NOVEMBER 2016 | VOLUME 101 NUMBER 11 | AMERICAN COLLEGE OF SURGEONS Bulletin Contents FEATURES COVER STORY: Orlando Regional Medical Center responds to Pulse nightclub shooting 12 Michael L. Cheatham, MD, FACS; Chadwick P. Smith, MD, FACS; Joseph A. Ibrahim, MD, FACS; William S. Havron, MD, FACS; Matthew W. Lube, MD, FACS; Marc S. Levy, MD, FACS; and Susan K. Ono, BSN, RN Surgical futility and patient-centered care: The effects of human nature in decision making 20 Justin S. Hatchimonji, MD, MBE; Dominic A. Sisti, PhD; and Niels D. Martin, MD, FACS, FCCM Boston Marathon survivors find treatment, care, and solidarity among veterans 24 Jeannie Glickson | 1 ACS WiSC addresses ongoing challenges for women in surgery 29 Christina Grassi, MD; Vikisha Fripp, MD, FACS; and Susan Pories, MD, FACS RAS-ACS Symposium essays: Residents debate the boundaries of surgeon disclosure 34 William H. Ward, MD Exploring the limits of surgeon disclosure: Where are the boundaries? First-place essay—Pro 35 Christopher F. McNicoll, MD, MPH, MS Exploring the limits of surgeon disclosure: Where are the boundaries? First-place essay—Con 38 Reema Mallick, MD ACS Chapter Grant Program supports opportunities to lobby state lawmakers 41 Tara Leystra Ackerman, MPH NOV 2016 BULLETIN American College of Surgeons Contents continued COLUMNS NEWS Citation for Prof. John F. Thompson, AO, MD, FACS, FRACS, Looking forward 9 Bulletin moves online for most FAHMS 69 readers beginning with January David B. Hoyt, MD, FACS Jeffrey E. Gershenwald, MD, FACS 2017 issue 56 ACS Clinical Research Program: The ACS leads efforts to improve Improving rectal cancer outcomes Courtney M. Townsend, Jr., MD, FACS, installed as 97th President quality of care for older surgical through advocacy, education, and patients 71 research: The OSTRiCh Consortium of the ACS 57 New history of ACS Bulletin reflects and the new NAPRC 45 Inaugural Mary Edwards Walker history of the College 72 John R. T. Monson, MD, FACS, Award presented to Dr. Maniscalco- Health Services Research Methods FRCS, FASCRS; David W. Dietz, MD, Theberge 60 Course registration now open 73 FACS, FASCRS; Judy C. Boughey, Five outstanding surgeons MD, FACS; and Y. Nancy You, MD, conferred Honorary Fellowship in ACS now accepting 2017 Jacobson MHSc, FACS the ACS 63 Promising Investigator Award applications 74 From the Archives: The historic link Citation for Prof. Hernando between the ACS leadership and the Abaúnza Orjuela, MD, FACS, 20 cancer care facilities receive military 47 MACC(Hon) 65 biannual CoC Outstanding Achievement Award 74 Norman M. Rich, MD, FACS, Marco Patti, MD, FACS 2 | Coming in December JACS, and COL(RET) USA; David R. Welling, Citation for Prof. Jacques Belghiti, online now 74 MD, FACS, COL(RET) USAF; MD, PhD 66 Frederick C. Lough, MD, FACS, COL Leslie H. Blumgart, MD, FACS, FRCS USA; and Eric A. Elster, MD, FACS, SCHOLARSHIPS CAPT MC USN Citation for Prof. S. Adibul Hasan ACS ANZ Traveling Fellow reports Rizvi, MB, BS, FRCSEng, FRCSEd 67 MHS: Supporting the future: on experiences in New Zealand Planned giving: A powerful Mehmet A. Haberal, MD, and Australia legacy 49 FACS(Hon), FICS(Hon), FASA(Hon) Sareh Parangi, MD, FACS 75 Sarah B. Klein, MPA Citation for Prof. Sachiyo Suita, MD, PhD 68 A look at The Joint Commission: MEETINGS CALENDAR Ernest Amory Codman Award Arnold G. Coran, MD, FACS Calendar of events 80 honoree furthers quality improvement mission 52 Carlos A. Pellegrini, MD, FACS, FRCSI(Hon), FRCS(Hon), FRCSEd(Hon) NTDB data points: Guns and the golden years 54 Richard J. Fantus, MD, FACS, and Lauren Sakai, MD V101 No 11 BULLETIN American College of Surgeons Craig Miller, MD, FACS, researched and wrote The American College of Surgeons is dedicated this engaging account of the impressive life to improving the care of the surgical patient and career of Robert M. Zollinger, MD, FACS. The narrative is a compelling read for anyone and to safeguarding standards of care in an interested in the story behind one of the optimal and ethical practice environment. legends of the surgical profession. EDITOR-IN-CHIEF Letters to the Editor Diane Schneidman should be sent with the writer’s DIRECTOR, DIVISION OF name, address, INTEGRATED COMMUNICATIONS e-mail address, and Praise for Lynn Kahn daytime telephone The Big Z: The Life of SENIOR EDITOR number via e-mail to Robert M. Zollinger, MD Tony Peregrin dschneidman@facs. org, or via mail to “ …a magnificent piece EDITORIAL & PRODUCTION ASSISTANT Diane S. Schneidman, of prose. This is a Matthew Fox Editor-in-Chief, surgical sequel to Bulletin, American The Greatest Generation. CONTRIBUTING EDITOR A superb effort.” College of Surgeons, Jeannie Glickson 633 N. Saint Clair St., — Hiram C. Polk, Jr., SENIOR GRAPHIC DESIGNER/ Chicago, IL 60611. MD, FACS PRODUCTION MANAGER Letters may be edited Professor Emeritus, University of Louisville Tina Woelke for length or clarity. Permission to publish “ A very easy read about an authoritarian giant in a time of EDITORIAL ADVISORS letters is assumed Charles D. Mabry, MD, FACS giants. The inherent message—complete care of the patient unless the author and the patient’s cares—remains. Leigh A. Neumayer, MD, FACS indicates otherwise. Marshall Z. Schwartz, MD, FACS Dr. Zollinger would like this book; Dr. Dunphy would say he Mark C. Weissler, MD, FACS wasn’t that good! I enjoyed it immensely.” FRONT COVER DESIGN — Murray Brennan, MD, FACS Benno C. Schmidt Chair in Clinical Oncology, Tina Woelke Memorial Sloan-Kettering Cancer Center “ Driven, devoted, dedicated, accomplished. Dr. Zollinger was Bulletin of the American College of Surgeons (ISSN 0002-8045) is all of these and much more. Herein learn how greatness was published monthly by the American College of Surgeons, 633 N. forged and how the impact continues. If you like a good tale— Saint Clair St., Chicago, IL 60611. It is distributed without charge to an inspiring, richly told story—you will find it here. This is the Fellows, Associate Fellows, Resident and Medical Student Members, stuff that made American surgery and America what it is.” Affiliate Members, and to medical libraries and allied health personnel. Periodicals postage paid at Chicago, IL, and additional — LaMar McGinnis, Jr., MD, FACS mailing offices. POSTMASTER: Send address changes to Bulletin of the Senior Medical Advisor and Liaison, American College of Surgeons, 3251 Riverport Lane, Maryland Heights, American Cancer Society MO 63043. Canadian Publications Mail Agreement No. 40035010. Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5. The American College of Surgeons’ headquarters is located at Ordering Information 633 N. Saint Clair St., Chicago, IL 60611-3211; tel. 312-202-5000; To order online, visit www.facs.org/publications/catalog toll-free: 800-621-4111; e-mail: [email protected]; website: facs.org. The Washington, DC, Office is located at 20 F Street N.W. To order by phone, call 312-202-5474 Suite 1000, Washington, DC. 20001-6701; tel. 202-337-2701. Price: $14.95, plus sales tax, shipping, and handling Unless specifically stated otherwise, the opinions expressed and statements made in this publication reflect the authors’ Dr. Miller is in private practice in Indiana and is a Scholar-in-Residence personal observations and do not imply endorsement by at The Ohio State University Medical Heritage Center. nor official policy of the American College of Surgeons. Published by the American College of Surgeons. ©2016 by the American College of Surgeons, all rights reserved. Contents may not be reproduced, stored in a retrieval system, or transmitted in any form by any means without prior written permission of the publisher. Library of Congress number 45-49454. Printed in the USA. Publications Agreement No. 1564382. Zollinger Ad_Nov BULL.indd 1 9/30/2014 3:34:07 PM Officers and Staff of the American College of Surgeons James K. Elsey, MD, FACS Samual R. Todd, MD, Patrick V. Bailey, MD, FACS Officers Atlanta, GA FACS, FCCM Medical Director, Advocacy Henri R. Ford, MD, FACS Houston, TX Christian Shalgian Courtney M. Townsend, Los Angeles, CA Director Jr., MD, FACS Galveston, TX Gerald M. Fried, MD, FACS, FRCSC Advisory Council AMERICAN COLLEGE OF PRESIDENT Montreal, QC SURGEONS FOUNDATION J. David Richardson, MD, FACS James W. Gigantelli, MD, FACS to the Board Shane Hollett Louisville, KY Omaha, NE of Regents Executive Director IMMEDIATE PAST-PRESIDENT B. J. Hancock, MD, FACS, FRCSC ALLIANCE/AMERICAN (Past-Presidents) COLLEGE OF SURGEONS Hilary A. Sanfey, MB, Winnipeg, MB CLINICAL RESEARCH PROGRAM BCh, MHPE, FACS Kathryn D. Anderson, MD, FACS Enrique Hernandez, MD, FACS Eastvale, CA Kelly K. Hunt, MD, FACS Springfield, IL Philadelphia, PA Chair FIRST VICE-PRESIDENT W. Gerald Austen, MD, FACS Lenworth M. Jacobs, Jr., MD, FACS Boston, MA CONVENTION AND MEETINGS Mary C. McCarthy, MD, FACS Hartford, CT Dayton, OH Robert Hope L. D. Britt, MD, MPH, Director SECOND VICE-PRESIDENT L. Scott Levin, MD, FACS FACS, FCCM Edward E. Cornwell III, Philadelphia, PA Norfolk, VA DIVISION OF EDUCATION MD, FACS, FCCM Mark A. Malangoni, MD, FACS Ajit K. Sachdeva, MD, John L. Cameron, MD, FACS FACS, FRCSC Washington, DC Philadelphia, PA Baltimore, MD SECRETARY Director Fabrizio Michelassi, MD, FACS Edward M. Copeland III, MD, FACS William G. Cioffi, Jr., MD, FACS New York, NY Gainesville, FL EXECUTIVE SERVICES Providence, RI Leigh A. Neumayer, MD, FACS Maxine Rogers TREASURER A. Brent Eastman, MD, FACS Director, Leadership Operations Tucson, AZ Rancho Santa Fe, CA David B. Hoyt, MD, FACS FINANCE AND FACILITIES Chicago, IL Linda G. Phillips, MD, FACS Gerald B. Healy, MD, FACS Galveston, TX Gay L. Vincent, CPA 4 | EXECUTIVE DIRECTOR Wellesley, MA Director Gay L. Vincent, CPA Marshall Z. Schwartz, MD, FACS R. Scott Jones, MD, FACS Philadelphia, PA HUMAN RESOURCES Chicago, IL Charlottesville, VA AND OPERATIONS CHIEF FINANCIAL OFFICER Anton N. Sidawy, MD, FACS Edward R.