Town Hall Meetings offer a forum for informal discussions about specific topics and areas of concern identified by American College of Surgeons (ACS) Advisory Councils and governing committees. Continuing Medical Education Credit is not offered. These meetings are scheduled 7:00–7:45 am, Tuesday through Thursday, October 29–31.
Tuesday, October 29
TH201 | Stop the Bleed! Resources for Young Surgeons and How to Start a Program
Stop the Bleed® has been an amazing initiative of the Committee on Trauma and the ACS. Often the responsibility of starting a program is given to young surgeons. This Town Hall will focus on how to start a meaningful program with different resources.
TH202 | Carrying the Weight: How to Deal With Complications as a New Surgeon
Residency and fellowship provide newly minted surgeons with the tools necessary to be safe and effective clinicians. However, they often do not adequately prepare us for the devastating effect that major complications can have on our confidence and performance. With nobody higher up the chain to look to when dealing with adverse outcomes, which are inevitable, new surgeons can often be crushed by the weight of their guilt and feelings of inadequacy. The goal of this Town Hall is to provide young fellows with encouragement and advice to help them face these difficult obstacles, including how to approach them acutely, and how to convert them into learning experiences that foster further growth and self-improvement.
TH203 | Avoiding Personal Financial Nightmares in a Surgical Career
This Town Hall will address important professional and personal considerations that relate to financial planning. The topics to be discussed will include red flags in contract negotiations, guidelines for savings, asset and financial management, retirement planning and insurances for income, and family protection against disability and premature death.
TH204 | Palliative Care: How to Integrate Palliative Care in Your Practice as a Surgeon
Important inpatient palliative care improves symptom management and patient satisfaction with care and reduces hospital costs in seriously ill patients. This session will focus on the integration for palliative care in an otherwise clinically busy practice.
TH205 | Structural Violence and Disparity Affecting Surgical Outcomes: How Can We Be Part of the Solution?
Structural violence refers to systematic ways in which social structures harm or otherwise disadvantage individuals. These disparities affect our patients’ outcomes, and as surgeons, we have the social responsibility to recognize these issues and be part of the change. This Town Hall will focus on the issues at hand and potential solutions.
TH206 | How Can Mindfulness Improve Your Surgical Skills?
Mindfulness training is derived mainly from Eastern-based philosophical traditions, with mindfulness-based concepts and therapies widely incorporated into experimental and clinical psychology and psychiatry in the past 30 years. Mindfulness-based stress reduction refers to the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding of experience moment by moment. This Town Hall will focus on how to use this technique and the correlation with outcomes.
TH207 | General Surgeons Practicing Primary Care in Rural Communities
The critical need for surgeons and primary care doctors in rural communities is well documented. In some communities, the surgeon may be ideally suited to fill both niches. The added clinical exposure and revenue for the rural surgeon may make a practice financially feasible, which for the low volume surgeon may not have been otherwise possible. The continuity of care the surgeon provides by managing the patient before, during, and after an operation may lead to better outcomes. This Town Hall will examine the practicalities of primary care, the basic economics, and the rewards of becoming an “uber doctor.”
TH208 | How Does Continuous Certification Work: A Town Hall from the American Board of Surgery
The American Board of Surgery implemented the new Continuous Certification process for General Surgery in 2018. This program is replacing the prior ‘Maintenance of Certification’ program and 10-year exam. Vascular, Pediatric, and Critical Care surgery plan to roll out Continuous Certification in the near future. This Town Hall will be led by the Executive Director and the current Chair of the American Board of Surgery.
TH209 | What Is Futile Care in Emergency Surgery?
This Town Hall will focus on how to use mortality calculators in emergency surgery and how to approach end-of-life care using evidence-based medicine.
Wednesday, October 30
TH301 | Advocacy 101: Why and How to Get Involved and Make a Difference
This Town Hall will focus on why advocacy is important and how to get involved at the local, state, and federal levels.
TH302 | Global Surgery and Opportunities for the Young Surgeon: How Can I Get Involved
The Lancet Commission on Global Surgery introduced six surgical indicators to assess national surgical preparedness, delivery, and affordability in low- and middle-income countries. The measurement of these indicators has no defined methodology or process. We have noticed through our work in Academic Global Surgery that measurement of Indicators and its relationship to National Surgical Planning needs multisectoral education and training essential to policy and advocacy championed by surgeons. This Town Hall will focus on how to get involved as young surgeons.
TH303 | Grants, Publications, Deadlines: How to Build a Research Profile and Balance a Busy Clinical Career
Publish or perish. Research is an integral part of an academic surgical career, but young surgeons often don’t have protected time and have to balance several roles. This Town Hall will focus on how to effectively publish and get funding while maintaining clinical credibility.
TH304 | LinkedIn, Doximity, ResearchGate, Twitter, and Facebook: What Tools and How to Use Them for Your Professional Development
There are myriad social media tools for the young surgeon. Each one has advantages and challenges. This Town Hall will explore these tools and how to use them while maintaining a busy clinical practice.
TH305 | Locum Tenens: Pros and Cons for the Surgeon
The number of surgical procedures performed each year is once again showing an upward trend, especially as more patients join the ranks of the insured. As health care facilities work to keep up with demand, they are using more locum tenens surgeons to fill any critical gaps in staffing, covering general surgery and many subspecialties. This Town Hall will focus on challenges and advantages of working with locum tenens.
TH306 | The Strength of Diversity Measured on Outcomes
The advantages of diversity are well documented in the business world. Diverse teams make better and faster decisions. These advantages could be replicated in medicine and in surgery. This Town Hall will focus on how to build on diversity to strengthen the team and our outcomes.
TH307 | Children’s Surgery Verification Program Update
The goal of the ACS Children’s Surgery Verification (CSV) Quality Improvement Program is to ensure that pediatric surgical patients have access to high-quality care. This program defines the resources required to achieve optimal patient outcomes for children receiving surgical care at verified health care facilities. The CSV program launched in 2017 and has continued to expand. This Town Hall aims to provide information to surgeons of all specialties regarding updates to the program, discussion of Level II and III hospitals, and anticipated changes to ACS National Surgical Quality Improvement Program–Pediatric that will be instituted in order to improve the quality of care delivered. A discussion and question-and-answer period will be included in the session.
TH309 | Surgical Resident Wellness Initiatives: Overcoming Common Barriers to Successful Implementation
Recent studies have focused on highlighting a lack of resident well-being and the impact of burnout on practicing physicians. Trainee wellness has been associated with a sense of control and autonomy, building competency, and social relatedness. Although well-being is an Accreditation Council for Graduate Medical Education (ACGME) Professional Milestone, institution-wide programs have been difficult to implement within surgical residency programs given unique constraints of surgical training, such as limited daytime availability and the lack of a regularly scheduled noon conference. New ACGME program core requirements include administrative and logistical support for residents’ mental and physical health, as well as burnout and fatigue mitigation. This Town Hall will provide a forum to discuss how to implement national mandates for resident well-being curricula within the context of surgical residency.
Thursday, October 31
TH401 | Functional Ergonomics for Surgeons: Protect Your Neck and Your Career
In this Town Hall, we will discuss current literature evaluating the extent of cumulative traumatic disorders among surgeons, common mistakes to avoid, and strategies to prevent workplace injuries.
TH403 | Financial Literacy for the Surgical Practice
There is a paucity of financial knowledge among young surgeons, especially in academic programs. This session will help the participant understand the basics of a revenue cycle and which metrics are important to ensure your practice is functioning optimally. In addition, strategic measures to ensure your productivity is quantified and compensated as best as possible, and how national changes in health care reimbursement might affect surgical reimbursement in the next five to 10 years.