28
NOV
2014
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Orlando Health General Surgery Residency Program

Welcome

The Department of Surgical Education at Orlando Health is dedicated to graduate medical education, offering a five-year, ACGME accredited general surgery residency program as well as accredited fellowships in surgical critical care and colon and rectal surgery. The department also offers an AAST accredited two-year fellowship in acute care surgery.

The residency structure includes five categorical first-year positions and six non-designated preliminary. There are five categorical residents at each subsequent year. Preliminary candidates are hired for a one-year period.

Orlando Health has formal affiliations with the University of Florida College of Medicine, the University of Central Florida, Florida State College of Medicine, Halifax Medical Center’s general surgery program and Florida Hospital’s general surgery residency program.

The program is based at Orlando Regional Medical Center (ORMC) which provides a total of 801 acute-care beds, greater than 18,000 operative procedures, and 80,000 emergency visits annually - an ideal environment for the education of our resident staff. The majority of surgical training occurs at Orlando Regional Medical Center , Arnold Palmer Hospital for Children and Dr. P. Phillips Hospital. The campus serves as a major referral center for Central Florida and includes a designated Level One Trauma Center with more than 4,300 trauma admissions per year, the Air Care Team helicopter transport service and the regional Burn Intensive Care Unit .

Orlando Health General Surgery Residency Group - 2013
2013-2014 House Staff

Department Faculty

The Department of Surgical Education at Orlando Regional Medical Center is staffed by six full-time Surgical Directors.


Michael Cheatham, MD, FACS, FCCM
Chairman, Orlando Health Surgical Group
Program Director, General Surgery Residency
Program Director, Acute Care Surgery Fellowship
Chief Surgical Quality Officer, Orlando Regional Medical Center

Dr. Cheatham completed both his general surgery residency and surgical critical care fellowship at Vanderbilt University. He is board certified in general surgery, with added qualifications in surgical critical care.

Dr. Cheatham's research interests include advanced hemodynamic monitoring, shock resuscitation, abdominal compartment syndrome, disaster preparedness, and third-world medicine. He is active in a number of national and international surgical, trauma, and critical care societies. He is the past president of the World Society for Abdominal Compartment Syndrome.



Joseph A. Ibrahim, MD
Associate Program Director, General Surgery Residency

Dr. Joseph Ibrahim completed his general surgery residency at East Tennessee State University and his surgical critical care fellowship at ORMC. He is board certified in general surgery with added qualifications in surgical critical care.

Dr. Ibrahim oversees the department’s ultrasound conference as well as the weekly “Mock Oral Prep” conference for the PGY 4-5 residents.



Matt W. Lube, MD, FACS
Associate Program Director, General Surgery Residency
Director, Outpatient Center for Surgery

Dr. Lube completed his general surgery residency and surgical critical care fellowship at ORMC. He is board certified in general surgery with added qualifications in surgical critical care. He is the past president of the Florida Society of Critical Care Medicine.

Dr. Lube practices general and acute care surgery. He serves as the clerkship director for General Surgery for the University of Central Florida, College of Medicine.


Chadwick P. Smith, MD
Program Director, Surgical Critical Care Fellowship

Dr. Smith completed his general surgery residency and surgical critical care fellowship at ORMC. He is board certified in general surgery and eligible for added qualifications in surgical critical care.

Dr. Smith oversees the department’s weekly Basic Science curriculum including monthly quizzes. He also manages all of the Surgical Critical Care fellowship’s conferences.



John T. Promes, MD, FACS, FCCM
Director, Trauma Services
Associate Program Director, Acute Care Surgery Fellowship

Dr. Promes completed his general surgery residency at the Washington Hospital Center and completed his surgical critical care fellowship at Vanderbilt University Medical Center. He is board certified in general surgery with added qualifications in surgical critical care.



Howard G. Smith, MD, FACS, FCCM
Director, Burn Services

Dr. Smith completed his general surgery residency at Indiana University and his surgical critical care fellowship at the University of Connecticut/Hartford Hospital. He is board certified in general surgery with added qualifications in surgical critical care.


Application Process & Resident Contract

The ERAS application is considered complete when the personal statement, USMLE Step I and II scores, three letters of recommendation, medical school transcripts and Dean's Letter have been received.

Applicants must be invited before an interview can be scheduled. Interviews generally take place between November and January. The Department of Surgical Education and Orlando Health participates and complies fully with the National Residency Matching Program (NRMP) rules and regulations. All available positions are for the standard July through June residency period. The Department of Surgical Education does not sponsor/accept Visas.

ERAS application forms for the general surgery residency program are accepted September 1 through October 31 each year.

Orlando Health
Department of Surgical Education

86 W. Underwood Street ~ Suite 201
Orlando, Florida 32806

For a copy of Orlando Health's Resident Contract please click here .

Resident Experience

The General Surgery Residency at Orlando Regional Medical Center (ORMC) consists of rotations through a variety of surgical disciplines. The program is based on the traditional residency concept of progressive responsibility for patient care. This ultimately leads to the PGY-V year when, as chief of one of the general surgery teaching services, a resident is responsible for all patient care management and decision-making on their service. The majority of the surgery training occurs on the main campus of ORMC. Overall, the program provides an excellent, well-rounded clinical experience in general surgery.

Residents are expected to complete at least two research projects that leads to presentation and publication during their five years in the program. The first will be completed during the PGY 1-3 years and the second during the PGY 4-5 years.

Each year of the surgical residency is divided into the following rotations:


GY-I (Categorical)
  • Acute Care Surgery (two - three months)
  • Burn Service (one month)
  • General Surgery (one - two months)
  • Night Float (one month)
  • Pediatric Surgery (one month)
  • Surgical Oncology (one – two months)
  • Thoracic Surgery (one month)
  • Vascular Surgery (one month)

PGY-II

  • Acute Care Surgery (two month)
  • Cardiothoracic Surgery (one month)
  • Colorectal Surgery (one month)
  • General Surgery (one - two months)
  • Night Float (one month)
  • Pediatric Surgery (one month)
  • Plastic Surgery (one month)
  • Surgical Critical Care (two months)
  • Vascular Surgery (one month)

PGY-III

  • Acute Care Surgery (two months)
  • Colorectal Surgery (one month)
  • General Surgery (one - two months)
  • Night Float (one - two month)
  • Surgical Critical Care (two months)
  • Surgical Oncology (one – two months)
  • Transplant Surgery (one month)
  • Vascular Surgery (one month)

PGY-IV

  • Acute Care Surgery (two months)
  • General Surgery (two – three months)
  • Head & Neck Surgery (two months)
  • Laparoscopic Surgery (one month)
  • Night Float (two months)
  • Surgical Oncology (one month)
  • Thoracic Surgery (one month)
  • Vascular Surgery (one month)
  • Elective (if desired) (one month)

PGY-V (Chief Resident)

  • Acute Care Surgery (one month)
  • General Surgery (five – six months)
  • Surgical Oncology (one month)
  • Thoracic Surgery (one month)
  • Vascular Surgery (two months)
  • Elective (if desired) (one – two months)

Conference Schedule



 

General Surgery Teaching Service

The General Surgery Teaching Service is divided into two teams, each directed by a senior resident and their assigned attending surgeons. The average daily census between the two teams is approximately 30-40 patients. The residents on the Teaching Services participate fully in the overall care of their patients including pre-admission evaluation, admission, preoperative, operative, postoperative and post-hospital care, as all patients are followed in the Orlando Health Outpatient Center.

Acute Care Surgery Teams (ACS)

The ACS Team and General Surgery services admit up to 300 patients a month. The Team consists of a senior resident, a middle year resident and two-three intern level residents.

Private General Surgery Rotations

Residents in the program spend a significant portion of their time working closely with private general surgeons who are actively involved in the Department of Surgical Education. This involves pre- and post-hospital evaluation of general surgery and surgical oncology patients in the private surgeon's offices, as well as in-hospital management and operative experience. Most of these surgeons have offices on the hospital campus.

Surgical Critical Care (SCC)

Each resident receives extensive experience in management of the critically ill surgical patient through daily walk rounds in the various intensive care units, as well as dedicated rotations on the SCC Service. These rotations involve one-on-one teaching between the resident and each of the six SCC attendings, with further teaching from the SCC and ACS fellows. Residents completing the program are well trained in resuscitation, ventilator management, use and insertion of invasive monitoring catheters, antibiotic therapy and surgical nutrition.

ORMC has an extensive medical library that contains the majority of commonly referenced medical journals, as well as current editions of major textbooks. Journals not immediately available in the library's collections are rapidly obtained through a shared resource arrangement with other libraries throughout the country to provide affiliated healthcare professionals with needed books and journal articles not readily available locally. Online access to Medline for literature searches is readily available.

Orlando Health Level One Trauma Center

The Trauma Center contains state-of-the-art operating rooms, intensive care units and an emergency department. Call rooms and resident offices are also located in this building. While on duty, all meals are provided free of charge. Most all ancillary work is handled by hospital employees. An attending radiologist is "in-house" on a 24-hour basis, providing immediate consultation for trauma and surgical emergencies.

An on-campus fitness center is available for a nominal charge. Reserved physician parking is provided on campus. Group insurance includes major medical, dental and vision.

Graduates

Fifty percent of our chief residents choose to do a fellowship following graduation. Recent graduates have obtained fellowship positions in breast surgery, cardiothoracic surgery, colon and rectal, minimally invasive surgery, pediatric endosurgery, surgical critical care as well as vascular surgery. Of those residents who establish a general surgery practice following their training at ORMC, most choose to stay in the Central Florida area.

Surgical Critical Care (SCC) Fellowship

The program is a one-year ACGME approved clinical fellowship in Surgical Critical Care. Successful completion of the fellowship will qualify an individual to sit for the examination for the "Certificate of Added Qualifications in Surgical Critical Care" from the American Board of Surgery.

The Section of SCC in the Department of Surgical Education is staffed by six full-time, surgical critical care fellowship-trained surgeons. The Section provides consultative services for critically ill and high- risk surgical patients including pre-, peri-, and postoperative evaluation and management, as well as performance of bedside and operative procedures for high-risk and acutely ill patients. The SCC service, together with the general surgery residency program, provides 24-hour-a-day in-house physician management of critically ill patients.

The Section is recognized internationally as a clinical research center. Each of the faculty is actively involved in scientific research and together has published in excess of 200 abstracts, manuscripts, book chapters and other scholarly works. Each of the faculty also has a clinical appointment in the Department of Surgery at the University of Central Florida and the University of Florida in Gainesville.

Objectives of the Surgical Critical Care Fellowship

The program is designed to be heavily based on clinical practice and unit administration, but offers ample opportunity for clinical research to those who are interested. Individuals will spend 12 months in the surgical-trauma ICU. Elective rotations in the Pediatric and Medical Intensive Care Units may be arranged. Current research activities include the study of new oxygen transport and pulmonary monitoring technology, metabolic demands in critically ill patients, new treatments for sepsis, abdominal compartment syndrome and high-level ventilatory support for patients with acute respiratory failure. Fellows are expected to participate in clinical research projects and to submit abstracts to and attend the major critical care meetings each year.

Surgical/Trauma Intensive Care Unit (STICU)

The STICU at ORMC is a 14-bed multi-specialty surgical unit that is staffed to accommodate the demands of a Level One Trauma Center. There are approximately 2000 ICU admissions/year, with approximately 50-60 percent of these being trauma patients. The remaining 50 percent of admissions are divided among general surgery, vascular surgery and surgical subspecialties.

The unit is staffed with two fellows, one or two residents in general surgery, and one or two Emergency Medicine residents. There are also medical and physician assistant students assigned to the service. Call is taken on an every-third-night basis by all members of the SCC Service.

Neurosciences, Medical, and Burn Intensive Care Units

The SCC service is also actively involved in the care of patients in three other intensive care units as well as a Progressive Care Unit (PCU). The Neurosciences Intensive Care Unit (NSICU) is an eight-bed unit that specializes in the care of the brain-injured trauma patient as well as the postoperative neurosurgical patient. The unit provides continuous EEG monitoring as well as the latest in intracranial pressure monitoring technology. The Medical Intensive Care Unit (MICU) is an eight-bed unit devoted to care of the critically ill medicine patient. It is staffed by both the SCC Service as well as the Medical Critical Care Service, depending upon the patient's underlying disease process. The Burn Unit at ORMC has both intensive care and regular burn care beds. All critically ill patients in the Burn Unit are managed by the SCC Service. The PCU is a 20-bed surgical stepdown unit with ventilator capabilities that acts as a "bridge" for patients who no longer require a high level of critical care, but require close observation and monitoring and are not yet sufficiently stable for regular ward care. The SCC service frequently follows surgical patients who have been in the above ICUs after transfer to the PCU to ensure continued recovery from their injuries.

Trauma Fellowship

The program is a two-year AAST accredited fellowship providing training in the care of trauma patients and is designed for individuals interested in pursuing a career in trauma surgery. It allows the fellow broad opportunities to develop skills in research, administration and clinical practice. The exact execution of the year will vary based on the interests, talents and needs of the individual. The individual takes trauma call at least once weekend a month with at least two weekends on the months devoted to the trauma rotation. This allows the fellow to develop and maintain skills in the care of critically ill patients and adds to the surgical skills required for the care of injured patients. In addition to reviewing and refining clinical management plans, the fellow is ultimately responsible for bed control, conducting daily teaching rounds and delivering lectures within the Department of Surgical Education. Opportunities exist to participate in retrospective and prospective clinical studies currently ongoing within the department. Fellows are expected to develop and pursue original scholarly activities during the fellowship.

Department Research 2012 - Present

SCIENTIFIC PRESENTATIONS: ORAL

  1. “Normokinetic Biliary Dyskinesia: A Novel Diagnosis”. DuCoin C, Faber R, Ilagan M, Ruderman W, Wier D. Society of American GI and Endoscopic Surgeons, March 3-7, 2012, San Diego, California.
  2. “Role of Platelet Function Assays in Patients with Traumatic brain Injury”. Bedway JJ, Liu X, Birrer K, Hobbs B, Alban RF. Florida Committee on Trauma, Oct 25-26, 2012, Gainesville Florida.
  3. “Low Molecular Weight Synthetic Colloids Use in Burn Resuscitation”. Short C, Smith HG, Birrer K., Safcsak K. Southern Medical Association’s Southern Region Burn Conference. November 16-18, 2012, Norfolk, Virginia.
  4. “Primary Pulmonary Toxicity after CRS and HIPEC with Mitomycin-C in the Absence of Extensive Diaphragmatic Cytoreduction or Violation”. Royall NA, Nair R. Eighth International Symposium on Regional Cancer Therapies. February 16-18, 2013, Indian Wells, California.
  5. “Partial verses Total Splenectomy in Children with Hereditary Spherocytosis”. Seims AD, Breckler F. Hardacker KD, Rescorla FJ. Central Surgical Association, March 15-16, 2013, Amelia Island, Florida.
  6. “State of Ultrasound in Undergraduate Medical Education: A National Survey of Medical School Curricula”. Royall NA (multi-center collaboration). American Institute of Ultrasound in Medicine 2013 National Convention. April 6-10, 2013, New York, New York.
  7. “Percutaneous Femoral Vein Access for Inferior Vena Cava Filter Placement Does Not Cause Insertion Site Thrombosis”. Lambe BD, Bedway JJ, Friedell ML. Florida Vascular Society 26th Annual Scientific Sessions, May 2-5, 3013, Orlando, Florida.
  8. “Immune Enhancing Nutrition Improves Nutrition Measures and Infection Rates in Traumatic Brain Injured Patients”. Painter TJ, Rickerds J, Alban R. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida. Selected for Training Research Paper Competition.
  9. “Laparoscopic Choledochoduodenostomy as Definitive Treatment for Common Bile Duct Stones Following Roux-en-Y Gastric Bypass Surgery”. DuCoin C, Moon R, Teixeira A, Jawad MA. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida. Selected for Training Research Paper Competition.
  10. “Comparison of Cholecystectomy Incidence Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Gastric Banding”. Moon R, Teixeira A, DuCoin C, Jawad MA. Florida Chapter, American College of Surgeons, May 24-25, 2013.
  11. “A Self Inflicted Stab Wound Involving the Trachea, Esophagus and Carotid Artery with Tracheal Reconstruction”. Smit PJ, Alban RF, Lube MW. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  12. “Increased Body Mass Index (BMI) Should Not Prevent Open Abdominal Decompression (OAD) in the Trauma Population”. Johnston M, Safcsak K, Smith C, Cheatham, ML. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  13. “Superior Mesenteric Vein and Portal Vein Injury after a Stab Wound”. Burns A, Alban RF. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  14. “Causes of Small Bowel Obstruction after Gastric Bypass: A Review of 1000 Cases at a Single Institution”. Elms L, Moon R, Teixeira A, Jawad MA. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  15. “Platelet Function Assays and Their Reliability”. Ibrahim JA, Liu X, Safcsak K, Cheatham, ML, Sparks D, Alban RF. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  16. “Role of Platelet Function Assays in Patients with Traumatic brain Injury”. Bedway JJ, Liu X, Birrer K, Hobbs B, Alban RF. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  17. “State of Ultrasound in Undergraduate Medical Education: A National Survey of Medical School Curricula”. Second World Congress on Ultrasound in Medical Education. Royall, NA. Society of Ultrasound in Medical Education (SUSME). September 27, 2013. Columbia, SC.
  18. “Incidence of Vitamin D Deficiency in the ICU Trauma Population”. Smit PS, Ibrahim JA, Safcsak K, Rickerds JL, Belcher S, Cheatham, ML. Florida Committee on Trauma, October 24-25, 2013, Tampa, Florida.
  19. “Is Tissue Plasminogen Activator Effective in Preventing Decortication?” Henry DA, Ibrahim JA, Safcsak K, Liu X, Birrer KL. Florida Committee on Trauma, October 24-25, 2013, Tampa, Florida.
  20. “Is Preoperative Manometry Necessary in Evaluating Reflux Symptoms in Sleeve Patients?” Moon R, Teixeira A, McKeon, Jawad MA. American Society for Metabolic and Bariatric Surgery-Obesity Week 2013. November 11-16, 2013, Atlanta, Georgia.
  21. “Use of a treatment efficacy score in predicting patients at risk for extensive early recurrence after CRS and HIPEC for peritoneal carcinomatosis arising from the appendix”. Nelson A. Royall, Rajesh M. Nair. Ninth International Symposium on Regional Cancer Therapies. February 17, 2014. Steamboat Springs, Colorado, USA.
  22. “A Multidisciplinary Collaborative Approach to Improve Outcomes in Post Traumatic Spinal Cord Injury”. Ashworth S, Bragg S, Safcsak K. 2014 NACNS Annual Meeting: The Best Kept Secret-The Clinical Nurse Specialist’s Contribution to Quality Care. March 6-8, 2014, Orlando, Florida.
  23. “Development of a Novel Focused Ultrasound Training Program for Surgical Residents in the Critical Care and Trauma Setting”. Royall NA, Roberts R, Ibrahim JA. 3rd World Congress for Ultrasound in Medical Education. October 10-12, 2014, Portland, OR.
  24. “Case Study Analysis of Major Burn Injuries Sustained in a Propane Processing Plant Explosion”. Fernandez M, Smith S, Smith HG. 27th Annual Southern Region Burn Conference. November 14-16, 2014, Houston, Texas.
  25. “Retrospective Analysis of Four Cases of Engraftment Following Surgical Debridement and Porcine Xenograft Placement for the Treatment of Partial Thickness Thermal Burn”. Gratzon AC, Smith S, Smith HG. 27th Annual Southern Region Burn Conference. November 14-16, 2014, Houston, Texas.
  26. “Developing a Model of Care for the Burn Nurse Practitioner”. Smith S, Smith HG. 27th Annual Southern Region Burn Conference. November 14-16, 2014, Houston, Texas.

SCIENTIFIC PRESENTATIONS: POSTER

  1. Increased Body Mass Index (BMI) Should Not Prevent Open Abdominal Decompression (OAD) in the Trauma Population. Johnston M, Safcsak K, Smith C, Cheatham, ML. Society of Critical Care Medicine, January 19-24, 2013, San Juan, Puerto Rico.
  2. Management of Shivering with Neuromuscular Blocking Agents during Therapeutic Hypothermia. Fox M, Miller S, Danesh V, Liu-DeRyke X. Society of Critical Care Medicine, January 19-24, 2013, San Juan, Puerto Rico.
  3. Supraclavicular Thoracic Duct Cyst: A Case Report with Transcervical Surgical Intervention. Rodney J, Millar M, Pattani KM. Triological Society, January 24-26, 2013, Scottsdale Arizona.
  4. Platelet Function Assays and Their Reliability. Ibrahim JA, Liu X, Safcsak K, Cheatham, ML, Sparks D, Alban RF. Southeastern Surgical Congress, February 9-12, 2013, Jacksonville, Florida.
  5. Traumatic Aortic Occlusion from a Crush Injury between the Spine and a Horseshoe Kidney. King EM, Kotick J, Lube MW. Southeastern Surgical Congress, February 9-12, 2013, Jacksonville, Florida.
  6. Immune Enhancing Nutrition Improves Nutrition Measures and Infection Rates in Traumatic Brain Injured Patients. Painter TJ, Rickerds J, Alban R. American Society of Parenteral and Enteral Nutrition, February 9-12, 2013, Phoenix, Arizona.
  7. Laparoscopic Choledochoduodenostomy as Definitive Treatment for Common Bile Duct Stones Following Roux-en-Y Gastric Bypass Surgery. DuCoin C, Moon R, Teixeira A, Jawad MA. Society of American Gastrointestinal and Endoscopic Surgeons, April 17-20, 2013, Baltimore, Maryland.
  8. Causes of Small Bowel Obstruction after Gastric Bypass: A Review of 1000 Cases at a Single Institution. Elms L, Moon R, Teixeira A, Jawad MA. Society of American Gastrointestinal and Endoscopic Surgeons, April 17-20, 2013, Baltimore, Maryland.
  9. Cholecystectomy Incidence after Bariatric Surgery: Comparing Gastric Bypass, Gastric Banding and Sleeve Gastrectomy. Moon R, Teixeira A, DuCoin C, Jawad MA. Society of American Gastrointestinal and Endoscopic Surgeons, April 17-20, 2013, Baltimore, Maryland.
  10. A Multidisciplinary Collaborative Approach to Improve Outcomes in Post Traumatic Spinal Cord Injury: A Patient First Journey. Ashworth S, Bragg S, Safcsak K, Gonzalez R, Birrer K, Promes JT, Clancy R. Orlando Health Portraits of Nursing Excellence Conference, May 2, 2013, Orlando, Florida.
  11. Low Molecular Weight Synthetic Colloids Use in Burn Resuscitation. Short C, Smith HG, Birrer K., Safcsak K. Florida Chapter, American College of Surgeons, May 24-25, 2013, Orlando, Florida.
  12. Quality Improvement Nomenclature for Focused Ultrasound in the Emergency Department for Improved Documentation Practices. Royall, NA, Adkins, EJ, Bahner, DP. Second World Congress on Ultrasound in Medical Education. Society of Ultrasound in Medical Education (SUSME). September 27, 2013, Columbia, SC.
  13. Management of Leak after Sleeve Gastrectomy. Teixeira A, Moon R, Jawad MA. American College of Surgeons 99th Clinical Congress, October 6-10, 2013, Washington, DC.
  14. Revision of Roux-en-Y Gastric Bypass for Weight Regain, Is it Effective? Moon R, Teixeira A, Jawad MA. American College of Surgeons 99th Clinical Congress, October 6-10, 2013, Washington, DC.
  15. Safety and Effectiveness of Roux-en-Y Gastric Bypass in Patients between the Ages of 17-19. DuCoin C, Mertalaine M, Moon R, Teixeira AF, Jawad MA. American Society for Metabolic and Bariatric Surgery-Obesity Week 2013. November 11-16, 2013, Atlanta, Georgia.
  16. Small Bowel Intussusception after Roux-en-Y Gastric Bypass. Moon R, Teixeira AF, Jawad MA. American Society for Metabolic and Bariatric Surgery-Obesity Week 2013. November 11-16, 2013, Atlanta, Georgia.
  17. Management of Marginal Ulcers after Roux-en-Y Gastric Bypass. Moon R, Teixeira AF, Jawad MA. American Society for Metabolic and Bariatric Surgery-Obesity Week 2013. November 11-16, 2013, Atlanta, Georgia.
  18. MRI as a Prognostic Indicator for Severe Electrical Brain Injury. Young A, Safcsak K, Smith HG. Southern Region Burn Conference. November 14-17, 2013, Tampa, Florida.
  19. Quality Protocols Decrease Escalation of Care Events and Improve Rehabilitation Transfers in Spinal Cord Injuries. Corsa J, Ashworth S, Bragg S, Safcsak K, Clancy R, Treto K, Alban RA. Society of Critical Care Medicine, January 9-13, 2014, San Francisco, California.
  20. Risk Factors Associated with Early Onset Adrenal Insufficiency in Trauma. McConnell A, Liu-Deryke X, Promes, JT, Hobbs B. Society of Critical Care Medicine, January 9-13, 2014, San Francisco, California.
  21. Decrease in CAUTI Rate Following Adaption of New Protocols in the ICU. Wisniewski P, Mulatre M, Ibrahim JA, Ashworth S, Aguirre L. Society of Critical Care Medicine, January 9-13, 2014, San Francisco, California.
  22. Delayed Presentation of Adult Respiratory Distress Syndrome in Three Patients Following Propane Explosion. Semon G, Alban RF, Smith HG, Smith CP. Society of Critical Care Medicine, January 9-13, 2014, San Francisco, California.
  23. Incidence of Vitamin D Deficiency in the ICU Trauma Population. Ibrahim JA, Safcsak K, Rickerds JL, Belcher S, Cheatham, ML. 27th Annual Scientific Assembly of the Eastern Association for the Surgery of Trauma (EAST). January 14-18, 2014, Naples, Florida. Interviewed for ACS Surgery News.
  24. Current Nutrition Support Strategies Do Not Adequately Ameliorate Low Vitamin D levels in the Critically Ill Patient. Smit P, Rickerds JL, Safcsak K, Ibrahim JA, Belcher S, Cheatham, ML. American Society of Parenteral and Enteral Nutrition, January 18-21, 2014, Savannah, Georgia.
  25. Improving Donor Conversion Rates at a Level One Trauma Center: Impact of Best Practice Guidelines. Gibbons BL, Alban RF, Bershad VL. 14th Annual Winter Symposium American Society of Transplant Surgeons, January 23-26, 2014, Miami, Florida. Distinction Award.
  26. Is Tissue Plasminogen Activator Effective in Preventing Decortication? Henry DA, Ibrahim JA, Safcsak K, Liu X, Birrer KL. Southeastern Surgical Congress, February 22-25, 2014, Savannah, Georgia.
  27. Methylene Blue or Upper GI: Which is More Effective in Detecting the Leak in Gastric Bypass Patients? Nelson L, Moon R, Teixeira A, Jawad MA. Society of American Gastrointestinal and Endoscopic Surgeons, April 2-5, 2014, Salt Lake City, Utah.
  28. Prehospital Intubation Adversely Affects Outcomes in Patients Receiving Massive Transfusion. Alban RF, Corsa J, Promes JT. 73rd Annual Meeting of AAST and Clinical Congress of Acute Care Surgery, September 10-13, 2014, Philadelphia, PA.
  29. Implementation of Collaborative Practice Processes Increase Organ Donation after Cardiac Death in a Level I Trauma Center. Alban RF, Gibbons BL. American College of Surgeons, October 26-30, 2014, San Francisco, CA.
  30. Initial Experience and Study of Learning Curves for Robot-Assisted versus Laparoscopic Sleeve Gastrectomy and Roux-en y Gastric Bypass. Royal N, Moon R, Teixeira A, Jawad MA. American College of Surgeons, October 26-30, 2014, San Francisco, CA.
  31. Indications and Outcomes of Reversal of Roux-en y Gastric Bypass. Frommelt A, Moon R, Teixeira A, Jawad MA. American College of Surgeons, October 26-30, 2014, San Francisco, CA.
  32. Development of a Multidisciplinary Traumatic Spinal Cord Injury team to Decrease Hospital Length of Stay and Readmissions. Ashworth S, Bragg S, Safcsak K, Promes JT. Trauma Quality Improvement Program (TQIP) 2014 Annual Scientific Meeting and Training. November 9-11, 2014, Chicago IL.
  33. The Use of Neoprene as a Scar Management Tool. Rucks GM, Smith S, Smith HG. 27th Annual Southern Region Burn Conference. November 14-16, 2014, Houston, Texas.

MEDICAL VIDEOS: PODIUM PRESENTATION

  1. Moon R, Teixeira A, Jawad MA. Laparoscopic Conversion of Gastric Banding to Roux-en-Y Gastric Bypass for Slippage and Failure of Weight Loss. American Society for Metabolic and Bariatric Surgery, New Orleans, LA, May 30 – June 2, 2013.
  2. Teixeira A, Moon R, DuCoin C, Jawad MA (presenter). Laparoscopic Conversion of Band to Roux-en-Y Gastric Bypass for Failure of Weight Loss and Hiatal Hernia Repair. American Society for Metabolic and Bariatric Surgery, New Orleans, LA, May 30 – June 2, 2013.
  3. Moon R, Teixeira A, Jawad MA. Laparoscopic Reversal of Roux-en-Y Gastric Bypass for Neuroglycopenia. American Society for Metabolic and Bariatric Surgery, New Orleans, LA, May 30 – June 2, 2013.
  4. King E, Moon R, Teixeira A, Jawad MA. Afferent Limb Obstruction at the Ligament of Treitz due to Gallstone after Gastric Bypass and Cholecystectomy. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  5. Teixeira A, Moon R, Jawad MA. Laparoscopic Revision of the Gastrojejunostomy due to Staple Line Disruption and Necrosis after Conversion of Banding to Roux-en-Y Gastric Bypass. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  6. Teixeira A, Moon R, Jawad MA. Laparoscopy Assisted Transgastric Endoscopy and Remnant Gastrectomy for Lynch Syndrome after Gastric Bypass. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  7. DuCoin C, Moon R, Teixeira AF, Jawad MA. Laparoscopic Choledochoduodenostomy for Common Bile Duct Stones after Roux-en-Y Gastric Bypass. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  8. Moon R, Teixeira AF, Elms L, Jawad MA. Laparoscopic Imbrication of Sleeve Gastrectomy for Weight Regain and Repair of Hiatal Hernia. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  9. Teixeira A, Moon R, Jawad MA. Laparoscopic Removal of an Eroded Adjustable Gastric Banding to the Colon and Stomach. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  10. Goldbach M, Moon R, Teixeira A, Jawad MA. Laparoscopic Resection of the Anastomotic Ulcer and Revision of Gastrojejunostomy after Roux-en-Y Gastric Bypass. American College of Surgeons 99th Clinical Congress, Bariatric Surgery Video-based Education Session. Washington, D.C., October 6-10, 2013.
  11. Stephenson, Moon R, Teixeira A, Jawad MA. Laparoscopic Resection of the Gastro-gastric Fistula and the Blind Limb following to Roux-en-Y Gastric Bypass. 19th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders. Montreal, Canada, August 26-30, 2014.
  12. Moon R, Teixeira A, Jawad MA. Laparoscopic Revision of Roux-en-Y Gastric Bypass for Weight Regain Followed by Conversion to Esophagojejunostomy with Resection of Gastrogastric Fistula Due to Large Marginal Ulcer. 19th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders. Montreal, Canada, August 26-30, 2014.
  13. Shah N, Moon R, Teixeira A, Jawad MA. Laparoscopic Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass and Resection of the Gastrocutaneous Fistula due to Proximal Leak. American College of Surgeons, San Francisco, CA, October 26-30, 2014.
  14. Royall NA, Moon RC, Jawad MA. Laparoscopic Repair of a Type III Hiatal Hernia with Organo-axial Gastric Volvulus. American College of Surgeons, San Francisco, CA, October 26-30, 2014.

MEDICAL VIDEOS (KIOSK)

  1. Moon R, Teixeira AF, DuCoin C, Jawad MA. Laparoscopic Cholecystectomy and Choledochoduodenostomy after Roux-en-Y Gastric Bypass. Society of American Gastrointestinal and Endoscopic Surgeon. Baltimore, Maryland, April 17-20, 2013.
  2. Moon R, Goldbach M, Teixeira A, Jawad MA. Laparoscopic Resection of the Blind Limb with Pouch Revision and Placement of Pericardial Patch for Weight Regain. 18th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorder. Istanbul, Turkey, August 28-31, 2013.
  3. Moon R, Teixeira A, DuCoin C, Jawad MA. Laparoscopic Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass for Proximal Gastric Leak. Society of American Gastrointestinal and Endoscopic Surgeons. Baltimore, Maryland, April 17-20, 2013.
  4. Teixeira A, Moon R, DuCoin C, Jawad MA. Laparoscopic Band Removal and Conversion to Sleeve Gastrectomy for Weight Regain and Dysphagia. Society of American Gastrointestinal and Endoscopic Surgeons. Baltimore, Maryland, April 17-20, 2013.
  5. Shah N, Moon R, Teixeira AF, Jawad MA. Cecal Volvulus after Roux-en-Y Gastric Bypass. 18th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorder. Istanbul, Turkey, August 28-31, 2013.
  6. Elms L, Moon RC, DuCoin C, Teixeira A, Jawad MA. Laparoscopic Conversion of Vertical Banded Gastroplasty to Roux-En-Y Gastric Bypass for Continued Morbid Obesity and Dysphagia. 19th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders. Montreal, Canada, August 26-30, 2014.
  7. Moon R, Teixeira A, Jawad MA. Resection of Gastro-Gastric Fistula and the Blind Limb after Roux-En-Y Gastric Bypass. 19th World Congress of International Federation for the Surgery of Obesity and Metabolic Disorders. Montreal, Canada, August 26-30, 2014.

PUBLISHED ABSTRACTS

  1. Painter TJ, Rickerds J, Alban R. Immune Enhancing Nutrition Improves Nutrition Measures and Infection Rates in Traumatic Brain Injured Patients. Published on-line: ASPEN – Clinical Nutrition Week 2013, January 2013 (37): A1-A265. http://www.pen.sagepub.com.
  2. Corsa J, Alban RA. Quality Protocols Decrease Escalation of Care Events and Improve Rehabilitation Transfers in Spinal Cord Injuries. Crit Care Med 2013; 41(12):S604.
  3. McConnell A, Liu-Deryke X, Promes, JT, Hobbs B. Risk Factors Associated with Early Onset Adrenal Insufficiency in Trauma. Crit Care Med 2013; 41(12):S246.
  4. Wisniewski P, Mulatre M, Ibrahim JA, Ashworth S, Aguirre L. Decrease in CAUTI Rate Following Adaption of New Protocols in the ICU. Crit Care Med 2013; 41(12):S1097.
  5. Semon G, Alban RF, Smith HG, Smith CP. Delayed Presentation of Adult Respiratory Distress Syndrome in Three Patients Following Propane Explosion. Crit Care Med 2013; 41(12):S1160.
  6. Smit P, Rickerds JL, Safcsak K, Ibrahim JA, Belcher S, Cheatham, ML. Current Nutrition Support Strategies Do Not Adequately Ameliorate Low Vitamin D levels in the Critically Ill Patient. To be published on-line: ASPEN – Clinical Nutrition Week 2014.
  7. Ashworth S, Bragg S, Safcsak K. A Multidisciplinary Collaborative Approach to Improve Outcomes in Post Traumatic Spinal Cord Injury. http://journals.lww.com/cns-journal/Fulltext/2014/03000/ National_Association_of_Clinical_Nurse_Specialists.13.aspx (E37).
  8. Ibrahim JA, Safcsak K, Rickerds JL, Belcher S, Cheatham, ML. Incidence of Vitamin D Deficiency in the ICU Trauma Population. www.east.org/content/documents/2014_poster_abtracts_for_web.pdf (poster 9).

MANUSCRIPTS

  1. Advanced ultrasound training for fourth-year medical students: A novel training program at the Ohio State University College of Medicine. Bahner DP, Royall NA. Acad Med 2013; 88 (2): 206-213.
  2. Integrated medical school ultrasound: Development of an ultrasound vertical curriculum. Bahner DP, Hughes D, Barrrie M, Adkins EJ, Boulger CT, Royall NA. Crit US J 2013; (5) 6. http://www.criticalultrasoundjournal.com/content/5/1/6.
  3. Routine gastrostomy tube placement in gastric bypass patients: Impact on length of stay and 30-day readmission rate. Moon R, Teixeira A, Potenzia K, Jawad MA. Obes Surg 2013; (2) 216-21.
  4. Pericardial patch ring Roux-En-Y gastric bypass: A preliminary report. Moon R, Teixeira A, Jawad MA. Obes Surg 2013; (4) 480-5.
  5. Reinforcing the staple line with surgical Nuknit in Roux-en-Y gastric bypass: Comparison with bovine pericardial strips. Moon R, Teixeira A, Varnadore S, Potenza K, Jawad MA. Obes Surg 2013; (6) 788-93.
  6. 6. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, Reintam Blaser A, Regli A, Balogh ZJ, D'Amours S, Debergh D, Kaplan M, Kimball E, Olvera C; The Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome. Intensive Care Med, 2013; 39(7):1190-1206.
  7. A prospective study examining clinical outcomes associated with the ABThera™ open abdomen negative pressure therapy system and Barker’s vacuum packing techniques. Cheatham ML, Demetriades D, Fabian TC, Kaplan MJ, Miles WS, Schreiber MA, Holcomb JB, Bochicchio G, Sarani B, Rotondo MF. World J Surg 2013; 37(9):2018-2030.
  8. Gastrointestinal symptoms during the first week of intensive care are associated with poor outcome: a prospective multi-centre study. Reintam-Blaser A, Poeze M, Malbrain MLG, Cheatham ML, et al. Intensive Care Med 2013; 39(5):899-909.
  9. Effects of race and insurance in outcomes of the open abdomen. Clark J, Cheatham ML, Safcsak K, Alban RF. Amer Surg 2013; 79:928-932.
  10. Partial verses Total Splenectomy in Children with Hereditary Spherocytosis. Seims AD, Breckler F. Hardacker KD, Rescorla FJ. J Ped Surg 2013; 154(4):849-55.
  11. Early intravenous ibuprofen decreases narcotic requirement and length of stay following traumatic rib fracture. Bayouth L, Safcsak K, Cheatham ML, Smith CP, Birrer, KL, Promes JT. Amer Surg 2013; 79:1207-1212.
  12. Percutaneous femoral vein access for inferior vena cava filter placement does not cause insertion site thrombosis. Lambe BD, Bedway JJ, Friedell ML. Ann Vasc Sur 2013; 27(8):1169-72.
  13. Conversion of failed laparoscopic adjustable gastric banding: Sleeve gastrectomy or Roux-En-Y gastric bypass. Moon R, Teixeira A, Jawad MA. Surg Obes Relat Dis 2013; 9(6):901-7.
  14. Comparison of cholecystectomy cases after Roux-En-Y gastric bypass, sleeve gastrectomy, and gastric banding. Moon R, Teixeira A, DuCoin C, Varnadore S, Jawad MA. Surg Obes Relat Dis 2014: 10(1):64-8.
  15. Causes of Small Bowel Obstruction after Gastric Bypass: A Review of 2395 Cases at a Single Institution. Elms L, Moon R, Varnadore S, Teixeira A, Jawad MA. J Surg Endosc. 2014; 28(5):1624-8.
  16. Multicenter review of diaphragm pacing in spinal cord injury: Successful not only in weaning from ventilators but also in bridging to independent respiration. Posluszny JA, Cheatham ML, Diebel L, et al. Trauma Acute Care Surg 2014; 76(2):303-310.
  17. Management and treatment outcomes of marginal ulcers after Roux-En-Y gastric bypass at a single high volume bariatric center. Moon R, Teixeira AF, Goldbach M, Jawad MA. Surg Obes Relat Dis 2014; 10(2):229-34.
  18. Minimizing blood loss during hepatectomy: A literature review. Huntington JT, Royall NA, Schmidt CR. J Surg Oncol 2014; 109(2)81-8.
  19. Perceptions of graduating general surgery chief residents: Are they confident in their training? Friedell ML, Vandermeer TJ, Cheatham ML, et al. J Am Coll Surg 2014; 18(4):695-703.
  20. Airway pressures as surrogate estimates of intra-abdominal pressure. Bunnell A, Cheatham ML. Accepted Nov 2013 Amer Surg.
  21. Laparoscopic choledochoduodenostomy as an alternative treatment for common bile duct stones following Roux-en-Y Gastric Bypass Surgery. DuCoin C, Moon R, Teixeira A, Jawad MA. Accepted Surgery for Obesity and Related Diseases Jan 2014.
  22. Bahner DP, Goldman E, Way D, Royall NA, Liu YT. The State of Ultrasound Education in U.S. Medical Schools: Results of a National Survey. Accepted Acad Med 2014. On Epub now.
  23. American Burn Association consensus statements. Gibran NS, Smith HG, et al. J of Burn Care and Research, 2013; 34(4): 361-385.
  24. Disasters: the 2010 Haitian Earthquake and the Evacuation of Burn Victims to US Burn Centers. Kearns, R., et al. J of Burns, 2014; doi: 10.1016.

PUBLISHED CASE REPORTS

  1. Cervical tracheal transection after scarf entanglement in Go-Kart engine. Seims AD, Shellenberger TD, Lube MW. J Emerg Med, 2013; 45(1):e13-16.
  2. Right axillary artery bullet embolus and the formation of a pulmonary arterio-venous fistual following a gunshot wound to the back. Case report and review of the literature. Rapo E, Lube MW, Smith CP. Amer Surg, 2013; 79(4):e172-4.
  3. Sonographic confirmation of the correct placement of a nasoenteral tube in a woman with hyperemesis gravidarum: Case report. Swartzlander T, Carlan S, Locksmith G, Elms L. J Clin Ultrasound, Epub Jan 28, 2013.
  4. Use of hyperbaric oxygen as adjunct in salvage of near complete ear amputation: A case report. Bada A, Pope G. Plastic and Reconstructive Surgery – Global Open. Published online April 3, 2013. http://journals.lww.com/prsgo/Abstract/publishahead/Use_of_Hyperbaric_Oxygen_as_Adjunct_in_Salvage_of.99995.aspx.
  5. A case report of malignant peripheral nerve sheath tumor of the chest wall in a 21-year old female. Sudhakar D, Nelson LS, Herrera L. Accepted Asian Cardiovascular and Thoracic Annals but waiting for one year follow-up of pt.
  6. Liver abscess following surgical removal of an eroded gastric band: A case report. Burns A, Teixeria A, Jawad MA. Surg for Obes Relat Dis. http://dx.doi.org/10.1016/j.soard.2014.01.026.

OTHER

  1. Eakin, JL. “Esophagus A.B.S.I.T.E.” Edited by: Nelson Royall. Columbus: Pinfinity LLC, iBookstore. 2013.
  2. Bahner, DP; Royall, NA. “Letter to the Editor: Peripheral vascular ultrasound examinations are important in ultrasound training for medical students”. Acad Med. 2013. 88 (9):1198.