"The Center - A Brief History"
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: email@example.com Ingenuity Integrity Quality Atul K. Madan, MD - Director 305-243-2424 firstname.lastname@example.org Jose M. Martinez, MD - Assistant Director Mission Statement 305-243-2424 University of Miami Miller School of Medicine email@example.com Susan G. Mazzola - Administrator 305-326-6480 firstname.lastname@example.org • 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. email@example.com • To be a community partner. Leo Real - Veterinary Technician 305-482-4784 firstname.lastname@example.org 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.”