2011-2012 Annual - MCCG General Surgery Residency
2011-2012 Annual - MCCG General Surgery Residency
2011-2012 Annual - MCCG General Surgery Residency
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Department of <strong>Surgery</strong><br />
ANNUAL REPORT<br />
<strong>2011</strong> - <strong>2012</strong><br />
Mercer University School of Medicine<br />
Medical Center of Central Georgia<br />
June <strong>2011</strong>
Message from the Chair<br />
Stephen Dunn, M.D., a pediatric surgeon in Wilmington, Del., and not part of the Macon medical community,<br />
touched the hearts of many in our town recently with an extraordinary gift of life for the baby of a foreign student at<br />
one of the local colleges. Federal regulations prohibit sharing her name or the condition of her child. Just know it was<br />
advanced, fatal, and the baby, a girl, was rapidly losing ground.<br />
We routinely deal with “Self-Pay” patients – those because of social circumstance cannot begin to pay for health care<br />
and barely scrape by for the basics. Most doctors focus on the patient’s illness and deal with payment issues later.<br />
This case was different: not a citizen, self pay, and a condition that we could not treat here. She would require advanced<br />
surgery, prolonged hospitalization, and costs into the very strong six figures.<br />
I asked my colleagues whether any would take the case on, knowing that social and economic constraints would make<br />
“no” the inevitable response. A few offered to see the mother and child, but no guarantees, you understand.<br />
One suggested that I contact Dr Dunn. Sure, he said, here’s the number of my patient coordinator, send her on up.<br />
Mother connected with his office, and that’s the last I heard of it.<br />
While cleaning old email files I came across the messages that brought the mother to my attention, the queries with<br />
surgeons offering help, and finally the correspondence with Dr Dunn. I emailed him. Here’s his response:<br />
We [treated her] on March 21. She left the hospital 16 days later and is doing well. [The child had a major complication just before<br />
surgery.] Thankfully, it could be dealt with during the larger operation. She literally ran out of time just in time.<br />
Thanks for making us aware of this child. The hospital incurred actual costs of about $150,000…. We won’t be able to do many of<br />
these. No one could. Still, how much is one life worth. A lot<br />
is the right answer. Thanks again for letting us know.<br />
Speechless, I tried to convey my thanks.<br />
Thank you for giving this mother and child a chance. I could<br />
say I owe you one, but to do so would trivialize your contribution.<br />
Dr Dunn responded.<br />
Thanks for your kind remarks. I am fortunate to work for a<br />
pretty wealthy and compassionate institution. Best regards.<br />
Dr Dunn thanked me three times to my one wholly<br />
inadequate attempt. In Japan when people speak to<br />
physicians they use the honorific term, sensei. Most<br />
often it is translated as “teacher” but the term conveys<br />
a strong feeling of respect beyond the mere act<br />
of teaching. Sensei Dunn has earned the title.<br />
Don K. Nakayama, M.D.<br />
Milford B. Hatcher Professor and Chair<br />
Department of <strong>Surgery</strong><br />
Mercer University School of Medicine<br />
About the cover: William Jacob Fromm, 13, star pitcher and slugger from Little League hotbed Warner Robins, needed an<br />
assist from Children’s Hospital physicians, surgeons and nurses a couple of years ago. What started as a nasty cough and fever<br />
turned into a complicated case of pneumonia that required intensive care and surgery. Once he recovered he returned to the<br />
diamond. Last summer he was “Fromm the Bomb,” one of the “10 U.S. players to watch at the Little League World Series” by<br />
the Williamsport, Pa., Sun Gazette. His team was undefeated in the regional playoffs and Fromm batted .476 for the season.<br />
2
Department of <strong>Surgery</strong><br />
The <strong>Residency</strong> in <strong>Surgery</strong> had its start under its founding Program Director, Milford B. Hatcher, M.D., in 1958. Internationally<br />
famous for arrhythmia surgery, Will C. Sealy, M.D., succeeded him in 1984. In 1991, Martin Dalton,<br />
M.D., followed Dr. Sealy as Professor and Chair. The academic growth of the Department continued with important<br />
clinical programs in trauma and<br />
critical care and surgical research.<br />
The <strong>Residency</strong> grew to four from<br />
two chief resident positions. Don<br />
Nakayama, M.D., a pediatric surgeon,<br />
was named the Milford B.<br />
Hatcher Professor and Chair of the<br />
Department of <strong>Surgery</strong> in 2007.<br />
The program is fully accredited by<br />
the <strong>Residency</strong> Review Committee<br />
in <strong>Surgery</strong> of the Accreditation<br />
Council for Graduate Medical Education.<br />
Residents regularly finish<br />
with more than 1,000 operations<br />
Left to right: Milford B. Hatcher, Will C. Sealy, Martin L. Dalton.<br />
during the five year training program, with extensive experience in all areas of general surgery. Residents enter fellowships<br />
in all major surgical specialties. The <strong>Surgery</strong> Department has third year clerkships providing a broad experience<br />
in trauma, vascular, general and pediatric surgery. Fourth year clerkships are available in general surgery and all surgical<br />
specialties.<br />
Mercer University School of Medicine<br />
The School of Medicine was organized in 1982, part of a thirteen-year<br />
effort by city and community groups, the Bibb<br />
County Medical Society, and the Georgia State Legislature to<br />
educate physicians and other health professionals to meet the<br />
primary and ancillary healthcare needs of rural and medically<br />
underserved areas of Georgia. Currently there are 60 students<br />
per year. Programs have been offered by Mercer University<br />
School of Medicine in collaboration with the Medical Center<br />
of Central Georgia since 1984. A second four-year school was<br />
opened in 2008 in Savannah, and in this year announced another<br />
clinical training site in Columbus, Ga.<br />
Medical Center of Central Georgia<br />
<strong>MCCG</strong> has a 100-year history of serving the central and south Georgia regions. At 603 beds, it is the second largest<br />
hospital in the state, the largest in a region of a 1.2 million population bounded by Atlanta, Augusta, Jacksonville,<br />
and Birmingham. Accredited by the Joint Commission for the Accreditation of Healthcare Organizations, <strong>MCCG</strong><br />
has been named one of the top one hundred hospitals in the nation with top programs in cardiac services, orthopaedics,<br />
and neurosurgery. The hospital has 28 operating rooms with the full range of advanced surgical technology,<br />
including robotics, neuroimaging, and endovascular and minimally invasive surgery. It is certified by the Georgia<br />
Division of Public Health and the Office of Trauma as a Level 1 Trauma Center, with more than 1,500 admissions.<br />
<strong>MCCG</strong> supports residency training programs in family practice, general surgery, internal medicine, obstetrics and<br />
gynecology and pediatrics. Specialty fellowships in surgical critical care and geriatrics are also available. <strong>MCCG</strong><br />
graduate medical education programs have more than 100 trainees.<br />
3
Mercer University<br />
Mercer University, founded in 1833, today is a dynamic and comprehensive<br />
center of 7,300 undergraduate, graduate and professional students<br />
in business, education, engineering, liberal arts, music and nursing,<br />
as well as professional programs in medicine, law, pharmacy,<br />
health sciences and theology. Its 11 schools and colleges are on two<br />
major campuses in Macon and Atlanta and four regional academic<br />
centers across the state.<br />
Central to the Mercer experience is an education that uniquely prepares<br />
students to lead virtuous, meaningful and responsible lives and<br />
encourages a thoughtful examination of ethical and moral choices.<br />
Princeton Review recognizes Mercer as a “College with a Conscience.”<br />
Leading college guides<br />
consistently rank Mercer<br />
as one of the top private<br />
universities in the South<br />
and one of the best educational<br />
values in the<br />
country.<br />
City of Macon<br />
Macon, population 95,000, has a metropolitan area of nearly 250,000 located near the geographic center of the state,<br />
about 80 miles south of Atlanta. Located on the border between the hilly uplands and the coastal plain, it has hot,<br />
humid summers, mild winters, and long, temperate springs and autumns. Legend has it that the town was spared<br />
much of the destruction of Sherman’s March, so local architecture includes many examples of fine antebellum<br />
houses, churches, and civic buildings. The city is a combination of small town atmosphere with attractions, shopping<br />
and dining typical of larger cities. Macon has a rich cultural heritage<br />
dating back to Native American burial mounds. Its musical<br />
history is particularly notable. Otis Redding, “Little Richard”<br />
Pennimon, and the Allman Brothers all got their start here. Each<br />
year the city celebrates the blossoming of its 300,000 Yoshino<br />
cherry trees with a ten day International Cherry Blossom Festival,<br />
named one of the<br />
100 top events in<br />
North America. Other<br />
museums and attractions<br />
include the Harriet<br />
Tubman African<br />
American Museum and<br />
the Georgia Sports Hall<br />
of Fame.<br />
4
Amy Christie, Danny Vaughn to join faculty, start projects<br />
News<br />
Amy Christie, M.D. (left), and Danny Vaughn, M.D. (right), both graduates of MUSM and the <strong>Residency</strong> in <strong>Surgery</strong><br />
at <strong>MCCG</strong>, will join the fulltime faculty in August. Dr Christie, currently<br />
completing her fellowship in surgical critical care, will cover the<br />
surgical-trauma intensive care unit while helping to extend coverage to<br />
surgically underserved areas in central Georgia. Married to assistant professor<br />
Benjie Christie, they have three children Griffin, 6, Blair, 2, and<br />
newcomer Amelia, 4 months.<br />
This summer Dr Vaughn will complete a fellowship in minimally invasive<br />
surgery (MIS) at St. Luke’s Hospital in Kansas City. He will help organize<br />
programs in advanced MIS, including bariatric surgery, at <strong>MCCG</strong>. He is a<br />
native of Eastman, Ga. On April 14 Danny married Jinu (nee Thomas).<br />
Chief residents announce plans for training and practice<br />
Three <strong>2012</strong> chief residents will continue postgraduate training in surgical<br />
specialties, and one will set up practice. Each has an <strong>MCCG</strong> surgeon.<br />
Geary Bush will start practice in general surgery in Donalsonville,<br />
Ga. His senior partner is Homer Breckenridge, a graduate of the<br />
<strong>MCCG</strong> <strong>Residency</strong> in <strong>Surgery</strong>. Jason Chapman will train in vascular<br />
surgery at the University of Tennessee Knoxville, the program where<br />
Billy Mix, Assistant Professor, trained. Eric Long will begin a twoyear<br />
fellowship in pediatric surgery research at Vanderbilt University,<br />
the program where Josh Glenn, Assistant Professor, attended. Vincent<br />
Scoglietti will move to Dallas to train in breast surgery at University<br />
of Texas, Southwestern University, where Kim Thompson, Associate<br />
Professor, did his residency.<br />
Their success reflects both the quality of their work and the support<br />
they received from the faculty and their fellow residents. Today more<br />
than 70 percent of U.S. surgery residents continue training in a surgical<br />
specialty, a competitive process similar to the residency match.<br />
Clockwise, from top left: Geary Bush, Eric Long, Vincent Scoglietti,<br />
Jason Chapman.<br />
Craig Wengler participates in<br />
rare three-way renal transplant<br />
Craig Wengler (center) assists Miguel Tan (right).<br />
Craig Wengler, PGY3, participated in a rare serial transplant<br />
where three recipients received kidney transplants<br />
from three unrelated donors. One patient has a donor, but<br />
the donor actually is a better match for another patient.<br />
The second patient in turn has a different donor who is<br />
better for a third patient. And the third patient’s donor is<br />
more suitable for the first. Miguel Tan, M.D., Clinical<br />
Assistant Professor of <strong>Surgery</strong> and transplant surgeon at<br />
Piedmont Hospital in Atlanta, led the team.<br />
5
News<br />
Ahmed, Amy Christie complete fellowship<br />
Mustafa Ahmed (right) and Amy Christie will complete their training in surgical critical care in<br />
June. Dr Ahmed will enter a fellowship in minimally invasive surgery at the Northwest Hospital<br />
in Baltimore. Amy Christie will join the faculty in August. The <strong>MCCG</strong> surgical critical care<br />
fellowship began operations in 2008, and last year won a 5-year accreditation without citations.<br />
Hypoglossal nerve stimulation for apnea,<br />
ventricular assist device for heart failure<br />
Matthew L. Jerles, Clinical Professor and Chief of Otorhinolaryngology (left, top), is part of a<br />
multicenter FDA clinical trial for hypoglossal nerve stimulation to prevent obstructive sleep apnea.<br />
An implanted peripheral nerve stimulator sends impulses to the nerve to contract pharyngeal<br />
muscles to maintain an open airway. The first procedure at <strong>MCCG</strong> was done in February.<br />
Richard Harvey, Clinical Associate Professor and Chief of Cardiothoracic <strong>Surgery</strong> (left, bottom),<br />
introduced a completely implantable ventricular assist device to increase cardiac output in patients<br />
with intractable heart failure. The first case at <strong>MCCG</strong> was in March.<br />
MUSM students<br />
enter general<br />
surgery training<br />
Six MUSM senior medical<br />
students learned where they<br />
will be training in surgery on<br />
“Match Day,” March 16, the highlight of the<br />
senior year (photos at right, clockwise from top<br />
left): Michael Cray at the Spartanburg (S.C.)<br />
Regional Hospital; James Davis, Greenville<br />
(S.C.) Hospital System; Lindsey Karavites, Univ.<br />
of Illinois, Chicago, Mt Sinai Hospital; Katherine<br />
Zamperini, Madigan Army Medical Center in Ft.<br />
Lewis, Wa.; Heather Short, Emory Univ.,<br />
Atlanta; and Rett Reeve, Wake Forest Univ.,<br />
Winston-Salem, N.C. Six meets the goal of 10%<br />
of the class of 60 set by the Department for<br />
medical students entering our field.<br />
Department featured in The American<br />
Surgeon<br />
A profile of the Department of <strong>Surgery</strong> appeared in the May issue of The American<br />
Surgeon, the official publication of the Southeastern Surgical Congress. The article,<br />
authored by Don Nakayama and Martin Dalton, appeared as an “Institutional<br />
Profile,” an occasional feature of the journal that describes various medical centers<br />
and departments of surgery in the Southeast. Included were descriptions of the city,<br />
university, history of the medical school, and some of the programs and<br />
publications of the Department.<br />
6
Incoming Residents, <strong>2012</strong> - 2013<br />
The Medical Center of Central Georgia <strong>Residency</strong> in <strong>Surgery</strong> welcomes its new class of residents entering July <strong>2012</strong>.<br />
Please welcome them to Macon and make them at home in the <strong>MCCG</strong> and Mercer communities.<br />
Michael (Mike) Fitzgerald will graduate from the Medical University of South Carolina<br />
in May. Born in Columbus, Ohio, he was an undergraduate at Clemson University where<br />
he majored in biological sciences. He was captain of their varsity rugby team and earned<br />
All American honors his senior year. At MUSC he assisted with research both in trauma<br />
and pediatric burn care. He says in his personal statement that trips to the E.R. for athletic<br />
injuries and boyhood scrapes and breaks shaped his desire to be a surgeon.<br />
The director of the intensive care unit wrote that Mike was “by far, the best medical<br />
student that I have had the pleasure of working with this year.” He is an avid sports<br />
enthusiast and continues to play rugby for an independent team<br />
in Charleston.<br />
Brett Howard will graduate from the Florida State University<br />
School of Medicine this spring. A native of Miami, he was also<br />
attended FSU as an undergraduate in biology earning magna cum laude honors. In medical<br />
school he received the Gold Humanism in Medicine award and was voted by his peers as<br />
classmate of the year. He completed a research project testing the use of superficial X-ray<br />
therapy in skin cancer. An amateur artist, he says that he looks forward to applying his<br />
talent to learning surgery.<br />
The medical director of the trauma service in Tallahassee noted Brett is “certainly one of<br />
the top students who I have had the pleasure of working with over the past ten years.” He<br />
paints with acrylics, in addition to running, golf, and tennis.<br />
Joey Jarrard will receive his degree from the Georgia Health Sciences University. A<br />
Waycross, Ga., native, he attended Valdosta State University and earned a dual degree in<br />
biology and chemistry. He was in the first group of GHSU students to spend his clinical<br />
clerkships in Albany. He got a 264 on Step 2 of his USMLE exam. As an undergraduate he<br />
was able to shadow a surgeon, inspiring his interest in the field. He is looking forward to his<br />
internship and finally learning the difference in cutting suture “too long” and “too short.”<br />
One of the senior surgeons at GHSU said, “He will be one of those residents we all love to<br />
train and are proud of upon completion of the residency.” His fiancée Laurie teaches school<br />
in Warner-Robins. Besides hunting and fishing he enjoys old English literature and guitar.<br />
Heather Nolan will complete her M.D. degree at the University of Kentucky College of<br />
Medicine. Born in Dayton her family settled near Atlanta where she received dual college<br />
and high school credit at Kennesaw State University. She completed her undergraduate<br />
coursework in communications and English at Carson-Newman College in Jefferson City,<br />
Tenn., earning summa cum laude. She worked fulltime in broadcasting as a producer in<br />
Cincinnati before completing premedical requirements for medical school in Lexington.<br />
She has two first-authored publications on the effect of body mass index on post-trauma<br />
outcomes. A senior surgeon says, “Heather is thoughtful, energetic and organized….Her<br />
constant positive attitude is infectious.” She has a wide range of interests, including home<br />
renovation, running, fishing, dancing, and baking.<br />
7
Chair’s Report<br />
This report is a five-year review of my tenure as Chair. All achievements are testaments to the productive and supportive<br />
environment found in both institutions.<br />
The overall goal of the Department was to provide surgical services and leadership to MUSM and <strong>MCCG</strong> where academics<br />
informed clinical services in a shared mission of clinical practice, education, and research.<br />
To develop a pediatric surgical service.<br />
Georgia Pediatric <strong>Surgery</strong> Associates has three fulltime pediatric surgeons, Bryan Weidner, Joshua Glenn, and Dr Nakayama and<br />
is the market leader in central and South Georgia. A number of ‘firsts’ have occurred in the past year, with an ex-partum in utero<br />
treatment for a life-threatening airway obstruction in a term fetus, laparoscopic repair of intestinal atresia, newborn treatment for<br />
Hirschsprung’s disease and imperforate anus, and minimally invasive pulmonary lobectomy. The pediatric surgery service line has led<br />
medical center surgical quality improvement, with two publications based upon <strong>MCCG</strong> projects.<br />
To develop a research department with a unifying goal and hypothesis.<br />
Clinical research. Notable is a study from the trauma service (Dennis Ashley, Leon Sykes, Benjie Christie, and resident Jacob<br />
Moremen and Tracy Nolan) on high cervical cord injuries with near-elimination of life-threatening cardiovascular events. Quality<br />
improvement and safety. An important area of Departmental research is improvement in hospital processes and mitigation of hazards<br />
associated with nursing and resident hand-offs in inpatient care. Education. Departmental studies include the value of surgical<br />
education for medical student who chose a non-surgical discipline, and issues that surround the quality of care under duty hour<br />
restrictions. Medical economics and social issues. The Department has been part of multi-institutional studies regarding physician<br />
workforce issues, specifically in pediatric surgery. Joe Sam Robinson, Jr., has edited a book addressing resource stewardship. Medical<br />
humanism and history. The Department has a long-standing interest in medical history. Dr Nakayama has added to this tradition with a<br />
number of contributions on stories of physicians of Japanese and Asian heritage.<br />
To develop a unified educational resource that addresses undergraduate, postgraduate, and continuing education<br />
priorities.<br />
<strong>Residency</strong> in surgery.The residency in surgery won full accreditation by the <strong>Residency</strong> Review Committee in <strong>Surgery</strong> (RRC-S) of the<br />
Accreditation Council for Graduate Medical Education (ACMGE), in July <strong>2011</strong>. There was one citation. Residents regularly finish<br />
with more than 1,000 to 1,200 operations, with extensive experience in all areas of general surgery. Major changes include the Center<br />
for Innovative Learning, a $1.2 million, 2,800 square foot simulation center, strengthened experiences in pediatric and vascular<br />
surgery, and a new rotation in rural surgery in Cordele, Ga. Pass rates for certifying examinations (CE, written board exams) of the<br />
American Board of <strong>Surgery</strong> (ABS), has improved to 93%, an increase from 79% for the 5 years ending 2006.<br />
Residents have entered top fellowships in all major surgical specialties after training, including pediatric surgery (Arkansas Children’s<br />
Hospital and Vanderbilt University), surgical critical care (<strong>MCCG</strong> and Vanderbilt University), minimally invasive surgery (Baton<br />
Rouge and Kansas City), and plastic and hand surgery (Medical University of South Carolina and University of Virginia).<br />
Two entered general practices in Jackson, Tenn., and Greenville, S.C., and one will start in July at Donalsonville, Ga. One rising chief<br />
resident plans a career in Americus, Ga., and one graduate plans to return to the state in minimally invasive surgery.<br />
Undergraduate medical education. Over the past two years 16 of 120 Mercer graduates (13%) went on to residencies in general surgery.<br />
Some have stayed to train at <strong>MCCG</strong>, and several have won positions at residency programs in general surgery at leading programs<br />
such as East Virginia, Emory, Ohio State University, University of Tennessee in Chattanooga, University of Virginia, Virginia<br />
Commonwealth University, and Wake Forest University.<br />
Surgical critical care. The fellowship training program in surgical critical care at <strong>MCCG</strong> will complete its fourth year in <strong>2012</strong>. It won a<br />
five year full accreditation in <strong>2011</strong> with no citations from RRC-S and ACGME. Dr Ashley is program director of the fellowship.<br />
Continuing education programs in surgery. Continuing medical education (CME) is organized around year long programs that address a<br />
specific topic of interest that will improve quality of surgical care at <strong>MCCG</strong>. Topics include surgical site infections and venous<br />
thromboembolism. Nationally known experts Donald Fry and Lazar Greenfield have been featured speakers. The Trauma<br />
Symposium is in its 11 th year. The annual Milford Hatcher Lecture, given by a nationally prominent surgeon, has featured Selwyn<br />
Vickers, John Cameron, Kirby Bland, James O’Neill, George Sheldon, and Anthony Meyer. Wayne Frederick and Lynn Weaver have<br />
given the Harriet Tubman lecture that addresses racial disparities in surgical care. The History of Medicine symposium features both<br />
academic and community speakers. Lamar McGinnis, Donald Trunkey, and Hardy Hendren have been keynote speakers. New to<br />
the event schedule is the Cherry Blossom Grand Rounds, held in conjunction with the community’s Cherry Blossom festival in late<br />
March. The lecture features a topic of interest to Asian American medical audiences.<br />
8
To develop an administrative partnership with MUSM and <strong>MCCG</strong> that will strengthen, change, or eliminate existing<br />
programs and develop new initiatives in response to changing economic and marketplace opportunities and threats.<br />
Organizational leadership. Members of the Department actively provide leadership in all operational areas of the medical center.<br />
Macram Ayoub sits on the medical executive committee. Dennis Ashley provides leadership in trauma and surgical critical care,<br />
respiratory therapy, and has recently been named surgical medical director of the operating room. Kim Thompson leads the surgical<br />
site infection committee, and has been designated surgical champion for NSQIP.<br />
Strategic plans and market analyses. The Department has introduced plans, proposed policies, and performed market analyses in the<br />
multiple areas. They include pediatric surgery, general surgery, minimally invasive surgery, quality improvement, simulation education,<br />
venous access services, Health Systems of Central Georgia organization, continuing medical education, vascular surgery, product<br />
introduction and training, and strategies for regional organization and expansion.<br />
Trauma services. The Department has a long tradition of leadership in trauma care and regionalization of trauma resources. As chair of<br />
the state trauma commission Dr Ashley leads regionalization projects. Macon and <strong>MCCG</strong> is a test site for the state for a network of<br />
trauma communications that monitors critical care bed and surgical specialist availability in medical centers in a region, allowing<br />
injured patients to be directed to hospitals with ready resources and personnel. <strong>MCCG</strong> also holds telemedicine consultations for<br />
injured patients arriving in non-trauma center area hospitals.<br />
The Georgia Trauma Commission (GTC), the advisory body to the state on trauma care and chaired by Dr Ashley, announced in<br />
August a $1 million grant to <strong>MCCG</strong> to support trauma center operations.<br />
Acute care surgery. Dr Ashley led the organization of an acute care surgery service at <strong>MCCG</strong>, allowing coordination of emergency<br />
surgical admissions and consultations under a single core group, facilitating patient movement within the medical center.<br />
Surgical-trauma intensive care coverage. Dr Ashley also brought all patients in the ST-ICU under the care of a team of critical care<br />
physicians and surgeons, all board-certified in critical care, to improve and coordinate services in the unit.<br />
National Surgical Quality Improvement Program (NSQIP). <strong>MCCG</strong> joined NSQIP in November <strong>2011</strong>. The medical center will join existing<br />
programs in the state to form a statewide surgical quality improvement program organized by John Sweeney, M.D., Emory<br />
University, using NSQIP as its backbone.<br />
To run clinical operations in a financially responsible, transparent manner at moderate expense.<br />
Departmental has had consistent growth, with 9.7% growth in clinical operations from last year (net revenue $11.6M to $10.6M).<br />
Surgical Associates had the highest growth rate (27.5%, to $1.9M frm $1.5M); trauma services least (4.6%, to $6.1M from $5.9M).<br />
Pediatric surgery had 17.8% growth in revenue (to $2.5 from $2.1M). On the expense side FY<strong>2011</strong> showed a 23.3% increase in non<br />
salary expenses ($9.29M from $7.54M). Revenue ($11.63M) over expenses was $2.33M in FY<strong>2011</strong>.<br />
The core faculty has grown to nine fulltime surgeons today from four fulltime surgeons in FY2007 with total clinical revenues<br />
increasing to $11.6 from $3.8M. HSCG surgeons now include nine additional surgeons in orthopaedic surgery, vascular surgery, and<br />
cardiothoracic surgery. With three active emeritus surgeons, the organization today has 22 surgeons.<br />
<strong>MCCG</strong> adopts acute care surgery, dedicated intensivist models<br />
Dennis Ashley, Professor (far right, with resident Preston Morehead and physician assistant Anita Watson), led the<br />
adoption of two models for surgical care designed to assure fulltime coverage for emergencies and critically ill patients at<br />
<strong>MCCG</strong>. In February an acute care surgery service was organized,<br />
a group of surgeons providing in-house nighttime and weekend<br />
coverage for trauma and emergencies that come through the<br />
emergency department and from consultations in the hospital.<br />
This will assure immediate evaluation and treatment by a senior<br />
attending surgeon, who will also provide continuity of care.<br />
In March James Cunningham, Associate Professor and Senior<br />
Vice-President for Medical Affairs, and Dr Ashley announced that<br />
patients in the surgical trauma intensive care units would be<br />
covered by a fulltime surgical intensivist. Thus a board-certified<br />
specialist is available to coordinate the care, and be on hand<br />
should crises occur. Communication and teamwork are facilitated<br />
in having a dedicated surgical intensivist in the unit who is familiar<br />
with all patients and their plans of care.<br />
9
Faculty<br />
Don K. Nakayama, M.D., F.A.C.S.<br />
Milford B. Hatcher Professor & Chair<br />
Program Director, <strong>Residency</strong> in <strong>Surgery</strong><br />
<strong>Residency</strong>: University of California, San Francisco<br />
Fellowship: Children’s Hospital of Philadelphia<br />
Macram M. Ayoub, M.D., F.A.C.S.<br />
Professor and Vice-Chair<br />
Residencies: Medical College of Ohio; Medical Center of Central Georgia<br />
Dennis W. Ashley, M.D., F.A.C.S.<br />
Professor and Chief of Trauma Services<br />
Program Director, Surgical Critical Care<br />
<strong>Residency</strong>: Medical Center of Central Georgia<br />
Fellowships: Trauma <strong>Surgery</strong>, Grady Hospital, Atlanta;<br />
Surgical Critical Care, University of Pittsburgh<br />
Juan Ayerdi, M.D., F.A.C.S.<br />
Clinical Assistant Professor<br />
Residencies: University of Massachusetts; Guthrie Clinic (Sayre, Penna.)<br />
James M. Cunningham, M.D., F.A.C.S.<br />
Associate Professor<br />
Senior Vice-President for Medical Affairs, Medical Center of Central Georgia<br />
<strong>Residency</strong>: University of Tennessee Hospital, Knoxville<br />
Fellowships: Cardiac <strong>Surgery</strong>, St. Vincent Medical Center, Los Angeles;<br />
Thoracic <strong>Surgery</strong>, Los Angeles Co.-USC; Surg Critical Care, Univ of Pittsburgh<br />
D. Benjamin Christie, III, M.D.<br />
Assistant Professor<br />
<strong>Residency</strong>: Medical Center of Central Georgia<br />
Fellowship: Surgical Critical Care, Medical Center of Central Georgia<br />
Martin L. Dalton, M.D., F.A.C.S.<br />
Professor and Dean Emeritus, MUSM<br />
Associate Program Director<br />
<strong>Residency</strong>: University of Mississippi Medical Center<br />
Fellowship: Thoracic and Cardiovascular <strong>Surgery</strong>, University of Mississippi<br />
10
John C. Floyd, M.D.<br />
Assistant Professor (Orthopaedics)<br />
<strong>Residency</strong>: Stony Brook University (Orthopaedics)<br />
Fellowship: R Adams Cowley Shock Trauma Center (Baltimore)<br />
Joshua Glenn, M.D.<br />
Assistant Professor; Associate Chief, Pediatric <strong>Surgery</strong><br />
<strong>Residency</strong>: Medical University of South Carolina<br />
Fellowship: Pediatric <strong>Surgery</strong>, Vanderbilt University<br />
Bruce J. Innes, M.D., F.A.C.S.<br />
Professor, (Emeritus)<br />
<strong>Residency</strong>: Montreal <strong>General</strong> Hospital (Canada)<br />
Fellowship: Thoracic and Cardiovascular <strong>Surgery</strong>, Montreal <strong>General</strong> Hospital<br />
J. William (Billy) Mix, M.D.<br />
Clinical Assistant Professor<br />
<strong>Residency</strong>: Medical Center of Central Georgia<br />
Fellowship: Vascular <strong>Surgery</strong>, University of Tennessee, Knoxville<br />
Joe Sam Robinson, Jr., M.D., F.A.C.S.<br />
Professor<br />
Chief, Neurosurgery; Georgia Neurosurgical Institute<br />
Residencies: Emory University, (<strong>General</strong> <strong>Surgery</strong>)<br />
Northwestern University, (Neurosurgery)<br />
Maurice M. Solis, M.D., F.A.C.S.<br />
Clinical Associate Professor; Chief, Vascular <strong>Surgery</strong><br />
<strong>Residency</strong>: Medical Center of Central Georgia<br />
Fellowships: Peripheral Vascular <strong>Surgery</strong>, University of Arkansas;<br />
Endovascular <strong>Surgery</strong>, Southern Illinois University<br />
J. Allen Stevick, M.D., F.A.C.S.<br />
Clinical Assistant Professor<br />
<strong>Residency</strong>: Medical Center of Central Georgia<br />
11
Leon N. Sykes, M.D., F.A.C.S.<br />
Associate Professor<br />
Associate Program Director, Fellowship in Surgical Critical Care<br />
<strong>Residency</strong>: Mercy Hospital (Pittsburgh)<br />
Fellowships: Cardiothoracic <strong>Surgery</strong>, University of Michigan;<br />
Surgical Critical Care, Washington (D.C.) Hospital Center<br />
William M. (Kim) Thompson, M.D., F.A.C.S.<br />
Associate Professor<br />
Assistant Chair, Quality and Education<br />
<strong>Residency</strong>: University of Texas Southwestern Medical Center<br />
Joseph M. Van De Water, M.D., F.A.C.S.<br />
Professor (Emeritus); Assistant Dean for Research, MUSM<br />
<strong>Residency</strong>: <strong>General</strong> and Thoracic <strong>Surgery</strong> UCLA<br />
Fellowships: Critical Care/Surgical Research, Harvard Medical School;<br />
Cardiac <strong>Surgery</strong>, Children’s Hospital of Los Angeles<br />
Zhongbiao Wang, M.D., Ph.D.<br />
Assistant Professor, Director Surgical Laboratories<br />
<strong>Residency</strong>: Internal Medicine, Fujian Provincial People’s Hospital, China<br />
Fellowship: Huashan Hospital Shanghai Medical University, Cardiology<br />
Ph.D.: Shanghai Medical University, Chinese Academy of Sciences<br />
Lawrence X. Webb, M.D.<br />
Professor (Orthopaedics)<br />
Chief, Georgia Orthopaedic Trauma Institute<br />
Bryan Weidner, M.D., F.A.C.S.<br />
Associate Professor; Chief, Pediatric <strong>Surgery</strong><br />
<strong>Surgery</strong> Clerkship Director<br />
<strong>Residency</strong>: Duke University<br />
Fellowships: Seattle Children’s Hospital, University of Washington<br />
<strong>General</strong>, Vascular, and Pediatric <strong>Surgery</strong><br />
Frank Arnold, M.D. Asst Professor<br />
Arnold Conforti, M.D. Asst Professor & Chief,<br />
Surgical Oncology<br />
Vincent Culpepper, M.D. Asst Professsor<br />
Douglas Brewer, M.D. Prof & Chief,<br />
Colon and Rectal <strong>Surgery</strong><br />
Brown N. Ekeledo, M.D. Asst Professor<br />
Ellis Evans, M.D. Professor<br />
Lisa Farmer, M.D. Asst Professor<br />
Robert Holl-Allen, M.D. Professor<br />
Keith Martin, M.D. Asst Professor<br />
Earl Mullis, M.D. Assoc Professor<br />
William Pannell, M.D. Assoc Professor<br />
Robert Parel, M.D. Asst Professor<br />
Issam Shaker, M.D., Professor<br />
Michael Thompson, M.D. Asst Professor<br />
John Whelchel, M.D., Professor<br />
John Williams, IV, M.D. Asst Professor<br />
Thomas Woodyard, M.D. Asst Professor<br />
Macon Cardiovascular Institute<br />
Richard L. Harvey, M.D., Chief, Assoc Prof<br />
Joe H. Johnson, M.D., Asst Prof<br />
Randall B. Brown, M.D., Asst Prof<br />
James L. Foster, Jr., M.D., Asst Prof<br />
Clinical Chiefs of Services<br />
Joshua Perkel, M.D. Asst Prof, Urology<br />
Howard Perofsky, M.D. Asst Prof, Plastics<br />
Waldo Floyd, III, M.D. Prof, Hand <strong>Surgery</strong><br />
Matthew Jerles, M.D. Asst Prof, Otolaryngology<br />
12
Residents in <strong>Surgery</strong><br />
Post Graduate Year 5<br />
Geary Bush, MCG<br />
Jason Chapman, MUSM<br />
Eric Long, MCG<br />
Vince Scoglietti, MCG<br />
Post Graduate Year 4<br />
Kristin Collier, MCG<br />
Heidi Haun, Univ South Florida<br />
Homer ‘Trey’ Keadle, MUSM<br />
Jacob Moremen, Univ Kentucky<br />
Post Graduate Year 3<br />
Candice Chipman, Morehouse<br />
Drea Long, Missouri<br />
Jose Villareal, Univ Texas Medical<br />
Branch, Galveston<br />
Craig Wengler, Univ South Florida<br />
Post Graduate Year 2<br />
Cecil Brown, MUSM<br />
Preston Morehead, Univ Texas<br />
Medical Branch, Galveston<br />
Princess Nelson, Meharry<br />
Tracy Nolan, MUSM<br />
Post Graduate Year 1<br />
Elizabeth Almon, MUSM<br />
Robert “Mike” Baskin, Wake Forest<br />
Jonathan Cudnik, MCG<br />
Tonya Johnson, East Carolina<br />
13
Visiting Professors <strong>2011</strong> - <strong>2012</strong><br />
Selwyn Vickers, <strong>2012</strong> Hatcher Lecture<br />
Selwyn Vickers, M.D., gave the <strong>2012</strong> Milford Hatcher Lecture of the MUSM<br />
Department of <strong>Surgery</strong>, the academic highlight of the year. Dr Vickers is the<br />
Jay Phillips Chair of <strong>Surgery</strong> at the University of Minnesota. Dr Vickers is a<br />
leading pancreatic surgeon and researcher<br />
At the Milford Hatcher Lecture dinner Dr Vickers recounted the storied history<br />
of the department of surgery at the University of Minnesota, known for<br />
many ‘firsts’ in the field, including the use of cardiopulmonary bypass for<br />
heart surgery. His Milford Hatcher Lecture reviewed his own work on gene<br />
therapy of pancreatic cancer.<br />
Thromboembolism prevention: Elliott Haut<br />
Elliott Haut, Associate Professor at Johns Hopkins, visited the Macon Surgical Society and<br />
the Department in January as part of the quality improvement – continuing medical education<br />
program on venous thromboembolism. Dr Haut’s federally funded research focuses<br />
on the prevention of VTE, a leading cause of death among hospitalized patients in the<br />
U.S.<br />
Dr Haut’s work resulted in the federal standard that VTE without pharmacological or mechanical<br />
prophylaxis should “never” occur. He reviewed computerized provider order entry<br />
approaches at Johns Hopkins Hospital to improve compliance with VTE prophylaxis.<br />
A trauma critical care specialist, Dr Haut also heard case presentations with residents.<br />
LaMar McGinnis, keynote speaker at History of Medicine event<br />
LaMar S. McGinnis, M.D., past president of the American College of Surgeons and the American Cancer Society,<br />
gave the keynote presentation at the History of Medicine symposium at Eversole Auditorium in February. In his address<br />
titled, “Mighty Oaks from Small Acorns Grow,” he went over the two organizations’ modest beginnings and the<br />
evolution into their present positions of prominence.<br />
The History of Medicine was started in 2000 by Martin Dalton, emeritus Dean and Professor, and Bruce Innis,<br />
emeritus Professor. Always a success, it is a wellattended<br />
event with wide representation from the<br />
hospital and general medical communities. It features<br />
topics on medical and surgical history presented<br />
by medical students, faculty, and community<br />
physicians interested in medical history. This<br />
year Jacob Moremen, PGY4, spoke on the first<br />
appendectomy; Kristen Collier, PGY4, reviewed<br />
the career of Nina Braunwald, the first woman<br />
cardiac surgeon; Jesus Villareal, PGY3, presented<br />
the biography of Anson Jones, frontier physician<br />
and the last president of the Republic of Texas;<br />
and Charles Burton, Clinical Professor, who reviewed<br />
the history of surgery in Macon.<br />
From left: Craig Wengler, Mike Baskin, Kristin Collier,<br />
Dr McGinnis, Tracy Nolan, Vincent Scoglietti, Jonathan<br />
Cudnik, Dr Dalton.<br />
14
Wayne Frederick, Howard University<br />
Wayne A.I. Frederick, M.D., spoke at this year’s lecture at the Harriet Tubman Museum<br />
in February. Dr Frederick is Professor of <strong>Surgery</strong>, Howard University School of<br />
Medicine, Washington, D.C., and the Deputy Provost for Health Affairs for the university.<br />
This is the third year of an annual community event celebrating Black History<br />
Month in the Department and at <strong>MCCG</strong>.<br />
Dr Frederick spoke on the racial bias among racial minorities in the U.S., and tracing<br />
its effects in medical education. The following morning he discussed cases at the<br />
<strong>MCCG</strong> tumor board. At surgery grand rounds he reviewed his research into triple<br />
negative breast cancer among African American women, explored its increased prevalence<br />
among the group and its adverse effect on prognosis. He later discussed cases<br />
presented by surgery residents.<br />
Quality initiatives, PGY4 project featured at 39 th Day of <strong>Surgery</strong><br />
John F. Sweeney, M.D., and John S. Kennedy, M.D., were featured speakers at the 39th Day of <strong>Surgery</strong> in April. The<br />
Day of <strong>Surgery</strong>, established by Ellis Evans, Clinical Professor of <strong>Surgery</strong>, is the centerpiece continuing education<br />
activity of the Department. Don Nakayama, was the faculty<br />
speaker. Dr Sweeney spoke on his use of decision algorithms to<br />
support clinical planning and decrease surgical complications,<br />
such as re-admissions. The principal investigator of a $1.2 million<br />
federal grant to study such problems, he is the W. Dean Warren<br />
Distinguished Chair in <strong>Surgery</strong> at the Emory University in Atlanta.<br />
Dr Kennedy spoke on the use of the Rapid Quality Response<br />
System of the American College of Surgeons to improve<br />
cancer care of the individual patient. Dr Kennedy is private practice<br />
with DeKalb Surgical Associates in Decatur. Dr Nakayama<br />
spoke on quality improvement projects in pediatric surgery.<br />
From left: Drs Kennedy, Keadle, Haun, Moremen,<br />
Collier, and Sweeney.<br />
The PGY4 residents presented the results of their problem-based<br />
learning and improvement project on the diagnosis and treatment<br />
of Clostridium difficile colitis, a highly fatal complication of hospitalized<br />
patients. Heidi Haun reviewed the diagnosis and pathogenesis<br />
of the condition, including bacteriology and the importance<br />
of soap and water hand-washing in the control of disease transmission. Kristin Collier presented depictions of<br />
C. difficile infections in the media and on-line, and distortions of fact and misrepresentations that can result. Trey<br />
Keadle reviewed loop ileostomy and antegrade colonic irrigations in the early treatment for the condition, and the<br />
promise the intervention holds as a real improvement in care. Jacob Moremen reviewed<br />
the results of C. difficile infections on patients hospitalized at <strong>MCCG</strong>, and the<br />
effect of early surgical consultation on outcome.<br />
Robinson prescribes a cure for health care<br />
Joe Sam Robinson, Jr, Professor and chief of the Georgia Neurosurgical Institute<br />
in Macon, presented his ideas on healthcare reform in a wide-ranging discourse on<br />
the health care crisis of today. In departmental grand rounds in December he drew<br />
on his study of government philosophy, the development of government welfare<br />
programs, and his experience, and that of his father, also a physician, on federal<br />
medical insurance programs and their effects on practice and medical professionalism.<br />
Dr Robinson and M.S. Walid, also of GNI, recently co-edited a book that summarizes<br />
his concepts on health care, titled Toward Healthcare Resource Stewardship<br />
(Hauppauge, N.Y., Nova Science Publishers, <strong>2011</strong>.<br />
15
Visiting Professors <strong>2012</strong> - 2013<br />
2013 Hatcher Lecture: Fabrizio Michelazzi<br />
Fabrizio Michelassi (right) will be the 2013 Milford B. Hatcher Professor and will visit<br />
Macon in May. He is the Lewis Atterbury Stimson Professor and Chairman of the Department<br />
of <strong>Surgery</strong> at Weill Cornell Medical College and Surgeon-in-Chief at New York-<br />
Presbyterian Hospital/Weill Cornell Medical Center. He is recognized as a leader in colon<br />
and rectal surgery. He is past president of the Society of Surgical Oncology (SSO), the premier<br />
national and international professional organization for the field, as well as leadership<br />
positions in the American Surgical Association and the American College of Surgeons, and<br />
directorship in the American Board of <strong>Surgery</strong>.<br />
Dr Michelazzi is known as an innovator in the surgical treatment for inflammatory bowel<br />
disease and rectal cancer. He is on the editorial boards of the Journal of Gastrointestinal <strong>Surgery</strong>,<br />
Annals of <strong>Surgery</strong>, <strong>Surgery</strong>, and Nature Clinical Practice.<br />
Derrick Beech: 2013 Harriet Tubman lecture<br />
Derrick J. Beech (left), is program director of the residency in surgery at the Atlanta<br />
Medical Center. He was formerly chair of the department of surgery at Meharry Medical<br />
College in Nashville, and Senior Associate Dean at the Morehouse School of Medicine<br />
in Atlanta. A highly regarded surgical oncologist, he has published on risk factors and<br />
cancer screening for cancer among African Americans. He will speak on racial disparities<br />
in surgery at the Harriet Tubman Museum on Wednesday evening February 27, and<br />
give grand rounds the next morning February 28.<br />
This will be the fourth Tubman lecture, jointly sponsored by <strong>MCCG</strong>, MUSM, the<br />
Macon Surgical Society, and the Harriet Tubman Museum in Macon.<br />
Mary Hawn, UAB: MIS gastrointestinal surgery<br />
Mary T. Hawn (right), is program director of the fellowship in minimally invasive surgery<br />
and professor at the University of Alabama at Birmingham. She is recognized both in MIS,<br />
surgical education, and clinical research. She is director of the Birmingham Center for Surgical<br />
and Medical Acute Care Research and Transitions that focuses on surgical outcomes and<br />
safety in surgery. The center focuses on transitions to palliative care, rural health, and the<br />
homeless. She will speak to the Macon Surgical Society Wednesday August 22 and give grand<br />
rounds Thursday morning.<br />
Her visit is part of an new partnership between <strong>MCCG</strong> and the UAB Clinical Cancer Center<br />
to help enhance cancer programs here.<br />
Corriere: Gender disparities in vascular disease<br />
Matthew A. Corriere, Assistant Professor at Emory and staff surgeon at the Atlanta Veterans<br />
Administration hospital, will explore gender disparities in peripheral vascular disease and<br />
their effects on clinical outcomes at his grand rounds lecture July 12. He will be the guest of<br />
the Macon Cardiovascular Institute. An MUSM alumnus and Will C. Sealy award recipient,<br />
he trained in general surgery at Vanderbilt and vascular surgery at Wake Forest, where he<br />
received additional training in health sciences research. Widely published, he has explored<br />
important clinical issues such as the effects of resident participation on carotid endarterctomy<br />
outcomes, the differences between specialty and multiple specialty OR teams in vascular<br />
surgery, and preoperative hospitalization and risk of surgical site infections.<br />
16
Conferences <strong>2012</strong> - 2013<br />
<strong>2012</strong>-2013 Quality - CME theme: Biomaterials in surgery<br />
Daniel J. Vargo and Brent D. Matthews will<br />
be the featured visiting professors for next<br />
year’s quality improvement - continuing<br />
medical education program focusing on<br />
biomaterials in surgery. Dr Vargo (right) is<br />
Associate Professor of <strong>Surgery</strong> at the<br />
University of Utah and Program Director<br />
for their <strong>Residency</strong> in <strong>Surgery</strong>. He has<br />
special expertise in complex abdominal wall<br />
defects, and has published his research on<br />
the use of prosthetic material in hernia<br />
repair. He will visit Macon October 10 and<br />
11 .<br />
Brent Matthews (left, photo at left) is Professor of <strong>Surgery</strong> at Washington University, where he is head of the<br />
division of general surgery and chief of minimally invasive surgery. A leader in the field , he is a leader in advanced<br />
MIS and endoscopic approaches to Barrett’s esophagus. He also has a research interest in the use of prosthetic mesh<br />
in hernia repair. He is scheduled to visit on January 23 and 24, also with the Macon Surgical Society.<br />
The QI - CME program will be entering its third year in October. Over a year a specific problem is reviewed, and<br />
includes lectures by visiting professors, literature review, and reviews of operative caseload by surgeon and by the<br />
institution. Previous years have covered surgical site infections and venous thromboembolism.<br />
22nd Trauma Symposium: Chest and abdominal trauma<br />
Juan A. Asensio and David Feliciano, will speak at the<br />
annual Trauma symposium in November. The theme<br />
will center on complex chest and abdominal trauma. Dr<br />
Asensio (left) is director of trauma clinical research at<br />
the University of Miami and was featured on a recent<br />
Discovery Health Channel program (an excerpt is<br />
available on YouTube). Dr Feliciano (right) joined the<br />
faculty as Professor of <strong>Surgery</strong> last fall. He is noted as<br />
the leading authority on trauma care in the U.S. The<br />
new edition of Trauma, the foremost text in the field of<br />
which he is the lead editor, will come out this fall. This<br />
year’s conference will be Thursday November 8 .<br />
14th History of Medicine : Robert Nesbit<br />
Robert R. Nesbit (right, bottom), emeritus professor of surgery at the Georgia Health<br />
Sciences University in Augusta, will give the keynote address at the History of Medicine<br />
symposium on February 7 2013. Retired from active practice, Dr Nesbit continues to be<br />
active in medical education, particularly in GHSU’s virtual patient projects. He is Secretary<br />
-Treasurer of the Southern Association for the History of Medicine and Science.<br />
The History of Medicine, a well-attended and much-loved event, will enter its 13th year. It<br />
was initiated by Martin Dalton and Bruce Innes. It features talks from staff, community<br />
physicians, residents and medical students. It is a non-CME event.<br />
17
Honors and Awards<br />
Alumni Andy Bozeman, Amy Christie, and Brad Dennis passed their Certifying Examinations of<br />
the American Board of <strong>Surgery</strong> in March and April, thus becoming board certified in the practice of<br />
surgery. In their success on their “first take” of both the Qualifying (written) and Certifying (oral) exams,<br />
they reached the highest standard of training. Josh Glenn, Assistant Professor, passed both exams<br />
for specialty certification in pediatric surgery by the ABS, also on his first attempt.<br />
Bryan Weidner, Associate Professor, and Craig Wengler, PGY3, were inducted to the Alpha Omega<br />
Alpha medical honor society in May. AOA is a professional medical organization that recognizes and<br />
advocates for excellence in scholarship, teaching, humanism and service.<br />
At Senior Awards day in May Dr Weidner was also selected outstanding teacher in surgery by the<br />
graduating class, and best clerkship director. Cecil Brown, PGY2, was selected outstanding resident in<br />
surgery and was also named intern of the year for 2010-<strong>2011</strong>.<br />
Darla Rich, R.N., and Dr Wengler were chosen as employees of the quarter for the Medical Center in <strong>2012</strong>. Darla was cited for<br />
her contributions to pediatric surgery at <strong>MCCG</strong>, leading the service and providing outstanding care for the patients on the service.<br />
Dr Wengler’s was recognized for his work on the residency website and leadership in organizing off hour venous access.<br />
Vincent Scoglietti, PGY5, had the highest inservice training score among all residents on the <strong>2012</strong> ABSITE examination, with<br />
a 98th percentile. Eric Long, PGY5, had the second highest score at 84th percentile. Jacob Moremen, PGY4, had the most<br />
improved score, increasing his score to the 82nd percentile. Six residents increased their percentile scores by more than 5 points.<br />
The nursing staff for Surgical Associates had the highest patient<br />
satisfaction score for any outpatient area at <strong>MCCG</strong>. Pictured at<br />
left, clockwise from top left, are Donna Farmer, Angela Veal,<br />
Tracie Wright, Paula Kleckley, Geraldine Queen.<br />
Drea Long, PGY3, and Heidi Haun, PGY4, showed their photography<br />
at the Bibb County Medical Society photography show<br />
May 3. William Haun, Heidi’s husband, was featured speaker at<br />
the event.<br />
Graduating medical students received awards in <strong>Surgery</strong> at the<br />
annual MUSM awards ceremony in May. Justin Barrett (right,<br />
top photo) was the Joe Sam Robinson awardee as the best medical<br />
student entering a surgical specialty. Rett Reeve was given the<br />
Will C. Sealy award as top student in general surgery .<br />
Katherine Zamperini, MS4, had a podium presentation at the<br />
34 th Wratten Surgical Symposium at the Uniformed Services University<br />
of the Health Sciences in Bethesda, Md., in May.<br />
Michael Cray, James Davis, and Lindsey Karavites, MUSM graduating seniors, won scholarships to attend the Southeastern<br />
Surgical Congress meeting in Chattanooga in February. Rett Reeve and Heather Short, also senior MUSM students, won scholarships<br />
to attend the Clinical Congress of the ACS in San Francisco in October as the school’s representatives to the medical<br />
student programs at the national meeting.<br />
Geneva Joiner, RN-BC, pediatric surgery, was named to the Standards Setting<br />
Panel of the Credentialing Board of the American Nurses Credentialing<br />
Center (ANCC), a national organization responsible for setting credentialing<br />
standards for nursing.<br />
Debra Kitchens-Allen, RN EMT-P, trauma coordinator, was appointed<br />
vice chair of the Georgia Committee for Trauma Excellence. Debra Kitchens-Allen<br />
She also had a big event this year, marrying Kevin Allen January<br />
27. The happy couple is pictured at right with their German shepherd Dixie.<br />
Not certain whether the condition is contagious Dennis Ashley and Mike<br />
Baskin are keeping their distance.<br />
Dennis Ashley, Professor, was named surgical medical director for the<br />
<strong>MCCG</strong> operating rooms.<br />
18
Event Calendar<br />
Matthew A. Corriere, M.D., Emory Univeristy<br />
Thursday, July 12 Macon Cardiovascular Institute Eversole Auditorium<br />
Gender and peripheral arterial disease: disparities, evidence gaps,<br />
and opportunities<br />
Mary T. Hawn, M.D., University of Alabama at Birmingham<br />
Wednesday, August 22 Macon Surgical Society Hilton Garden Inn<br />
Thursday, August 23 <strong>MCCG</strong>-UAB CCC clinical cancer program Eversole Auditorium<br />
TBA<br />
Daniel J. Vargo, M.D., University of Utah<br />
Wednesday, August 22 Macon Surgical Society Hilton Garden Inn<br />
Thursday, August 23 <strong>MCCG</strong> CME-QI program, biomaterial project Eversole Auditorium<br />
TBA<br />
22nd Trauma Symposium<br />
Thursday, November 8<br />
Juan A. Asensio, M.D. University of Miami<br />
Eversole Auditorium<br />
David V. Feliciano, M.D., Mercer University<br />
Management of complex chest and abdominal trauma<br />
Brent D. Matthews, M.D., Washington University<br />
Wednesday, January 23 2013 Macon Surgical Society Trice Auditorium<br />
Thursday, January 24 2013 <strong>MCCG</strong> CME-QI program, biomaterial project Eversole Auditorium<br />
TBA<br />
14th History of Medicine<br />
Thursday, February 9 2013<br />
Robert R. Nesbit, M.D., Georgia Health Sciences University<br />
Eversole Auditorium<br />
4th Harriet Tubman Lecture<br />
Derrick J. Beech, M.D., Morehouse University, Atlanta Medical Center<br />
Wednesday, February 27 2013 Macon Surgical Society Harriet Tubman Museum<br />
Thursday, February 28 2013 Grand Rounds Eversole Auditorium<br />
TBA<br />
3rd Cherry Blossom Festival Grand Rounds<br />
Don K. Nakayama, M.D., Mercer University<br />
Thursday, March 2013 Grand Rounds Eversole Auditorium<br />
TBA<br />
2013 Milford B. Hatcher Lecture<br />
Fabrizio Michelassi, M.D., Cornell University<br />
Wednesday, May 8 2013 Macon Surgical Society Hilton Garden Inn<br />
Thursday, May 9 2013 2013 Hatcher Lecture Eversole Auditorium<br />
TBA<br />
19
Publications, <strong>2011</strong> - <strong>2012</strong><br />
Peer viewed articles.<br />
1. Nakayama DK. Asian Americans in leadership positions in academic surgery. Ann Surg <strong>2012</strong>;255:583-8.<br />
2. Nakayama DK, Lester SS, Rich DR, Weidner BC, Glenn JB, Shaker IJ. Quality improvement and patient care checklists<br />
in intra-hospital transfers involving pediatric<br />
surgery patients. J Pediatr Surg <strong>2012</strong>;47:112-8.<br />
3. Vercruysse GA, Ingram WL, Feliciano DV. The demographics of modern burn care: should most burns be cared for by<br />
non-burn surgeons? Am J Surg 201:91-96, <strong>2011</strong>.<br />
4. Ball CG, Wyrzykowski AD, Nicholas JM, Rozycki GS, Feliciano DV. A decade’s experience with balloon catheter tamponade<br />
for the emergency control of hemorrhage. J Trauma 70:330-333, <strong>2011</strong>.<br />
5. Ball CG, Salomone, JP, Shaz B, Dente CH, Tallah C, Anderson K, Rozycki, GS, Feliciano DV. Uncrossmatched blood<br />
transfusions for trauma patients in the emergency department: incidence, outcomes and recommendations. Can J Surg<br />
54:111-115, <strong>2011</strong>.<br />
6. Feliciano DV, Lyons JD: Thyroidectomy is optimal treatment for Graves’ disease. J Am Coll Surg 212:714-721, <strong>2011</strong>.<br />
7. Feliciano DV, Moore FA, Moore EE, West MA, Davis JW, Cocanour CS, Kozar RA, McIntyre RC Jr: Evaluation and<br />
management of peripheral vascular trauma. Part I. Western Trauma Association Critical Decisions in Trauma. J Trauma<br />
70:1551-1556, <strong>2011</strong>.<br />
8. Kozar RA, Feliciano DV, Moore EE, Moore FA, Cocanour CS, West MA, Davis JW, McIntyre RC Jr: Western Trauma<br />
Association/Critical Decisions in Trauma: Operative management of adult blunt hepatic trauma. J Trauma 71:1-5, <strong>2011</strong>.<br />
9. Morse BC, Dente CE, Hodgman EI, Shaz BH, Nicholas JM, Wyrzykowski AS, Salomone JO, Vercruysse GA, Rozycki GS,<br />
Feliciano DV.: The effects of protocolized use of recombinant factor VIIa within a massive transfusion protocol in a civilian<br />
level I trauma center. Am Surg 77:1043-1049, <strong>2011</strong>.<br />
10. Bernard AC, Moore EE, Moore FA, Hides GA, Guthrie BJ, Omert LA, Gould SA, Rodman GH Jr; PolyHeme Study<br />
Group (Ashley DW, Investigator, <strong>MCCG</strong>). Postinjury resuscitation with human polymerized hemoglobin prolongs early<br />
survival: A post hoc analysis. J Trauma <strong>2011</strong> May; 70(5 Suppl): S34-7.<br />
11. Nakayama DK. Hideyo Noguchi: Controversial microbe hunter. The Pharos <strong>2011</strong> (Autumn):26-33.<br />
12. Scoglietti VC, Bozeman AP, Nakayama DK. Team-based resident handoff improves identification of patient complications.<br />
J Amer Coll Surg <strong>2011</strong>;213:S121.<br />
13. Wang Z, Kong L, Kang J, Vaughn DM, Bush GD, Walding AL, Grigorian AA, Robinson JS Jr, Nakayama DK. Interleukin-lb<br />
induces migration of rat arterial smooth muscle cells involving matrix metalloproteinase-2 activity. J Surg Res<br />
<strong>2011</strong>;169, 328–336. Electronic publication online 2010 Jan 5 [DOI: 10.1016/j.jss. 2009.12.010)].<br />
14. Wells KM. Social media in medical school education. <strong>Surgery</strong> <strong>2011</strong>;150:2-4.<br />
15. Moremen JR, Christie DB III, Sykes LN, Vogel RL, Nolan TL, Ashley DW. Early cardiac pacemaker placement for<br />
life-threatening bradycardia in traumatic spinal cord injury. J Trauma. <strong>2011</strong>;70: 1485-8.<br />
16. Chapman JR, Weidner BC, Nakayama DK. How medical alumni now see their junior clerkships in surgery. Am Surg<br />
<strong>2011</strong>;77:1161-7.<br />
17. Nakayama DK. The first pediatric operation performed under anesthesia. Am Surg, in press.<br />
18. Moremen JR, Christie DB III. Thymic carcinoma: Incidence, classification and treatment strategies of a rare tumor. Am<br />
Surg, in press.<br />
19. Bozeman AP, Van De Water JM, Smith-Weaver B, Rogriquez M, Vogel RL, Ho BS, Nakayama DK. Nonivnasive measurement<br />
of cardiac output in neonates by electrical cardiometry. J Perinatol, under review.<br />
Textbooks, chapters, invited papers.<br />
1. Feliciano DV. Chapter: Pancreatic and duodenal injuries. In JL Cameron, AM Cameron Eds: Current Surgical Therapy,10th<br />
Ed.; Philadelphia, Elsevier Saunders, <strong>2011</strong>, pp 944-949.<br />
2. Feliciano DV. Chapter 135: Operative management of pancreatic trauma. In JE Fischer, et al, Eds: Fischer’s Mastery of <strong>Surgery</strong>,<br />
6th Ed.; Philadelphia, Lippincott, Williams, & Wilkins, <strong>2012</strong>, pp 1480-1485.<br />
3. Nakayama DK, Dalton ML. Department of <strong>Surgery</strong>, Mercer University School of Medicine, and the Medical Center of<br />
Central Georgia. Am Surg <strong>2012</strong>;78:505-10.<br />
20
Presentations.<br />
National<br />
1. Long E, Walker B, Rodriguez M, Van De Water J, Nakayama DK. Noninvasive measurements of cardiac, hemodynamic,<br />
and tissue perfusion indices in normal infants. American Pediatric Surgical Association, May 20 - 23, <strong>2012</strong>.<br />
2. Zamperini K, Lehmann R, Causey W, McVay D, Casey L, Martin M. A simplified trauma triage system safely reduces overtriage<br />
and improves provider satisfaction: a prospective study. 34 th Wratten Surgical Symposium at the Uniformed Services<br />
University of the Health Sciences in Bethesda, Md., May 2 - 4 <strong>2012</strong>.<br />
3. Weidner, BC, Dennis BM, Ayoub MM, Hutchinson MB, Nakayama DK. A dedicated residents’ advocacy committee<br />
improves satisfaction responses on the ACGME annual residents’ questionnaire.”Association of Program Directors in <strong>Surgery</strong><br />
annual meeting, San Diego, March 21 <strong>2012</strong>.<br />
4. Bush GD, Dalton ML, Nakayama DK. Resident rural surgery rotations with endoscopy and laparoscopy: Is more residency<br />
training needed in these areas to prepare rural surgeons? Society of American Gastroendoscopic Surgeons, March 7 -<br />
10, <strong>2012</strong>, San Diego.<br />
Presentations at the Clinical Congress of the American College of Surgeons, San Francisco, October 23 - 27 <strong>2011</strong>.<br />
1. Ashley, DW. Coordinator and presiding officer, video-based education. Trauma.<br />
2. Feliciano, DV. Post graduate course, trauma and acute care surgery update. Gastroduodenal ulcers: Still there, still need a<br />
surgeon. Meet the expert session. Complex abdominal trauma. Panelist, surgical emergencies: When to call in the ‘grey hair.’<br />
Other national presentations.<br />
1. Kitchens-Allen D. Trauma on demand: the use of a telemedicine consultation system to enhance rural trauma care. Society<br />
of Trauma Nurses meeting, San Antonio, March <strong>2011</strong>.<br />
Regional<br />
Presentations at the Southeastern Surgical Congress, Birmingham, Ala., February 5 - 8, <strong>2012</strong>.<br />
1. Moremen JR, Christie DB. Thymic carcinoma: Review of a rare neoplasm and treatment strategies.<br />
2. Moremen, JR, Wengler C, Brewer D. Endorectal ultrasound-directed drainage of complicated perirectal abscess in<br />
Crohn’s disease.<br />
3. Chapman JR, Keadle HH, Ayerdi J, Mix W, Solis M. A novel approach to the management of iliofemoral deep vein<br />
thrombosis.<br />
4. Keadle HH, Chapman JR, Ayerdi J, Mix W, Solis M. Acute thrombosis of the abdominal aorta following laparoscopy:<br />
A rare complication of minimally invasive surgery.<br />
5. Villareal, J, Christie DB, Katner H, Hudspeth LJ. Herpes simplex virus necrotizing pneumonia in a trauma patient.<br />
6. Long E. Emergent foreign body retrieval in acute airway obstruction: A novel use of the meconium aspirator.<br />
7. Scoglietti VC, Nolan TL, Long EL, Sykes LN. Traumatic abdominal wall hernia caused by bicycle handlebar: A case<br />
report.<br />
Presentations at the South Florida Society for Vascular <strong>Surgery</strong>, Islamorada, Fla., October 21 <strong>2011</strong>.<br />
1. Ayerdi J, Chapman JR, Mix JM. A novel approach to the management of iliofemoral deep vein thrombosis with popliteal<br />
access and placement of inferior vena cava filter.<br />
2. Ayerdi J, Keadle HH III, Mix, JM. Initial experience with catheter directed treatment for pulmonary embolus.<br />
State and local<br />
Presentations at the Northeast Georgia Medical Center, Gainesville, Ga., October 18 - 20, <strong>2011</strong>.<br />
1. Ashley DW. To be or not to be a trauma center. Regionalization of trauma care.<br />
Presentations at the annual meeting, Georgia Surgical Society, Greensboro, Ga., September 16 - 18, <strong>2011</strong>.<br />
1. Ashley DW. Panelist, trauma cases that make me nervous.<br />
2. Weidner BC. Malrotation – where pediatric surgery and pop music collide.<br />
Other presentations.<br />
1. Kitchens-Allen D. Moderator. Society of Trauma Nurses conference, April <strong>2012</strong>.<br />
2. Ashley DW. Tales of our cities: Planning for interdisciplinary response to terrorist use of explosives. Meeting, local and<br />
regional planning for a statewide response, Atlanta, November 9, <strong>2011</strong>.<br />
3. Kitchens-Allen D. Implementing a statewide trauma system and career move. ABAC College, Tifton, November 8 <strong>2011</strong>.<br />
4. Ashley DW. The Georgia trauma system: Past, present, and future. American Association of Critical Care Nurses, Macon,<br />
September 6, <strong>2011</strong>.<br />
5. Ashley DW. Pilot project for Georgia trauma system regionalization. Region 5 Regional Trauma Advisory Committee,<br />
Macon, August 15, <strong>2011</strong>.<br />
6. Ashley, DW. Trauma system development in Georgia. Governor’s “Every Life Counts” Highway Safety Conference, Savannah,<br />
August 1, <strong>2011</strong>.<br />
21
Invited lectures.<br />
Feliciano DV.<br />
1. The 10 th <strong>Annual</strong> Roy Preshaw Lecture. University of Calgary, Alberta, Canada, January 19, <strong>2012</strong>.<br />
2. John A. Waldhausen Lecture. Penn State University, Hershey, Penn., October 13, <strong>2011</strong>.<br />
3. Keynote Address: East Oriens Presentation and Job Fair, 24 th EAST Scientific Assembly, Naples, Fla, January 27, <strong>2011</strong>.<br />
4. Edwin P. Lehman Lecture. University of Virginia, Charlottesville, Va., September 28, <strong>2011</strong>.<br />
5. Inaugural Peter Mucha, Jr. Visiting Professor of Trauma and Acute Care <strong>Surgery</strong>. Mayo Clinic, Rochester, Minn., August 5,<br />
<strong>2011</strong>.<br />
6. Grady Healthcare Hero—“Senior Sage.” Inaugural “White Coat Grady Gala,” Grady Health Foundation, Atlanta, March<br />
19, <strong>2011</strong>.<br />
Nakayama DK.<br />
1. Professionalism behind barbed wire: Health care in WWII Japanese-American concentration camps. University of Pittsburgh,<br />
May 3, <strong>2012</strong>.<br />
2. Albert Wilkinson Lecture. The contributions of pediatric surgery to medicine. University of Florida, Jacksonville, April 18,<br />
<strong>2012</strong>.<br />
3. 14 th <strong>Annual</strong> William Whitaker Lecture. The contributions of pediatric surgery to medicine. Georgia Surgical Society,<br />
Greensboro, Ga., September 15, <strong>2011</strong>.<br />
Weidner BC. Vomiting in infancy: It’s not easy being green. Pediatric grand rounds, Columbus (Ga.) Regional Health System,<br />
May 17 <strong>2012</strong>.<br />
Benjie Christie and Blair<br />
Ginny Land, daughter Chrissy, new granddaughter Ava, 6 mo<br />
Christopher “Topher” Almon, 6 mo<br />
Grace Keadle (6 mo), Belle Wengler (8 mo), Abigail Cudnik (10 mo)<br />
22
Darla Rich (left)<br />
and Cheryl Strange<br />
Dedication<br />
The Macon community is blessed to have an extraordinary group of professional nurses working at <strong>MCCG</strong>. Here are<br />
only a few of them. Their hands provide the healing touch; their eyes convey the concern to the sick and suffering.<br />
Without them surgery would be brutal. To those in the nursing profession at <strong>MCCG</strong> we dedicate our annual report.<br />
Arlene Wingo<br />
(left) and<br />
Carolyn<br />
Campbell<br />
Lauren<br />
Crow (left)<br />
with Kristin Collier<br />
Gordy Joris<br />
Katie Walker<br />
Darrell Hunter (left) , with<br />
Cecil Brown<br />
Torri Boney and<br />
Dwayne Taylor<br />
Linda Martinez (left)<br />
and Rhonda Findley<br />
Barbara<br />
Weaver<br />
Marie Johnson with Vince<br />
Scoglietti<br />
Anna Hunley (left) and Teresa Wilder<br />
Carter Jones<br />
and Holly Posey<br />
Jason and<br />
Allison<br />
Chapman<br />
23
Acknowledgements<br />
Front row (left to right) Martin Dalton, Amy Christie, Kristin Collier, Tracy Nolan, Macram Ayoub, Tonya Johnson, Drea Long, Eric<br />
Long, David Feliciano, Joseph Van De Water. Middle row: Dennis Ashley, Kim Thompson, Trey Keadle, Cecil Brown; lower tier: Leon<br />
Sykes, Candice Chipman, Elizabeth Almon, Geary Bush, Heidi Haun; upper tier: Mike Baskin, Jesus Villareal, Craig Wengler, Princess<br />
Nelson, Don Nakayama. Top row: Joshua Glenn, Juan Ayerdi, Bryan Weidner, Jacob Moremen, Benjie Christie, Jason Chapman, Preston<br />
Morehead, Vincent Scoglietti, Jonathan Cudnik .<br />
Irma Miranda, <strong>Residency</strong> Coordinator, Liz Jennings, Quality and Education Coordinator, and Carletta Grace,<br />
Department Secretary provide invaluable administrative support. Debra Kitchens is manager of the trauma and critical care<br />
services, and she is assisted by Inez Jordan, Senesta Corbin, and Virginia “Ginny” Land.<br />
The Department of <strong>Surgery</strong> recognizes our partners in surgical education, the Medical Center of Central Georgia and the<br />
Mercer University School of Medicine. The following people and organizations provide financial and organizational support<br />
that allows us to achieve our goals of excellence in resident education and patient care. Most importantly we recognize our<br />
partners in nursing, whose devotion to our patients both inspire and humble us.<br />
Mercer University School of Medicine: William F. Bina, M.D.; Dean, Krista Ward, M.B.A., Director of Finance.<br />
Medical Center of Central Georgia: A. Donald Faulk, Jr., FACHE, President and Chief Executive Officer; Joe Lavelle,<br />
Executive Vice President; James Cunningham, M.D., Senior V.P. and Chief Medical Officer; Marcia Hutchinson, M.D., Chief<br />
Academic Officer and Designated Institutional Official; Judy Paull, R.N., Senior V.P. and Chief Nursing Officer; Ethel A.<br />
Cullinan, Ph.D., FACHE, FAHP, President and CEO, MedCen Foundation.<br />
Health Services of Central Georgia: Vincent Manoogian, acting Chief Executive Officer; Penny Windham and Sandra<br />
Higgison, Practice Administrators. Clinical practices: Surgical Associates: Patricia Stitcher, R.N.; Tracie Wright, L.P.N.; Angela<br />
Veal. Georgia Pediatric Surgical Associates: Darla Rich, R.N., F.N.P.; Geneva Joiner, R.N.; Jennifer Wood; Jessica Williams.<br />
Anderson Clinic: Katherine Watkins, R.N.; Arlene Wingo, R.N.; Mary Howell; Tamara Mosley; Carolyn Campbell.