The Center - A Brief History by oft14212

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									       April 2008

Welcome                                                                                       Volume 1, Issue 1
                                                                                                    April 2008


Welcome to the first issue of the
                                                                                         Upcoming Courses
newsletter from the Center of Ex-
cellence for Laparoscopic and                                                      •   Peripheral Nerve Block
Minimally Invasive Surgery. We                                                         Update: 2008
are excited to have you read and
learn about the accomplishments                                                    •   Advanced Trauma Opera-
and activities at the Center.                                                          tive Management (ATOM)
Through the hard work and dedi-
cation of multiple individuals                                                         Check website for dates:
                                                                                       www.mis.med.miami.edu
throughout the University of Miami
Miller School of Medicine campus,
we are proud to continue to offer
state-of-the art training and educa-
tional opportunities. Please feel                                                           Contents
free to contact us for further new research, education and training ideas or
                                                                                   Welcome - History
opportunities.                                                                     of the Center
                                                                                                             1

                                                                                   Fundamentals of
The Center - A Brief History                                                       Laparoscopic Sur-         2
As a result of a unique relationship bringing together an education grant and      gery (FLS)
University funds, the Center opened in 2001 in the McKnight Research
                                                                                   SAGES Course              2
                                          Building on the campus of the Uni-
                                          versity of Miami Leonard M. Miller       Annual Flexible
                                          School of Medicine and Jackson           Endoscopy CME             3
                                          Memorial Hospital. The facilities        Course
                                          were fully equipped with the laparo-     Medical Advisory
                                          scopic, computer simulation, virtual                               3
                                                                                   Board
                                          reality, audio-visual, and all other
                                          equipment and devices required for       SAGES Grant
                                                                                   Awarded to UM             4
                                          education and training. The initial
                                                                                   Surgeon
                                          goal was to hold quarterly minimally
                                          invasive skills courses for all levels   Mission Statements        4
                                          of general surgery residents. Addi-
                                          tional courses for attending sur-        Center Contacts           4
geons were added. Industry also utilized the Center for training local, na-
tional, and international surgeons.

After a few years, the integration of resident educational laboratory sessions
into the regular rotation schedule has created an extremely successful resi-
dency training program. A Medical Advisory Board was established in early
2006 which led to a wider awareness of the resources at the Center within
the University. With the above leadership, personnel additions, resident
hours change, and overall department/university support, the Center has
steadily increased the number of education and training events from a total
of 80 in 2005 to 148 in 2007.
Page 2                                                                                                               April 2008


Fundamentals of Laparoscopic Surgery (FLS)
Ray I. Gonzalez                             poreal and intracorporeal suturing
Surgical Educator                           along with speed and accuracy em-
Center of Excellence for Laparoscopic and
Minimally Invasive Surgery
                                            phasized through all modules.

Establishing a National Skills Cur-         The FLS program is recognized as
riculum is the common goal of the           the system that has undergone the
American College of Surgeons                most extensive validation. It also
(ACS) and Association of Program            includes the tools to assess cognitive
Directors in Surgery (APDS).       In       knowledge via a computer based
2005, a curriculum task force com-
mittee was established with the ob-
                                            exam and a manual skills exam
                                            which is graded by a SAGES ap-
                                                                                            SAGES Course
jective of improving residents’ per-
formance through skills practice and
                                            proved proctor. Ray Gonzalez, Sur-               Endorsement
to use assessment of skills as a
means of determining “operating                                                             For the 3rd consecutive year, the
                                                                                            Society        of   American
room readiness.”
                                                                                            Gastrointestinal and Endoscopic
                                                                                            Surgeons (SAGES) Continuing
                                                                                            Education Committee renewed
The committee formulated a plan to
                                                                                            their endorsement of the Center’s
create the National Skills Curriculum                                                       courses.
in three phases: I. Basic/Core Skills
and Tasks; II. Advanced Procedures;                                                         SAGES offers Course and
and III. Team-Based Skills. Each                                                            Program Directors at educational
phase is comprised of multiple tasks                                                        institutes the opportunity to have
referred to as modules. The pro-            Rosiane Roeder, MD, JMH/UM General Sur-         their courses reviewed and
gram, Fundamentals of Laparoscopic          gery Intern practices on the FLS box trainer.   endorsed. SAGES endorsement
Surgery (FLS), an innovative product                                                        provides the Center with the
                                            gical Educator at the Center, re-               following benefits:
in surgical education and skills as-
                                            ceived approval from SAGES as a
sessment introduced by the Society
of American Gastrointestinal and
                                            proctor for the program. The Center             • Courses are listed on the
                                            was certified as a regional test site            SAGES web site (~1000 page
Endoscopic Surgeons (SAGES) and
                                            and is one of 29 certified sites for             views/month).
ACS in 2004, is part of Phase I and
                                            FLS in the United States.
II.                                                                                         • Courses will be included in
                                                                                             SCOPE , SAGES bi-annual
                                            The Center has had great success                 newsletter.
                          In 2006, the
                                            introducing the FLS program with
                          Center be-                                                        • SAGES endorsed course list
                                            residents routinely completing the
                          gan to im-                                                         is mailed or faxed to
                                            program to passing standards. This               interested surgeons upon
                          plement the
                                            success can be credited to adequate              request (average of 10-25
                          FLS     Pro-
                                            in-service sessions where the impor-             requests per month).
                          gram     into
                                            tance of the CD-based portion is
                          the     JMH
                                            stressed as well as hands-on in-                • Course Directors may include
General Surgery Resident curricu-                                                            the SAGES Endorsement
                                            service of the manual skills modules.
lum. FLS is comprised of a compre-                                                           statement on promotional
hensive, multi-media CD-based edu-                                                           brochures and course
cational module designed to teach           Also, the Center makes the FLS box               materials.
the basic knowledge, judgment and           trainer and didactic content available
technical skills fundamental to the         to residents with access to our simu-
performance of laparoscopic surgery.        lation lab 24/7. Two educational re-
The CD study guides cover didactics,        search projects at the Center this
interactive patient scenarios and           year will focus on FLS metrics
manual skills training. The FLS man-        (recorded), inter-rater reliability be-
ual skills modules demonstrate coor-        tween recorded and live scores and
dination, depth perception, ambidex-        FLS metrics (live via internet), inter-
terity, suture ligation (endoloop), re-     rater reliability between live via inter-
traction, precision cutting, extracor-      net and in person scores.
Volume 1, Issue 1                                                                                                                            Page 3


Annual Flexible Endoscopy CME Course
On March 15, the Center held the an-                                                                  stents, and biliary metal stents. The
nual course, Advances in Flexible En-                                                                 course was approved to offer AMA
doscopy. The course director was                                                                      PRA Category 1 Credit(s)™ and con-
Jose M. Martinez, MD, with Alberto                                                                    tact hours for nurses.
Iglesias, MD, Atul K. Madan, MD, and
Charles Ro, MD, from the University of                                                                In addition to those featured technolo-
Miami. Invited faculty included: Brian                                                                gies, the attending physicians had the
J. Dunkin, MD, Douglas Pleskow, MD,                                                                   opportunity to attend a NOTES ani-
Adrian Legaspi, MD, and Jeffrey M.                                                                    mate lab. During the NOTES lab phy-
Marks, MD.                                                                                            sicians gained access through the
                                                                                                      stomach, into the peritoneum, and
This course focused on educating sur-                                                                 procedures such as tubal ligation, pan-
geons, gastroenterologists, nurses and                  Course Director, Jose M. Martinez, MD         createctomy, and various closure tech-
surgical technicians on the therapeutic                 with course attendee, Javier Parra, MD        niques were performed. And though
advances in flexible endoscopy. Top-                                                                  NOTES and the accompanying de-
ics of discussion included endoscopic              hands-on lab attended by 16 practicing             vices necessary for its ultimate suc-
clipping, neoadjuvant stenting, colo-              physicians, 5 GI fellows, and                      cess are not ready for prime time, at
nic and biliary stenting, choledoco-               3 GI Nurse Managers. The hands-on                  the very least this topic has and will
scopy, and NOTES. (Natural Orifice                 portion focused on some of industries              continue to help the development of
Transluminal Endoscopic Surgery). In               premier technology including self ex-              endoscopic therapies to better man-
addition to the didactic lectures of the           panding plastic stents, endoscopic                 age patients and their respective dis-
aforementioned topics, there was a                 clips, self expanding metal colonic                ease states.


                                           Medical Advisory Board
Atul Madan, MD, Chair                              Marcelo Larsen, MD                                 J. Matthew Pearson, MD
Division of Laparoendoscopic and Bariatric Sur-    Division of Gastroenterology                       Division of Gynecologic Oncology
gery                                               Department of Medicine                             Department of Obstetrics and Gynecology
DeWitt Daughtry Family Department of Surgery
                                                   Nathan H. Lebwohl, MD                              Marco Ricci, MD
Jose M. Martinez, MD, Co-Chair                     Department of Orthopaedics                         Division of Cardiothoracic Surgery
Division of Laparoendoscopic and Bariatric Sur-                                                       DeWitt Daughtry Family Department of Surgery
gery
DeWitt Daughtry Family Department of Surgery
                                                   John I. Lew, MD
                                                   Division of Endocrine Surgery                      Tomas A. Salerno, MD
                                                   DeWitt Daughtry Family Department of Surgery       Division of Cardiothoracic Surgery
Ali Aziz-Sultan, MD                                                                                   DeWitt Daughtry Family Department of Surgery
Department of Neurological Surgery
                                                   Raymond J. Leveillee, MD
Patricia M. Byers, MD
                                                   Division of Endourology, Laparoscopy and Mini-     Laurence R. Sands, MD
                                                   mally Invasive Surgery                             Division of Colon and Rectal Surgery
Division of Trauma Surgery and Surgical Critical   Department of Urology                              DeWitt Daughtry Family Department of Surgery
Care
DeWitt Daughtry Family Department of Surgery
                                                   David Levi, MD                                     Danny Sleeman, MD
                                                   Division of Liver/Gastrointestinal Transplant      Division of Trauma and Surgical Critical Care
Nahida Chakhtoura, MD                              DeWitt Daughtry Family Department of Surgery       DeWitt Daughtry Family Department of Surgery
Department of Obstetrics and Gynecology
                                                   Alan S. Livingstone, MD                            Carmen Solorzano, MD
Linda Chen, MD                                     Division of Surgical Oncology                      Division of Endocrine Surgery
Division of Kidney and Pancreas Transplantation    DeWitt Daughtry Family Department of Surgery       DeWitt Daughtry Family Department of Surgery
DeWitt Daughtry Family Department of Surgery
                                                   Tony Luongo, MD                                    Peter Takacs, MD, PhD
Francisco J. Civantos, MD                          Department of Urology
Department of Otolaryngology                                                                          Division of Urogynecology
                                                                                                      Department of Obstetrics and Gynecology
                                                   Mark G. McKenney, MD
Miguel Cobas, MD                                   Division of Trauma Surgery and Surgical Critical
Department of Anesthesiology                       Care
                                                                                                      Seth R. Thaller, MD, DMD
                                                                                                      Division of Plastic and Reconstructive Surgery
                                                   DeWitt Daughtry Family Department of Surgery
                                                                                                      DeWitt Daughtry Family Department of Surgery
Fahim Habib, MD
Division of Trauma Surgery and Surgical Critical   Holly L. Neville, MD
Care                                               Division of Pediatric Surgery
                                                                                                      W. Raleigh Thompson, MD
DeWitt Daughtry Family Department of Surgery       DeWitt Daughtry Family Department of Surgery       Division of Pediatric Surgery
                                                                                                      DeWitt Daughtry Family Department of Surgery
Duane G. Hutson, MD                                Dao Nguyen, MD
DeWitt Daughtry Family Department of Surgery       Division of Cardiothoracic Surgery                 Omaida C. Velazquez, MD
                                                   DeWitt Daughtry Family Department of Surgery       Division of Vascular Surgery
                                                                                                      DeWitt Daughtry Family Department of Surgery
Eddie R. Island, MD
Division of Liver/Gastrointestinal Transplant      Duc Q. Nguyen, MD
DeWitt Daughtry Family Department of Surgery       Division of Cardiothoracic Surgery                 Michael Y. Wang, MD
                                                   DeWitt Daughtry Family Department of Surgery       Department of Neurological Surgery
                                                                              Mission Statement
                                                                   Center of Excellence for Laparoscopic and
                                                                          Minimally Invasive Surgery

                                                           To promote the highest level of education and training of medical
                                                           professionals via the most technologically advanced methods as
                                                          well as to foster research and product development in laparoscopic
                                                                           and minimally invasive procedures.
University of Miami Miller School of Medicine
Center of Excellence for Laparoscopic and                                                Vision
 Minimally Invasive Surgery                                To become the local, national, and international leader in the field
McKnight Research Building, 8th Floor                      of education, research, and product development in laparoscopic
1638 NW 10th Avenue Miami, FL 33178                                       and minimally invasive procedures.
Phone: 305-326-6480 Fax: 305-326-6328
                                                                                      Core Values
Email: miscenter@med.miami.edu
                                                                                        Ingenuity
                                                                                         Integrity
                                                                                          Quality


Atul K. Madan, MD - Director
305-243-2424
amadan@med.miami.edu
Jose M. Martinez, MD - Assistant Director                                       Mission Statement
305-243-2424                                                       University of Miami Miller School of Medicine
jmartinez4@med.miami.edu
Susan G. Mazzola - Administrator
305-326-6480
smazzola@med.miami.edu                                         • To provide excellence in medical education.
Ray I. Gonzalez - Surgical Educator                            • To expand medical knowledge through research.
305-547-3700                                                   • To provide high-quality care to those who need it.
rgonzalez4@med.miami.edu
                                                               • To be a community partner.
Leo Real - Veterinary Technician
305-482-4784
lreal@med.miami.edu


SAGES Grant Awarded to UM Surgeon
                                                surgeons. The grant will help distin-    important
                  Alberto Iglesias, MD
                                                guish which method of training for       considering
                  Assistant Professor of
                  Surgery                       ERCPs is the most effective and          that the gen-
                  Division of Laparoen-         efficient.   This is the first time      eral surgery
                  doscopic and Bariatric        SAGES has given a grant to a UM          residency
                  Surgery                       surgeon. The work is a collabora-        review com-
                                                tion of Dr. Iglesias, Dr. Jose M.        mittee     has
                                                Martinez, Dr. Emanuele Lo Menzo,         increased
                                                MD, and Dr. Charles Ro, MD. The          the flexible
The Center is honored to be part of a           facilities and resources of the Cen-     endoscopy requirements.” The Uni-
research grant that was awarded to              ter were a major factor in awarding      versity of Miami Miller School of
Dr. Alberto Iglesias. Dr. Iglesias              the grant.                               Medicine (UM) is one of the few
joined the faculty of the Division of                                                    institutions that has a group of sur-
Laparoendoscopic and Bariatric Sur-             The training sessions and the test-      geons led by Dr. Jose M. Martinez
gery, DeWitt Daughtry Family De-                ing will all be done at the Center.      (Assistant Director of the Center)
partment of Surgery in 2007. The                Dr. Atul K. Madan, Director of the       with expertise in flexible surgical
grant entitled, “Prospective random-            Center, stated, “This grant ad-          endoscopy. Dr. Madan added, “The
ized trial of virtual reality simulation        dresses an important problem for         topic of the grant is both timely and
versus ex-vivo simulation in acquisi-           both general surgeons and gastro-        pertinent. UM and the Center are
tion of endoscopic retrograde                   intestinal physicians: how to train      one of the few places in the country
cholangiopancreatography skills”.               physicians in advanced endoscopic        that this study could be undertaken.
will help shape the future of training          techniques, such as ERCPs, in an         We should be proud of Dr. Iglesias
advanced endoscopic procedures to               efficient manner.” This is especially    and his group.”

								
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