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The Need for “Post-postgraduate” Education
ISSUE: AUGUST, 2010 Dr. Greene reports on the new iteration of the work-hour directives for residents in the United States and argues that every surgeon has a stake in educating the surgeons of tomorrow.
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A Trail of Deeds, Good and Bad
ISSUE: JULY, 2010 By Frederick L. Greene, MD Over the years, I have written frequently about my feelings as July 1 approaches and an entirely new group of surgical residents begins their postgraduate education and their introduction into being “real doctors.”
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Why Make It So Difficult?
ISSUE: MAY, 2010 By Frederick L. Greene, MD It appears that with the introduction of new technology, our colleagues in the medical–industrial complex have gone out of their way to achieve extreme complexity, which, at times, can create issues that adversely affect both us and our patients.
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Finding Their Way
ISSUE: APRIL, 2010 One of the most difficult things about being sick is working through the complexity of the medical establishment. For the average patient, the pathway through the maze of medical meandering can be both daunting and frightening. Although surgeons and their office staffs make a valiant attempt to help in these peregrinations, frequently delays in the work-up, missed appointments and even delays in therapeutic management can, and do, result.
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We All Need Help … Sometimes
ISSUE: JANUARY, 2010 I believe it is vital that all of us recognize that we do not exist in a vacuum. For those who truly work in a solo practice and function in a remote environment where there is minimal opportunity to receive help from peers, the need for outside consultation and collaboration is perhaps greater than for those fortunate enough to have colleagues surrounding us on a daily basis. Whatever our practice pattern, all of us need to understand that it is not a sign of weakness to ask for help and in fact, a characteristic of a safe surgeon is to assure that two sets of eyes or two sets of hands may be required in a difficult surgical scenario. I think this is especially important to voice loudly to a young colleague coming into a group or faculty who may not have a wealth of experience. We need to foster a culture of consultation that is expected by all members of the group or faculty.
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Taking Clean for Granted
ISSUE: NOVEMBER, 2009 The Joint Commission has targeted instrument sterilization as a vital concern during the triennial hospital survey process. Although standards for steam sterilization have been promulgated for many years, recent discussions centering on hospital-acquired infections, especially surgical site infections, have once again pointed to instrument preparation as a possible weak link in the quest for infection control.
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Thanks, Tom
ISSUE: OCTOBER, 2009 It seemed fitting that, in preparation for this American College of Surgeons–Clinical Congress edition of General Surgery News, I depart from editorializing on hospital issues and national pressures that affect us as general surgeons. Since this Clinical Congress represents a milestone in the life of Thomas Russell, MD, FACS, the executive director of the College—yes, this is Tom’s last Congress as its staff leader—I wanted to share some personal thoughts and to pay tribute to a man who, in my view, has transformed the organization during his tenure.
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A Logical Match
ISSUE: SEPTEMBER, 2009 This edition of General Surgery News is dedicated to those colleagues who are meeting in Berlin for the European Hernia Society, which will include the American Hernia Society as well as Asian surgeons and those around the world dedicated to the betterment of patients with abdominal wall defects.
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