MD, FACS

It is an honor to serve ACS leadership positions including: I encourage you to read the cover the Ohio Chapter Robert Bahnson, MD, FACS, an profile article about Dr . Dunn and her as your president . OSU urologist from Columbus, was achievements starting on page 9 . Since taking office inducted as first vice-president; A . New Initiates in May I have been very busy with Brent Eastman, MD, FACS, of San This year, 1,591 Fellows were many Chapter activities, including Diego, CA, was named president- initiated at the ACS Convocation the 2012 Annual Meeting, legislative elect; and J . David Richardson, MD, held in San Francisco, CA . Of these issues, and representing the Chapter FACS, from Louisville, KY, was new initiates, 37 are from Ohio . at College meetings . The following elected chair of the Board of Regents . Please take the time to welcome them are brief updates on these and other I attended the 23rd annual and invite them to participate in important issues . recognition luncheon of the Fellows Chapter activities, committees, and Ohio Chapter Annual Meeting Leadership Society of the ACS the 2012 Annual Meeting in Toledo . Plans are underway for the Ohio Foundation where our chapter’s Mujjahid Abbas, MBBS, FACS Chapter’s 2012 Annual Meeting in contribution to the Foundation Toledo May 3-5, 2012 at the Toledo was formally acknowledged . David Diya Ihsan Alaedeen, MD, FACS Hilton . Many thanks to Steven Nahrwold, MD, FACS, gave a tribute, Jennifer Hall Aldrink, MD, FACS Steinberg, MD, FACS, chair of the “Lessons from an Icon: C . Rollins Planning Committee . Registration Hanlon, MD, FACS, 1915-2011 .” Krishna Prasad Athota, MD, FACS material will be mailed in early 2012, Dr . Hanlon completed his surgical Devra Beyer Becker, MD, FACS so please plan on joining us at the residency at Cincinnati General Ryan Kent Berglund, MD, FACS Annual Meeting . Hospital . Drs . Thomas and Nona Sricharan Chalikonda, MBBS, FACS Advocacy Update (Chiampi) Russell received the During the time since I accepted distinguished philanthropist award at Marcus Felix Cox, MD, FACS the luncheon . the president’s gavel at the Ohio Lewis Arnold Diulus III, MD, FACS Chapter’s Annual Meeting, I have The Ohio Chapter held a networking been involved with a “volleyball reception on Monday evening during Garth F . Essig Jr ., MD, FACS game” of emails with many Fellows the Clinical Congress . It was a lovely Dana Marie Frazer, MD, FACS from Ohio, other physicians, and time to meet and greet our newly Michael Roland Go, MD, FACS our representative from Capitol initiated Fellows and network with Consulting Group, Charlie Solley, surgeons from all over Ohio . Jennifer Brandon Thomas Grover, DO, FACS regarding a number of key legislative Starkey, executive director, and Paula Dale S . Horne, MD, FACS initiatives which affect the practice Hammer, assistant executive director, Thomas L . Husted, MD, FACS of surgery in Ohio . Topics such did a wonderful job with hosting the as the informed consent for breast event at the Marriott conveniently Shaneeta Monique Johnson, MD, FACS cancer patients regarding options located across the street from the Matthew D . Kroh, MD, FACS for reconstructive surgery, expanded Moscone Convention Center . Michele Montejo Loor, MD, FACS prescriptive author of CRNAs, and During the Chapter Showcase revisions of scope of practice for session, the Florida Chapter presented Eric Lance Marderstein, MD, FACS physician assistants are just a few their experience with NSQIP and the Cristina Cabrera Muffly, MD, FACS of the many issues worthy of our Connecticut Chapter gave a review Vimal Kumar Narula, MD, FACS discussion . The importance and of their Resident Session at their power of our chapter’s PAC – S-PAC chapter’s annual meeting with hands Jaimie David Nathan, MD, FACS – cannot be overemphasized . on skill competitions . Michael K . Obeng, MD, FACS 2011 ACS Clinical Congress At the Association of Women Matthew Owen Old, MD, FACS Patricia Numann, MD, FACS, who Surgeon’s 30th Anniversary Dinner, gave the Ohio Oration at our 2011 our very own Margaret Dunn, Shital N . Parikh, MBBS, FACS Annual Meeting in Cincinnati, was MD, FACS, was honored with the Kyle Andrew Perry, MD, FACS installed as the new ACS president prestigious Nina Starr Braunwald Richard Howard Pin, MD, FACS at the 97th Annual Clinical Congress Award . Congratulations Margaret! in San Francisco in October . In David B . Renton, MD, FACS addition to Dr . Numann, there were several other physicians installed in Jason Allan Rigoni, DO, FACS continued next page WINTER 2012 3 Advocacy President’s Message (continued)

Ahmad Shabsigh, MD, FACS They are a valuable resource to use in the tools to empower you to take Bivik Rajnikant Shah, MD, FACS presentations to our colleagues, our action for your profession and your representatives in Congress, and our patients regarding the impact of Stanislaw Peter Stawicki, MD, FACS patients . federal legislation . You must register Gregory Allen Surfield, MD, FACS The ACS Leadership Conference separately for both events . Capitol Hill visits will be held on March 27 Matthew Robert Talarczyk, MD, FACS will be held in Washington, DC, on March 25 and 26, 2012 . The theme from 9:00 am to 2:00 pm . Christopher Neil Vashi, MD, FACS for the 2012 Leadership Conference Alice Dachowski, MD, FACS Stephen Kenton Waterbrook, MD, FACS is Surgical Leadership for Quality Kenneth Jeffrey Woodside, MD, FACS and Safety . Separate, concurrent sessions are planned for young ACS News surgeons, residents, chapter leaders, I strongly encourage our membership and chapter executives . The ACS to view the videos available online Advocacy Summit will also be held through the ACS website illustrating in Washington, DC, on March 26 the Inspiring Quality; Highest and 27 . This summit will include all Standards, Better Outcomes initiative surgical specialties and will provide (see www .inspiringquality .facs .org) . Plan to Attend! Don’t Miss the 2012 Annual Meeting

In May, the Ohio Chapter of the American College of Surgeons will host their 57th Annual Meeting to promote the learning and development statewide of doctors, fellows, and residents in surgery programs. This two-day event has grown over the years into an interactive experience for all learning levels to promote various fields of surgery. Attendees will gain knowledge and insight about procedures that are happening around the state. With the variety of surgeons that join the speaking panel each year, participants are guaranteed to leave the Annual Meeting with insight and tools to use in their everyday work. As part of the Annual Meeting, students enrolled in residency programs in Ohio are invited to submit their research to the Chapter’s Annual Resident Research Forum & Poster Session and the Commission on Cancer Physician-in-Training Cancer Research Paper Competition. These competitions allow members of the Ohio Chapter to see cutting edge research that is taking place in the schools, but also promotes relationships between members and residents that can last for years to come. Reserve Your Hotel Room Now Hilton Toledo 3100 Glendale Avenue Toledo, OH 43614-2500 (419) 381-6800 www.Hilton.com/Toledo Hotel Room Block Name: Ohio Chapter, American College of Surgeons Reservations Deadline: April 12, 2012 • Reservations: (800) 445-8667 The Ohio Chapter has a block of rooms at a discounted group rate of $99 plus tax for single and double occupancy. Sleeping rooms are assigned on a first-come, first-served basis and reservations must be made by April 12, 2012 to receive the Ohio Chapter discounted room rate. Check Online for Additional Details For information on the 2012 speakers, topics, and optional events, check out the Chapter website at www.ohiofacs.org/events.

4 WINTER 2012 Advocacy Fall Statehouse Update: 129th General Assembly By Charlie Solley

Capitol Square has draft rules detailing the situations in Association of Nurse Anesthetists been an exciting which physicians would be required (OSANA) has been working to pass place in 2011 . January to check the OARRS System . The legislation to create this authority . brought the beginning draft rules would have established When reviewing the dozens of of the 129th General an extensive list of situations in bills that are introduced every Assembly and the which physicians are required to month, your partners at the Capitol swearing in of a new check the OARRS system . The Consulting Group first look for Governor and new Medical Board modified the draft legislation that is topically of interest legislative leaders in rules mandating an OARRS review to Ohio surgeons . Once legislation of the majority caucuses of both the when the physician becomes aware interest is identified the politics of the Ohio House of Representatives and of troubling patient behavior (illegal legislation is examined; factors, such the Ohio Senate . The new executive selling of prescription drugs, forging as, the timing of a bill’s introduction, and legislative leadership feverishly prescriptions, etc .); while maintaining who has introduced the legislation pushed an aggressive agenda tackling the clinical judgment of the physician and the support or opposition of significant issues head on, such to access OARRS in less obvious other relevant interested parties all as; collective bargaining reform, situations, such as when a physician impact the likelihood that a bill is JobsOhio, legislation to address is confronted with a patient who signed into law . SB 228 has generated prescription drug diversion and abuse, previously requests refills . The significant interest from a number and the state operating budget . This Medical Board rule establishing the of relevant healthcare associations fall state legislative report will not situations when a physician must and organizations around the state . focus on these marquee issues, rather check OARRS became effective on Less than two months since the two lesser known bills that stand to November 30, 2011 . introduction of the bill and before more directly impact the practice of Following the passage of HB 93, it did any hearings have been scheduled, medicine in the state of Ohio . not take long for another issue with the Ohio Hospital Association, During the first half of the year, direct implications on the physician the Ohio Nurses Association, and prescription drug abuse legislation, community to emerge . On September Cleveland Clinic have already House Bill 93 sponsored by Reps . 21, State Senator David Burke voiced support for SB 228 . Similarly David Burke, R-Marysville and Terry (R-Marysville) introduced Senate Bill strong organizations have already Johnson, R-Lucasville, garnered 228, legislation providing Certified voiced concern with SB 228; these unanimous support in both chambers Registered Nurse Anesthetists organizations include the Ohio of the legislature . The legislation (CRNAs) with prescriptive authority Society of Anesthesiologists, the aimed to shut down the “pill mill” in the perioperative setting and in Ohio Academy of Medicine of establishments that exist primarily the performance of their clinical Cleveland and Northeast Ohio, and in southeastern Ohio . Additionally, support function . CRNA prescribing the Ohio State Medical Association . HB 93 created certain obligations is not a new issue in Ohio; in fact, In assessing SB 228, it is clear that for physicians and other prescribers for over eight years CRNAs have the legislation is divisive within to check the Ohio Automated Rx been ordering the administration the health care community, a quick Reporting System (OARRS) before of medications by RNs, LPNs, and look at the interests involved so far writing certain prescriptions and respiratory therapists under guidance clearly demonstrates the difference limited physicians’ ability to dispense from the Ohio Board of Nursing . SB of opinion . However, the sponsor certain medications from their office . 228 was brought about because in is not a legislator intimidated by a HB 93 was aimed to curb illicit access 2008 the Board of Nursing altered challenge; Senator Burke is a proven to the prescription drugs that drive their interpretation of the relevant member of the General Assembly behavioral health problems for many statutes and determined that CRNAs who is known for tackling difficult Ohioans . do have the authority to prescribe issues . Senator Burke believes that the House Bill 93 moved through the and administer medications in the current interpretation by the Board General Assembly with great speed perioperative setting; however, of Nursing unnecessarily restricts and overwhelming support, and was CRNAs cannot order others to access to anesthesia care, especially signed into law on May 20, 2011 . administer medications . Since the in rural Ohio, and he is committed Following the enactment of HB 93, Board of Nursing issued the revised to finding a solution that will address the State Medical Board released interpretation of the CRNA statute this problem . The Ohio Chapter, in August of 2008, the Ohio State continued next page

WINTER 2012 5 Advocacy Fall Statehouse Update: 129th General Assembly (continued)

ACS Board discussed SB 228 and the state budget and collective providing prescriptive authority to the appropriate role of CRNAs at bargaining reform, it is often the CRNAs, would affect patient care the November council meeting . The little known issues that have the in the perioperative setting . The Board’s deliberation on this legislation greatest impact on the practice of OCACS Board and your partners at will become the foundation of our medicine . The passage of HB 93 the Capitol Consulting Group will future advocacy efforts on SB 228 . will impact physicians as they now continue to represent Ohio’s surgeons While the newspaper headlines and must comply with certain required on these issues and all issues, big TV news reports are dominated OARRS reports when prescribing and small, of interest to the OCACS by coverage of issues such as scheduled medications . Similarly, membership . the recently introduced SB 228,

2012 Legislative Dinner Set for March 13

This year, the Ohio Chapter is joining with the Ohio Committee on Trauma to host a Legislative Dinner on Tuesday, March 13, from 6:00 pm to 8:00 pm at Lindey’s Restaurant in Columbus.

This is one of the Ohio Chapter’s most important events of the year, and our goal is to have a large presence in Columbus to advocate on issues important to the practice of surgery to the Ohio General Assembly. The Legislative Dinner brings together Ohio surgeons and elected officials to help form productive relationships that will enhance the legislature’s ability to enact sound Remember, legislators need to hear from you – the policies. The dinner provides an opportunity for medical experts – to make informed decisions on surgeons to meet with their state legislators for issues facing Ohioans. If surgeons don’t proactively informal yet candid discussions on issues important advocate for items and issues important to them – to the profession. then who will?

To register for the Legislative Dinner, visit www.ohiofacs.org .

6 WINTER 2012 Advocacy Your Help is needed to Advance Surgery and Health Care Issues in Ohio by Supporting S-PAC By Jennifer Starkey As the political arm of the Ohio remain proactive and will enable Again, we thank these individuals Chapter of the American College our association to support the key for their support and contribution of Surgeons, S-PAC represents legislators who sustain our profession . to S-PAC . Together, we will fight the needs of surgeons and surgical the legislative battles for the Ohio patients at the Ohio Statehouse . A goal of S-PAC is to keep the surgical profession . To contribute S-PAC enables the Ohio Chapter surgical profession in front of to S-PAC, you can complete the to build the necessary relationships lawmakers, and as you know, it is accompanying form or you can with state representatives and important to present a strong, unified contribute online at www.ohiofacs.org . senators and to educate them about voice . S-PAC funds are used to For more information on the Ohio the issues that affect the surgical educate legislators on the importance Chapter’s legislative agenda practice environment in the State of of issues facing the health care or how you can participate, contact Ohio . As a non-partisan PAC, S-PAC profession . The legislative process the Ohio Chapter Executive Office influences the make-up of Ohio is centered on strong relationships, at (877) 677-3227 or email General Assembly by contributing and with your financial contribution, [email protected]. to incumbents and candidates who we may support our friends in have acted as champions for surgery, the General Assembly who have regardless of their party affiliation . demonstrated an interest in surgical and health care issues throughout the Engaging in the legislative process state of Ohio . will help the Ohio Chapter to

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In the past, members have expressed concerns that they were not receiving E-News, yet were signed up for it. If you experience this problem, make sure that [email protected] is not getting flagged as spam by your email service provider. Ensure Ohio Chapter E-News reaches your inbox, and add [email protected] to your address book.

WINTER 2012 7

Cutting Edge Ohio’s Own Shining Star: Dr. Margaret Dunn Receives Highest Award from Association of Women Surgeons By Pattie Stechschulte At the Association of Women Council and on the AWS Foundation and developed the AWS mission Surgeons (AWS) Award Ceremony Board of Trustees . I believe she is statement and goals as they stand and 30th Anniversary Celebration one of the longest serving AWS today . held October 24, 2011, at the volunteers demonstrating a strong • One of the authors of the first Westin St . Francis Hotel in San commitment to the organization and AWS Pocket Mentor . Francisco, CA, Margaret Dunn, MD, the foundation . Her efforts over the FACS, was awarded the AWS’s most years have greatly contributed to • In 1995, under her leadership prestigious award – the Nina Starr the success of AWS,” said Judy Keel, as president, AWS was able to Braunwald Award for her work with AWS executive vice president . secure a seat on the ACS Board of Governors . the association and leadership in Advancing Women in Surgery advancing women in surgery . Dr . Dunn has been a member of “In 1995, Dr . Dunn joined the AWS Several Ohio and national leaders AWS since it began in 1981 and she Foundation Board and has provided were on hand at the ceremony was elected to the AWS Council in the continuity that the organization including American College of 1988 serving in numerous leadership needed during its formative years . Surgeons (ACS) President Patricia positions including AWS President in She continues as treasurer and works Numann, MD, FACS, and Ohio 1994 . She continued serving on the with the Chair Mary Hooks and Chapter, ACS President Alice council until 1998 . In 1995, Dr . Dunn Board of Trustees that includes six Dachowski, MD, FACS . joined the AWS Foundation Board of additional trustees . Margaret provides fiscal oversight and continues to “It was really a thrill,” related Dr . Trustees where she continues to serve as treasurer . monitor the financial position of the Dunn . “I have been working closely Foundation,” explained Keel . on issues for women in surgery my According to Keel, Dr . Dunn has a entire career – it has been 35 years long list of accomplishments as an AWS recognized Dr . Dunn’s since I graduated from medical active AWS council member, officer, contributions twice before – in 2002 school . The people who decided on and president: with the Olga Jonasson Award and in this award are other women who have 2008 she was selected as the Visiting • Very involved in an important Professor where she spent time at the been colleagues of mine the entire strategic planning meeting time . It is a very meaningful award .” University of Connecticut with the held in August 1991 where students, residents, and faculty . “Everything I may have accomplished approximately 40 key AWS in terms of advancing women in members and leaders strategized continued next page American surgery has largely been in on the direction AWS would take collaboration with other women and also some men in surgery, particularly in the Ohio Chapter . The Ohio Chapter has an outstanding record of supporting women’s leadership in surgery,” she continued . Dr . Dunn, who is the executive associate dean at the Boonshoft School of Medicine at Wright State University and president and CEO of Wright State Physicians, currently serves on the ACS Board of Regents and as treasurer on the AWS Foundation Board . “Volunteerism and leadership are active ingredients in Dr . Dunn’s spirit . In the last 20 years, I have had the pleasure of working with Margaret as a volunteer leader on the AWS Dr . Dunn is congratulated by Dr . Eugene Braunwald . The award is named after his late wife, Nina Star Braunwald, MD, FACS WINTER 2012 9 Cutting Edge Ohio’s Own Shining Star: Dr. Margaret Dunn Receives Highest Award from Association of Women Surgeons (continued) “Margaret is always ready, willing, has a great history supporting the A Presidential Look Back: and able to assist AWS when Association of Women Surgeons The Women Who have held the called upon . There is no end to her and supporting women in practice Office in Ohio commitment to this organization and in Ohio and women’s leadership in The tradition of Ohio developing we are lucky to have such a dedicated surgery within Ohio,” state Dr . Dunn . strong women leaders in the field of member,” articulated Keel . At an AWS meeting last year, Dr . surgery dates back to the 1960s with Devotion to the College Dunn said that someone made a Mary Martin, MD, FACS. Dr. Martin Dr . Dunn moved to Ohio in 1982 as a comment why other chapters can’t be served as chair of the resident essay newly appointed instructor in surgery more like Ohio with their outreach contest committee starting in the mid- at Wright State University . Over the efforts, support, and getting women 1960s for several years before being years, she steadily moved up the ranks involved . “I felt very proud,” she said . elected the 16th president of the Ohio becoming an assistant professor of Dr . Dunn hopes that other states will Chapter, ACS in 1972. surgery in 1984; associate professor of follow Ohio’s example and send more It took another 28 years before surgery in 1989; professor of surgery women surgeons to serve on the ACS another woman would possess in 1997; then eventually becoming Board of Regents to create a diverse the president’s gavel – Margaret the executive associate dean . She also leadership which will only lead to Dunn, MD, FACS, in 2000, who went on to earn a master’s degree in supporting the members better . was followed eight years later by business administration from Wright Linda Barney, MD, FACS, in 2008. State in 2005 . “Ohio has sent a very diverse group of people forward as governors and Currently, Alice Dachowski, MD, It was about 1990 when she first they make a big contribution to the FACS, is serving as the 56th chapter became involved with the Ohio college . I am not seeing that same president as well as the fourth woman Chapter, ACS . “I first got contacted diversity in the rest of the governors to hold the office. about 20 years ago to help out by and that is a problem serving the testifying about some legislation . The fellows moving forward,” Dr . Dunn leaders kept me involved as a district stated . “I guess my attitude is that we counselor and my involvement grew are finding plenty of great women in from there,” said Dr . Dunn . Ohio who are willing to make that “The Ohio Chapter is one of the contribution .” oldest and largest in the country, and it has a wonderful culture that welcomes all Ohio Fellows and develops them as leaders . It has always been a very supportive group for me and other colleagues across the state . That culture has continued with new people,” said Dr . Dunn, who has served the chapter in many capacities including chapter president in 2000 . In 1997, she started serving on the ACS Board of Governors and has been a member of the ACS Committee on Diversity . “The Ohio Chapter has been extremely supportive of women in leadership, particularly in the past two decades . Our current president (Dr . Dachowski) was our first AWS council member . The Ohio Chapter AWS President Marilyn Marx, MD, MBA, FACS, presents the award to Dr . Dunn .

10 WINTER 2012 Cutting Edge Evening Under the Stars: Annual Meeting to Feature Astronomic Show at the Newly Renovated Ritter Planetarium

On Friday, May 4, 2012, attendees associate director of the planetarium The planetarium also is extensively to the 2012 Annual Meeting for from 1969 to 1972 . used by university students; during the Ohio Chapter of the American When it opened in 1967, Ritter the Astronomy 101 course, which College of Surgeons will have Planetarium was the state-of-the-art is taken by almost 2,000 students the opportunity to visit the Ritter facility where UT students learned per year . Each student spends about Planetarium at the University of astronomy . When McMaster Hall two hours in Ritter . Mak said it’s Toledo for an Evening Under the was built next door 20 years later, important the planetarium maintains Stars . The event is being offered as an the astronomy classes moved there; the “unbelievable customer service” optional private dinner event during this opened the planetarium during that makes Ritter a very personal, the Annual Meeting . the day and allowed Ritter’s K-12 interactive facility and blend that The planetarium has recently programs to grow, nearly doubling service with updated technology . undergone extensive renovations the attendance . The Evening Under the Stars is an from repainting the top of the Today, the planetarium hosts between optional event, and not part of the outside dome down to new carpeting, 200 and 300 programs each year and regular Annual Meeting registration including new state of the art attracts visitors from a three-state price . More details about the event technology with the Spitz SciDome area . It is not uncommon for school and Annual Meeting will be coming XD projector system . The system uses groups to visit from 50 or 60 miles soon, so watch your mailbox two ultra-bright digital projectors that away, Mak said . From school groups and email . transmit more than six million pixels to the general public, the planetarium onto the building’s 40-foot dome . serves 20,000 to 25,000 patrons on The three-dimensional computerized average each year . space simulator is one of a number of upgrades under way at Ritter Planetarium, which has been the center for astronomical education in Toledo since it opened in 1967 . The planetarium renovation also included a 5 .1 surround-sound system and new seating . “The planetarium is a great opportunity for UT to put its best foot forward,” said Alex Mak, associate director of Ritter Planetarium . “Between 15,000 and 20,000 students visit us each year, so it’s a way to give students, teachers and principals a good impression of the University .” The SciDome XD system, designed by Spitz Inc ., is based on the SciDome system first introduced in 2002 . It replaced the original Spitz A3P projector that Professor Emerita Helen Brooks and her husband, Elgin, designed the Ritter Planetarium around, as well as its current slide projectors, special effects projectors, and sound system . Helen served as Join your colleagues for An Evening Under the Stars at the Ritter Planetarium .

WINTER 2012 11 Chapter News Ohio Chapter, ACS Past Presidents Edwin Ellison, MD...... 1957 I Want My Pulse NOW! Robert T. Allison, MD ...... 1958 Byron G. Shaffer, MD ...... 1959 Jack W. Cole, MD ...... 1960 Attention members! Berton M. Hogle, MD...... 1961 Franklin L. Shively, Jr, MD, FACS. . . 1962 Pulse NOW!, features all the news you need to know in a Stanley O. Hoerr, MD...... 1963 clear, concise, fax bulletin. Each edition of Pulse NOW! is Tom E. Lewis, MD, FACS...... 1964 released on a monthly basis and is packed with the latest Ohio Walter A. Hoyt, Jr, MD, FACS. . . . . 1965 Chapter news and hot legislative updates. Warren Wendell Green, MD. . . . . 1966 Stephen Ondash, MD...... 1967 Please ensure that the Executive Office has your correct Richard Zollinger, MD...... 1968 fax number so you don’t miss out on this valuable member Tom Morgan, MD...... 1969 resource. Please call us at (877) 677-3227 or email us at C. William Loughry, MD ...... 1970 [email protected] to let us know if you need to update your Miles Flickenger, MD...... 1971 Mary M. Martin, MD, FACS . . . . . 1972 contact information. Charles Lovingood, MD...... 1973 P.J. Robechek, MD...... 1974 Byers Shaw, MD...... 1975 William J. Flynn, MD...... 1976 Tom Kelly, MD...... 1977 Robert P. Hummel, MD, FACS. . . . 1978 Robert E. Hermann, MD, FACS . . . . 1979 Roland A. Gandy, Jr, MD, FACS. . . . 1980 Robert K. Finley, Jr, MD, FACS. . . . 1981 Larry C. Carey, MD...... 1982 Robert M. Zollinger, Jr, MD, FACS. . . 1983 William V. Sharp, MD. . . . . 1983-1984 Sterling W. Obenour, MD, FACS. . . . 1984 Rex K. Whiteman, MD. . . . . 1985-1986 Submit an Article for the Next Edition Richard B. Reiling, MD, FACS. . . . 1987 John Peter Minton, MD, FACS, PhD. . 1988 of Pulse – Deadline is May 1 Richard B. Fratianne, MD, FACS. . . 1989 Lawrence H. Linder, MD, FACS . . . . 1990 The next issue of Pulse is in need of your article or news Sidney F. Miller, MD, FACS...... 1991 Josef E. Fischer, MD...... 1992 item relevant to Ohio Chapter members. If you have a story Juan R. LaCerda, MD...... 1993 pertaining to surgery in Ohio, but no time to write it, contact Dennis Ross Irons, MD, FACS. . . . 1994 the Executive Office and we’ll do the follow-up. Keep in mind Jeffrey L. Ponsky, MD, FACS . . . . . 1995 that this issue of Pulse will be printed and mailed to every Ezra Steiger, MD, FACS...... 1996 Ohio Chapter member. This is your opportunity to be heard! Michael A. Flynn, MD, FACS . . . . . 1997 G. William Parker, MD, FACS. . . . . 1998 Mark A. Malangoni, MD, FACS . . . . 1999 Contact the Ohio Chapter, ACS Executive Office by email Margaret M. Dunn, MD, FACS. . . . 2000 [email protected] or by telephone at (877) 677-3227. Michael S. Nussbaum, MD, FACS. . . 2001 Joseph P. Crowe, Jr, MD, FACS. . . . 2002 Robert E. Falcone, MD, FACS . . . . 2003 E. Christopher Ellison, MD, FACS. . . 2004 Michael E. Stark, MD, FACS . . . . . 2005 Gary B. Williams, MD, FACS. . . . . 2006 William C. Sternfeld, MD, FACS . . . 2007 Linda M. Barney, MD, FACS. . . . . 2008 Christopher R. McHenry, MD, FACS. . 2009 Michael D. Sarap, MD, FACS. . . . . 2010 Joseph Sferra, MD, FACS...... 2011 WINTER 2012 12 Chapter News November Council Meeting Committee Reports

The following reports are excerpts some of the volunteer committees Chapter, contact the Executive Office from the written committee reports have been, and are currently, working at (877) 677-3227 or [email protected] provided at the November 2011 Ohio on . If you are interested in serving on to be put in touch with the committee Chapter Council Meeting held in a specific committee of the Ohio chair . Columbus . Read on to find out what

Advocacy Submitted by Michael Stark, MD, FACS, Chair

Things are changing prior experience in the previous state . Identification of Credentials: There rapidly and here are a Also expand schedule II authority . is an issue that the OSMA may well couple of issues that the SB 228 (CRNA expanded authority): support . That has to do with having chapter is following . This allows CRNAs to give orders all health care providers display their SB 182/HB 217: in perioperative areas to others name and credentials when working Providing information to independently and not under the with patients . As the scope of practice patients regarding breast direction of a supervising physician . issues evolve with more non-physicians reconstruction . This appears to be on a The OSMA opposes this . The Ohio gaining more authority, it is felt that the back burner currently . Chapter, ACS, has previously opposed public deserves to know the credentials of who they are seeing . I would like the SB 83 (APN schedule II prescriptive this . The CRNAs are actively lobbying for this . Some larger institutions Chapter to support this concept . No authority): Passed the senate with some legislation has been drafted as of yet . restrictions . To be debated in the House including the Cleveland Clinic and and the APNs want the restrictions Ohio State University are supporting I would like to thank Charlie Solley and removed . this . I am not sure the physicians in Belinda Jones at Capitol Consulting these organizations support it . Clearly Group for updating us on these issues HB 284 (PAs prescriptive authority): the Ohio Society of Anesthesia is and any others that are of interest to the Allowing new PAs to Ohio to be given opposed . Chapter . prescriptive authority based on their

Association of Women Surgeons Submitted by Natalie E. Joseph, MD, FACS Co-Chair, and Kristine Slam, MD, FACS, Co-Chair

President-Elect Patricia Numann, MD, The AWS continues its commitment FACS, present the Ohio Oration . to supporting the personal and Dr . Numann also addressed the AWS professional needs of female surgeons networking session the following day at all stages of their careers on both with her presentation entitled, “The a national and international level, in Accidental Feminist,” an engaging and both academic and private practice dynamic talk outlining her challenging settings . Mentorship from other female journey to becoming the esteemed surgeons is available1; recently the AWS Nancy Gantt, MD, FACS, past AWS female surgical leader that she is today . has announced a new opportunity for committee chair, is now currently An additional presentation was given female surgeons to build their practice serving as secretary of the Ohio by Ryan Squire, the director for social base with the “Find a Woman Surgeon” Chapter, ACS (OCACS), and has been media at The Ohio State University feature on their website 2. This resource a valuable resource in our transition to Medical Center, about how social media will assist the public in finding a female co-chairs . can be used to promote personal and surgeon in their service area of the At this past spring OCACS Annual hospital practice in today’s technology appropriate specialty . Meeting in Cincinnati, we had driven era . The AWS recently celebrated its the honor of having the then ACS 30th anniversary in conjunction with

WINTER 2012 13 Chapter News November Council Meeting Committee Reports (continued)

Association of Women Surgeons (continued)

the ACS Clinical Congress in San Amalia Cochran: appointed to MD, FACS . Dr . Dunn received the Francisco, having been founded by Surgeons-PAC Board AWS’s most prestigious award, the Nina current ACS President Dr . Numann Celeste Hollands: appointed Vice- Starr Braunwald Award, for her work in 1981 . During the fall conference, Chair, Committee on Medical Student with the AWS as well as for advancing informative sessions on health care Education female leaders in surgery . reform, leadership, technology, and We are actively collaborating on plans retirement planning were presented . Traci Hedrick: appointed Vice-Chair, Women in Surgery Committee for an informative component to the The conference concluded with a OCACS spring meeting for the AWS special networking breakfast . A number Hilary Sanfey: appointed President- division . of female surgeons were appointed to Elect, U .S . Chapter, International new ACS leadership roles at the clinical Surgical Society References: congress . These appointments include: One of the regional highlights of the • “Mentorship program designed Mary McGrath: received the ACS ACS Clinical Congress was the AWS to advance women in academic Distinguished Service Medal Foundation Award Gala on October surgery .” Bulletin of the American 24, 2011 . OCACS attendance at this College of Surgeons .” October BJ Hancock: appointed to Board of 2009; vol . 94, number 10 . Regents event was championed by Dr . Gantt and Alice Dachowski, MD, FACS . • https://www .womensurgeons .org/ Lena Napolitano: appointed Chair, Several OCACS members and residents News/Current_News .asp Board of Governors had the opportunity to celebrate the Heena Santry: appointed Chair, RAS accomplishments of Margaret Dunn,

Board of Governors Report Submitted by Christopher R. McHenry, MD, FACS, and Alice Dachowski, MD, FACS, Member of the ACS Board of Governors

back to the profession” in honor of or in rate, access to care for Medicare and memory of a mentor, parent, or patient . Medicaid patients, hospitals’ political Donor metrics show that 11,491 influence, pharmaceutical and medical Fellows have “ever” given a monetary device companies’ defense of their gift to the ACS Foundation . He posed economic stake in health care, and the question to the Governors; Are we extinction of private/solo practices . The ready as a profession to invest in our second issue was health care reform own profession? and its impact on practice . Concerns The business meeting of the Board of related to this issue focused on cost, the Governors began with a presentation Dr . Russell called upon the Board of Governors to contribute to the ACS complicated nature of recent legislation from Thomas Russell, MD, FACS, and need to educate the membership, the chair of the ACS Foundation . He Professional Association Political Action Committee . He informed us that in accountable care organizations, reported that a number of “named” electronic medical records, and the funds had been organized in an effort to 2011, a total of 1,238 fellows had donated to the PAC . demise of private practices . The third improve donations to the ACS . Some of major issue was professional liability, the funds included the Olga Johansson, An analysis of the Board of Governors malpractice, and tort reform . Concern MD Lectureship, the Murray Brennan, survey was reviewed which identified was raised regarding the minimal MD Education Fund, and the Thomas six major issues of concern; the first was attention that has been given to tort Russell, MD Fund . physician reimbursement . Concerns reform, the lack of federal legislation, Each fund has a different interest and related to physician reimbursement and the consistent pressure to repeal may appeal to fellows who wish to “give focused on the sustainable growth measures that limit awards for pain

14 WINTER 2012 Chapter News November Council Meeting Committee Reports (continued)

Board of Governors Report (continued) and suffering . The fourth issue was physicians in integrated health systems . the ACS over the age of 45 felt that the graduate medical education . Concerns The Committee on Socioeconomic surgeons who completed their training focused on issues of work hours, issues was asked if they could provide were not ready for practice . It has continuity of care, shift mentality, a template for an employment contract been suggested that the ACS initiate a and the readiness of chief residents to that would be of help for surgeons program to help graduating residents practice independently . The fifth major who are soon to become employed and Fellows transitioning into practice . concern was work force issues including physicians within an integrated health The 100th anniversary of the ACS will alterations of contracts that occur system . The Committee on Surgical kick off in Washington, DC in 2012 . once physicians become employed, Infection and Environmental Risk raised difficulty in recruiting surgeons to small the issue about the lack of attention Reports were also given from the communities, inadequate work force given to the poor ergonomics in the Resident Associate Society and the leading to greater call responsibilities, operating room, which has led to Young Fellows Association . Dr . Ajit longer work hours, and burn out . The injuries . The committee has also focused Sachdeva reviewed the educational sixth major issue was competency on developing common strategies initiatives of the ACS in his report measurement for practicing surgeons . and guidelines for management and entitled “Education and Training to prevention of surgical infections . Promote Excellence in Surgery .” One Reports were then given from the of the new initiatives is to begin adding six committees of the Board of The issue of bundling dues for the ACS self-assessment questions to some of the Governors, which are the Committee and the state chapters was raised . It was programs at the college so that they will on Chapter Activities, Fiscal Affairs suggested that the ACS could be more qualify for maintenance of certification . Committee, Committee on Physician flexible and allow for interviewing of Competency and Health, Committee its initiates at the time the state chapter There was a joint session of the Board of on Socioeconomic issues, Committee has its annual meeting . The Committee Governor’s with the Board of Regents . on Surgical Infection and Environmental on Surgical Practices raised concerns Dr . David Hoyt gave an executive Risk, and Committee on Surgical for Hospital Consumer Assessment director update . He emphasized the Practices . One of the major issues that of Healthcare Providers and Systems quality initiatives of the ACS and the was discussed came from the Fiscal (HCAPS) and core measures for “inspiring quality campaign .” Dr . Hoyt Affairs Committee which proposed a evaluation of physicians . They also noted the four guiding principles of long term strategy for dues allocation . expressed concerns for recredentialing continuing quality initiates: It was decided that a yearly incremental of surgeons based solely on numbers 1 .Setting standards of care for dues increase would be put in to place and emphasized that the responsibility patients; for the ACS . The increase would be for credentialing and recredentialing up to but not exceeding three percent should be a priority of the medical staff . 2 .Defining infrastructure to support the standards of care; per year . The Board of Regents would The Infection and Environmental Risk have oversight over whether or not to Committee has changed its name to the 3 .Using data for determining increase the dues at any given year and Governors Committee on Infection . standards; and how much the increase should be . This committee will collaborate with 4 .Verifying standards with peer The second major issue that was raised the CDC, NSQIP, AORN, and Surgical review . was the 40 percent prevalence of burn Infection Society to optimize patient Dr . Hoyt reviewed the success of out and the high rate of depression, outcomes and reduce the incidence of NSQIP showing data that 82 percent suicidal ideation, and substance abuse infections . of hospitals involved in NSQIP have among surgeons . As a result, the Dr . Lena Napolitano reviewed the reduced complications and 66 percent Committee on Physicians Competency results of a survey assessing resident have shown reduction in mortality that and Health has decided to focus on readiness for practice . It was pointed out have translated into large economic maintenance of physical and mental that most chief residents are now going savings . He repeatedly emphasized wellness . Another major issue that was on for fellowship training . The two that the focus of the ACS is quality, raised by many of the committees was most common fellowships are minimally education, and advocacy . He indicated the issue of the increasing number of invasive surgery and surgical critical that we had record number initiates surgeons who are becoming employed care . Forty seven percent of fellows of attending the annual meeting of the

WINTER 2012 15 Chapter News November Council Meeting Committee Reports (continued)

Board of Governors Report (continued)

ACS in San Francisco . He also reported and Christian Shalgian, manager of penalty, Hospital-acquired condition that Patricia Turner, MD, will be legislative affairs . Dr . Frank Opelka penalty, Physician P4P, and Shared- replacing Skip Collicot as the director discussed a variety of payment reform decision making (Dartmouth Model) . of member services . models . These included: global Dr . Andrew Warshaw spoke about An advocacy in health policy update payment, ACO shared savings, Medical HPHG: reorganization priorities and and discussion then ensued . This Home Model, Bundled (episodic) update . This was followed by an open included a presentation by Don Payment, Hospital-Physician Gain forum between the Board of Governors Detimer, MD, FACS, the medical Sharing, Payment for Coordination and the Board of Regents . director of advocacy and health policy of Care, Hospital P4P, Readmission

Commission on Cancer Submitted by Valeriy Moysaenko, MD, FACS, Chair, Ohio Cancer Liaison Physicians

The following is a provided a letter of congratulations . Grady Memorial Hospital, St . report documenting my • Created and presented a Power Rita’s Medical Center, and Good activities promoting the Point presentation to the Cleveland Samaritan Hospital . Ohio Chapter, ACS Registrars Association covering • Responded to registrar requests for and the Commission on the selected new Commission on guidance and information . Cancer initiative Cancer, Cancer Program Standards . American Cancer Society Cancer Liaison • Organized and obtained funding for Collaboration Physician/Registrar and Cancer the May meeting of Ohio’s Cancer Program Activities: • As a Board of Trustees member Liaison Physician annual meeting in of the East Central Division of • Provided letters of welcome to conjunction with the Ohio Chapter the American Cancer Society, newly appointed Cancer Liaison ACS Meeting . The meeting was I participated in the merger Physicians (CLP) . The letters orient well attended and received . The between the Ohio Division and the newly appointed CLP as to topics covered: how to organize an the Pennsylvania Division . I have their role in the cancer program, educational fundraising event by also been actively promoting provide access to CLP resources Carleen Taylor; how to improve Commission on Cancer Initiatives and educational programs on the colorectal cancer screening rates in at board meetings and raising the Commission on Cancer website, physician offices by Carol Saavedra; visibility of the Commission on and extend my personal offer of and how to implement the RQRS Cancer . assistance . system into a cancer registry by Uzma Rizwan . • As an active member of the • Provided monthly newsletters Mission Outcomes Committee, I highlighting and discussing • Visited select CLPs with the have participated in the design of Commission on Cancer initiatives . American Cancer Society’s health programs that help CoC accredited These newsletters are distributed initiatives staff to facilitate and cancer programs access ACS by email to Ohio Cancer Liaison enhance collaboration between the services for their patients and Physicians and Ohio Registrars . cancer programs and the American enhance the collaboration between • Contributed to the nomination Cancer Society . local CoC accredited cancer and selection of Ohio Outstanding • Provided guidance to the following programs and local ACS health Cancer Liaison Physicians . This Ohio CoC accredited cancer initiatives staff . year Dr . Kenneth Graffeo, the CLP programs: Bedford Medical • As a delegate to the National for Grady Memorial Hospital, was Center, St . John’s Medical Center, Assembly of the American Cancer selected as an Outstanding CLP . I Parma Hospital Medical Center,

16 WINTER 2012 Chapter News November Council Meeting Committee Reports (continued)

Commission on Cancer (continued)

Society, I am participating in the Ohio Partners for Cancer Control Ohio Cancer Plan . As the chair of the Transformation Project of the ACS . The Ohio Partners for Cancer Control Patient Focused Committee, I have • I have also been appointed to the (OPCC) is a consortium of health care guided the committee through the Tellers Committee . organizations in Ohio committed to formulation of goals to increase access reducing the cancer burden in Ohio and accrual to clinical trials, provision • I am currently working with the and to improving the quality of life of patient navigators, provision and ACS health initiatives staff and of all people impacted by cancer . I access to palliative care, provision directors to implement programs am an active member of the executive and access to psychosocial distress to improve ACS and CoC committee and I have actively assessment and support, access to collaboration at all levels . participated in designing the mission genetic screening and counseling, and and the structure of the organization . access to wellness programs . The OPCC is currently designing the

Committee on Trauma Report Submitted by Charles J. Yowler, MD, FACS, Chair

The fall OCOT meeting state with 42 verified centers . Two a new Guideline for the Care of the Injured was held in Columbus Level II centers in the Cleveland area Patient will be released in 2012 . Both will on October 8, 2011 . have closed in the past year, one Level not be mere revisions, but total rewrites . As part of this meeting III center closed in the last 18 months This is my final Council Meeting and the Trauma Paper in Cambridge and one new Level III report . I recommend the appointment Competition was held unit has been verified in Avon . Another of the current vice-chairman, Jonathan and the winner, Katie Level II center in Kettering is preparing Saxe, MD, FACS, as the new chairman Kelly of Cleveland, will for verification . of the Ohio COT . His appointment present her paper at the regional paper At the National COT meeting held should begin in January 2012 so that he competition in Chicago . in conjunction with the annual ACS may attend the March meeting of the Ohio continues to have more ACS meeting in San Francisco, it was National COT as the Ohio Chairman . verified trauma centers than any other announced that a new ATLS manual and

Communications Committee Submitted by Scott M. Wilhelm, MD, FACS, Chair

The Ohio Chapter ACS Another thought of sending ongoing meeting dates, dues notifications, website is one of the most up-to-date communications for and chapter news . Twitter was made detailed websites for any the Ohio Chapter, ACS is through more secure in 2010 when it went to state chapter in the ACS social networking venues . People a mandatory security agreement with with excellent information are communicating via their mobile OAuth, a Web-based security company and links . We will be phones for travel, business, and personal requiring third party security passwords . updating a few things on information with increasing volume . Users must, however, realize that all the site including photos of The Chapter may wish to consider the “tweets” are public knowledge for anyone current chairs, residency program listings, addition of a Twitter account where brief who is following your group on Twitter . and reorganizing the News tab area . information messages could be sent to This would also require chapter members chapter members about upcoming to have a Twitter account in order to follow this informational stream .

WINTER 2012 17 Chapter News November Council Meeting Committee Reports (continued)

Community and Rural Surgeons Committee Report Submitted by Michael D. Sarap, MD, FACS, Vice-Chair

Several articles appeared “ACS Surgeon Survey Analyzes programs with high school, college, recently in the medical Career Satisfaction,” ACS Surgery and medical students in their areas . literature that are quite News, June 2011 This might include spending a day at pertinent to community • Indeed, being a surgeon in a a local high school, mini-rotations for and rural surgeons . These private practice environment college students on summer break, and articles and pull quotes proved to be an independent partnering with medical and osteopathic address the recurring predictor of burnout in a schools to provide rotations for themes of surgeon multivariate analysis that medical students . The ACS had a well- burnout, difficulties in attracting controlled for other factors developed medical student program at physicians to rural areas, the continued associated with burnout, the ACS Clinical Congress that paired loss of trained general surgeons to including nights on call, hours interested med students with rural and specialty fellowships, and the value of worked, and surgical subspecialty . community surgeons . telemedicine in rural areas . “Telemedicine Consultation For Rural surgeons often vocalize in surveys “Spike Seen in General Surgeon’s Emergency Trauma: The 130 Million that they feel a sense of isolation Caseloads,” ACS Surgery News, May Square Foot Trauma Room,” Bulletin working in areas where they may 2011 of the ACS, June 2011 be the only general surgeon . This contributes to a higher rate of burnout • “General Surgeon vs. (The authors describe their experience Fellowship-Trained: What’s The and career dissatisfaction . There is a implementing and evaluating a teletrauma Rural Surgeons group that is a part of Difference?” General Surgery News, network in rural Maine.) June 2011 the ACS that fosters communication • Our experience with teletrauma and mutual support . This group hosts a • General surgeons are working has been overwhelmingly dinner at the Clinical Congress and this harder than ever, with positive, both for providers and year’s event took place on October 24 . significantly bigger annual patients . . operative caseloads than a decade Lastly, I would encourage all surgeons ago, and the overload is expected “Med Schools Seek Right Fit for that practice in small or rural areas to to worsen… Rural Practice,” American Medical News, take advantage of the Rural Surgeons August 2011 Community that is part of the ACS • General surgeons performed 46% website . It contains a plethora of tools of all vascular, 16% of thoracic, • Medical schools all around the that help in patient management, 30% of pediatric, and 33% of country have developed rural- recent articles related to rural plastic surgery operations . track programs … surgery, information about upcoming • Rural general surgeons performed • Rural physician shortages are educational events, and much more . far more endoscopic procedures expected to worsen as older To get to the site, log in to the ACS … than did their urban doctors retire and the health website, type in your ACS member counterparts . system reform law is expected to number and use your last name as expand insurance coverage to 5 .4 password, click on Communities and • General surgeons performed 35% million currently uninsured rural Specialties and then click on Rural of all carotid endarterectomies, residents . Surgeons site . 27% of leg bypasses, 25% of aneurysm repairs, and 24% of all There are just going to be incredible endovascular procedures . needs everywhere . My own feeling is that we need to Most studies indicate that individuals reinvigorate general surgery training, that are raised in rural areas are far probably by adding training in more likely to practice in those areas procedures such as minimally invasive upon completion of their medical operations and endoscopy . training . It is therefore imperative that physicians in small or rural locations become involved in mentorship

18 WINTER 2012 Resident Research Forum Annual Resident Research Forum Winners

During the 2011 Ohio Chapter Annual Resident Research Forum were published in the Summer 2011 Annual Meeting in Cincinnati, several and Poster Session which included issue of Pulse which can be read online residents in Ohio surgery and surgery an abstract presentation and a poster at www.ohiofacs.org . specialty programs competed in the session . The first place resident essays

BASIC SCIENCE – SECOND PLACE Methods: Colitis was induced in mice end of the recuperation period (Days VEGF with 2 .5% dextran sulfate sodium 11 - 26), only the bevacizumab-treated Inhibition is Anti-Angiogenic in a (DSS) in drinking water . Following a animals demonstrated a significant Murine Model of Acute Colitis 5-day course of DSS, mice received decrease in inflammation (Fig . 2) . A twice weekly intraperitoneal injections significantly lower microvessel density Artur Chernoquz MD; Cincinnati Children’s of bevacizumab (250 µg/dose), a was demonstrated in the bevacizumab- Hospital Medical Center, Cincinnati, Ohio monoclonal anti-VEGF antibody, treated group at the end of the recovery Introduction: Treatment of or saline . The mice were sacrificed period (Fig . 3) . VEGF expression in the Inflammatory Bowel Disease (IBD) at 5, 12, and 26 days after the bevacizumab-treated group was notably focuses primarily on immunomodulation initiation of DSS . Colonic samples lower than in the control group at the therapy, potentially exposing patients were examined for the severity onset of the recovery period (1 .28 ± to an increased risk of cancer and of inflammation, and microvessel 0 .21 vs . 0 .38 ± 0 .02; p = 0 .05) . opportunistic infections . Observations density using histopathologic and Conclusion: Bevacizumab predictably of increased vascularity in areas of immunohistochemical quantification . suppressed neovascularization in a active inflammation and upregulation VEGF mRNA expression was analyzed murine model of colitis which, in turn, of Vascular Endothelial Growth Factor using qPCR . attenuated the inflammatory response . (VEGF), the primary angiogenic Results: During the acute phase, Based on these findings, we conclude mitogen, suggest that angiogenesis animals in both groups sustained that VEGF-driven angiogenesis is is a vital part of IBD pathogenesis . a similar degree of weight loss directly linked to an abnormal immune We hypothesized that inhibition of (16 .72±0 .92% in controls vs . 18 .07 response and plays a central role in angiogenesis by VEGF blockade in ± 1 .04 in the treated group; p = perpetuating tissue damage in the acutely inflamed colonic tissue will 0 .34) . The control group had a setting of colitis . Therefore, therapy reduce the severity of inflammation lower average body weight increase targeting VEGF is potentially a new and may potentially provide a new compared to the treated group during treatment strategy for the management treatment paradigm for the management the recovery phase (Fig . 1) . At the of acute colitis . of acute colitis .

Figure 1: Similar degree of weight loss was Figure 2: At Day 26 inflammation improved Figure 3: Day 26 colonic specimens from observed in the treated and control groups in to a greater degree in animals treated with the bevacizumab-treated group were the initial acute colitis stage (control: 16 .72 bevacizumab, as evidenced by a significant noted to have a decrease in microvessel ± 0 .92% vs . treated: 18 .07 ± 1 .04; p = 0 .34) . decrease in inflammation score (7 .43 ± 1 .57 density compared to control . (42 .73 ± 5 .80 During the recovery phase, animals treated à 6 .80 ± 1 .63 vs . 10 .50 ± 1 .21 à 5 .6 ± 0 .51; vessels/200 X field vs .18 .45 ± 5 .25 vessels/ with bevacizumab exhibited a greater degree p < 0 .01) . 200X field; p = 0 .02) . of weight gain (19 .22 ± 0 .96% vs . 34 .21 ± 2 .07%; p < 0 .01) .

WINTER 2012 19 Resident Research Forum Annual Resident Research Forum Winners (continued)

CLINICAL SCIENCE – SECOND prehospital needle decompression for hemopneumothoraces; all ultimately PLACE clinical signs and symptoms of tension required TT placement . Of nine HT Supine Chest Radiograph is a pneumothorax was conducted . Patients observed after normal CXR with Poor Predictor of Need for Tube did not routinely undergo TT, but additional positive CT findings, seven Thoracostomy after Prehospital underwent initial screening with supine developed a delayed pneumothorax Needle Decompression chest radiograph (CXR), followed and required TT placement, two of by thoracic computed tomography them emergently due to hypotension Kathleen Domiquez MD, Wright State (TCT) if CXR was negative . Small and hypoxia . Overall, 15 .4% of HT University Boonshoft School of Medicine hemopneumothoraces were observed, ultimately did not require TT . CXR Background: Prehospital needle and underwent serial CXR to evaluate was found to have sensitivity 54% , decompression is life-saving in patients for progression of PTX . compared to 100% for TCT . with tension pneumothorax . The need Results: Fifty-one patients were Conclusion: Patients undergoing for subsequent tube thoracostomy (TT) identified; 15 hemithoraces (HT) met prehospital needle decompression in all patients has been questioned . exclusion criteria . This left 47 HT for who do not require placement of tube In some instances, the needle may further evaluation . On initial CXR, 26 thoracostomy for clinical indications not enter the chest or the diagnosis of 47 HT were normal, however, only may be assessed for pneumothorax with of tension pneumothorax may be in 5 (16 .1%) of these were confirmed chest radiograph (CXR), but thoracic error . Our hypothesis is that TT is not normal on TCT and did not require computed tomography (TCT) is a routinely required, and may be avoided TT . Ten HT with a normal CXR on better initial assessment in the stable in select patients without radiographic admission required a TT on the basis patient . The presence of any blood or evidence of pneumothorax (PTX) . of more significant findings on CT air on CXR is a clear indication for TT . Methods: A prospective two-year scan . Twelve HT were observed on Similar findings on TCT should also study of all patients undergoing the basis of the initial CXR with small prompt consideration of a TT .

ONCOLOGY – SECOND PLACE – Methods: A retrospective chart review less than 3 g/dL (HR 3 .4, 95% CI 2-5 .6, HOLZER CLINIC AWARD was conducted on all patients with p<0 .001), ascites (HR 2 .3, 95% CI 1 .4- Albumin Level is the Primary Factor known non-curable, intra-abdominal 3 .8, p<0 .001) and radiographic findings Determining Outcome from Malignant malignancy and the diagnosis of suggesting carcinomatosis (HR 1 .8, Bowel Obstruction bowel obstruction who were admitted 95% CI 1 .1-3 .1, p=0 .019) . Small bowel to a large university medical system obstruction on radiographic imaging Jon C Henry, MD, The Ohio State University between the years 2000 and 2007 . was predictive of failure to return to oral Medical Center Demographics, clinical data, and intake prior to discharge (HR 1 .8, 95% Introduction: Bowel obstruction in outcome data were collected and CI 1 .01-3 .1, p=0 .046) . For the group of the face of advanced, intra-abdominal compared . Logistic regression was patients with albumin less than 3, ascites malignancy is a perplexing surgical conducted to indentify predictors of (HR 2 .6, 95% CI 1 .4-4 .8, p<0 .001) and problem and often a pre-terminal event . resumption of oral intake and 30-day leukocytosis (HR 2 .9, 95% CI 1 .5-5 .7, Predictors of resolution and survival are mortality . p=0 .002) were associated with 30-day lacking in the literature . We sought to Results: A total of 523 patients who mortality . Surgical intervention in this review our experience with malignant met the above criteria were compiled group was associated with lower risk of bowel obstruction to indentify factors of which 199 were treated by non- 30-day mortality (35%) compared to present at admission that may guide surgical therapy and 324 underwent the non-surgical group (50%) (HR 0 .47, who benefits from surgical intervention surgery . Three factors were associated 95% CI 0 .25-0 .5, p=0 .23) . Patients versus non-surgical therapy . with 30-day mortality: albumin level with low albumin and a non-colorectal

20 WINTER 2012 Resident Research Forum Annual Resident Research Forum Winners (continued)

gastrointestal malignancy were less Conclusion: In our patients with care . Furthermore, patients with small likely to regain oral intake compared malignant bowel obstruction, bowel obstruction or non-colorectal to other tumor types (62% vs . 74%, hypoalbuminemia is the best predictor gastrointestinal malignancy in our series p=0 .034) . Finally, in those with normal of 30-day mortality . While this were less likely to resume oral intake . albumin, carcinomatosis was predictive group may benefit from surgical Because the above factors associated of 30-day mortality (HR 3 .0, 95% CI intervention, the combination of low with early mortality and failure 1 .3-7 .0, p=0 .012), and small bowel albumin, leukocytosis and ascites is resume oral intake are known prior to obstruction predicted failure to return highly associated with very short intervention, they may be helpful in to oral intake (HR 3 .1, 95% CI 1 .2-7 .9, survival and therefore patients with assisting surgeons to develop a plan of p=0 .019) . all of these factors may not benefit care for these difficult patients . from measures other than supportive

Annual Resident Research Forum & Poster Session and Commission on Cancer Physician-in-Training Cancer Research Paper Competition

CALL FOR ABSTRACTS All residents and fellows in Ohio surgery, surgery specialty programs or oncology programs are eligible to enter . An abstract presentation and a poster session are the two components of the competition .

FRIDAY, MAY 4, 2012 Rules and program abstract forms available from all General Surgery, Surgical Subspecialty and Oncology Program Directors, on www .ohiofacs .org, or call the Ohio Chapter at (877) 677-3227 .

Deadline: Friday, February 24, 2012 $1,900 in Prizes to be Awarded

For more information, contact Jennifer Starkey, Executive Director Ohio Chapter, American College of Surgeons P.O. Box 1715 • Columbus, OH 43216-1715 Phone: (877) 677-3227 • Fax: (877) 835-5798 [email protected] • www.ohiofacs.org

WINTER 2012 21 Pulse Throughout Ohio District Councilor Reports

Below, is a summary of the district activity as reported at the Ohio Chapter Council Meeting held in November 2011 .

Northeast Ohio District Submitted by Bruce J. Averbook, MD, FACS

This report summarizes Department of Health and Human Mercy Medical Center: Recently various aspects of health Services for its success in increasing received reaccreditation as a Heart care information in organ donation rates . The Gold Medal Failure Institute by the Healthcare Northeast Ohio that is the highest honor achieved by Accreditation Colloquium . surgeons may find reaching three goals of the community The MetroHealth System: Is one of interesting . The format of practice: improved donation rated two health systems in the United States is in more of an outline to 75 percent or higher, increasing recognized in 2011 by the Association rather than narration . Sources include the number of organs donated per of Medical Directors of Information MDNews July- August 2011 and various individual to 3 .75 or higher, and Systems (AMDIS) . This award honors websites . implementing a donation after cardiac individuals and organizations that Akron Children’s Hospital: Ranked 31st death (DCD) program resulting in at have successfully applied information in the country in pediatric orthopedics least 10 percent of donations coming systems and computer technology into by U.S. News & World Report (www . from DCD donors . the practice of medicine . The award usnews com/childrenshospitals). . Hillcrest Hospital: Recently completed was given in July at the AMDIS’s 20th Akron General Medical Center: The a $163 million expansion project that annual Physician Computer Connection stereotactic unit within its Reflections included a new NICU which has Symposium and in Modern Healthcare/ Breast Health Center has been granted received a level III designation from the Modern Physician magazines . a three-year full accreditation by the Ohio Department of Health . MetroHealth celebrated its 175th American College of Radiology’s Lake Health: Recently opened a new anniversary on October 15th at the Committee on Stereotactic Breast full service, 24 hours ED staffed by “Champions Ball,” a black-tie event Biopsy Accreditation . board certified emergency physicians honoring not only the many years Aultman Hospital: Opened Stark in Madison . It is a freestanding 10,000 of superb service to the community County’s first and only inpatient square foot ED including ten private but many of the areas pre-eminent hospice facility on the campus of general treatment rooms, two private physicians past and present who were Aultman Woodlawn located in Jackson trauma rooms, radiology with plain elected into the MetroHealth Medical Township . The Aultman Woman’s Board x-ray and CT, a lab, and a heliport . Hall of Honor . Surgeons elected include Compassionate Care Center is a $5 .91 Marymount Hospital: Held a Edward G . Mansour, MD, FACS; million, 20,000 square foot, 12 bed “Topping Out” ceremony at its $45 Richard Fratianne, MD, FACS; Brown facility with private rooms designed to million expansion site . This site has Dobyns, MD, PhD; Robert White, MD, accommodate family and friends . 74,000 square feet and the expansion PhD; and Fiorindo Simeone, MD . Cleveland Clinic: Selected as a site for included eight new operating rooms, Christopher Brandt, MD, FACS, was the Parkinson’s Progression Markers a minor procedure room, two private named chairman of the department Initiative which is a five-year research pre-operative rooms, a recovery area of surgery for MetroHealth Medical study sponsored by the Michael J . Fox with ten beds, a sterile processing Center and the inaugural Richard B . Foundation . department, and centralized nursing Fratianne, MD, Professor of Surgery . Dr . stations . This three-story addition Brandt attended Case Western Reserve Fairview Hospital: Was one of eight changes the façade of Marymount with University for both his undergraduate hospitals nationwide, and the only a new main entrance featuring a covered and medical degrees . He completed hospital in Ohio to earn the Gold canopy with a spacious two-story lobby a general surgery residency at the Medal of Honor from the U .S . and an atrium . UH/VA/Metro program from 1984 continued next page 22 WINTER 2012 Pulse Throughout Ohio District Councilor Reports

Northeast Ohio District (continued) to 1989 . He joined the faculty at injury, closed head injury, rehabilitation UH Rainbow Babies & Children’s MetroHealth in 1989 and has served from trauma, biomedical engineering Hospital: Was ranked by U.S. News & here continuously since that time . He and other trauma related issues . World Report among the top 50 children’s is currently associate director of the Parma Community General Hospital: hospitals in the nation in 10 out of MetroHealth Comprehensive Burn Care Celebrated its 50th anniversary at a 10 medical and surgical specialties Center . He has won the department of black-tie gala in June . including cancer, cardiology and surgery faculty teaching award three heart surgery, diabetes and endocrine times, in 1998, 2004, and 2010, and he Southwest General Hospital: disorders, gastroenterology, nephrology, has won numerous CWRU teaching Received the Thomson Reuters 100 neurology and neurosurgery, awards including: election to Alpha Top Hospitals Award for the sixth orthopedics, pulmonology, and urology . consecutive year based on highly Omega Alpha Medical Honor Society Update on Medical Mart: in 1997, Gender Equity Award in 2004, effective performance across the entire Best Contribution Award, Teaching organization . • Plain Dealer Information: Excellence in 2004, Scholarship in Summa Akron City: Lifebanc and Thursday, May 5, 2011 - “Medical Teaching Award in 2005 and 2006, Summa Akron City Hospital were mart’s tenant list only tentative” and, finally, the prestigious Kaiser nationally recognized by the U .S . by Sarah Jane Tribble — The 63 Permanente Teaching Excellence Department of Health and Human potential occupants at the complex Award in 2009 . In 2010, he won Services for successes in saving lives by have not committed to taking space the Philip J . Wolfson Outstanding increasing organ donation rates . They in the facility . “The companies Teacher Award from the Association received a silver medal (the only one have signed nonbinding letters of for Surgical Education . He is active in in NE Ohio) for donation rates of 75 intent and face little financial or the Association of Surgical Education, percent or more of eligible donors over contractual risk for backing out… . . where he serves on the executive an 18-month period from October 2008 The medical mart and convention committee, is chair of the Program to the end of March 2010 . The award center complex is slated to open in Committee and is section editor of the was presented during the Sixth National fall 2013, and convention experts Surgical Educator’s Manual . He has Learning Congress for Donation and agree it is difficult to nail down served as an associate examiner for the Transplantation held in Grapevine, binding contracts for a building not American Board of Surgery . He is active Texas . yet completed .” in the Central Surgical Association, the Union Hospital: Ranked among the top Sunday, October 9, 2011 - “The $465 Cleveland Surgical Society, the Midwest five percent of all hospitals in the nation Million Plan B: County leaders sold Surgical Association, the Eastern Great for patient safety by HealthGrades and a tax increase to build a medical Lakes Burn Study Group, the National received a Patient Safety Excellence mart they said would be a first- Board of Medical Examiners, and the Award . class superstore for doctors . Now, Society of American Gastrointestinal University Hospitals: Opened the it’s morphing into something else . and Endoscopic Surgeons . Dr . Brandt But supporters insist the plan will has been an active contributor to Seidman Cancer Center and also plans to establish a $30 million proton still work” by Henry J . Gomez surgical literature with 54 abstracts, 39 — The report states that the peer-reviewed publications, 10 book therapy center designed to more precisely target and match treatment medical mart project is “turning chapters, and served as section editor of into something very different two books . He will establish a Trauma to the shape of a tumor . There are only nine proton therapy centers in the from what Cuyahoga County Research Institute at MetroHealth, commissioners promised years ago which will include research in general United States and this will be the first one in Ohio . when they imposed a higher sales trauma, orthopedic trauma, spinal cord tax to pay for it . No longer is the

WINTER 2012 23 Pulse Throughout Ohio District Councilor Reports

Northeast Ohio District (continued)

mart envisioned exclusively as a that MMPI is accentuating continuing education . It will drive first-class superstore for doctors and education and training since this commercial interaction into the other health care professionals… . was not how the mart was sold medical mart .” Tom Kelly leads Instead, private developer MMPI to them or the public . Cleveland the Citizens Reform Association of has in recent weeks shown a shift Councilman Joe Cimperman said, Cuyahoga County . His group has toward tenants who would provide “…they sold us on… . this place “long questioned the developer’s educational services rather than sell being an economic generator projections .” He said, “They expensive products . The Chicago based on the medical technology presented it as an easy home run, company has done so without community .” Brian Casey, the when everyone knows it was a fully explaining its thinking to project’s general manager, said hoax .” He views the new focus the taxpayers footing the bill .” that an accentuation on education on education as an admission of This article outlines what appears and training has “always been failure but praised the new strategy to be a shift in strategy to attract planned… The ultimate goal is noting that there should still be an people to the medical mart . Public to have the convention center accounting of why this differs from officials such as Tim Hagen, Joe as full as possible . I will tell you the picture originally presented . Cimperman, and Brian Cummins right now: Physicians—the reason were surprised by the information they attend conferences is for

Southeast Ohio District Submitted by David M. Hasl, MD, FACS

Our county medical Fairfield Medical Center added a new an internal medicine program . There is society, Fairfield County three-man pulmonary/critical care group talk about a surgical program in the near Academy of Medicine, this past summer . future . through the Ohio State Just this past week, our cancer A new surgical/ICU tower is in the Medical Association, program went through the ACS COC planning stages and I will include more had a fall dinner . accreditation review . This was very updates at the spring meeting . Our speakers, Ohio favorable and I would expect a full Representative Jerry Stebelton, Ohio three-year accreditation . Senator Tim Schaffer, and OSMA Senior Director of Government This is our second year with a new Relations Tim Maglione, Esq, updated osteopathic family physician residency our members on what’s new at the program and July 1, we will be adding statehouse .

24 WINTER 2012 From the College Patricia L. Turner, MD, FACS, Named Director of American College of Surgeons Division of Member Services

Patricia L . Turner, MD, FACS, A Fellow since 1996, Dr . Turner has at Howard University Hospital, became the American College of held a number of volunteer positions Washington, DC; a senior staff Surgeons (ACS) Director of the at the College, including membership fellow at the National Institute Division of Member Services on on the Committee on Informatics, of Health’s National Heart, December 1, 2011 . She is succeeding Patient Education Committee, Lung & Blood Institute, Laboratory Paul E . Collicott, MD, FACS, who Health Policy and Advocacy Group, of Kidney and Electrolyte retired in May 2011 . A general and the ACS Task Force on Duty Metabolism in Bethesda, MD; and surgeon from Baltimore, MD, Hour Standards . In addition, she has a clinical fellow (2003-2004) in Dr . Turner served as an associate served as an ACS Representative in minimally invasive and laparoscopic professor of surgery in the division of the AMA House of Delegates and surgery at Mount Sinai Medical general surgery at the University of as a liaison to the College’s Young Center, Weill-Cornell University of Maryland, Baltimore . Fellows Association . Aside from her Medicine, and Columbia University The ACS Division of Member work with the College, from 2001 in New York City . Services is responsible for to 2003, Dr . Turner was a member Dr . Turner is the recipient of administering the application process of the Surgery Residency Review numerous honors and awards, for Fellows, surgery residents, Committee, and currently serves including the National Institutes of medical students, and allied health on the ACGME Surgery Appeals Health Fellows Award for Research care professionals who seek ACS Panel . She is an American Board of Excellence; the Association of membership . Moreover, the division Surgery (ABS) qualifying examination Women Surgeons Outstanding is responsible for managing the consultant, and has been an associate Woman Resident Award; the activities for: examiner for the ABS certifying Claude H . Organ, MD, FACS, examination . • ACS Board of Governors Traveling Fellowship; and the State In addition, Dr . Turner is actively of Maryland’s Henry Welcome • ACS Advisory Councils for the involved in a number of other medical Award . She served on the editorial Surgical Specialties professional societies, including the board of Surgery News, the official • Liaison activities with local ACS Association of Women Surgeons, the newspaper of the American College chapters Society of American Gastrointestinal of Surgeons, from 2005 to 2009, and Endoscopic Surgeons, the National has been published in a number of • Scholarship and fellowship pro- grams Medical Association, the Association peer-reviewed journals, including The for Academic Surgery, and the American Journal of Surgery, Surgery, the • ACS Operation Giving Back Pro- Association of Program Directors Journal of Surgical Research, the Journal gram in Surgery . She is a member of the of Critical Care Medicine, the American • International activities Southeastern Surgical Congress Surgeon, and Obesity Surgery. “We are delighted to have someone and the Society of Black Academic of Patricia’s caliber join us in this Surgeons, and serves on both important role,” said David B . Hoyt, organizations’ executive committees . MD, FACS, ACS Executive Director . She received her undergraduate “Her professional accomplishments to degree from the University of date are impressive, as is her service Pennsylvania in Philadelphia and to the College . She understands her medical degree in 1996 from our members, she understands the Bowman Gray School of Medicine College, and she is the ideal person to of Wake Forest University, Winston- take the Division of Member Services Salem, NC . She was an intern and to the next level .” resident (1996-1998 and 2000-2003)

WINTER 2012 25 From the College Patricia J. Numann, MD, FACS, Installed as 92nd President of American College of Surgeons

Patricia J. Numann, MD, FACS, a contributed to the work of the In addition to membership in—and general surgeon from Syracuse, NY, College for many years. Since 2003, service to— the American College was installed as the 92nd President she has been director of the ACS of Surgeons, Dr. Numann has been of the American College of Surgeons Fundamentals of Surgery Curriculum. an active leader and member of during Convocation ceremonies Previously, Dr. Numann was a several national surgical and medical that preceded the official opening of member of the Board of Regents organizations. the College’s 2011 Annual Clinical Communications Committee (1999- When Dr. Numann retired from active Congress in San Francisco, CA. 2000); Graduate Medical Education clinical practice and as Lloyd S. Dr. Numann is the Lloyd S. Rogers Committee (1992-94); Committee Rogers Professor of Surgery in 2007, Professor of Surgery Emeritus, on Surgical Education in Medical she was awarded emeritus status by Distinguished Service Professor, and Schools (1986-96); Advisory Council SUNY. In 2009, it was announced Distinguished Teaching Professor for General Surgery (1999-2002); and that “in honor of her life’s work Emeritus, at the State University of member (1992-94) and Chair (1994- and outstanding dedication,” SUNY New York (SUNY) Upstate Medical 95) of the Nominating Committee Upstate was creating its first endowed University, Syracuse. of Fellows. She served on several chair for a woman: the Patricia J. Known as an outstanding and ACS Surgical Education and Self- Numann, MD, Chair of Surgery. motivating educator, Dr. Numann Assessment Program (SESAP ®) Committees as a member or Dr. Numann resides in Syracuse, received the Distinguished Teacher where she continues to devote herself Award (1983) and President’s Award Co-Chair, beginning with SESAP III in 1976. Furthermore, she served as to many teaching and community for Excellence in Teaching (1990) service organizations, including from SUNY, where the graduating the College’s second vice-president from 1999 to 2000. In 2006, the the boards of the Everson Museum medical students have regularly asked of Art, The Community Health her to serve as faculty marshal or American College of Surgeons recognized Dr. Numann for her Foundation of Western and Central to deliver the Oath of Hippocrates New York, Vera House, and Hospice during commencement. invaluable service contributions by naming her the recipient of its of Central New York. Dr. Numann became a Fellow of Distinguished Service Award, the the American College of Surgeons College’s highest honor. (FACS) in 1974 and she has actively

New ACS Regents and Officers Elected during 2011 Clinical Congress

During the 2011 Clinical Congress, and Lenworth Jacobs, Jr, MD, MPH, Vice President-Elect . In addition, J . new Regents and officers were FACS, from Hartford, CT . David Richardson, MD, FACS, from elected . The new Regents who will Also elected were A . Brent Eastman, Louisville, KY, was elected Chair of begin serving their initial three-year MD, FACS, from San Diego, CA, the Board of Regents . For a complete term in 2012 include James K . Elsey, as President-Elect; R . Phillip Burns, list of ACS officers and Regents, MD, FACS, from Lawrenceville, GA; MD, FACS, from Chattanooga, please visit www.facs.org/about/regents/ Gerald M . Fried, MD, FACS, from TN, as First Vice President-Elect; regents.html . Montreal, QC; B . J . Hancock, MD, and John M . Daly, MD, FACS, FACS, FRCSC, from Winnipeg, MB; from Philadelphia, PA, as Second

26 WINTER 2012

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