Podcasts about clinical congress

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Best podcasts about clinical congress

Latest podcast episodes about clinical congress

The House of Surgery
2024 Conley Lecture • Surgical Professionalism and Autonomy in the 21st Century

The House of Surgery

Play Episode Listen Later Jan 31, 2025 53:20


This episode features Mark C. Weissler, MD, FACS, an otolaryngologist and head-and-neck surgeon from Chapel Hill, North Carolina, who delivered the J. Conley Ethics and Philosophy Lecture at Clinical Congress 2024. In his lecture, “Surgical Professionalism and Autonomy in the 21st Century,” Dr. Weissler will unravel the profound shifts in surgery that have quietly reshaped the profession in ways some may not have fully realized, such as the loss of autonomy and the transfer of regulation to external entities. He also answers pressing ethical and moral questions from the surgeon audience. Talk about the podcast on social media using the hashtag #HouseofSurgery.

The House of Surgery
2024 International Society of Surgery Lecture • Global Surgery: A Tale of Two Colleges

The House of Surgery

Play Episode Listen Later Jan 17, 2025 56:22


This episode features Declan J. Magee, MB, BCh, FRCSI, a retired surgeon from Dublin, Ireland, who gave the Distinguished Lecture of the International Society of Surgery at Clinical Congress 2024. In his lecture, “Global Surgery: A Tale of Two Colleges,” Dr. Magee addresses the gap between the surgical “haves” and “have nots”—something the Royal College of Surgeons in Ireland and the College of Surgeons of East, Central, and Southern Africa are working to address.   Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Jonasson Lecture • Not on My Watch

The House of Surgery

Play Episode Listen Later Jan 10, 2025 34:42


This episode features Jo Buyske, MD, FACS, president and CEO of the American Board of Surgery, who gave the Olga Jonasson Lecture at Clinical Congress 2024. In her lecture, “Not on My Watch,” Dr. Buyske describes traits shared by surgeons leaders dedicated to providing evidence-based, patient focused care.   Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Scudder Oration on Trauma

The House of Surgery

Play Episode Listen Later Jan 3, 2025 44:28


This episode features Andrew B. Peitzman, MD, FACS, a trauma surgeon from Pittsburgh, Pennsylvania, who delivered the Scudder Oration on Trauma at Clinical Congress 2024. In his lecture, “Major Hepatic Injury: We Can Do Better,” Dr. Peitzman talks about the need for trauma and liver surgeons to collaborate to treat these uncommon injuries that have seen a patient survival plateau for decades. Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Abcarian Lecture – Surgery Has Come a Long Way: Where Do We Go from Here?

The House of Surgery

Play Episode Listen Later Dec 13, 2024 42:54


This episode features Ann C. Lowry, MD, FACS, FASCRS, a colorectal surgeon from Minnetonka, Minnesota, who gave the Abcarian Lecture at Clinical Congress 2024. In her lecture, “Surgery Has Come a Long Way… Where Do We Go from Here?,” Dr. Lowry takes listeners on a journey through time, offering personal and professional perspectives on the past, present, and future of surgery. Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Drake Lecture • Dr. Charles B. Wilson: Cherokee Neurosurgeon

The House of Surgery

Play Episode Listen Later Dec 6, 2024 42:32


This episode features Brian T. Andrews, MD, FACS, FAANS, a neurosurgeon from San Francisco, California, who delivered the Drake History of Surgery Lecture at Clinical Congress 2024. His lecture, “Dr. Charles B. Wilson: Cherokee Neurosurgeon,” Dr. Andrews highlights the genius, amazing physical skill, and intense work ethic of Dr. Wilson, who is known for performing up to 15 operations per week in a totally silent OR. Talk about the podcast on social media using the hashtag #HouseofSurgery.

The House of Surgery
2024 Gibbon Lecture – Lung Cancer Revolution

The House of Surgery

Play Episode Listen Later Nov 15, 2024 55:18


This episode features Jessica S. Donington, MD, MSCR, FACS, a cardiothoracic surgeon from The University of Chicago, who delivered the John H. Gibbon Junior Lecture at Clinical Congress 2024. In her lecture, “Lung Cancer Revolution,” Dr. Donington talks about the negative stigma that is sometimes associated with a lung cancer diagnosis, which can lead to unintended consequences such as disease-related distress and poor outcomes.   Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Martin Memorial Lecture • Lessons Learned and Future Challenges for Surgery

The House of Surgery

Play Episode Listen Later Nov 4, 2024 26:18


This episode features Lester Martinez-Lopez, MD, MPH, a retired family medicine physician from Falls Church, Virginia, who gave the Martin Memorial Lecture at Clinical Congress 2024. Dr. Martinez-Lopez, who most recently worked as the assistant secretary of defense for health affairs at the US Department of Defense. His lecture is titled “Lessons Learned and Future Challenges for Surgery.”   Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2024 Presidential Address – Excelling Together

The House of Surgery

Play Episode Listen Later Nov 1, 2024 18:45


This episode features Beth H. Sutton, MD, FACS, who was installed during Clinical Congress 2024 in San Francisco as the American College of Surgeons 105th President. Shortly afterward, she delivered her Presidential Address, “Excelling Together.”   Talk about the podcast on social media using the hashtag #HouseofSurgery.

BOSS Business of Surgery Series
Episode 141: The benefits of American College of Surgeons membership with Dr. Michael Sutherland

BOSS Business of Surgery Series

Play Episode Listen Later Jul 1, 2024 45:58


Do you know all that the American College of Surgeons membership has to offer?The latest BOSS podcast features Dr. Michael Sutherland, the Director of Membership Services of the American College of Surgeons (ACS). He talks about all that the ACS has to offer. The ACS is the largest surgical organization in the world, representing over 92,000 members across 13 surgical specialties. Its mission is to safeguard the standards of surgical practice and elevate the quality of care through various programs, registries, and data-driven initiatives. ACS membership includes access to discounted insurance programs, practice management resources, coding and reimbursement support, and personal financial management services. The ACS also plays a crucial role in advocacy and health policy, engaging with government agencies and insurance companies to shape policies that impact surgical practice. Key recommendations are: 1. Explore the ACS website (facs.org) and update your member dashboard to ensure your profile information is accurate and tailored to your surgical specialty and interests. 2. Bookmark and utilize the Surgical Risk Health Calculator available on the ACS website to facilitate informed discussions with patients about potential surgical outcomes based on real data. 3. Attend the annual Clinical Congress event to access cutting-edge education, vendor exhibits, surgical simulations, and networking opportunities with peers from around the world. 4. Investigate the various ACS podcasts, including 'House of Surgery,' 'Surgical Readings from SRGS,' and 'The Operative Word,' to stay updated on surgical topics and research. 5. Reach out to the ACS Member Services team (ms@facs.org) for assistance in finding resources or exploring opportunities to get involved with the organization. 6. Encourage medical students, residents, and younger surgeons to join the ACS and take advantage of the free membership during residency to experience the value proposition and resources available.

The House of Surgery
2023 Commission on Cancer Lecture

The House of Surgery

Play Episode Listen Later Jun 28, 2024 47:46


This episode features Jennifer A. Wargo, MD, MMSc, a surgical oncologist from The University of Texas MD Anderson Cancer Center who is renowned for her understanding of melanoma treatment response and groundbreaking discoveries related to how the gut microbiome influences response to immunotherapy. Dr. Wargo gave the Commission on Cancer Lecture at Clinical Congress 2023, “Breaking the Mold: Chartering a New Roadmap to Impact Care through Science,” where she also emphasized the importance of eating fiber to improve health.     Talk about the podcast on social media using the hashtag #HouseofSurgery.

The House of Surgery
2023 Metabolic and Bariatric Surgery Lecture

The House of Surgery

Play Episode Listen Later Jun 7, 2024 44:29


This episode features Henry Buchwald, MD, PhD, FACS, a pioneering metabolic surgeon and educator from the University of Minnesota, who gave the Metabolic and Bariatric Surgery Lecture at Clinical Congress 2023. In his lecture, “Metabolic Surgery: Bariatrics and Beyond,” Dr. Buchwald reviews the evolution of metabolic surgery and how it is being used to ameliorate obesity, type 2 diabetes, hypertension, and even depression.    Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2023 J. Conley Ethics and Philosophy Lecture

The House of Surgery

Play Episode Listen Later May 31, 2024 79:14


This episode features Travis N. Rieder, PhD, a well-regarded bioethicist and former opioid therapy patient from Baltimore, Maryland, who delivered the J. Conley Ethics and Philosophy Lecture at Clinical Congress 2023. His lecture, “America's Opioid Dilemma: Ethical Prescribing during an Overdose Epidemic,” explores the multifaceted nature of ethical prescribing and emphasizes his own poignant struggles with opioids following a traumatic motorcycle accident.  Talk about the podcast on social media using the hashtag #HouseofSurgery. 

The House of Surgery
2023 Scudder Oration on Trauma

The House of Surgery

Play Episode Listen Later Apr 26, 2024 61:16


This episode features Edward E. Cornwell, MD, FACS, a trauma surgeon from Washington, DC, who delivered the Scudder Oration on Trauma at Clinical Congress 2023. In his lecture, “Trauma Care: The Vehicle, the Barometer, the Original Yardstick for Equal Care in America,” Dr. Cornwell uses some historically significant cases to describe how trauma surgery has the unique power to transcend barriers.  Talk about the podcast on social media using the hashtag #HouseofSurgery 

The House of Surgery
2023 Herand Abcarian Lecture

The House of Surgery

Play Episode Listen Later Mar 29, 2024 36:01


This episode features Tracy L. Hull, MD, FACS, a colorectal surgeon from Cleveland, Ohio, who gave the Abcarian Lecture at Clinical Congress 2023. In her lecture, “Things I wish I Had Known at the Start of My Journey,” Dr. Hull shares 10 important career lessons, including publishing early, getting the right mentor, putting family first, and finding your niche.     Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2023 Distinguished Lecture of the International Society of Surgery

The House of Surgery

Play Episode Listen Later Mar 15, 2024 49:44


This episode features Ewen M. Harrison, OBE, MB, ChB, MSc, PhD, a hepatobiliary and transplant surgeon from Edinburgh, Scotland, who gave the Distinguished Lecture of the International Society of Surgery at Clinical Congress 2023. In his lecture, “Artificial Intelligence and the Future of Global Surgery,” Dr. Harrison talks about using AI to enhance precision care through prediction and democratize surgical expertise, all while keeping in mind the ethical implications.   Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
2023 Charles G. Drake History of Surgery Lecture

The House of Surgery

Play Episode Listen Later Feb 23, 2024 53:09


This episode features Frederick G. Barker II, MD, FACS, a neurosurgeon from Boston, Massachusetts, who delivered the Charles G. Drake History of Surgery Lecture at Clinical Congress 2023. His lecture, “Pathologies of the Surgical Image in Modern American Popular Culture,” begins with a sensational neuroscience case from the 19th century and pivots to sensational portrayals of surgeons in the literature, film, and other media.   Talk about the podcast on social media using the hashtag #HouseofSurgery.

The House of Surgery
2023 Jonasson Lecture

The House of Surgery

Play Episode Listen Later Jan 12, 2024 47:09


This episode features Susan E. Mackinnon, MD, FACS, a plastic and reconstructive surgeon from St. Louis, Missouri, who gave the Olga M. Jonasson Lecture at Clinical Congress 2023. In her lecture, “Phoenix Rising: The Culture of Surgery—A Paradigm Shift,” Dr. Mackinnon discusses the concept of energy leadership, a seven-level strategy that can transform how an individual interacts with—and ultimately—leads teams.     Talk about the podcast on social media using the hashtag #HouseofSurgery

The House of Surgery
Henri Ford Presidental Address

The House of Surgery

Play Episode Listen Later Nov 3, 2023 26:27


This episode features Henri R. Ford, MD, MHA, FACS, who was installed during Clinical Congress 2023 in Boston as the American College of Surgeons 104th President. Shortly afterward, he delivered his Presidential Address, Achieving Our Best Together: #InclusiveExcellence.   Talk about the podcast on social media using the hashtag #HouseofSurgery.

PEBMED - Notícias médicas
Highlights ACS 2023 - American College of Surgeons Clinical Congress

PEBMED - Notícias médicas

Play Episode Listen Later Oct 28, 2023 9:11


Nesse episódio, Felipe Victer destaca os principais estudos apresentados no American College of Surgeons Clinical Congress, congresso do colégio americano de cirurgia. Confira esse e outros posts no Portal PEBMED e siga nossas redes sociais! Facebook Instagram Linkedin Twitter

The House of Surgery
2022 ACS CoC Oncology Lecture

The House of Surgery

Play Episode Listen Later Jul 21, 2023 37:16


This episode features Dr. Edward Partridge, a professor emeritus from the O'Neal Comprehensive Cancer Center at the University of Alabama Birmingham and Chief Medical Office of Guideway Care. Dr. Partridge delivered the ACS Commission on Cancer Oncology Lecture during Clinical Congress 2022, reflecting on the 100-year anniversary of the C-o-C and addressing ways to decrease healthcare disparities in cancer care. View the 2022 Clinical Congress Named Lecture vides on the ACS website: https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/acs-brief/november-1-2022-issue/view-all-clinical-congress-named-lectures-on-demand/ Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Inaugural Metabolic and Bariatric Surgery Lecture

The House of Surgery

Play Episode Listen Later Jul 14, 2023 36:48


This episode features Dr. Bruce Schirmer, a bariatric surgeon from Charlottesville, Virginia, who delivered the inaugural Metabolic and Bariatric Surgery Lecture during Clinical Congress 2022. In his talk, “Don't Stop Now,” Dr. Schirmer discusses the progress of bariatric surgery over the past 40 years and encourages more work to understand the disease of obesity. View the 2022 Clinical Congress Named Lecture vides on the ACS website: https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/acs-brief/november-1-2022-issue/view-all-clinical-congress-named-lectures-on-demand/ Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Conley Ethics and Philosophy Lecture

The House of Surgery

Play Episode Listen Later Jun 16, 2023 46:21


This episode features Dr. Mary Brandt, a professor of pediatric surgery at Tulane University in New Orleans, who delivered the John J. Conley Ethics and Philosophy Lecture during Clinical Congress 2022. Dr. Brandt focused on “The Ethics of Belonging,” – what it means to belong, why belonging is professionally and ethically important, and how we can all become fierce guardians of belonging. View the 2022 Clinical Congress Named Lecture vides on the ACS website: https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/acs-brief/november-1-2022-issue/view-all-clinical-congress-named-lectures-on-demand/ Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Scudder Oration on Trauma

The House of Surgery

Play Episode Listen Later Apr 28, 2023 58:05


This episode features acclaimed trauma surgeon Dr. Ronald Stewart, the Dr. Witten B. Russ Chair of Surgery at The University of Texas Health Science Center in San Antonio. Dr. Stewart delivered the Scudder Oration on Trauma during Clinical Congress 2022, reflecting on the ACS Committee on Trauma's Century of Commitment to Optimal Trauma Care—Lessons Learned and Opportunities for the Future. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Edward D. Churchill Lecture

The House of Surgery

Play Episode Listen Later Apr 14, 2023 61:40


This episode features Dr. David Feliciano, a leader in trauma and acute care surgery who currently is a clinical professor of surgery at the University of Maryland in Baltimore. Dr. Feliciano gave the Churchill Lecture during Clinical Congress 2022 on the “Extraordinary Evolution of Surgery for Abdominal Trauma.” Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Herand Abcarian Lecture

The House of Surgery

Play Episode Listen Later Mar 31, 2023 29:02


This episode features Dr. David Beck, a renowned colorectal surgeon and US Air Force veteran who currently is a professor of clinical surgery at Vanderbilt University in Memphis, Tennessee. Dr. Beck delivered the Abcarian Lecture during Clinical Congress 2022 on the benefits of applying critical thinking toward each component of care to help advance workflow efficiencies and improve patient outcomes. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS International Society of Surgery Lecture

The House of Surgery

Play Episode Listen Later Mar 24, 2023 36:41


This episode features Dr. Eduardo Moreno Paquentin, founder and director of the Surgery Hub in Mexico City, who delivered the International Society of Surgery Lecture during Clinical Congress 2022. Dr. Paquentin describes his experience training surgical residents in Mexico on safe laparoscopic techniques and developing quality surgical training programs around the world. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Ravdin Lecture by Dr. Carla Pugh

The House of Surgery

Play Episode Listen Later Feb 10, 2023 47:44


This episode features Dr. Carla Pugh (PEW), vice chair of innovation in the department of surgery at Stanford University in California. Dr. Pugh delivered the I.S. Ravdin Lecture during Clinical Congress 2022 on wearable technology and artificial intelligence—how the medical field has just begun to scratch the surface of their potential and how they can be used to improve patient outcomes. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Drake Lecture by Dr. James Drake

The House of Surgery

Play Episode Listen Later Jan 27, 2023 55:28


This episode features Dr. James Drake, a pediatric neurosurgeon from the University of Toronto in Canada, and son of Charles G. Drake for whom the Clinical Congress lecture was named. During the lecture this past October, Dr. James Drake provided a history of his father's legacy as a pioneer in adult neurological surgery and world expert in vascular malformations of the brain … along the way discovering new things about his father's career, relationships, and work philosophies. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Gibbon Lecture by Dr. Gail Darling

The House of Surgery

Play Episode Listen Later Jan 13, 2023 34:53


This episode features Dr. Gail Darling from Dalhousie University in Halifax, Nova Scotia, who delivered the Gibbon Lecture at Clinical Congress 2022. In her lecture, Dr. Darling offered her experiences with a new process for Morbidity and Mortality Conferences that provides a safe environment to discuss adverse events and focus on system issues rather than pointing fingers at individuals. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Martin Memorial Lecture by Dr. David Hoyt

The House of Surgery

Play Episode Listen Later Dec 30, 2022 36:18


This episode features Dr. David Hoyt, who was Executive Director of the ACS for 12 years until his retirement at the end of 2021. Dr. Hoyt delivered the Martin Memorial Lecture at Clinical Congress 2022, proving an overview of the ACS's historical commitment to patient care and quality, and describing how science and data are the foundation for how surgeons will treat patients going forward. Talk about the podcast on social media using #HouseofSurgery.

The House of Surgery
2022 ACS Presidential Address by Dr. Christopher Ellison

The House of Surgery

Play Episode Listen Later Dec 8, 2022 19:53


This episode features Dr. Christopher Ellison, who was installed during Clinical Congress 2022 in San Diego as the American College of Surgeons 103rd President. Shortly afterward, he delivered his Presidential Address, Our Professional Journey: Surgeons United. Talk about the podcast on social media using #HouseofSurgery.

BOSS Business of Surgery Series
Episode 15: Rising the ranks with self-less leadership with Dr. AJ Copeland

BOSS Business of Surgery Series

Play Episode Listen Later Mar 7, 2022 21:40


The latest podcast episode is with Dr. AJ Copeland- a general surgeon, retired Colonel in the Army, former President of the Association of Women Surgeons and current Regent for the American College of Surgeons, and a personal hero of mine. She describes her rise in leadership in major national surgery organizations. She is a self-described "joiner" and if there was a position that seemed right for her, she would always raise her hand to do it. Once involved in a position, she notes the importance of doing the work. She found meaningful work in AWS as a contributor on numerous projects including the AWS Pocket Mentor found here and creating the guide for patients on "What is a surgical resident" (found here) as an ACS governor. On this episode, she shared some tips on leadership: - if you find a need- either something that needs to get done, or you think you can do it better- then raise your hand and get involved - When in the position, do the work - Bring others along. You may see their potential before they do. Tell others about opportunities, and encourage them to apply. She stressed the importance of getting involved in national societies, especially the American College of Surgeons. The ACS is the umbrella organization for all surgical subspecialties. Unlike smaller societies, the ACS has the numbers to help lobby for change, advocate for what surgeons need, and provide other services like education (SESAP, ATLS, the Clinical Congress), quality (NSQIP), and other benefits. She is one of 24 Regents of the ACS, a part of the organization that is responsible for the big picture and directives for all surgeons. She was a Governor prior to this, a body of around 300 surgeons who act as representatives of the Fellows. Governors represent the Fellows of the American College of Surgeons, and are the official communications link between Fellows and the Board of Regents. https://www.womensurgeons.org/ https://www.facs.org/

Ridgeview Podcast: CME Series
Quit Yer Belly Achin': Abdominal Surgeries with Dr. Todd Elftmann

Ridgeview Podcast: CME Series

Play Episode Listen Later Jan 8, 2021 62:18


In this podcast Dr. Todd Elftmann, a general surgeon with Lakeview Clinic and Ridgeview, discusses abdominal surgeries through a case review format. Enjoy the podcast! Objectives:     Upon completion of this podcast, participants should be able to: Recognize the potential for appendicitis and/or cholecystitis. Initiate the appropriate work-up for appendicitis and/or cholecystitis. Create the appropriate referral for appendicitis and cholecystitis. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "Quit Yer Belly Achin': Abdominal Surgeries with Dr. Todd Elftmann" (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.    SHOW NOTES: CASE 1: The four "Elftmann criteria" include fever, elevated white blood cell count, history of pain or anorexia, and a positive physical exam. Two or more of these findings means a probable appendectomy.  Peritoneal irritation is not a subtle finding and even the most stoic patients will grimace with palpation of the abdomen. Localized pain versus diffuse pain in all four quadrants can help determine if there is a rupture. Additional work up includes, as always, a good history, plus lab work an x[ray of the abdomen in this case, and finally, a CT scan with oral contrast. The CT is the gold standard and has decreased the number of negative appendectomies to 1-2%. Ultrasound can be used, and is often for pediatric patients, but has limitations. CT scans are more sensitive and specific for appendicitis. A white blood cell count is included in the lab work-up, but a patient with appendicitis may present with a normal white count. Conservative treatment is possible, but per the literature does have a failure rate, with anywhere from 25-50% of patients still requiring an appendectomy. A perforated appendix does not guarantee an immediate OR visit. Depending on the patient and the surgeon's comfort level, treatment may include a delayed appendectomy with antibiotics, plus or minus a percutaneous drain if an abscess is present. IV piperacillin tazobactam would be given as an inpatient, and oral Augmentin as an outpatient along with very close follow-up. For patients with a penicillin allergy, a fluoroquinolone plus metronidazole is appropriate. Surgery could occur approximately 8-12 weeks later after clinical and laboratory improvement. Stump appendicitis occurs when a patient presents with a classic presentation of an appendicitis, post a previous appendectomy. It happens most commonly with patients who had an appendicolith and the entire base was not removed in the original surgery. CASE 2:  Abdominal pain for patients that are pregnant can be complicated. Initial assessment includes a fetal exam, and assuring the viability of the fetus. Further consideration would include using ultrasound instead of CT for reduced radiation exposure. In this case, a woman presented with right upper quadrant tenderness, fever, and hyperbilirubinemia indicative of cholecystitis. If she had jaundice, this would be Charcot's triad and would indicate cholangitis. Early surgical consultation, especially for a pregnant patient is important. Failed conservative treatment for these patients can have adverse outcomes. For other work-up modalities, MRCP is an option, but if the patient is already going to the operating room, a cholangiogram can be performed in the OR with GI on standby for an ERCP, thereby eliminating the need for an extra test. MRCP is for patients that are not good operative candidates, and are too acute or sick to tolerate a procedure. A HIDA scan can evaluate whether the cystic duct is open and is good for non-toxic appearing patients where ultrasound is unremarkable or with fever of unknown origin. The ongoing treatment of cholecystitis whether surgical or nonsurgical depends on the patient and the severity of their illness. It turns out, antibiotic choice for cholecystitis is similar to that of appendicitis with perforation. Antibiotics can range from cefazolin to zosyn or even meropenem. For severely penicillin allergic patients, a fluoroquinolone plus metronidazole can be used. For patients that are higher acuity, whether due to calculous or acalculous cholecystitis, and are not good surgical candidates, a percutaneous drain may be indicated. Post-cholecystectomy, 85-90% of patients will not notice a change, 10% will report a looser bowel pattern, and 1% of patients will experience severe diarrhea. These patients can be treated with a bile binding medication like cholestyramine. A key point today, the gallbladder is a surgical disease and Dr. Elftmann recommends early surgical consultation. Thanks for listening.   Sources/Links:  Evidence for an Antibiotics-First Strategy for Uncomplicated Appendicitis in Adults: A Systematic Review and Gap Analysis. Journal of the American College of Surgeons.  DOI:  http://dx.doi.org/10.1016/j.jamcollsurg.2015.01.009 Use of White Blood Cell Count and Polymorphonuclear Leukocyte Differential to Improve the Predictive Value of Ultrasound for Suspected Appendicitis in Children. Journal of the American College of Surgeons.  DOI: http://dx.doi.org/10.1016/j.jamcollsurg.2015.01.039 The Scientific Forum presentation, Operative vs Nonoperative Management of Appendicitis: A Long-Term Cost-Effectiveness Analysis, was held October 22 at the 2018 Clinical Congress of the American College of Surgeons in Boston, MA. Program, webcast, and audio information is available online at facs.org/clincon2018.  The Panel Session, The Call Bladder: Dealing with the Acute Gallbladder, was held Monday, October 28 at the American College of Surgeons Clinical Congress 2019 in San Francisco (program, webcast and audio information). Gallstone size and the risk of gallbladder cancer      https://pubmed.ncbi.nlm.hin.gov/6632129 

Blood & Cancer
Reader beware: Interpreting post hoc analyses

Blood & Cancer

Play Episode Listen Later Oct 31, 2019 22:38


David L. Streiner, PhD, of McMaster University, Hamilton, Ont., and the University of Toronto, joins Blood & Cancer host David Henry, MD, of Pennsylvania Hospital, Philadelphia, to explain what a post hoc analysis is and why it should be interpreted with caution. Plus, in Clinical Correlation, Ilana Yurkiewicz, MD, of Stanford (Calif.) University, explores what to tell patients when it comes to prognostic scoring system results. * * *  Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * *  This week in Oncology: In rectal cancer, fragmented care linked to lower survival by Jim Kling, reporting from Clinical Congress 2019. Post hoc analyses What is a post hoc analysis? Analyzing data after a study has already had conclusions made and looking for patterns that were not prespecified. Dr. Streiner’s advice for researchers: Pick a small number of primary outcomes and develop a narrow hypothesis. Then use post hoc analysis as a means of assessing future questions that can be investigated in a subsequent study. Dr. Streiner’s advice for clinicians: Treat a post hoc analysis as a hypothesis that requires further study. It should be viewed with some degree of suspicion because it may have been significant only by chance. Show notes by Ronak Mistry, DO, resident in the department of internal medicine, University of Pennsylvania, Philadelphia.   References Marcus R et al. Obinutuzumab for the first-line treatment of follicular lymphoma. N Engl J Med. 2017;377:1331-44. Crawford ED et al. Comorbidity and mortality results from a randomized prostate cancer screening trial. J Clin Oncol. 2011;29:355-61. Streiner DL et al. Size, follow-up, data analysis – good; post hoc analysis, interpretation – not so good. Commun Oncol. 2011;8:379-80.   For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgehemonc David Henry on Twitter: @davidhenrymd Ilana Yurkiewicz on Twitter: @ilanayurkiewicz  

Behind The Knife: The Surgery Podcast
#174 Dr. Bass on ACS, Surgical Simulation, and Breast Abscesses

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Dec 12, 2018 60:45


Better late than never...we interviewed Dr. Bass (@ACSPastPrez98) prior to Clinical Congress and discussed her Presidency, the surgical simulation center she started at Houston Methodist, women in surgery, and breast abscesses.

Behind The Knife: The Surgery Podcast
#123: ACS Clinical Congress highlights: Subtotal cholecystectomy with Dr. Sharmila Dissanaike (featuring Dominic Forte)

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Oct 31, 2017 12:28


Behind the Knife coverage of the 2017 American College of Surgeons Clinical Congress: Dr. Sharmila Dissanaike (Chair of Surgery at Texas Tech University Health Sciences Center) takes Woo Do and Dominic Forte through her technique for a subtotal cholecystectomy. Additionally, Kevin Kniery invites listeners to support BTK's mobile app development through this t-shirt fundraiser (https://www.customink.com/fundraising/behind-the-knife-app-fundraiser).

Traumacast
Continuing the Conversation from the 76th AAST Annual Meeting and Clinical Congress of Acute Care Surgery - Part 3 of 3

Traumacast

Play Episode Listen Later Oct 10, 2017 21:02


Part 3 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. This Traumacast includes interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.

Traumacast
Continuing the Conversation from the 76th AAST Annual Meeting and Clinical Congress of Acute Care Surgery Part 2 of 3

Traumacast

Play Episode Listen Later Oct 9, 2017 27:09


Part 2 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. This Traumacast includes interviews with Drs. Eastman, Hall, Hall, Napolitano, Pieracci, and Rotondo. Supplemental MaterialsSTB 2016 Final Parkland Implementation Guide Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

Traumacast
Continuing the Conversation from the 76th AAST Annual Meeting and Clinical Congress of Acute Care Surgery - Part 1 of 3

Traumacast

Play Episode Listen Later Oct 8, 2017 29:01


Part 1 of 3 Your hosts, Drs. David Morris and Carrie Valdez kept the conversation going with these Traumacasts recorded during the 2017 AAST Annual Meeting featuring clinical leaders in the fields of trauma, critical care and acute care surgery.  There were so many great interviews captured, we split the Traumacast into a three part series. Interviews with Drs. Coimbra, Arbabi, Benjamin, Bruns, Delano, Jenkins, & Mehta.

RAS-ACS
Intenational Exchange Program

RAS-ACS

Play Episode Listen Later Apr 12, 2017 28:05


International Exchange Program at Clinical Congress 2016 Listen as members of the Resident and Associate Society (RAS) interview International Exchange Program (IEP) scholars who attended Clinical Congress 2016 in Washington, DC. Each year, international scholars travel from their home countries to attend the annual ACS Clinical Congress, while scholars from the U.S. travel to attend the equivalent surgical congress abroad. In this podcast, we hear about the differences in training paradigms around the world from our scholars Shirley Potter (Ireland), Christine Goh (Australia), and Andrea Peloso (Italy). We also speak with Edward Shipper, the current RAS Communications Vice-Chair and recent IEP scholar, regarding his experience attending the Royal Australasian College of Surgeons Annual Scientific Congress last May.

Behind The Knife: The Surgery Podcast
#30: ACS Clinical Congress 2015 Updates

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Oct 7, 2015 22:22


This week we bring you a special episode to track the current ACS Clinical Congress in Chicago.  We (Kevin, Jason, and John) couldn't attend, but Dr. Steele is in attendance and gave up us some highlights thus far.  He also got us hooked up with Dr. Ali Salim who discussed the conference and gave us some potentially practice changing updates!   Finally, we welcome Dr. Luke Selby who gave us a resident's perspective on the conference as well as new thoughts at the conference on resident training. Enjoy!.....especially if you couldn't make it like us!  

chicago career steele clinical congress
Conference Coverage
The American College of Surgeons 96th Annual Clinical Congress

Conference Coverage

Play Episode Listen Later Nov 11, 2010


Host: Matt Birnholz, MD Tune in for a summary of some of the important information and research findings from the American College of Surgeons 96th Annual Clinical Congress, held October 3 - 7, 2010, in Washington, DC. This year’s meeting attracted more than 13,000 participants from around the world, who attended presentations on novel surgical techniques, the impact of surgeon availability on survival rates, application of surgical techniques to expanding patient populations, and risk factors associated with trauma incidents.

Conference Coverage
Conference Coverage Highlights: American Association of Clinical Endocrinologists

Conference Coverage

Play Episode Listen Later May 22, 2009


Tune in for highlights from the American Association of Clinical Endocrinologists' 18th Annual Meeting and Clinical Congress, which took place May 13th through the 17th in Houston.