Resident Research Across the State - Summer 2013 - ACS Chapters | Ohio
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Summer 2013
In This Issue
President’s Resident Research
Message
Update from the
Across the State
Statehouse
Nationally
Recognized
Speakers Featured
at the 58th Annual
Meeting
Meet the Ohio
Chapter’s Newly
Installed Officers
Residents
Recognized for
Research at the
Annual Meeting
Thank You to the
Annual Meeting
Exhibitors
Council Meeting
Committee &
District Councilor
ReportsOhio Chapter, American Ohio Chapter Committees Nominating
College of Surgeons
Advocacy & Health Policy Steven M. Steinberg, MD, FACS
Executive Committee Ohio State University
Michael E. Stark, MD, FACS steven.steinberg@osumc.edu
Randy J. Woods, MD, FACS Toledo Surgical Specialists Chair
Wright State University SOM mstark@tssimed.com
randy.woods@wright.edu Chair Resident Essay Contest
President
Association of Women Surgeons Kristine Danielle Slam, MD, FACS
Bruce J. Averbook, MD, FACS Representatives Mount Carmel Medical Center
MetroHealth Medical Center krissieslam@yahoo.com
baverbook@metrohealth.org Natalie Joseph, MD, FACS Chair
President-Elect MetroHealth Medical Center
njoseph@metrohealth.org Ohio Committee on Trauma
Nancy L. Gantt, MD, FACS Co-Chair
St Elizabeth Health Center Jonathan M. Saxe, MD, FACS
nlg@neomed.edu
Secretary
Kristine Danielle Slam, MD, FACS
Mount Carmel Medical Center
Wright State University Department
of Surgery
Ohio Chapter,
krissieslam@yahoo.com jmsaxe@mvh.org
Walter Cha, MD, FACS
chaw@ccf.org
Chair Chair
American College of Surgeons
Treasurer Awards Young Fellows Association
Steven M. Steinberg, MD, FACS Christopher R. McHenry, MD, FACS Peter F. Klein, MD, FACS www.ohiofacs.org
Ohio State University MetroHealth Medical Center Toledo Surgical Specialists Inc
steven.steinberg@osumc.edu cmchenry@metrohealth.org pklein@tssimed.com
Immediate Past President Chair Chair
Table of Contents
Linda M. Barney, MD, FACS Executive Office
District Councilors Wright State University Department
of Surgery Jennifer Starkey
Peter F. Klein, MD, FACS linda.barney@wright.edu jennifer@executive-office.org
Toledo Surgical Specialists Inc. Executive Director President’s Message. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
pklein@tssimed.com Michael D. Sarap, MD, FACS
Northwest Southeastern Ohio Physicians Inc
msarap@msn.com Update from the Statehouse. . . . . . . . . . . . . . . . . . . . . . 4
Munier Nazzal, MD, FACS
University of Toledo Medical Center By-Laws
munier.nazzal@utoledo.edu Nationally Recognized Speakers Featured at the
Northwest Gary B. Williams, MD, FACS
Summa Health Systems 58th Annual Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
John J. Como, MD, MPH, FACS williamg@summa-health.org
MetroHealth Chair
jcomo@netrohealth.org Meet the Ohio Chapter’s Newly Installed Officers . . . . 8
Northeast CAC Representative
Scott Michael Wilhelm, MD, FACS James I. Merlino, MD, FACS
University Hospital Cleveland Cleveland Clinic Foundation Residents Recognized for Research at the
scott.wilhelm@uhhospitals.org merlinj@ccf.org Annual Meeting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Northeast
Commission on Cancer
Apokfure Peter Ekeh, MBBS, MPH, FACS Annual Resident Research Forum and Poster
Wright State University Valeriy Moysaenko, MD, FACS
peter.ekeh@wright.edu vmoysaenko@hotmail.com Session Winners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Southwest Chair
Cari A. Ogg, MD, FACS Patrick Ross, MD, FACS
Ohio State University
Thank You to the Annual Meeting Exhibitors for
Cincinnati General Surgeons Inc
ogghusted@hotmail.com patrick.ross@osumc.edu Their Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Southwest Vice-Chair
Raymond Gagliardi, MD, FACS Communications May Council Meeting Committee Reports. . . . . . . . . . 16
Licking Memorial Surgical Services
ray.gagliardi@gmail.com Kristine Danielle Slam, MD, FACS
Southeast Mount Carmel Medical Center
krissieslam@yahoo.com District Councilor Reports. . . . . . . . . . . . . . . . . . . . . . 19
David M. Hasl, MD, FACS Chair
Lancaster Surgical Associates
hawkhasl@yahoo.com Rural Surgery
Southeast
Joseph J. Sferra, MD, FACS
ACS Board of Governors: Ohio Members Toledo Surgical Specialists Inc
jsferra@bex.net
Linda M. Barney, MD, FACS
Wright State University Department Delegate to OSMA
of Surgery
linda.barney@wright.edu William C. Sternfeld, MD, FACS
Toledo Clinic
Alice Ann Dachowski, MD, FACS wsternfeld@toledoclinic.com
Holzer Clinic Delegate
adachowski@holzerclinic.com
Medical Education/Program
Christopher R. McHenry, MD, FACS
MetroHealth Medical Center Bruce J. Averbook, MD, FACS
cmchenry@metrohealth.org MetroHealth Medical Center Pulse is the official publication of the Ohio Chapter,
American College of Surgeons. It is published two times
baverbook@metrohealth.org a year in Columbus, Ohio as a benefit of membership
Michael D. Sarap, MD, FACS Chair and circulated free of charge to Ohio Chapter members.
Southeastern Ohio Physicians Inc Information appearing in this publication is obtained
msarap@msn.com Jonathan M. Saxe, MD, FACS from sources we believe to be reliable. The information
may not be a complete statement of all available data
Wright State University Department and is guaranteed as such. Conclusions are based
Steven M. Steinberg, MD, FACS of Surgery soley on editorial judgment and analysis of technical
factors and surgical/medical industry information
Ohio State University jmsaxe@mvh.org sources. Pulse is copyrighted and portions may be
reprinted with the permission of the Ohio Chapter.
steven.steinberg@osumc.edu Pulse is not responsible for the contents of its
Valeriy Moysaenko, MD, FACS advertisements and advises all members to investigate
Charles J. Yowler, MD, FACS vmoysaenko@hotmail.com claims before making any purchases.
MetroHealth Medical Center Permission requests to reproduce written material
should be sent to:
cyowler@metrohealth.org Ohio Chapter, ACS
P.O. Box 1715
Columbus, OH 432176-1715
(877) 677-3227
@ Copyright 2011, Oho Chapter, ACS.
All rights reserved.President’s Message
by Randy J. Woods, MD, FACS
Thanks for picking for the efforts, energy and devotion Maintaining a healthy and vibrant
up this issue of of many individuals coming together, membership is important for the
Pulse, the printed the improvement in the care of the continued success of the Chapter.
newsletter about the trauma patient in our state would not Being as actively involved as your
activities of the Ohio occur. time and energy will allow in the
Chapter of the ACS. Much of the recent press surrounding Chapter will add strength to the
This is one form of the improvement in patient safety above activities as well as provide
communication the occurs in context with the many an avenue to make the practice of
Chapter is using to changes to the health care delivery surgery more enticing and rewarding
keep its members system in the state as well as the for all of us in the state. If you
informed of the many diverse nation. A dedicated group of fellow are interested in being active and
activities ongoing throughout Ohio. surgeons continue to work with contributing to any of the many
All of these activities are spearheaded the Chapter to keep us apprised of chapter activities, I encourage you to
by fellow surgeons who are actively potential changes resulting from contact one of the members of the
involved in patient care throughout past legislative changes as well as executive council or administrative
the state, but also find personal and potential consequences of legislative staff. Going to the web site, www.
professional value in tackling a variety efforts, both locally and nationally. ohiofacs.org is another way to read
of other worthwhile activities. While the typical practicing surgeon about opportunities in the Chapter.
My involvement in the Ohio Chapter has little precious time or energy or The Ohio Chapter has a reputation
came at the urging of one of my both to keep up-to-date on all of the of being an active and strong state
partners to get involved with the changes coming at us, it is valuable chapter – but your participation is
Resident Paper Essay Contest. It is to have a group of surgeons actively needed to maintain and continue the
an extremely rewarding experience lobbying for the promotion of true success of the past few years.
to provide a platform for the many patient safety and protection of the
hard working and successful surgical surgical profession. This is one of
trainees in the state to present the many tangible benefits the Ohio
their research work at the Annual Chapter continues to offer to its
Chapter meeting. As chair of the members. Working with elected
essay contest not only do you get members in the state, a group of
the opportunity to meet some of the surgeons and our lobbying partners
residents from our successful medical were able to impact legislation that
schools and training programs, improves the education process
but there also exists an excellent in place for breast cancer patients
opportunity to meet other practicing regarding their reconstruction options
surgeons actively involved in other after a mastectomy. Although it still a
regions of the state. work in progress, the patient-centric
State-wide trauma system reform legislation will improve the systems
is one such endeavor involving in which patient care is delivered
partnerships with members of the while supporting and protecting
Ohio Chapter, trauma programs the individual physician-patient
in the state, national leaders in experience.
trauma system development, Ohio Engaging resident involvement
legislative leaders, as well as many in Chapter activities is one goal
of the hard working nurses and for the upcoming year. Chapter
physicians running our trauma members are bringing together
centers. Through their extensive resident representatives of the various
planning and promotion, the once programs while establishing an
insurmountable goal of taking the environment fostering involvement
Ohio Trauma System to the next level by strengthening opportunities for
of maturity is now possible. As the leadership in Chapter activities.
members would attest, more work
needs to occur. However, if it weren’t
SUMMER 2013 3Update from the Statehouse
by Daniel Hurley, Capitol Consulting Group
State Budget will carry into the fall. There would move trauma from under the
On June 30th Governor Kasich continues to be intense pressure from EMS Board’s jurisdiction, create
signed HB 59, the state operating business groups, unions, healthcare a grant program, and establish a
budget for fiscal years 2014 and 2015. providers, hospitals, and religious statewide trauma medical director
This particular budget dominated advocates to expand coverage; to help drive outcomes and lower
media coverage over the last few however republican lawmakers are mortality rates. We will continue
months as it was changed significantly facing primary threats from Tea Party working with legislators and
from what the Governor originally groups opposed to expansion which interested parties and hope to have
proposed in February. Kasich had makes passage of Medicaid Expansion a bill ready to go later this year. It is
pushed for Medicaid Expansion, a difficult at the Statehouse. likely that the Kasich Administration
new school funding formula, and a Republicans have committees will pursue another Mid-Biennium
significant package of tax reforms working on a Medicaid reform Review package to make changes to
and cuts. However, the republican- package this fall that would tie the state budget for fiscal year 2014
controlled General Assembly expansion to several other policy and our goal is to attach our trauma
stripped Medicaid Expansion out, changes including more personal system update to that package. This
rewrote the school funding formula responsibility requirements (drug would mean a new trauma system for
twice, and made several changes testing, job hunting, copays, etc.). Ohio coming online July 1, 2014.
to the initial tax reform package. Expansion proponents are growing Breast Reconstruction Legislation
Additionally, republicans added wary of this commitment and are In recent years, Representative
several controversial, anti-abortion exploring the possibility of collecting Bill Patmon (D-Cleveland) has
measures late in the process, drawing signatures to place Medicaid been pushing legislation that
sharp criticism and protests from pro- Expansion on the 2014 ballot. would mandate information on
choice advocates. reconstruction options be shared with
Since the Governor vetoed language
Since Medicaid Expansion could prohibiting Medicaid Expansion in breast cancer patients undergoing a
generate a $500 million savings in the budget his administration can mastectomy. The Ohio Chapter has
state expenditures the administration pursue a waiver from CMS, although strongly opposed this legislation in
had proposed several cuts to hospitals they cannot spend any of the 100% the past as it did not give surgeons
and providers. When the House federal reimbursement for expansion the discretion to determine what
removed Medicaid Expansion without legislative approval. This information to provide and ultimately
they also removed several of these sets up potential battles for 2014 that disrupted the patient-doctor
cuts, which ensured providers could pit the Governor and his team relationship. Following a series of
didn’t see significant reductions in against their republican allies in the meetings and hearings Representative
reimbursements for Medicaid. The General Assembly or the possibility Patmon agreed to make changes to
House also added language that of a ballot campaign for Medicaid the latest version of the bill, HB 147,
explicitly prohibits Ohio Medicaid Expansion—one that would certainly that addressed our concerns. The
from covering adults in the expansion attract national attention. legislation passed the Ohio House of
population (incomes between 0 Representatives earlier this year and
and 138% of federal poverty line). Trauma System Update may see action this fall.
Governor Kasich utilized his line- Work continues on an effort led by
item veto authority to strip this the Ohio Chapter to update Ohio’s
language, but he also left the various trauma law. Potential legislation
abortion measures intact, despite
intense pressure from opponents.
In the end the budget significantly
increases K-12 funding, allows for a
$2.6 billion tax cut for individuals and
businesses, and moves Medicaid to a
standalone department.
Medicaid Expansion
Despite being removed from the
budget by the Ohio House of
Representatives, Medicaid Expansion
dominated news coverage over the
last few months and the debate over
whether or not to extend coverage
Photo courtesy of the Ohio Statehouse Photo Archive.
4 SUMMER 2013Nationally Recognized Speakers Featured at the
58th Annual Meeting
The 58th Ohio Chapter Annual Lynn Haas, RN, CNP presented on of the Annual Meeting is greatly
Meeting was held on May 3-4, 2013 the history of the trauma system in appreciated.
at the Sheraton Hotel at Capitol Ohio. Ms. Haas is active on the state Past Presidents Dinner
Square in Columbus. The more than level in trauma system development The Ohio Chapter Council hosted
100 attendees had the opportunity to and was awarded a State EMS Board the Past Presidents Dinner on
learn from many prominent speakers grant to fund a state trauma system Thursday evening prior to the Annual
during the two-day program. consultation by the ACS Committee Meeting. The event allowed past
Lewis Flint, MD, FACS spoke on on Trauma. presidents of the Ohio Chapter and
“Trauma Systems - Progress and Paula Termuhlen, MD, FACS their guests to reunite, and share
Challenges.” Dr. Flint is editor-in- delivered the Association of Women their fellowship in the Ohio Chapter
chief of Selected Readings in General Surgeons presentation, “Training and the College. Past Presidents in
Surgery and an adjunct professor of Surgeons in 2013.” Dr. Termuhlen is attendance included:
surgery at the Feinberg School of professor of surgery at the Medical Richard B. Reiling, MD, FACS
Medicine, Northwestern University. College of Wisconsin and is the (1986-1987)
Ronney Abaza, MD, FACS provided program director for their surgery
residency program. Lawrence H. Linder, MD, FACS
on overview on the “Current Status (1989-1990)
and Future of Robotic Surgery.” Dr. Scott Melvin, MD, FACS, a member
Abaza is an associate professor of of the board of the ACSPA- Margaret M. Dunn, MD, FACS
urology at The Ohio State University SurgeonsPAC and Dan Hurley of (1999-2000)
and has tremendous experience in Capitol Consulting updated attendees William Sternfeld, MD, FACS
robotic surgery. on current advocacy issues on the (2006-2007)
John Ferrara, MD, FACS is professor federal and state level.
Linda M. Barney, MD, FACS
of surgery at Virginia Tech University Jay Johannigman, MD, FACS is (2007-2008)
and spoke on the topic of “Motorical professor of surgery at the University
Christopher R. McHenry, MD, FACS
Chunking in the Uncanny Valley.” of Cincinnati. Dr. Johannigman
(2008-2009)
Dr. Ferrara has been highly involved discussed how his wartime experience
with surgical education his entire as a military surgeon has affected his Michael D. Sarap, MD, FACS
career and has taken on the task of civilian practice. (2009-2010)
assessing the best way to teach and Robin Godwin, a 15-year American Alice Dachowski, MD, FACS
assess technical aptitude. Cancer Society staff member who (2011-2012)
David Borgstrom, MD, FACS currently provides leadership for Steven M. Steinberg, MD, FACS
presented “Surgical Care for Rural the East Central Division American (2012-2013)
America: a Time for Optimism?” Cancer Society Patient Navigator
Dr. Borgstrom has been active in and CoC Hospital Systems programs, Dinner at the ‘Shoe
the American College of Surgeons’ provided a “Status of the American The social highlight of the 2013
efforts to improve rural surgery. He is Cancer Society Collaborative Action Annual Meeting was Dinner at the
program director for general surgery Plan.” ‘Shoe. Held on Friday evening,
and director of trauma and surgical participants gathered at Ohio
Robert Indian, MS, is chief of Stadium (‘Shoe) on the Ohio State
critical care at the Mithoefer Center comprehensive cancer control at the
for Rural Surgery in the Bassett campus for dinner and networking
Ohio Department of Health and with colleagues. The ‘Shoe provided
Medical Center in Cooperstown, NY. acting executive director of the Ohio a stunning backdrop during the event
Jeffrey Ponsky, MD, FACS, is Partners for Cancer Control. Mr. in the stadium’s Huntington Club.
professor and Chair of Surgery at Indian spoke on the topic, Executing Following dinner, those in attendance
Case Western Reserve University. Dr. the “Ohio Comprehensive Cancer made their way down to the field for
Ponsky delivered the Ohio Oration: Control Plan 2011-2014.” a group photo.
Surgical Metamorphosis. Dr. Ponsky The Chapter expresses its sincere
is a past president of our chapter and thank you to all of the presenters.
is a leader in surgery on a national Their contribution to the success
level.
6 SUMMER 2013Nationally Recognized Speakers Featured at the
58th Annual Meeting (continued)
Annual Meeting Exhibitors • Cubist Pharmaceuticals For more information on this year’s
The attendees had the opportunity • Davol Inc. exhibitors, see the 2013 Exhibitor
to visit with the following companies Directory on page XX.
and organizations during this year’s • Faxitron
Thank you to all of the attendees
Annual Meeting. A big thank you • Genomic Health for your support during the Annual
goes out to these exhibitors without Meeting. We hope you gained
• Lifecell Corporation
whom the Annual Meeting would not valuable insight from the program
have been possible: • Merck, Global Human Health
and the opportunity to socialize with
• ACELL Inc. • Mobile Instrument Service & your colleagues.
Repair Inc.
• American Cancer Society Save the date and plan now to join
• Molnlycke Healthcare us in Cleveland for the 59th Annual
• Atrium Medical Corp-a Maquet
Getinge Group Company • Olympus America Inc. Meeting on May 9-10, 2014.
• Baxter BioSurgery • Sanofi
• BG Medical • W L Gore & Associates
• Cadence Pharmaceuticals
Chapter Past Presidents gather at the dinner prior to the Annual Meeting. Front row (l to r) Alice M. Dachowski, MD, FACS; Margaret M. Dunn, MD, MBA,
FACS; and Linda M. Barney, MD, FACS. Back row (l to r) Steven M. Steinberg, MD, FACS; Christopher R. McHenry, MD, FACS; Michael D. Sarap, MD,
FACS; Lawrence H. Linder, MD, FACS; and Richard B. Reiling, MD, FACS.
SUMMER 2013 7Meet the Ohio Chapter’s Newly Installed Officers
During the recent Annual Meeting, animation studies. Dr Woods served for the American College of Surgeons
a new slate of officers were elected in the US Air Force as general Oncology Group at MHMC for 12
and assumed their new roles and surgeon at Nellis AFB in Las Vegas, years. He is the toxicity monitor for
responsibilities for the Ohio NV. He has received his graduate the Melanoma Committee for ECOG
Chapter. We would like to take the certificate in health care management and represents the American College
opportunity to thank these physicians from the Center for Global Health of Surgeons for the Commission
for their time and service, and Systems, Management and Policy on Cancer (CoC). He was recently
encourage all members to offer them at Wright State University. Dr. appointed as liaison to the College
your support and suggestions on Woods’ professional affiliations are of American Pathologists for the
growing the Ohio Chapter. the American College of Surgeons, CoC. Dr. Averbook has been actively
Randy J. Woods, MD, FACS – Society of Critical Care Medicine, involved as a council member with
President Association of Program Directors the Ohio Chapter of the ACS since
in Surgery, and Eastern Association 2008 with service including program
Bruce J. Averbook, MD, FACS – for the Surgery of Trauma. He is a chairman for the Annual Meeting,
President-Elect Fellow of the American College of alternate representative to the Board
Nancy L. Gantt, MD, FACS – Surgeons. of Governors, and the northeast
Secretary Bruce J. Averbook, district councilor. He is currently an
MD, FACS — associate professor of surgery, general
Walter Cha, MD, FACS – medical sciences (oncology), and
Treasurer President-Elect
Dr. Averbook was dermatology with an active academic
Steven M. Steinberg, MD, FACS – born and raised in and clinical surgical practice focusing
Immediate Past President Los Angeles, CA. on malignant melanoma, breast
Randy J. Woods, His undergraduate cancer, and sarcoma.
MD, FACS — training was at Nancy L. Gantt,
President Claremont Men’s MD, FACS —
Dr. Woods is an (McKenna) College and he attended Secretary
associate professor The George Washington University Dr. Gantt is a
of surgery in the School of Medicine. His surgical professor of surgery
Division of Acute residency was at the University of at Northeastern
Care Surgery and California, Irvine (UCI) where he Ohio Medical
director of the also did a postdoctoral fellowship University (formerly
General Surgery in cancer immunology with Dr. NEOUCOM) in
Residency Program at Wright State Gale “Morrie” A. Granger in the Rootstown, and
University Boonshoft School of molecular biology and biochemistry curriculum director for the M3
Medicine in Dayton. He is board department at UCI. Following his students. As curriculum director, her
certified in general surgery with surgical residency, he was a Lt. responsibilities include curriculum
added qualifications in surgical critical Commander with the US Public integration, CSA development, and
care through the ABS. He graduated Health Service and a clinical associate supervision of seven geographically-
with a bachelor’s of science degree in at the Surgery Branch of the National separate surgical clerkships. Dr.
biology from Indiana University and Cancer Institute with Dr. Steven Gantt’s general surgery practice is
received his MD in 1991 at Indiana A. Rosenberg. After his fellowship based at St. Elizabeth Health Center
University School of Medicine. Dr. in surgical oncology, Dr. Averbook in Youngstown. At SEHC, she is
Woods completed his general surgery was hired at MetroHealth Medical active in medical student education
internship and residency at Wright Center (MHMC)/Case Western and serves as associate director of
State University School of Medicine Reserve University (CWRU) in the resident education. Dr. Gantt also
/ Wright Patterson Medical Center, division of surgical oncology where serves as HMHP Cancer liaison
and his fellowship in trauma and he has been since 1993 involved physician and is co-medical director
surgical critical care was completed at in teaching, clinical practice, and of the Joanie Abdu Comprehensive
the University of Pittsburgh Medical basic and clinical research. He Breast Care Center. Nationally,
Center. He also participated as has held the position as principal Dr. Gantt is active in the American
a research fellow at University of investigator (PI) for The Eastern College of Surgeons and proudly
Pittsburgh in the Safar Center for Cooperative Oncology Group for serves as vice-president of the
Resuscitation Research in suspended CWRU since 2005, and was the PI
8 SUMMER 2013Meet the Ohio Chapter’s Newly Installed Officers (continued)
Association of Women Surgeons. wall reconstruction, advanced Burn; associate chief medical officer
She is also active in the Association laparoscopic surgery, and general for patient safety; and trauma medical
for Surgical Education and serves on surgery. director for the Ohio State University
the Curriculum Committee and as Steven Steinberg, MD, FACS — Medical Center’s Level I Trauma
vice-chair of the Clerkship Directors Immediate Past President Center.
Committee. Dr. Steinberg was born and raised
Walter Cha, MD, in Toledo, then attended The Ohio
FACS — Treasurer State University for his undergraduate
Dr. Cha is a general and medical school education.
surgeon at Hillcrest He did his surgical
Hospital in Mayfield residency at University
Heights. He Hospitals in Columbus,
received his MD then he entered a
from Hahnemann career in academic
University School medicine, first at the
of Medicine in State University of
Philadelphia, PA. He completed New York at Buffalo
his general surgery residency and then at Tulane
at Temple University Hospital University. Dr.
and his fellowship in minimally Steinberg returned to The Ohio State
invasive surgery research fellowship University in 1999 as vice-chair for Incoming president Randy J. Woods, MD, FACS presents a
crystal gavel to outgoing president Steven M. Steinberg, MD,
at Allegheny University of the clinical affairs in the Department of FACS at the 58th Annual Meeting.
Health Sciences. Dr. Cha’s areas Surgery, and he currently holds that
of interest are gastrointestinal position as well as director of the
surgery, hernia repair and abdominal Division of Critical Care, Trauma and
Ohio Chapter, ACS Past Presidents
Edwin Ellison, MD. . . . . . . . . . . . . . . . . . . . 1957 William J. Flynn, MD. . . . . . . . . . . . . . . . . . . 1976 Jeffrey L. Ponsky, MD, FACS . . . . . . . . . . . . . 1995
Robert T. Allison, MD . . . . . . . . . . . . . . . . . . 1958 Tom Kelly, MD. . . . . . . . . . . . . . . . . . . . . . . . 1977 Ezra Steiger, MD, FACS. . . . . . . . . . . . . . . . . 1996
Byron G. Shaffer, MD . . . . . . . . . . . . . . . . . . 1959 Robert P. Hummel, MD, FACS. . . . . . . . . . . . 1978 Michael A. Flynn, MD, FACS . . . . . . . . . . . . . 1997
Jack W. Cole, MD . . . . . . . . . . . . . . . . . . . . . 1960 Robert E. Hermann, MD, FACS . . . . . . . . . . . 1979 G. William Parker, MD, FACS. . . . . . . . . . . . . 1998
Berton M. Hogle, MD. . . . . . . . . . . . . . . . . . . 1961 Roland A. Gandy, Jr, MD, FACS. . . . . . . . . . . 1980 Mark A. Malangoni, MD, FACS . . . . . . . . . . . 1999
Franklin L. Shively, Jr, MD, FACS. . . . . . . . . . 1962 Robert K. Finley, Jr, MD, FACS. . . . . . . . . . . . 1981 Margaret M. Dunn, MD, FACS. . . . . . . . . . . . 2000
Stanley O. Hoerr, MD. . . . . . . . . . . . . . . . . . . 1963 Larry C. Carey, MD. . . . . . . . . . . . . . . . . . . . 1982 Michael S. Nussbaum, MD, FACS. . . . . . . . . 2001
Tom E. Lewis, MD, FACS. . . . . . . . . . . . . . . . 1964 Robert M. Zollinger, Jr, MD, FACS. . . . . . . . . 1983 Joseph P. Crowe, Jr, MD, FACS. . . . . . . . . . . . 2002
Walter A. Hoyt, Jr, MD, FACS. . . . . . . . . . . . . 1965 William V. Sharp, MD. . . . . . . . . . . . . 1983-1984 Robert E. Falcone, MD, FACS . . . . . . . . . . . . 2003
Warren Wendell Green, MD. . . . . . . . . . . . . . 1966 Sterling W. Obenour, MD, FACS. . . . . . . . . . . 1984 E. Christopher Ellison, MD, FACS. . . . . . . . . 2004
Stephen Ondash, MD. . . . . . . . . . . . . . . . . . 1967 Rex K. Whiteman, MD. . . . . . . . . . . . . 1985-1986 Michael E. Stark, MD, FACS . . . . . . . . . . . . . 2005
Richard Zollinger, MD. . . . . . . . . . . . . . . . . . 1968 Richard B. Reiling, MD, FACS. . . . . . . . . . . . 1987 Gary B. Williams, MD, FACS. . . . . . . . . . . . . 2006
Tom Morgan, MD. . . . . . . . . . . . . . . . . . . . . 1969 John Peter Minton, MD, FACS, PhD. . . . . . . . 1988 William C. Sternfeld, MD, FACS . . . . . . . . . . 2007
C. William Loughry, MD . . . . . . . . . . . . . . . . 1970 Richard B. Fratianne, MD, FACS. . . . . . . . . . 1989 Linda M. Barney, MD, FACS. . . . . . . . . . . . . . 2008
Miles Flickenger, MD. . . . . . . . . . . . . . . . . . 1971 Lawrence H. Linder, MD, FACS . . . . . . . . . . . 1990 Christopher R. McHenry, MD, FACS. . . . . . . . 2009
Mary M. Martin, MD, FACS . . . . . . . . . . . . . . 1972 Sidney F. Miller, MD, FACS. . . . . . . . . . . . . . . 1991 Michael D. Sarap, MD, FACS. . . . . . . . . . . . . 2010
Charles Lovingood, MD. . . . . . . . . . . . . . . . . 1973 Josef E. Fischer, MD. . . . . . . . . . . . . . . . . . . 1992 Joseph Sferra, MD, FACS. . . . . . . . . . . . . . . . 2011
P.J. Robechek, MD. . . . . . . . . . . . . . . . . . . . . 1974 Juan R. LaCerda, MD . . . . . . . . . . . . . . . . . . 1993 Alice Ann Dachowski, MD, FACS. . . . . . . . . . 2012
Byers Shaw, MD. . . . . . . . . . . . . . . . . . . . . . 1975 Dennis Ross Irons, MD, FACS. . . . . . . . . . . . 1994 Steven M. Steinberg, MD, FACS . . . . . . . . . . 2013
SUMMER 2013 9Submit an Article for the Next Edition
of Pulse – Deadline is December 1
The next issue of Pulse is in need of your article or news item relevant to Ohio Chapter members.
If you have a story pertaining to surgery in Ohio, but no time to write it, contact the Executive
Office and we’ll do the follow-up. Keep in mind that this issue of Pulse will be printed and mailed
to every Ohio Chapter member. This is your opportunity to be heard!
Contact the Ohio Chapter, ACS Executive Office by email ocacs@ohiofacs.org or by telephone at
(877) 677-3227.
I Want My Pulse NOW!
Attention members!
Pulse NOW!, features all the news you need to know in a
clear, concise, electronic bulletin. Each edition of Pulse NOW! is released on a monthly basis and is
packed with the latest Ohio Chapter news and hot legislative updates.
Please ensure that the Executive Office has your correct email address so you don’t miss out on this
valuable member resource. Please call us at (877) 677-3227 or email us at ocacs@ohiofacs.org to
let us know if you need to update your contact information.
Have you been Checkingnyour E-News?
E-News is an email communication sent to members once
per month around the 15th regarding surgical news, Ohio
Chapter updates, volunteer opportunities, continuing
education, and much more. If we do not have your
current email address on file, please contact us at ocacs@
ohiofacs.org so you can start receiving E-News.
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
ocacs@ohiofacs.org is not getting flagged as spam by
your email service provider. Ensure Ohio Chapter E-News
reaches your inbox by adding ocacs@ohiofacs.org to your
address book.
10 SUMMER 2013Residents Recognized for Research at the Annual Meeting
More than 20 residents from across III, MD, Timothy A. Pritts MD, MS; University Hospitals Case
the state submitted abstracts for the PhD, Michael J. Edwards, MD, and Medical Center
Annual Resident Research Forum and Bradley R. Davis, MD; Department Poster Award
Poster Session. Nine residents were Of Surgery, University Of Cincinnati EFFECT OF SURGICAL
selected to present their research College of Medicine TREATMENT AND HISTOLOGIC
at the 2013 Annual Meeting in Second Place SUBTYPE ON THE OUTCOMES
Columbus. This year’s winners were: DAMAGED ANAL CANAL OF PATIENTS WITH
Basic Science AS A CAUSE OF FECAL APPENDICEAL CARCINOMA
INCONTINENCE AFTER by Linda Adepoju, MD, Mustafa
First Place SURGICAL REPAIR OF Baldawi, MD, Munier Nazzal, MD;
A NOVEL AMPK ACTIVATOR HIRSCHSPRUNG DISEASE: A Department of Surgery, University of
INHIBITS THYROID CANCER PREVENTABLE COMPLICATION Toledo Medical Center
CELL GROWTH by Robert L. by: J. Leslie Knod, Andrea Bischoff,
Plews, MD, Adlina Mohd Yusof, The first place resident essays are
Marc A. Levitt, Jason Frischer, Belinda published in this issue beginning on
PhD, Motoyasu Saji, MD, Ching- Dickie, and Alberto Peña; Colorectal
Shih Chen, PhD, Matthew D. Ringel, page 12. The second place winners
Center for Children, Division of will appear in the next issue.
MD, and John E. Phay, MD; Wexner Pediatric General & Thoracic Surgery,
Medical Center at The Ohio State Cincinnati Children’s Hospital Congratulations to all of the residents
University Medical Center who participated.
Second Place Poster Award
RHESUS ROTAVIRUS VP4 CONTINUOUS VERSUS BOLUS
SEQUENCE-SPECIFIC TUBE FEEDS: DOES THE
ACTIVATION OF MODALITY AFFECT GLYCEMIC
MONONUCLEAR CELLS VARIABILITY OR INSULIN
IS ASSOCIATED WITH REQUIREMENTS? by Forbes R.C.,
CHOLANGIOPATHY IN MURINE Jones C., Njoku C., Thongrong C.,
BILIARY ATRESIA by Ashley Tulman D., Evans D.C., Kong, N.,
Walther, Sujit K. Mohanty, Bryan Bergese S.D., Stawicki S.P.; Wexner
Donnelly, Abigail Coots, Celine Medical Center at The Ohio State
Silva-Lages, Monica McNeal, and University
Greg Tiao; Cincinnati Children’s
Hospital Medical Center and Karol Oncology
Sestak, Tulane National Primate First Place - John P. Minton Award
Research Center, Covington, LA ROLE OF INFLAMMATORY
Poster Award CHEMOKINES MIP-1α AND MIP-
IL-6 NEUTRALIZATION REDUCES 1β IN GENERATING ANTITUMOR
NEUROINFLAMMATION AND IMMUNE RESPONSE IN A
BRAIN INJURY EXACERBATED BY MURINE COLORECTAL CANCER
BRIEF HYPOXIA EXPOSURE IN A MODEL by Iuliana D. Bobanga,
MURINE MODEL OF TRAUMATIC MD, Department of General Surgery,
BRAIN INJURY by Sung H. Yang University Hospital Case Medical
MD, Matt Gangidine, Timothy A. Center/CWRU; Frederick F. Allen,
Pritts MD, Michael D. Goodman BS, Department of Pathology, Case
MD, and Alex B. Lentsch PhD; Western Reserve University; Jay T.
Department of Surgery, University of Myers, MS and Alex Y. Huang, MD,
Cincinnati PhD, Department of Pediatrics, Case
Western Reserve University
Clinical Science
Second Place – Holzer Clinic Award
First Place MODULATING KLF4 TO TARGET
VARIABILITY IN SURGICAL MACROPHAGES IN MELANOMA
RESIDENT OPERATIVE by Anthony Visioni, MD, Mei Zhang,
EXPERIENCE by Ralph C. Quillin PhD, Hallie Graor, Julian Kim, MD,
SUMMER 2013 11Annual Resident Research Forum and Poster Session Winners
Planned as part of the Ohio Chapter 2013 Annual Meeting, residents in Ohio surgery and surgery specialty programs entered
the Annual Resident Research Forum and Poster Session. The following are the abstracts submitted by this year’s first place
winners. The second place winning abstracts will be published in the next edition of Pulse.
BASIC SCIENCE – FIRST PLACE the effects of OSU-53 on growth lines. Immunoblot analysis revealed a
A NOVEL AMPK ACTIVATOR and proliferation of several human time-dependent activation of AMPK,
INHIBITS THYROID CANCER thyroid carcinoma cell lines were as well as downstream inhibition
CELL GROWTH determined, as well as its influence on of the Raptor/mTOR pathway,
key oncogenic signaling pathways. as evident by down-regulation
Robert L. Plews, MD, Adlina Mohd of p-P70S6k and p-S6 which are
Yusof, PhD, Motoyasu Saji, MD, Methods: Cell lines utilized
consisted of undifferentiated phosphorylated as a result of mTOR
Ching-Shih Chen, PhD, Matthew D. activation. There is also activation of
Ringel, MD, and John E. Phay, MD; (SW1736, Hth104, Hth7, C643)
and differentiated (BCPAP, FTC-133) TSC, which has been shown to be
Wexner Medical Center at The Ohio regulated by AMPK activation.
State University human thyroid carcinoma cells. Cell
growth assays were performed after Conclusions: OSU-53 effectively
Background: The role of 5’ adenosine treatment with various concentrations inhibited tumor cell growth
monophosphate-activated protein of OSU-53. To characterize the and proliferation in a time and
kinase (AMPK) as a modulator of influence of OSU-53 on oncogenic dose-dependent manner, with
energy utilization, in response to signaling pathways, cells were treated undifferentiated cell lines being
intracellular energy availability, is with 5µM OSU-53 and collected at the most sensitive. The primary
well established. Recent studies various time points. Immunoblotting mechanism of action appears to be in
have demonstrated its role in tumor for AMPKa1,2/p-AMPKa1,2 , P70S6k/p- part, down regulation of the Raptor/
biogenesis and metabolism, thus P70S6k, TSC/p-TSC, S6/p-S6 and mTOR pathway through activation
making it a promising target for anti- GAPDH was performed. of AMPK and TSC. These findings
cancer therapy. OSU-53 is a novel indicate the potential of OSU-53 in
thiazolidinedione-derived direct Results: Cell growth was effectively
inhibited at doses as low as 5µM, and the development of thyroid cancer
AMPK activator, which has been treatment.
shown to have in vitro and in vivo anti- as early as 48 hours of drug treatment
tumor activity against triple negative in all cell lines. Undifferentiated cell
breast cancer cell lines and their lines appeared to be more sensitive to
xenografts in nude mice. In this study, drug treatment than differentiated cell
CLINICAL SCIENCE – FIRST and resident learning styles are thinking. Conversely, accommodators
PLACE associated with increased variability prefer to learn by doing and feeling,
VARIABILITY IN SURGICAL in surgical resident operative while convergers learn by doing
RESIDENT OPERATIVE experience. and thinking. Statistical analysis
EXPERIENCE Methods: Accreditation Council was performed using the Student’s
for Graduate Medical Education t-test, Chi-squared test and linear
Ralph C. Quillin III, MD, Timothy A. regression analysis. A p-valueAnnual Resident Research Forum and Poster Session Winners
and least number of cases (p=0.03). to be converging learners (71.4%) variability in surgical resident
Further analysis indicated that than those residents who completed operative experience. Surgical
residents with the least number of the fewest number of operative cases residents who learn primarily by
operations did fewer cases after their (40.8%; p=0.007). Additionally, observation are at risk of a less robust
hours were limited (p=0.007). those residents who were action operative experience. These results
Learning style inventories from 115 based learners (convergers and suggest that residency programs
residents (411 responses) over a accommodators) were more likely should consider a competency based
14-year period were considered for than observation based learners training curriculum for the assessment
analysis. We limited our analysis to (assimilators and divergers) to finish and promotion of residents to ensure
those residents graduating with the their training with most number of equitable training. Additionally,
most and least number of operative operative cases in their graduating learning style analysis is a valuable
cases in their respective class (26 class (Odds Ratio 4.534; 95% CI tool and may be utilized by surgical
residents, 98 responses). Residents 1.77-11.64, p=0.002). educators to identify potential at-risk
completing the most total major Conclusions: The institution of residents in general surgery.
cases at graduation were more likely the 80-hour workweek increased
ONCOLOGY – JOHN P. on days -3, -1, and then weekly aggressively as CT26WT, particularly
MINTON AWARD (FIRST following tumor inoculation: 1) in the absence of CD8 T cells (groups
PLACE) Phosphate Buffered Saline control; 2) 3 and 4) (see Figure). Intriguingly,
ROLE OF INFLAMMATORY anti-CD4 neutralizing antibody; 3) some mice either never developed
CHEMOKINES MIP-1aα AND anti-CD8 neutralizing antibody; and tumors (in group B) or experienced
MIP-1bβ IN GENERATING 4) anti-CD4 and CD8 neutralizing dramatic tumor regression (groups B
ANTITUMOR IMMUNE antibodies. The treated groups were and C).
RESPONSE IN A MURINE then injected subcutaneously on Conclusion: CT26 cells engineered
COLORECTAL CANCER MODEL Day 0 with one million live cells as to secrete MIP-1aα or both MIP-1aα
follows: A) CT26 wildtype (WT); B) and MIP-1bβ exhibited slow growth
Iuliana D. Bobanga, MD, Department CT26 secreting MIP-1aα and
of General Surgery, University kinetics in vivo in a CD8-dependent
MIP-1bβ; C) CT26 secreting manner, suggesting a protective role
Hospital Case Medical Center/ MIP-1aα only; D) CT26 secreting
CWRU; Frederick F. Allen, BS, of MIP-1aα in anti-CT26 CD8 T cell
MIP-1bβ only; E) equal mixture generation.
Department of Pathology, Case of C and D. The mice were then
Western Reserve University; Jay T. monitored for tumor growth by
Myers, MS and Alex Y. Huang, MD, palpation twice weekly for four
PhD, Department of Pediatrics, Case weeks. Tumors were measured using
Western Reserve University a micro-caliper. The mice were
Introduction: Inflammatory sacrificed when tumors reached
chemokines Macrophage a diameter of 15 millimeters or
Inflammatory Protein-1 alpha and larger, and the tumor nodules were
beta (MIP-1a and MIP-1b) are crucial removed for further analysis including
in generating memory CD8 T cells histology, flow cytometry and ELISA
via interaction with the receptor assays. Additionally, the interactions
CCR5 on T cells during vaccinations. between fluorescent-labeled T cells
The current study seeks to determine and tumor cells in the metastatic
the effect of MIP-1aα and MIP-1bβ on lymph node are visualized by
the generation of anti-tumor adaptive performing 2-photon laser-scanning
immunity in a murine colon tumor microscopy (2P-LPS) (see Image).
model, CT26. Results: Tumors that were engineered
Methods: Prior to tumor inoculation, to secrete MIP-1aα (subgroups B and
age-matched recipient female BALB/c C) displayed slowest growth kinetics,
mice were depleted of T cell subsets particularly in the absence of CD4 T
with intraperitoneal injections of the cells. In contrast, MIP-1bβ secreting
following neutralizing antibodies tumors (subgroups D and E) grew as
SUMMER 2013 13Thank You to the Annual Meeting Exhibitors for
Their Support
This year, 16 companies and (888) 227-6446 BG Medical
organizations dedicated their time Fax: (877) 227-2838 101 S Hough St Ste 6A
and funds to support the 2013 Annual The American Cancer Society is a Barrington, IL 60010
Meeting. The Ohio Chapter offers nationwide, community-based voluntary www.surgimesh.com
a sincere thank you to the following health organization dedicated to eliminating Meghan Danahy, Territory Manager
exhibitors: cancer as a major health problem by meghan.surgimesh@gmail.com
ACell Inc preventing cancer, saving lives, and Terry Conroy, Regional Manager
6640 Eli Whitney Dr Ste 200 diminishing suffering through research, terry.surgimesh@gmail.com
Columbia, MD 21046 education, advocacy, and service.
www.acell.com (800) 390-4716
Atrium Medical Corp-a Maquet Fax: (847) 304-4077
Mark Groff, Area Manager Getinge Group Company
markgroff@acell.com For all types of Open and Laparoscopic
5 Wentworth Dr Hernia Repair, the unique SURGIMESH®
Scott Anzur, Territory Manager Hudson, NH 03051 Technology solves many of the long-
scottanzur@acell.com www.atriummed.com standing problems such as groin pain and
Courtney Kase, Territory Manager Paul Ruch, Cleveland Territory poor patient outcome due to mesh shrinkage.
courtneykase@acell.com Manager SURGIMESH® WN (Non-barrier
(800) 826-2926 pruch@atriummed.com Mesh) and SURGIMESH® XB(Barrier
Fax: (410) 715-4511 Eric Gessner, Cincinnati Territory Mesh) are constructed of Non-Woven,
Manager Microfiber Polypropylene that has rapid
ACell offers patented extracellular matrix and complete vascularized incorporation in
medical devices, known as MatriStem, which egessner@atriummed.com
just 12 days, thus avoiding historical failure
is comprised of naturally occurring UBM (603) 880-1433 modes of traditional knitted synthetic meshes.
(Urinary Bladder Matrix). MatriStem is Fax (603) 386-6159 SURGIMESH is a trademark of Aspide
used for a variety of medical procedures. Atrium Medical Corporation is now part Medical.
American Cancer Society of MAQUET, a Getinge Group company.
Atrium offers a complete line of products Cadence Pharmaceuticals
5555 Frantz Rd 12481 High Bluff Dr Ste 200
Dublin, OH 43017 designed for every hernia procedure, including
Atrium’s latest additions to the innovative San Diego, CA 92130
www.cancer.org www.cadencepharm.com;
C-QUR family of soft tissue repair products;
Robin Godwin, Patient Navigation TacShield, V-Patch, CentriFX and FX. www.ofirmev.com
and Hospital Systems Andy Paskell, Hospital Sales
robin.godwin@cancer.org Baxter BioSurgery Specialist
Celeste Lauer, Health Initiative One Baxter Pkwy DF3-1E apaskell@cadencepharm.com
Director Deerfield, IL 60015
www.baxter.com (858) 436-1400
Kherry DeLorenzo, Health Initiative Ofirmev (acetaminophen) injection is
Representative Alyson Johnson, Territory
Business Manager indicated for the management of mild to
Jill Shaw, Health Initiative alyson_johnson@baxter.com moderate pain; the management of moderate to
Representative severe pain with adjunctive opioid analgesics,
Aldne Disalvo and the reduction of fever.
Candi Rotolo, Health Initiative
Representative Mike Goedde
Cubist Pharmaceuticals
Bonnie Burns, Health Initiative (800) 423-2090 65 Hayden Ave
Representative Baxter has multiple hemostatic agents: Lexington, MA 02421
FLOSEAL TISSEEL, ARTISS. Baxter www.cubist.com
Amy Magarlen, Health Initiative
Representative recently acquired Synovis which has Veritas (419) 704-8364
Biologic Mesh made from Bovine Pericardium
Katherine Schorr, Health Initiative and Peri-Strips, butressing material for staple Bio-pharmaceutical company focused on the
Representative line reinforcement. research, commercialization and creation of
Beth Krause, Health Initiative pharmaceutical products that address unmet
Representative medical needs in the acute care environment.
(continued next page)
14 SUMMER 2013Thank You to the Annual Meeting Exhibitors for
Their Support (continued)
Davol Inc Merck, Global Human Health Olympus America Inc
100 Crossings Blvd 6925 Post Preserve Blvd 3500 Corporate Pkwy
Warwick, RI 02886 Dublin, OH 43016 Center Valley, PA 18034
www.davol.com www.merck.com www.olympusamerica.com
Scott Archer, Cleveland Pamela Bellas Karrer, Lead Executive Blake Glasser, Regional Vice President
Territory Manager Customer Representative blake.glasser@olympus.com
Becca Scacchetti Pamela_bellas_karrer@merck.com Ron Hill, Territory Manager
Tony Liberati Linda Irwin, Anesthesia and Surgical ernest.hill@olympus.com
Representative Jim Maupin, Regional Vice President
(800) 556-6756
Fax: (401) 825-8759 (614) 264-1908 jim.maupin@olympus.com
Davol, A Bard Company, is the market leader Merck is a global healthcare company (484) 896-5000
in comprehensive soft tissue reconstruction, specializing in pharmaceuticals to improve (800) 548-5515
delivering a growing line of mesh prosthetics, patient outcomes. Olympus provides advanced high definition
biologic implants and fixation systems. For Mobile Instrument Service & video, energy, and a/v integration equipment
more information, visit www.davol.com. Repair Inc plus supporting surgical and endoscopic
333 Water Ave scopes and hand instruments for all surgical
Faxitron specialities; general, bariatric, colorectal, and
3440 E Britannia Dr Ste 150 Bellefontaine, OH 43311
www.mobileinstrument.com foregut surgery.
Tucson, AZ 85706
www.faxitron.com Lisa Hawley, Product Manager Sanofi
Sharon Trude-Coffin, Sales Manager lisa.hawley@mobileinstrument.com 55 Cambridge Pkwy
strudecoffin@faxitron.com (937) 592-5025 Cambridge, MA 02142
(800) 722-3675 www.seprafilm.com
(877) 910-0030
Fax: (520) 399-8182 Fax: (937) 592-7004 Gina Castranova,
Mobile Instrument has been providing Biosurgical Specialist
Faxitron is the world’s largest and only gina.castranova@genzyme.com
fully vertically integrated, dedicated cabinet quality surgical equipment repair to hospitals
x-ray company. With an installed base of nationwide since 1978, when we pioneered (614) 975-3082
over 7,000 systems in medical facilities and the onsite repair industry. With nearly Seprafilm is a bioresorbable adhesion barrier
scientific and industrial research laboratories 200 mobile repair labs servicing customers comprised of HA-CMC. It is used to prevent
around the globe, Faxitron is the pioneer and coast to coast, a state-of-the-art repair adhesions in abdominal and pelvic surgery.
industry standard in cabinet x-ray systems facility in Ohio, and owned-and-operated
for specimen radiography, research, and satellite facilities in Tennessee and Southern W L Gore & Associates
NDT applications. California, we remain the nation’s largest and 1006 Crest Cir
most trusted provider of surgical equipment Cincinnati, OH 45208
LifeCell Corporation repair. www.goremedical.com
One Millenium Way
Branchburg, NJ 08876 Molnlycke Healthcare Jill Schultz
www.lifecell.com 5550 Peachtree Pkwy Ste 500 jschultz@wlgore.com
Norcross, GA 30092
Doug King, Territory Manager www.molnlycke.com (859) 240-7783
dking@lifecell.com The Gore Medical Products Division
Heather Mangold, Territory Manager
Carrie Johnston heather.mangold@biogelusa.com has provided creative solutions to medical
problems for three decades. Over 35 million
(908) 947-1100 Sandy Flack, Senior Territory Gore Medical Devices have been implanted
(800) 367-5737 Manager worldwide. Products include vascular grafts,
Fax: (908) 947-1089 sandra.flack@molnlycke.com endovascular and interventional devices,
Alloderm - Regenerative Tissue Matrix (614) 271-6358 surgical materials, and sutures for use in
Strattice - Reconstructive Tissue Matrix Fax: (740) 881-0025 vascular, cardiac, and general surgery.
SPY Elite - Intraoperative Perfusion Molnlycke Healthcare is a world leading
Assessment System manufacturer of single-use surgical (Biogel
Gloves, Hibiclens, Barrier) products and
wound care products (Mepilex).
SUMMER 2013 15May Council Meeting Committee Reports
The following are excerpts from some of the written committee reports provided at the May 2013 Ohio Chapter Council
meeting held in Columbus. Read on to find out what some of the volunteer committees have been up to and are currently
working on. If you are interested in serving on a committee of the Ohio Chapter, contact the Executive Office at
(877) 677-3227 or ocacs@ohiofacs.org and we will put you in touch with the committee chair.
Association of Women Surgeons
Submitted by Kristine Slam, MD, FACS, Chair
The Association of College of Wisconsin. Her expertise in female surgeons retain leadership roles.
Women Surgeons this field is a welcome addition to this Additionally, the Medscape Physician
welcomed Paula year’s meeting. Compensation Report 2013 continues
Termuhlen, MD, FACS, On another note, a recent high- to demonstrate the gender inequality
back to Ohio as the profile seven million dollar settlement in pay amongst all physicians of over
featured speaker for centered around gender discrimination $60,000 favoring male gender. It is
the AWS sponsored at Beth Israel Deaconess Medical with these unfortunate reminders that
talk, “Training Surgeons Center in Boston brings once again we female surgeons must continue to
in 2013.” Dr. Termuhlen serves as to the forefront the pressures female mentor younger surgeons and support
the immediate past president of the physicians and surgeons face in a our fellow colleagues.
Association of Program Directors in historically male dominated field.
Surgery, and is the general surgery
program director at the Medical Currently, nearly 35% of the surgical
residency workforce is female, but few
ACS Board of Governors
Submitted by Alice Ann Dachowski, MD, FACS, Governor
The ACS Division of PAYMENTS. It is accessible on the ACS At the 2013 Leadership and Advocacy
Education has introduced website as a member-only resource. Summit, the ACS values were
the new ACS Transition The ACS division of Advocacy and emphasized: Professionalism, Excellence,
to Practice Program in Health Policy hosted a webinar on May Innovation, Introspection, and Inclusion.
General Surgery. Through 9 on the topic of Physician Payments: Julie Freischlag, MD, FACS, chair of the
this program residents ACS Engagement on Improving Surgical Board of Regents, presented the top 10
making the transition to Coding through the AMA CPT Process. list for Governors and ACS leaders:
independent practice will 1. Attend the scheduled meetings
obtain enhanced autonomous experience A book entitled Inspiring Quality Tour:
in broad-based general surgery, increase Lessons Learned in the Pursuit of Quality 2. Prepare for and talk at meetings
their competence and confidence in Health Care highlights ACS Surgical 3. Communicate back to your group
clinical matters, gain exposure to aspects Health Care Quality Forums which 4. Learn from other regents, governors,
of practice management, experience have been held across the US since advisory board members
mentoring with notable practicing July 2011. These forums encourage a
surgeons and participate in experiential national dialogue about surgical quality 5. Develop a passion for advocacy
learning tailored to individual needs. care and patient safety with panels 6. Promote research at the College
Starting in July 2013 five institutions of surgeons, hospital administrators, 7. Contribute to the education of the
including OSU will offer the Transition insurance carriers, and health policy College
to Practice Program. makers. During the breakout session at
the Advocacy and Leadership Summit 8. Respect the history of the College
The ACS General Surgery Coding and held in Washington, DC, the Ohio 9. Enjoy your time at the College
Reimbursement Committee recently participants expressed an interest in
released a PRIMER ON BUNDLED 10. Keep the patient and their care at
hosting a Quality Forum in Ohio. the forefront of all you do.
16 SUMMER 2013May Council Meeting Committee Reports (continued)
Commission on Cancer
Submitted by Valeriy Moysaenko, MD, FACS, Chair
The monthly Ohio Liaison Physicians. I am pleased to report committee physicians and Quality
Cancer Liaison Physician that it was a pleasure to find that the Improvement Coordinators to take a
Newsletter has continued CLPs have fully embraced their new leadership role in cancer program quality.
to be published. The expanded roles. The expanded role of For example: A physician member of
newsletter is distributed to the CLP includes helping their cancer the cancer committee is being asked
Cancer Liaison Physicians, program meet CoC quality measures for to annually conduct a study evaluating
Registrars, Cancer breast cancer, colon cancer and rectal patient care compliance to evidence
Program Chairpersons, cancer. The quality measures for breast based treatment guidelines; the Quality
and Administrators. The topics cancer will be expanded and measures Improvement Coordinator is being asked
presented cover: Compliance to CoC for NSCLC are being formulated. to conduct two studies annually under
accreditation Standards, Ohio Partners The CoC accreditation surveys for to direction of the cancer committee to
for Cancer Control activities, American 2013 are reviewing cancer program evaluate the quality of care.
Cancer Society resources, Ohio’s cancer compliance with the Cancer Program The Commission on Cancer is working
community resources and Activities of Standards 2012: Ensuring Patient diligently to improve the resources it
Ohio’s CoC accredited cancer programs. Centered Care. These Standards are provides to accredited cancer programs
The Patient Focused Sub-Committee of asking CoC accredited cancer programs to help them maintain high quality
the Ohio Partners for Cancer Control to currently address palliative care, comprehensive integrated cancer
has organized a symposium focusing on genetic risk assessment for the cancer treatment and support to patients. I
Psychosocial Distress, “2013 Community patient and position themselves to would suggest a visit to the new CoC
and Clinical Linkages Conference: increase clinical trials accrual, identify Home Page website: http://facs.org/
Psychosocial Distress Screening and and address community barriers cancer/index.html
Oncology Supportive Care Services.” to accessing cancer care, address During the course of the last six months
This symposium is planned for June 14, psychosocial distress and survivorship by I have had the pleasure of providing
2013. It’s FREE .Contact me for details. 2015. support to Ohio’s Registrars and
I have had the pleasure of visiting a The Cancer Program Standards 2012: Cancer Liaison Physicians. If you have
number of Ohio’s CoC accredited cancer Ensuring Patient Centered Care are any questions, please contact me at
programs and speaking with the Cancer asking the cancer committee, the cancer vmoysaenko@hotmail.com.
Communications Committee
Submitted by Kristine Slam, MD, FACS, Chair
The communications The Facebook page for the Ohio Chap- about their physician and their medi-
committee continues to ter will continue to add updates for the cal issue even prior to that first office
find new ways to connect Ohio Chapter. We encourage you to visit. We should embrace this change
with the Ohio Chapter like us at https://www.facebook.com/ in patient access to education, and can
members. This past pages/Ohio-Chapter-American-College- use it to our advantage to better educate
spring, a new feature en- of-Surgeons/153293291445414. our patients and connect with them in
titled “Journal Watch” was An informal survey of Chapter member- an efficient manner. A timely article
created to help our mem- ship revealed that many surgeons remain to peak your interest on this subject
bers keep up with some of the most per- uncomfortable with the internet and can be read in this month’s Forbes, at
tinent and potentially practice-shaping social media. Many surgeons are un- http://www.forbes.com/sites/davidshay-
research. Several high impact articles sure how to integrate social media into witz/2013/04/14/four-reasons-doctors-
will be featured each month, along with their practice. The committee is aware worry-about-social-media-getoverit/1/.
a summary of the study, interpretation of this, and hopes to bring educational We appreciate your continued support of
of results, and journal reference. This pieces for our chapter membership in the the Ohio Chapter of the American Col-
feature aims to be a 5-minute quick edu- upcoming year for social media such as lege of Surgeons, and please feel free to
cational piece for our members about Facebook, Twitter, and blogging. Social contact the communications committee
emerging data in the surgical field. A media is here to stay, and many patients with ideas to improve your membership
link to this feature is on the main page of reach to the internet for information experience!
the chapter web page, at ohiofacs.org
SUMMER 2013 17You can also read
