Surgery News - September 2007 - (Page 13) SEPTEMBER 2007 • SURGERY NEWS 13 NEWS FROM THE COLLEGE Evidence-Based Reviews in Surgery Approaches Year 7 B Y R O B I N S. M C L E O D, M . D. , FA C S Symposium Set to Teach End-of-Life Care Skills I Cancer Center and Research Instin Final Exam: A Surgeon’s Reflectute. Short didactic lectures, discustions on Mortality, Pauline W. sions, and case presentations will be Chen, M.D., FACS, writes, “…in a used to enhance physicians’ skill in society where more than 90% of us dealing on a more personal level will die from a prolonged illness, with terminally ill patients. The physicians have become the final guardians of life, charged with shep- learning objectives are as follows: herding the terminally ill and their Prepare patients and their famifamilies through the inlies for the transition to tricacies of the end. the end of life. Most patients and their Implement a strategy families fully expect to provide a more personphysicians to be able to al and informed level of comfort and provide patient care and thus enthat support. For dochance the quality of life tors, this care at the end for terminally ill patients. of life is … our final Recognize the approexam. Unfortunately, priate time to suggest palfew doctors are up to liative care or hospice for EDWARD M. COPELAND the task.” terminally ill patients, and III, M.D., FACS As keynote lecturer, facilitate the process. Dr. Chen will join ACS President Anticipate common ethical and Edward M. Copeland III, M.D., legal issues that arise in the context FACS, at The Art of Medicine at the of end-of-life medical care. End of Life, a continuing medical Apply an understanding of the education (CME) symposium sched- psychiatric aspects of mortality to uled for Nov. 2 at the University improve the quality of interactions Club of New York in Manhattan. with terminally ill patients and their The symposium will expose physifamilies. cians to the cultural, spiritual, and Recognize and accommodate practical aspects of the physician-pa- the needs of patients and families tient relationship at the end of life. from various cultures and religions This highly interactive course is coping with the end of life. the first annual symposium created Visit www.cme.hsc.usf.edu/ through a collaboration between artofmedicine or contact Maria the Cunniff-Dixon Foundation, the Uravich at muravich@ University of South Florida College health.usf.edu or 813-974-6682 for of Medicine, and the H. Lee Moffitt more information. ■ ext month, Evidence-Based Reviews in Surgery will begin its seventh year of existence, three of them under the joint auspices of the Canadian Association of General Surgeons (CAGS) and the ACS. EBRS is now used by most of the general surgery programs in Canada, and we estimate that EBRS is used in approximately 50 U.S. general surgery curricula. We have published more than 20 reviews in the Canadian Journal of Surgery and the Journal of the American College of Surgeons. Feedback from members of both CAGS and the ACS has been positive. Starting this fall, EBRS will include six packages focusing on colorectal surgery. Available to all CAGS and ACS members, the packages can be accessed at www.facs.org/education/ebrs.html. Surgeons who wish to participate in a listserv discussion and receive Maintenance of Certification credits for completion of these packages should e-mail Marg McKenzie at mmckenzie@ mtsinai.on.ca to be added to the list. The topics will include the following: Preop staging of rectal cancer with MRI. Need for initial surgery due to stricturing disease in Crohn’s disease patients carrying the Nod2/CARD15 genotype. Use of sacral nerve stimulation for fecal incontinence. ASCO guidelines for colorectal cancer surveillance. Nancy Baxter (University of Toronto), Carl Brown (University of British Columbia), Arden Morris (University of Michigan), and Larissa Temple (Memorial Sloan Kettering) serve on the Colorectal Surgery Steering Committee. Beginning in October, the following general surgery topics will be discussed during the academic year: Factor VII as adjuvant therapy for bleeding in trauma patients. N Hernia surgery vs. watchful waiting in minimally symptomatic men. Perioperative chemotherapy vs. surgery alone for resectable gastric cancer. Fast-track colonic surgery. Evaluation of rectal bleeding in adults. Simple scoring system for predication of prognosis of acute pancreatitis. ALMANAC trial—sentinel node biopsy vs. standard axillary treatment in operable breast cancer. Urban vs. rural inpatients’ case mix differences. I would like to acknowledge the members of the Steering Committee: Jeffrey Barkun (University of McGill), Karen Brasel (Medical College of Wisconsin), Suzanne Cutter (ACS resident representative), Tom Cogbill (Gunderson Lutheran Medical Center), Bill Fitzgerald (St. Anthony, NL), Harry Henteleff (Dalhousie University), Andy Kirkpatrick (University of Calgary), Steve Latosinsky (University of Manitoba), Anthony MacLean (University of Calgary), Tara Mastracci (McMaster University), Leigh Neumayer (University of Utah), Shona Smith (CAGS resident representative), Mark Taylor (Lakeridge Health Corporation), and Larissa Temple (Memorial Sloan Kettering). Thanks also go to Marg McKenzie, our administrative coordinator, and to our many clinical reviewers and listserv discussants. Finally, we are grateful to Ethicon and Ethicon Endo-Surgery Canada and Ethicon Inc. and Ethicon Endo-Surgery Inc. in the U.S. for funding EBRS. EBRS is flourishing, and we hope that you will participate. Please e-mail comments to mmckenzie@mtsinai.on.ca. ■ DR. MCLEOD is professor of surgery and health policy, management and evaluation, University of Toronto; head, division of general surgery, Mt. Sinai Hospital, Toronto, Ontario; and a Regent of the College. Login Change Eases Access to e-FACS.org ccessing e-FACS.org, the College’s members-only Web portal, is easier now that you can change your user name and/or password, thereby eliminating the need to search for your ACS member ID number. Log on to www.efacs.org and then click on the “My Profile” link in the “Quick Links” area. After you enter your new user name and/or password on the electronic form, click the “Update” link to submit your new information to the College’s member database. There’s also something new for residents: an information page explaining the basic categories of fellowships, A which has been added to the Residents & Associate Fellows Community. Compiled by George F. Sheldon, M.D., FACS, Editor in Chief of the portal, this page describes research fellowships and clinical fellowships, and includes links to Web sites for more information on fellowship opportunities. To access, visit www.efacs.org and click on the “Residents/Associate Fellows” link under the “Communities & Specialties” link at the top of the homepage. If you’re changing your password when you visit the portal, choose hint questions and answers in case you forget your password next time you log on. ■ William Schuler Pierce, M.D., FACS (back row, right), received the Jacobson Innovation Award of the American College of Surgeons on June 8. The award honors living surgeons, or surgical teams, who have been innovators of a new development or technique in any field of surgery. The award is made possible through a gift from Julius H. Jacobson II, M.D., FACS, a general vascular surgeon and pioneer in the development of microsurgery. Pictured with Dr. Pierce are his wife, Peggy Pierce (front row, right); Thomas R. Russell, M.D., FACS, ACS Executive Director (center); and Dr. Jacobson and his wife Joan. ©CHARLES GIORNO PHOTOGRAPHY http://www.facs.org/education/ebrs.html http://www.cme.hsc.usf.edu/artofmedicine http://www.cme.hsc.usf.edu/artofmedicine http://e-FACS.org http://www.efacs.org http://www.efacs.org
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