Annual Meeting symposium to address hereditary colon cancer treatment

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					85 West Algonquin Road • Suite 550 • Arlington Heights, Illinois 60005 • (847)290-9184 • Fax: (847)290-9203 •   April 2005

Annual Meeting symposium to address
hereditary colon cancer treatment
An informative breakfast symposium                       Legal Implications of Caring for             Practice Management: Tools for
detailing challenging legal and ethical                  Patients and Families with                   Financial Success, Tuesday, May 3.
issues involved in caring for patients                   Hereditary Colorectal Cancer                 Dr. David A. Margolin, New
                    with hereditary                      Syndromes. The program presents              Orleans, LA, leads this year’s update,
                    colon cancer syn-                    the diverse perspectives of surgeons,        which will help surgeons understand
                    dromes will take                     patients, counselors and attorneys,          the revenue cycle, benchmarks and
                    place Wednesday,                     then follows up with case presenta-          financial performance, contract analy-
                    May 4, during the                    tions and questions from the audience.       sis for specialists and negotiating
                    ASCRS 2005                                                                        strategies. The program will also high-
                                                         “Surgeons will walk away from this
                    Annual Meeting in                                                                 light the importance of denial track-
                                                         program with an understanding of the
                    Philadelphia.                                                                     ing, contract compliance, payer mix
                                                         ethical and legal issues involved when
Dr. Theodore Saclarides                                                                               analysis, and how to develop a practice
                     This year’s meet-                   caring for patients and families with a
                     ing, held April                     syndrome of hereditary colorectal
30 - May 5, features more than 200                       cancer,” explained Program Chair Dr.         Other Annual Meeting programs
podium and poster presentations to                       Theodore J. Saclarides, Chicago.             cover:
provide surgeons with an in-depth                        “Members of our field need to know
                                                                                                      • The technique of endoanal ultra-
overview of current scientific methods                   the appropriate advice to give, and
                                                                                                        sound and its potential application in
used to treat diseases of the colon and                  actions to take, when counseling
                                                                                                        fecal incontinence and anorectal
rectum, and improve patient care.                        patients and notifying relatives. The
                                                         symposium will also help surgeons
In addition, the Program Committee
                                                         understand the pitfalls involved with        • Technical steps of laparoscopic
has created presentations that empha-
                                                         genetic testing and the possibility of         colectomy, and current status of
size the “personal” side of colon and
                                                         genetic discrimination,” he added.             laparoscopic procedures for diseases
rectal surgery. These include methods
                                                                                                        of the colon and rectum;
of enhancing individual surgical prac-                   Improving individual practice efficien-
tices and alerting surgeons of complex                   cies, including the utilization of “e-       • New methods in wound manage-
ethical controversies facing the field of                practice” enhancements, is one of              ment and troubleshooting stoma-
colon and rectal surgery.                                many topics to be discussed during the         related problems;
                                                         2005 Socioeconomic Update, Surgical                            …continued on page 5
Controversies of hereditary
syndrome treatment
Dr. James M. Church, Cleveland,
OH, moderates the May 4 breakfast
symposium entitled, The Medico-                            View Annual Meeting preliminary
                                                           program online at
  In this issue…                                           Surgeons may view the Annual Meeting’s preliminary program online at
  Research Foundation Report . . . . . . . . . . 2
  STOP holds spring benefit . . . . . . . . . . . 3        Click on the “2005 Annual Meeting” icon, which provides complete infor-
  New practice parameteres published . . . . 3             mation on the 2005 scientific program, the Annual Dinner Dance,
  Maintenance of Certification . . . . . . . . . 4         Philadelphia attractions, exhibitors, registration fees and more.
  Recertification Exam . . . . . . . . . . . . . . . 4     Surgeons who wish to register for the Annual Meeting may print out regis-
  Call for Allied Health Professionals. . . . . 4          tration forms, fill them out and fax them to the ASCRS Executive Offices
  Website enhances its appeal . . . . . . . . . . . 5      at 847/290-9203.
  History Commitee seeks materials . . . . . . 5
                                    R E S E A R C H      F O U N D A T I O N      R E P O R T

    Research Foundation seeks RFPs on benign
    colorectal disease, announces Challenge Grant
    Program at Annual Meeting
    By David A. Rothenberger, MD, President,                       October 1, 2005 and must include a detailed budget as
    Research Foundation of ASCRS                                   well as an official letter confirming approval for the study
                                                                   from your local institutional review board.
    The Research Foundation of the American Society of
    Colon and Rectal Surgeons recently announced a new             This is an exciting opportunity for members of our Society
    grant opportunity providing up to $50,000 per year for two     to engage in active clinical research. Past president
                      years. A Request for Proposals (RFPs)        Dr. James W. Fleshman began this project, and it is now
                      for clinical studies on benign colorectal    our job to implement the RFP program and make it a part
                      disorders has been distributed to all        of our Research Foundation’s core activities.
                      members of the ASCRS. The goal of            All ASCRS members are encouraged to respond to this
                      the new RFP program is to foster the         RFP. Investigators may form multi-institutional groups to
                      development and conduct of well              strengthen their applications.
                      designed clinical trials leading to a
                      definitive answer to a specific colorectal   Challenge Grant Program
        Dr. David     problem.                                     The Research Foundation is excited to announce its new
       Rothenberger                                                “Challenge Grant Program” to achieve the goals of sup-
                        “The Research Foundation Board is
                                                                   porting research in colorectal disorders and developing
    especially interested in funding research leading to the
                                                                                          future colorectal researchers.
    improvement and management of com-
    mon, yet understudied, colorectal prob-                                               Dr. Anthony J. Senagore, treasurer
    lems,” noted Dr. Richard L. Nelson, Vice
                                                 “This is an exciting                     of the Research Foundation, notes,
    President of the Research Foundation.          opportunity for members                “The Research Foundation has been
    For 2005, the RFP program is targeting           of our Society to engage in successful in raising funds to support
                                                                                          limited project grants, career devel-
    several benign colorectal conditions.            active clinical research.”           opment awards, and an International
    Members of the ASCRS are encouraged to
                                                                                          Fellowship award. We have just
    develop pilot studies or Phase I, II, or III
                                                                   launched a new Request For Proposals (RFP) program
    clinical trials to assess the following: 1) Conservative man-
                                                                   encouraging development of clinical trials. These compet-
    agement of diverticulitis; 2) Direct sphincter repair versus
                                                                   itive grants have advanced our field and improved the care
    biofeedback for anal incontinence secondary to obstetrical
                                                                   of patients with colorectal diseases, but each of these pro-
    injury; 3) The use of drain or no drain after low anterior
                                                                   grams requires continuous fundraising.” The Challenge
    resection; 4) The use of seton versus one stage fistulotomy
                                                                   Grant Program is intended to meet part of that need and
    for fistula-in-ano; and 5) Sphincter sparing fistula repair by
                                                                   will be an annual effort to raise funds for research during
    advancement flap versus fistulotomy for fistula-in-ano.
                                                                   the ASCRS Annual Meeting.
    The proposed research must be hypothesis driven and
                                                                   The Challenge Grant Program is unique in that it invites
    investigator initiated. It should be a project that is con-
                                                                   members and other attendees of our Annual Meeting to
    ducted within the United States or Canada, and it must
                                                                   make a pledge that will be matched by each of the partici-
    have a principal investigator or co-investigator who is a
                                                                   pating companies. For 2005, the Challenge Grant is a
    member of the American Society of Colon and Rectal
                                                                   $25,000 pledge. Thus, if we raise $25,000 from our mem-
    Surgeons. Dr. Jose G. Guillem, Chairman of the Research
                                                                   bers during the Philadelphia meeting, each of the partici-
    Committee for the Research Foundation, notes, “Funding
                                                                   pating companies will contribute a match of $25,000. If we
    will be based upon scientific merit review. Our research
                                                                   raise only $10,000 from our members, then the companies
    committee will give special consideration to applications
                                                                   will only be obligated to donate $10,000.
    perceived to have a high likelihood of success and to have
    an impact on the practice of colon and rectal surgery.”        The Challenge Grant Program will be a focus of attention
                                                                   during the Philadelphia meeting and we are hopeful that all
    Applicants should submit a one-page letter of intent to
                                                                   members will come prepared to participate. It is rare that
    apply for a 2005 RFP grant to the Chairman of the
                                                                   one has an opportunity to donate to such a worthy cause
    Research Committee, Dr. Guillem, by June 15, 2005. This
                                                                   and have others match their pledge.
    letter should include a brief description of the proposed
    project and the principal investigator or co-investigators
    and their institutions. A final grant proposal is due

STOP holds successful spring
benefit/celebration party in Chicago
The STOP Colon/Rectal Cancer Foundation held a hugely             In its newsletter, STOP Watch, the organization recently
successful spring benefit/celebration party in Chicago,           reported that Virginia is the first U.S. state to require
honoring police and firefighters, Chair Dr. Ernestine             insurance coverage for colon cancer screening using
                   Hambrick, Chicago, reports.                    colonoscopy. Gastroenterology nurses were prime movers
                                                                  in getting the Virginia legislature to act, according to STOP
                    “It was truly an evening of celebration of
                    the progress we’ve made in the war
                    against colon cancer. It also honored the     Dr. Hambrick has spoken at many recent health fairs,
                    memory of Karen Coughlin, one of              including a cancer awareness day at the Des Plaines Public
                    STOP’s original trustees, who died of         Library in suburban Chicago. Her motto is “have
                    acute leukemia three years ago,” Dr.          Powerpoint, will travel,” she says.
                    Hambrick said. Mrs. Coughlin’s daugh-
   Dr. Ernestine                                                  Members of STOP’s 11-person Board include ASCRS
                    ter, Corrie, was co-honorary chair, with
    Hambrick                                                      members Drs. Richard P. Billingham, Seattle, WA, Byron
                    Chicago Alderman Edward M. Burke.
                                                                  Gathright, New Orleans, and Michael P. Spencer,
“It began with a soul stirring playing by four members of         Minneapolis, MN.
the Chicago Police Department’s Emerald Society Pipe
                                                                  Information about STOP’s interactive teaching program in
Band. Due to the generosity of our corporate sponsors,
                                                                  colorectal cancer prevention for primary care physicians,
every penny attendees and donors paid went directly to
                                                                  developed with the Department of Medical Education
STOP,” she said.
                                                                  at the University of Illinois, is available online at
A prominent patient of Dr. Hambrick’s, recently retired 
Chicago Police Department Superintendent Terry Hillard,
                                                                  Dr. Hambrick said the Foundation still depends on individ-
and Steve DeLuca, a North Shore firefighter, were benefit
                                                                  ual contributions, large and small, to accomplish STOP’s
                                                                  mission: to eradicate colorectal cancer through education
STOP has distributed more than 400,000 of its brochures,          directed toward preventive screening, early detection and
“The Cancer Nobody Has to Have & How to Stop It,” to              healthy lifestyle choices.
physicians, individuals, organizations and corporations. They
                                                                  Further information about STOP’s activities may be found
have been used in a variety of locations, events, health fairs,
                                                                  on its Website,
and meetings across the U.S., in recent meetings in
                                                                  Donations may be sent to the STOP Colon/Rectal Cancer
Singapore and Brazil, and many other foreign countries.
                                                                  Foundation, 30 N. Michigan Ave. #1118, Chicago 60602.

Revised practice parameters published in Diseases of the
Colon & Rectum; three new parameters nearing completion
In the last six months, three revised practice parameters         Three additional revised practice
have been prepared and published in Diseases of the Colon         parameters, Anal Fistulas, Management
and Rectum, and another three will appear in print over the       of Rectal Cancer and Surgical
next few months, reported Standards Committee Chair Dr.           Management of Ulcerative Colitis, are
Neil H. Hyman, South Burlington, VT.                              nearing completion and will be pub-
                                                                  lished in coming months, he added.
Management of Colon Cancer, Management of Anal Fissures
and Treatment of Hemorrhoids were published in DC&R in            ASCRS develops practice parame-
late 2004. The revised parameters are also available for          ters to give physicians a ready
review on the ASCRS Website,                      point of reference, documenting a
                                                                  rational, evidence-based approach
“The Standards Committee is working very hard to update
                                                                  to treating disease. Many physicians con-
the Society’s practice parameters as we continue the shift
                                                                  sult a practice parameter as a review article. Insurance
from consensus-driven to evidence-based guidelines,” Dr.
                                                                  companies may also look at ASCRS practice parameters to
Hyman explained. “New evidence requires a thorough
                                                                  decide whether to cover a particular treatment.
examination of the literature and an assessment of the evi-
dence supporting the recommended approach.”

    Society, ABCRS developing methods to assess
    competence for Maintenance of Certification
    The Society continues to work closely      to Irene Babcock, Executive Assistant       colon, rectum and anus; and promot-
    with the American Board of Colon           in the ABCRS’ Administrative Office.        ing colon and rectal surgery specialists
    and Rectal Surgery (ABCRS) to                                                          to patients and providers.
                                               “The purpose of the assessment is to
                        develop a system of
                                               demonstrate to patients, the public         In addition, ABCRS Past President
                        measuring compe-
                                               and the profession that physicians pro-     and ASCRS member Dr. James
                        tence as part of the
                                               vide safe, effective, patient-centered      W. Fleshman, St. Louis, MO, will
                        transition from
                                               healthcare that is timely, efficient and    present a comprehensive update on
                        Recertification to
                                               equitable,” she explained. “Working         MOC Wednesday, May 4, during the
                        Maintenance of
                                               with ASCRS, we are developing a data        ASCRS Annual Meeting in Philadel-
                                               system that successfully addresses the      phia. The title of his address is “This
                                               many subjective issues that determine       is Your Livelihood: Maintenance of
                        Assessment of
      Dr. Thomas Read                          professional competence.”                   Certification – Current Status.”
    Performance, the fourth component of       MOC guidelines require “evidence of         The MOC program, requested by the
    MOC, is the most challenging to            evaluation of performance in practice,      American Board of Medical Specialties
    develop because it requires that boards    including outcome measurements of           (ABMS), approved the ABCRS appli-
    establish a process for assessing physi-   the medical care provided, assessment       cation for the first three components
    cian practice performance, according       by peer and referring physicians, and       of MOC in 2003. They are:
                                               evaluation of physician behaviors – such
                                                                                           • Professional standing;
                                               as communication and professionalism
      Recertification                          – by peer review or other means.”           • Lifelong learning and self assess-
                                                                                             ment; and
      Exam to be held                          The Society’s Quality Assessment and
                                               Safety Committee, chaired by Dr.            • Cognitive expertise.
      April 30                                 Thomas Read, Pittsburgh, PA, is
                                                                                           ABCRS’ MOC plan requires a 10-year
      The American Board of Colon              helping ASCRS satisfy the MOC
                                                                                           interval between initial certification
      and Rectal Surgery’s 2005                practice performance requirements by
                                                                                           and completion of requirements to
      Recertification Examination will         cultivating the development of author-
                                                                                           maintain certification. The Colon and
      take place at the Philadelphia           ative, reliable performance measures
                                                                                           Rectal Surgery Educational Program
      Marriott Hotel, Saturday, April          to assure delivery of quality care; lead-
                                                                                           (CARSEP) requirements are effective
      30, during the ASCRS Annual              ing national efforts to define quality of
                                                                                           for all diplomates who hold time-lim-
      Meeting. The examination will be         care for conditions related to the
                                                                                           ited certificates.
      held from 9 a.m. to 11 a.m. in
      Salon F, fifth floor of the hotel.
      ABCRS tracks certificate expira-
      tion dates and notifies diplomates
      at least three years prior to expi-
                                               Allied health professionals
      ration. Application materials are        encouraged to join ASCRS
      mailed annually in April, and the        The ASCRS Membership Committee
      deadline for receipt of completed        extends a warm welcome to registered
      applications is August 15 each           nurses and/or physician’s assistants
      year. Applicants must provide val-       with an interest in colorectal surgery
      idation of 100 Category I CME            to wish to become Society members.
      credit hours.                                                                        explained
                                               Nurses who work in biofeedback, and         Membership
      Questions about recertification          wound and ostomy, continence nurses
      certificates, changes in the process                                                 Committee Co-Chair Dr. Susan
                                               and other allied health professionals       Galandiuk, Louisville, KY.
      or exam applications may be              are also encouraged to apply for mem-
      directed to ABCRS at 20600               bership.                                    Allied health professionals must be
      Eureka Road, Suite 600, Taylor,                                                      sponsored by an active member or
      Michigan 48180, 734/282-9400             “Physicians and allied health profes-       ASCRS Fellow. Membership applica-
      (phone), 734/282-9402 (fax), or          sionals can learn from each other, and      tions are available at the Society’s
      e-mail at               together we can expand knowledge of         Website,
                                               the colon and rectal surgery specialty,”

Website appeals to three distinct audiences at
The Society’s Website,,       • CARSEP, the colon and rectal self-       The Patients section offers informa-
continues to enhance its appeal as            assessment educational program;          tion about colorectal disease, assess-
an informational clearinghouse for                                                      ment tests to gauge one’s risk of
colorectal surgeons, patients and                                                       colon cancer, information about
journalists, reported Website                                                           inherited colon cancer registries and
Committee Chair Dr. Richard E.                                                          a colorectal surgeon locator.
Karulf, Edina, MN.
                                                                                        The Website also features a Media
“Our goal is to offer our members                                                       section, containing a virtual press
easy access to key research findings,                                                   room for journalists and other media
develop additional opportunities for                                                    professionals. Visitors may access
continuing medical education, and                                                       press releases, physician spokesperson
serve as a tool in the Society’s overall                                                biographies, patient success stories
public relations efforts,” he said.                                                     and colorectal disease fact sheets.
Divided into three target-specific cat-                                                 The Website Committee is seeking
egories, the Website allows ASCRS                                                       member guidance on ways to contin-
to post important information                                                           uously improve the Society’s online
                                            • Core Subjects, developed by
quickly, where it may be accessed by                                                   offering and encourages suggestions
                                              ABCRS and ASCRS to assist in the
physicians, patients, and media profes-                                                from colorectal surgeons.
                                              Maintenance of Certification (MOC)
                                              process for colorectal surgeons;         “Member input is essential to develop-
The Physician section features:                                                        ing an online presence that meets with
                                            • Inherited Colon Cancer
                                                                                       the approval of those it represents,”
• Practice Parameters published in            Registries, a source of continuing
                                                                                       Dr. Karulf added.
  Diseases of the Colon & Rectum;             education for surgeons and allied
                                              health professionals.

History Committee seeks materials for Society archives
In its quest to compile the definitive      Photographs, lectures presented at         “Information covering the Society’s
history of ASCRS for future genera-         previous Annual Meetings, presidential     name change from the American
tions, the History Committee is asking      addresses and other historical records     Proctologic Society during the 1973
members to submit informational             are welcome additions to ASCRS’ cur-       Annual Meeting is highly coveted.”
materials that help tell the story of the   rent archives.
                                                                                       Members may submit historical infor-
Society’s evolution, announced
                                            “Members will be invaluable in help-       mation for the Society’s archives to the
Committee Chair Dr. J. Byron
                                            ing the Committee gather information       Executive Offices: 85 W. Algonquin
Gathright, Jr., New Orleans, LA.
                                            that details the 106-year history of       Road, Suite 550, Arlington Heights,
                                            ASCRS,” Dr. Gathright explained.           IL 60005. Phone: 847/290-9184.

Annual Meeting symposium                             …continued from page 1
• Advanced endoscopic techniques for         ileus, and reprocessing of surgical       “We have devoted more time to scien-
  polypectomy and colonic stenting;          instruments.                              tific programs and local society meet-
                                                                                       ings during the day, while rearranging
• Use of transanal endoscopic micro-        Modified meeting schedule                  the schedule of events for evening
  surgery for rectal tumors;                The Program Committee has modi-            social functions,” explained Program
• How to maintain certification;            fied the schedule of events for this       Co-Chair Dr. Michael P. Spencer, St.
                                            year’s Annual Meeting to foster            Paul, MN. “First, we combined the
• The impact of the 80-hour work            greater participation in both its scien-   Research Foundation event and the
  week on surgical education and            tific and social events. The ASCRS         Welcome Reception into one. We
  training;                                 Welcome Reception, held Sunday,            then scheduled the annual dinner
• How to optimize patient safety and        May 1 at the National Constitution         dance for Tuesday, May 3, as opposed
  outcomes in the areas of deep             Center, is a combined event hosted by      to the final night of the Annual
  venous thrombosis prophylaxis,            the Society and the Research               Meeting.”