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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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