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SAGES Hands-on Courses & Panels

Solid Organ Surgery

Wednesday, April 9, 2008
1:00 PM - 5:00 PM

Chair: L. Michael Brunt, M.D., Co-Chair: Edward Phillips, M.D.

This course will consist of a hands-on cadaver laboratory session in which participants will receive instruction by experts in laparoscopic solid organ surgery on laparoscopic splenectomy, adrenalectomy, nephrectomy, and pancreatic resection. Participants will have the opportunity to use a variety of surgical devices used in these procedures for hemostasis, stapling, specimen extraction, and hand-assisted techniques. Lab stations will have a 1:3 faculty: participant ratio.

Objectives:

At the conclusion of this session, participants will be able to:

Surgeon in the Digital Age: Video Editing
Basic Video Editing with an Introduction to Advanced Techniques

Wednesday, April 9, 2008
1:00 PM - 5:00 PM

Chair: Patrick Reardon, M.D., Co-Chair: Santiago Horgan, M.D.

This course is a hands-on (1 to a station) Macintosh-based course and workshop using the latest video editing software. This course is designed to take users of at least modest computer facility through the basic steps of digital video editing. The skills learned in this course will be applicable to digital video editing on most Widows-based computers and editing programs. Led in real time by an experienced surgeon facilitator, participants will import clips, edit them, create transitions and add voice-over sound tracks. Additional advanced techniques which are useful in medical videos will be reviewed. Final products will be transcoded for a variety of purposes. A CD with the course files is included for later practice. Once this course is completed, users should be able to have the skills necessary to create edited digital videos for medical meetings, education or personal use.

Objectives:

At the completion of this course the surgeon (or other participant) will be able to:
Demonstrate a working knowledge as to how the video signal used to perform laparoscopic surgical procedures is transferred to a variety of digital formats (e.g. – CD, DVD, digital tape) for the purposes of creating materials that could be used for:

Manipulate the acquired digitized video material for the purposes above by methods utilizing the following skills in order to create effective medical educational materials:

Produce output of the acquired and manipulated digital material for specific needs in the medical educational arena including:

Schedule
1:00 PM The Operation
1:10 PM Capturing Footage
1:20 PM Getting Video onto the Computer
1:45 PM Break
2:00 PM Editing
2:15 PM Editing Clips in the Timeline
3:00 PM Transitions
3:45 PM Outputting Your Project
4:00 PM Advanced Editing Techniques
5:00 PM Conclusion

Device Development Session: From Concept to Cash

Thursday, April 10, 2008
7:00 AM - 12:00 PM

Chair: Steven D. Schwaitzberg, M.D., Co-Chair: Raymond Onders, M.D.

This postgraduate course will provide a comprehensive view of device development. The speakers will take the audience through the journey from the idea to a potentially successful enterprise. Each of the speakers will bring their experience in this field to educate the audience on each of the many steps necessary to go from concept to cash.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
7:00 AM What Should Surgeons Innovate? Thomas Krummel, M.D.
7:30 AM I Have a Good Idea – How Do I Protect it? Dmitry Oleynikov, M.D.
8:00 AM I Work for a University – Who Owns My Head? Roger de la Torre, M.D.
8:30 AM If I Make it in My Garage, Can I Use it in the OR or Should I Really Call the IRB? Steven Schwaitzberg, M.D.
9:00 AM Panel Discussion
9:30 AM Break
9:45 AM I Want to Publish and Profit – Can I do Both? Mark Talamini, M.D.
10:15 AM I Have a Company – Should I Give Up My Day Job? Michael Treat, M.D.
10:45 AM What is a Good Idea Worth Anyway? Andy Levine
11:15 AM The Innovators Tale: The PEG Jeffrey Ponsky, M.D.
11:30 AM Discussion
12:00 PM Close

Fundamentals of Laparoscopic Surgery

Thursday, April 10, 2008
7:30 AM - 12:00 PM SESSION I: Lectures
1:00 PM - 3:00 PM SESSION II: Hands-On Lab
3:00 PM FLS Testing

Chair: Nathaniel Soper, M.D., Co-Chair: Matthew Ritter, M.D.

The course will be based on the Fundamentals of Laparoscopic Surgery (FLS) Program, a collaborative effort between Society of American Gastrointestinal and Endoscopic Surgeons and the American College of Surgeons. This introductory course will begin with an overview of the history, science, and development of the FLS Program. It will continue with various chapters from the FLS curriculum, such as physiology, intraoperative considerations, basic laparoscopic procedures, and procedural complications. Part of the course will also cover the psychomotor and technical skills required in basic laparoscopic surgery. The course syllabus will outline the content of both FLS CD-ROMs.

After completing the course, those participants who registered for the examination and received the advance materials will be able to take the FLS examination directly following the course or at the FLS Testing Center throughout the SAGES meeting. These candidates will receive the FLS CD-ROMs before the course and will be expected to review the materials. Other participants will be given the CD-ROMs at the time of the course. Approximately 10 FLS trainer boxes will be available for training and practice during the Hands-On Session, at the conclusion of the course and throughout the SAGES meeting.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
7:30 AM Introduction and Rationale for FLS Nathaniel Soper, M.D.
7:55 AM Preoperative Considerations Ashley Vernon, M.D.
8:25 AM Intraoperative Considerations David Earle, M.D.
8:55 AM Basic Laparoscopic Procedures Daniel Scott, M.D.
9:25 AM Q & A
10:15 AM Break
10:30 AM Postoperative Considerations Daniel Jones, M.D.
11:00 AM Technical Skills: Development of FLS Curriculum, Validation of Metrics, and Relationship to Operative Performance Gerald Fried, M.D.
11:30 AM FLS: FAQs - Who, When, Where, and How? Matthew Ritter, M.D.
12:00 PM Lunch
  SESSION II: Hands-On Workshop and FLS Testing
1:00 PM Hands-On Workshop
3:00 PM FLS Testing

Endolumenal Surgery

Thursday, April 10, 2008
1:00 PM - 5:00 PM

Chair: Jeffrey Marks, M.D., Co-Chair: Thadeus Trus, M.D.

This four hour hands-on course will provide exposure to multiple advanced endoscopic techniques in porcine explant models. Participants will rotate through stations that will include training in tissue ablation, enteral stent placement, endoscopic mucosal resection (EMR), thermal and nonthermal management of GI bleeding, and endoscopic suturing techniques. Faculty will include nationally and internationally recognized experts in the field of advanced surgical endoscopy.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
1:00 PM Hands-On Lab
  Endoscopic Mucosal Resection (EMR)
  Tissue Ablation
  Enteral Stent Placement
  Endoscopic Management of Bleeding
  Endoscopic Suturing

Colorectal Surgery

Thursday, April 10, 2008
1:00 PM - 5:00 PM

Chair: Tonia Young-Fadok, M.D., M.S., Co-Chair: Howard Ross, M.D.

Description:

This half-day technique-based practical cadaver lab course is designed for general and colon/rectal surgeons and senior residents, familiar with laparoscopic techniques, who wish to expand their skills in laparoscopic colon and rectal surgery. Techniques for bowel mobilization, vessel division, and intra- and extracorporeal anastomoses will be taught, with an emphasis on oncologic principles. The course will emphasize alternative approaches including lateral-to-medial, medial-to-lateral, and hand-assisted techniques, to facilitate resection of the entire intra-abdominal colon and the rectum. All faculty members are expert laparoscopic colon and rectal surgeons, with established reputations for teaching hands-on courses. All attempts will be made to tailor the approach taught to the needs and prior experience of the participants. Principles of laparoscopic rectal dissection discussed in the preceding Postgraduate course on MIS Rectal Disease will be emphasized.

Participants:

Participants should realistically anticipate an annual volume of at least 20 colon cases per year to successfully implement the techniques demonstrated.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
1:00 PM Introduction Tonia Young-Fadok, M.D.
Howard Ross, M.D.
1:15 PM Lab
  Med-to-Lat Right Colectomy
  Lat-to-Med Right Colectomy
  Hand-Assist Right Colectomy
  Med-to-Lat Left Colectomy
  Lat-to-Med Left Colectomy
  Hand-Assist Left Colectomy
  Low Anterior Resection (Any Approach)
  TME
  Transverse Colectomy (Even Just Middle Colics)
  Proctocolectomy and IPAA
4:30 PM Wrap-up and Questions
5:00 PM Bus to Hotel

Rural Surgery Panel: Practice & Politics

Thursday, April 10, 2008
3:30 PM - 5:00 PM

Chair: Thomas Broughan, M.D.

The Rural Surgery Panel will investigate the clinical practice issues and politics affecting rural SAGES members. Rural Surgeons will have the opportunity to interact with the Washington, DC office of the American College of Surgeons to express their views for lobbying efforts.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
3:30 PM Introduction and What SAGES Offers the Rural Surgeon Thomas Broughan, M.D.
3:40 PM Best Practices: Negotiating with Your Hospital Jamie Flowers, M.D. & Peter Hedberg, M.D.
4:00 PM Quality Measures in Rural Surgery Dale Bratzler, M.D.
4:15 PM Rural Surgeons Recertification and the American Board of Surgery Frank Lewis, M.D.
4:30 PM Washington, D.C. and the Rural Surgeon Paul Collicott, M.D.
4:45 PM Discussion