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President’s Message (2012- 2013)

Dear UCSF Naffziger Surgical Society Members,

I hope all of you received my December 28, 2012 “Save the Date” message and have made plans to attend our annual meeting and dinner. This year we are pleased to be collaborating with the UCSF Department of Surgery, scheduling the Naffziger program in conjunction with the Department’s 2013 Post Graduate Course in General Surgery. Drs. Nancy Ascher and Hobart Harris have been extremely helpful in planning this year’s meeting.

We have arranged for Friday May 17th to be our Naffziger Day with the Naffziger program running from 10:00 AM – 4:00 PM (see attached program for the entire 2-day PG graduate course, with our Friday Naffziger program highlighted). As Naffziger members, you are welcome to attend ANY of the PG Course lectures, either before and after our Naffziger program, free of charge.

For those who have chosen not to attend any or all of the clinical lectures from 7:00-10:00, we have reserved a “break out” room where we hope some of you may be able to gather with colleagues that you haven’t seen in a while ( i.e., a reunion). Some of you have requested such a gathering place in the past.

We have tried to design a program that will be of general interest to you, whatever your special clinical interests, type of practice, private or academic, urban or more rural.

Highlights of the program include:

  • Brief reports from selected UCSF residency graduates who are 1, 5, 10, 15 and 45! years out. They will talk about the challenges and opportunities they see. We hope this will provoke a dialogue with all of you.
  • An outstanding panel comprised of Drs. Blaisdell, Lewis, Deveney, Ascher and Pellegrini. They will discuss the challenges we face with surgical GME, training and continuing education in the 21st Century. Again, we will seek your input.
  • Annual Business Meeting (Lunch included) – lots of important things to discuss and decide regarding our future.
  • The old Naffziger Rounds, which we are re-establishing with an electronic twist. You will be presented several challenging cases and will have an electronic voting device at your seat. You will be ask “what would you do?” and we will be able to project collated (not individual) opinions – the “Collective Naffziger Intelligence”
  • Our 2013 Naffziger Lecturer whom I’m delighted to tell all of you about. He is Carlos Pelligrini, M.D., FACS, Professor of Surgery/Chair of the Department of Surgery at the University of Washington, and President-elect American College of Surgeons.
  • Dr. Pelligrini’s topic is The Surgeon as a Leader; Improving Quality, Decreasing Costs, highly relevant for all of us facing the changing landscape of health care in the U.S.

Past Naffziger President James Macho and President-elect Carlos Corvera have been extensively involved and enormously helpful in creating this program as has Annette Bronstein who found One Market for us.

I’ve heard from many of you a desire to try something new for our Naffzger dinner to enliven your SF trip for our meeting. To that end, our annual Naffziger dinner at 6:30 PM will be at a new (for us) and exciting location, with no added cost beyond previous dinners.

One Market Restaurant  1 Market St.
San Francisco, CA 94105

Based on last year’s dinner attendance, we should have plenty of room. However, we ultimately have a limited seating capacity. So if you and your significant other want to attend the dinner, please RSVP ASAP to ensure your place.

I am personally excited about this year’s Naffziger Day and hope to see many of you on May 17th. Let’s continue the rejuvenation of our UCSF surgical heritage as led by Presidents Blaisdell and Macho over the past several years.

There should not be a more proud and sustainable society of surgeons than we, who have had the privilege and great fortune to train at UCSF.

Best wishes,

A. Brent Eastman, MD, FACS, FRCSEd (Hon)
President, UCSF Naffziger Surgical Society
President, American College of Surgeons

Building a Personal Connection: The Mentoring Philosophy of Nancy Ascher, M.D., Ph.D.

Dr. Nancy Ascher

Dr. (Nancy) Ascher excels in her role as Chair of Surgery, not only for her inexplicable foresight, but because she stays connected to trainees and students. This year, Dr. Ascher received the Francis Moore Excellence in Mentorship in the Field of Transplantation Surgery Award from the American Society of Transplant Surgeons.

Residents and fellows noted that Dr. Ascher is an effective mentor because she treats them like colleagues and not just trainees. Residents and fellows felt “immersed and integral in the program which empowered them and helped their growth.” Dr. Ascher emphasizes that a meaningful mentor-mentee relationship allows an honest exchange about the student’s career path and the mentor’s willingness to be that student’s advocate.

But how personal can a mentorship be, or is it strictly a professional relationship? Dr. Ascher believes that “elements of caring, friendship come from a good mentorship.” However, she acknowledges the fine line that exists to protect the privacy and separate personal lives of the mentor and mentee. The role of an effective mentor is not to judge the mentee but to get to know the student, so that the mentor can advise the student appropriately. Opening up to a mentor helps students understand what’s realistic and reasonable for them.” Excerpted from Synapse, the UCSF student-run weekly

Read more

UCSF Department of Surgery Presents 26th Annual Dunphy Resident Research Symposium

The UCSF Department of Surgery presented the annual Resident Research Symposium funded by the UCSF Naffziger Surgical Society on April 9, 2013, an event that showcases the research of residents, fellows and medical students in the Department of Surgery and honors the life and accomplishments of J. Engelbert Dunphy, a legendary surgeon and former Chair of the Department. The award for “Best Abstract” went to Robert Bell, MD with runners-up Jessica Beard, MD, MPH and Randi Smith, MD MPH. Xiaoti Xu, MD received the award for “Best Quick Shot”. Jack Harbell, MD and Cristina O’Donohue, MD received Honorable Mention certificates for their presentations.

More about the 2013 Winners
Complete List of 2013 Resident Research Abstracts

Maurice Galante, M.D., Legendary Surgeon and Renaissance Man, Dies

Dr. Maurice Galante

Dr. Maurice Galante, whose professional career at UCSF spanned an incredible 44 years (1945-1989), passed away on February 5, 2013. Dr. Galante was born in Rhodes in 1919 and came to the United States alone to receive his undergraduate and medical education. He entered his residency training in general surgery at UCSF in 1945. He subsequently became a member of the Department of Surgery faculty. As a faculty member at UCSF, Dr. Galante was celebrated as a master surgeon and for his varied interests in medical ethics, music and the arts. His reputation with patients was legendary and his grateful patients helped him and the Department of Surgery establish the Galante Lecture Program, The Galante Research Program and the Maurice Galante Distinguished Professorship.

Alden H. Harken, M.D. Receives Lifetime Achievement Award from Society of University Surgeons

Alden H. Harken, M.D.

“Alden H. Harken, M.D. was recently honored with the 2012 Lifetime Achievement Award from the Society of University Surgeons (SUS). Dr. Harken is Chief of the UCSF-East Bay Surgery Program, and Chief of Surgery and Chair of the Surgery Department at Alameda Health System’s (AHS). Over the course of his career, His contributions to the field of cardiac electrophysiology include influential early work around mapping and surgical ablation for ventricular tachyarrhythmias. Dr. Harken’s work in this area helped our understanding of the pathophysiology of ventricular tachycardia and shaped today’s methods of ablative treatment of ischemic ventricular tachycardia. According to SUS, “Dr. Harken’s energy, insight, enthusiasm and innovative work have created a legacy that will influence the treatment of cardiac arrhythmias for many years to come. He has clearly been a pioneer in the field, and has been a true role model for his colleagues in the SUS and AAS.” *Excerpts from news release for Alameda Health System’s (AHS)

A. Brent Eastman, M.D., FACS Installed as 93rd President of American College of Surgeons

A. Brent Eastman, MD, FACS

“A. Brent Eastman, MD, FACS, a general, vascular, and trauma surgeon from San Diego, CA, was installed as the 93rd President of the American College of Surgeons (ACS) during Convocation ceremonies at the 2012 Clinical Congress. Dr. Eastman is corporate senior vice-president and chief medical officer of Scripps Health, the N. Paul Whittier Endowed Chair of Trauma at Scripps Memorial Hospital, La Jolla, and a clinical professor of surgery-trauma at the University of California, San Diego…

A dedicated trauma surgeon, Dr. Eastman was a particularly active member of the ACS Committee on Trauma (COT). He was COT Chair from 1990 to 1994 and helped to create and was the first Chair of the COT Trauma System Consultation Committee (1999–2003). Furthermore, he has served as an instructor for the internationally acclaimed Advanced Trauma Life Support® course since 1982.” Excerpted from Bulletin of American College of Surgeons

Read full announcement at ACS website

Matthew Y.C. Lin, M.D., Demonstrates Utility of Bariatric Surgery in Successful Organ Transplantation

Matthew Y.C. Lin, M.D.

“Bariatric surgery has been widely accepted in the medical field, but now we’re trying to apply it to specific patient groups,” said Matthew Y.C. Lin, M.D., a former UCSF MIS/Bariatric surgical fellow**, whose outstanding work led to a faculty appointment as an Assistant Professor in the Department of Surgery.

In a pilot study of 26 morbidly obese patients waiting for a kidney or liver transplant, Dr. Lin and colleagues in the UCSF Bariatric Surgery Program showed that laparoscopic sleeve gastrectomy, a procedure that removes most of the stomach and reshapes it into a small tube or sleeve, significantly improved the chances of undergoing successful organ transplantation. “The reason why physicians are skittish about bariatric surgery for organ transplant is that these patients have more medical comorbidities,” said Lin, who is the lead author of the study. “But our study shows that it is safe to proceed.”

* Excerpts Above from American Society For Metabolic And Bariatric Surgery

**Minimally Invasive and Bariaric Surgery Fellowship underwritten by Foundation for Surgical Fellowship

A. Brent Eastman, M.D. Discusses Quarterback Trauma and NFL Injuries at Commonwealth Club of CA Forum

A. Brent Eastman, M.D.

“The recent wave of lawsuits filed on behalf of former NLF players has brought to the forefront the dangers of sports injuries, as well as the question of liability. From broken noses to broken feet and everything in between, get an up-close-and-personal view of the health and safety issues related to playing in the National Football League. Six-time Pro Bowl selection and Chargers legend Dan Fouts will be joined by John York, M.D., Co-chairman, San Francisco 49ers; Chairman, NFL’s Health & Safety Advisory Committee and Jed York, CEO, San Francisco 49ers, as well as Eastman, A. Brent Eastman, M.D., Trauma Surgeon, Chief Medical Officer and Corporate Sr. Vice President, Scripps Health, whose expertise as a trauma surgeon has made him a leader in the field of emergency medical care.” Excerpts from Commonwealth Club website.

Listen to the Program

2012 Annual Meeting

Friday, June 1, 2012

Byers Hall, UCSF Mission Bay Campus, San Francisco

11:00 AM – Welcome And Introductions
James R. Macho, M.D., President
Nancy Ascher, M.D., Ph.D., Chair, Department of Surgery

11:30 PM – Perspective On General/Laparoscopic Surgery
Quan-Yang Duh, M.D.

11:45 AM– Perspective On Pediatric Surgery
Allan Flake, M.D.

12:15– 1:00 PM Business Meeting And Luncheon

1:00 PM – Perspective On Colorectal Surgery
Laurence Yee, M.D.

1:15 PM – To Tweet Or Die: Why Surgeons Need To Understand
And Use Social Media
Philip L. Glick, M.D., M.B.A.

1:30 PM – Howard C. Naffziger Lecture

“Surgery: Sacred and Secular”
Theodore Schrock, M.D.

“Things You Know That Aren’t So”
-Lawrence W. Way, M.D.

2:30 PM – Questions, Discussion and Amusing Incidents

3:00 PM – Naffziger Panel
Moderator: A. Brent Eastman, M.D.
Panel Members: Karen Deveney, M.D., Robert Mackersie, M.D.
Diana Farmer, M.D., J.P. Lu, M.D. and Justin Parekh, M.D. (New Member)

Naffziger Dinner for UCSF Surgery Residents

Farallon Restaurant
450 Post Street
San Francisco, CA

6:30 PM – Naffziger Dinner For UCSF Surgery Residents

“Howard C. Naffziger and the Metamorphosis of UCSF Surgery” James R. Macho, M.D., President

Introduction Of UCSF Chief Residents

Introduction Of New President
A. Brent Eastman, M.D.

2011 Annual Meeting Agenda

June 17, 2011

Luncheon and Business Meting 11:30 A.M.–1 P.M.
Jesse Carr (Pathology) Auditorium San Francisco General Hospital

J. Englebert Dunphy Grand Rounds 1-5 P.M.

George Sheldon Moderating

INCIDENTS FROM THE PAST

Cornelius Olcott-Amusing incidents
Frank Lewis-GSW Abdomen
John Mehigan-Percutaneous Venous Access
Tom Reed-Treatment of the D.T.’s
Donald Trunkey-How to manage a strike
Jan Bossart-An amusing incident

SURGERY MORBIDITY AND MORTALITY CONFERENCE

J. Englebert Trunkey Presiding

CASE REPORTS

Doug Dorner-An amusing case
Brent Eastman-Cut in Half by a Backhoe
Dave Fraser-Interesting pathology-Mr. Enolaba
Richard Geist-Liver and Onions
Jerry Goldstone-Challenging Case of GI Bleeding
Ralph Roan-An interesting Case
Ted Schrock-Renovascular Hypertension
Tom Shapiro-A Diagnostic Challenge
John West-An Amusing Case
George Sheldon-April Fool!

4 -5 P.M. Audience Participation

6:30 P.M. Family Club. Bush Street at Powell
Naffziger Cocktail Party and Dinner for UCSF Chief Surgery Residents

Speaker: Frank R. Lewis, “J. Englebert Dunphy, MD, Surgical Icon”
Stu Gourlay-Dunphyisms
Brent Eastman-Last M&M Conference with Dunphy