PROGRAM INFORMATION

Course Sponsor
International College of Surgeons
United States Section
An ACCME Accredited Provider

 

2024 President
Siva Vithiananthan, MD, Cambridge, MA

2024 CME Committee Chair
Sharique Nazir, MD, Manhattan, NY

Chair, Council of Specialty Groups
Peter Kennealey, MD, Aurora, CO

OVERALL COURSE OBJECTIVES

The Annual Surgical Update is designed to offer information regarding the latest surgical advancements and technology to address gaps in knowledge that may exist for practicing surgeons in all surgical specialties, residents in training, and allied health professionals. The desired outcome of this program is increased knowledge, better competency in cutting edge treatment modalities, and enhanced treatment decision making. It is the expressed goal of the course to provide enough material that upon completion of the activity the participant can make educated decisions to incorporate the latest surgical techniques and technologies as well as discern when these procedures are warranted to provide optimum patient care.

Topics presented during the Annual Surgical Update have been designed to address and improve the attendee’s knowledge and skills in the following competencies; patient care or patient-centered care, medical knowledge, practice-based learning & improvement, quality improvement and professionalism.

DISCLOSURE POLICY

It is the policy of the International College of Surgeons-US Section that any individual who is involved in planning or presenting in a program designated for AMA Physician's Recognition Award Category 1 Credit™ must disclose all relevant financial relationships with ineligible companies prior to being included in the final program. This information is disclosed to the audience prior to the activity. The ICS-US has procedures in place to address a conflict of interest should one arise. Our complete Policy on Commercial Support and Independence is available on FICS Online or by request from Headquarters. Additionally, faculty members are required to disclose when any discussion of unapproved use of a pharmaceutical or medical device occurs.

ACCREDITATION

The International College of Surgeons-United States Section is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor Continuing Medical Education for physicians.

CREDIT DESIGNATION

The International College of Surgeons-United States Section designates this live activity for a maximum of 20 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This conference will be dedicated to the current needs of attendees and enhance their practice through improved Performance, Competence, Knowledge and Patient Outcomes. The particular topics presented will focus on providing unique and stimulating continuing medical education for the general surgeon and surgical specialist.

The overall goal of this conference will be to enhance surgical technique, to improve surgical knowledge, foster continued training and ultimately advance patient care. As a result of needs assessment surveys and extensive research by the planning committee topics have been identified that address the professional practice gaps of meeting attendees.

CME Program

The CME Program will begin on Thursday, April 25th at 2:30pm with the Opening Session and continue through Saturday afternoon. The program will end at 6pm on April 27th. 

Scientific Meeting Schedule as of 4/3/24

  4/25/2024             2:30pm-5:15pm 
  Opening Session
  A World of Difference: United in Innovation

Global surgery aims to provide equitable, safe, and affordable surgical care worldwide, focusing on improving  access and outcomes, especially in low- and middle-income countries. It covers all surgical needs to reduce  health disparities and enhance global health equity.

This session will highlight several strategies for improving global surgery access and quality: establishing  stronger international leadership; developing national surgical plans integrated into health systems; decentralizing services to enhance care accessibility; expanding and upskilling the surgical workforce;  standardizing data collection for monitoring and evaluation; implementing quality  improvement mechanisms based on data; and engaging communities to identify and overcome barriers to care.

  4/25/2024       5:15pm-6:00pm
  Featured Presentation
  The Dr. Andre Crotti Lecture

This extension of the opening session will be a presentation by the 2024 recipient of the Dr. Andre Crotti Award for Distinguished Service to the Profession of Surgery. This presentation will discuss the role ICS and individuals can play in increasing access to surgical care in low resource areas. The provision of specialty care will be considered. The role of new technology will also be discussed.

Upon completion of this session, participants will have a better understanding of how to: assess current programs in order to increase access to surgical care; design programs to deliver specialty care; and develop a long term organizational and personal plan for involvement.

  4/26/2024       8:00am-12:00pm
  AANOS Annual Scientific Meeting:   
  Neurological and Orthopaedic Surgery Part 1

The United States Section of ICS (ICSUS) is proud to continue its long standing relationship with the American Academy of Neurological and Orthopaedic Surgeons (the Academy). As such, the Academy has designated the ICSUS Annual Surgical Update as its Annual Scientific Meeting. Working closely with the members of the Academy to determine professional practice gaps and educational need, ICSUS planners representing these two major surgical specialties are developing two days of programming specifically for those interested in these fields. Participants in this first session will receive valuable updates on the diagnosis and most advanced treatment options for a variety of Neurosurgical and Orthopaedic conditions.

Learners will have a better understanding about the latest treatment options for skull base fractures, endplate technology, endoscopic spine surgery, radiofrequency ablation in the cervical and lumbar spine, navigated SIJ Fusion, AI clinical prediction models, perioperative hemorrhage and transfusion in complex spinal fusions, and more. Learners in this session will also obtain information to appropriately determine whether further more advanced educational initiatives are required in order to effectively implement the provided information into practice.

  4/26/2024          8:00am-10:30am
  Building Bridges:  Shaping a Global Infrastructure for Tomorrow

The session delves into the critical role of surgery in advancing global health, exploring strategies to improve surgical outcomes, access, and safety worldwide. Participants will learn topics ranging from methodologies for enhancing global surgery outcomes and safe cholecystectomy practices to the adaptability required in international voluntary medical services and the advancement of robotic surgery. It highlights efforts to bridge healthcare gaps, particularly in burn surgery access amid adversity and in rural settings. Personal narratives from early-career professionals emphasize the importance of nurturing future leaders in global health equity. The discussions culminate in exploring sustainable global surgery programs, advocating for comprehensive planning and collaboration to ensure global equitable surgical care.

  4/26/2024       10:30am-12:00pm
  AI and Innovation for Global Surgical Issues

This scientific session provides an overview of how artificial intelligence and cutting-edge technologies are being integrated into surgery to improve patient outcomes and address global health challenges. The presentations ranged from the application of AI in diagnostic and treatment processes to innovative surgical techniques and the use of advanced technologies like advanced machine perfusion to holomedicine. Key discussions also center around the ethical considerations necessary for the responsible integration of AI into surgical practices. The session underscores the significant impact that AI and technological innovations have on the field of surgery, highlighting both their transformative potential and the need for careful consideration of ethical, educational, and access-related challenges.

4/26/2024                       12:30pm-1:30pm
  Lunch and Learn Lecture
  Sponsored by: Legally Mine

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Legally Mine is a legal services company designed to protect business and personal assets as well as finding reliable means to lower tax liabilities. Our priority is educating the medical community and preparing our clients to defeat trial attorneys and over burdensome taxes.

  4/26/2024       1:30pm-3:30pm
  International Guest Lectures:  A Global Rendezvous

As an international organization with a focus on Global Surgery, we welcome our colleagues from around the  world to present their research and unique case reports. This session will include discussion of spondylodiscitis, chronical anticoagulant therapy, endoscopic ear surgery, adenotonsillectomy in children with obstructive sleep apnea, temporary colostomy, complicated colonic diverticulitis, level III mesopancreas dissection for PDAC. After completion of the session participants will have a better understanding of how these issues are addressed in other parts of the world.

  4/26/2024        3:30pm-4:45pm
  Global Issues in Women's Health

This session underscores the critical intersection of healthcare disparities and innovation in addressing challenges like Pelvic Organ Prolapse, C-section delivery in low-resource environments, ectopic pregnancy management, and engineering solutions for global health issues. Through the lens of experts, they highlight the necessity for accessible, culturally sensitive surgical care and the impact of collaborative innovations in enhancing healthcare outcomes for women globally, emphasizing the role of global initiatives in achieving health equity.

  4/26/2024                     3:30pm-5:30pm
  General Plenary Session 1

ICSUS CME programs are rich in diversity and represent many surgical specialties. This multidisciplinary educational session seeks to provide content that improves the learner’s overall competence, performance or patient outcomes through interaction with peers. ICSUS encourages participants from all specialties to interact and learn from one another, thereby building a broad base of knowledge. In this short session developed from abstract submissions of ICS Fellows and others, presentations will cover the following topics: severe acute pancreatitis, the rural surgery crisis, kidney transplantation outcomes, delirium and frailty in an ageing rural community, robotic pancreaticoduodenectomy, and mirizzi syndrome.

  4/26/2024       4:45pm-6:00pm
  Global Surgery in Action: What Drives You?

Participants in this session will be presented with information about the future of collaboration in global surgery, artificial intelligence and global surgical inequities, as well as remote aid during a humanitarian crisis.  After this session, participants will have a greater understanding of the issues presented and be able to appropriately utilize the concepts discussed in their global surgery activities, focusing on the future.

  4/27/2024       8:00am-12:00pm
  AANOS Annual Scientific Meeting: 
  Neurological and Orthopaedic Surgery Part 2

Participants in this second session focused on Neurological and Orthopaedic Surgery will receive updates on the diagnosis and treatment options for a variety of maladies related to these specialties. Learners will be informed about and have the ability to discuss the following topics and more with the presenters as well as their patients: carpal tunnel syndrome, neurosurgery experiences operating in a third world country, walant outcomes in a hospital procedure room, the use of virtual reality in reducing intraoperative patient anxiety, surgical rib stabilization in the octagenerian and nonagenarian, lacertus syndrome, deformity correction in the hand, cavernous sinus meningiomas, peroneal nerve dysfunction, anterior exposure to the lumbar spine, machine learning in spine surgery, machine learning applications for predicting ICU stay, severe thoracolumbar trauma, developing a medical legal neurosurgical and spine practice, minimally invasive TLIF.

  4/27/2024         8:00am-9:45am
  Annual Research Scholarship Competition

Surgical Residents and Medical Students will participate in this annual contest. Submissions were judged by the Scholarship Committee prior to the meeting. Qualifying candidates were also judged on a pre-recorded oral presentation. During the Annual Surgical Update oral presentations will be made to the audience. Scores from the previously judged submissions will be combined to determine the winners of various prizes to be announced at the end of the session. Attendees will be presented with fascinating information from some of the brightest young minds in medicine. Participants in the relatively new international competition will also have video presentations of their submissions included during this session.

  4/27/2024       10:00am-10:45am
  Presidential Debate
  The Time for Mission Trips is Over

The first ever Presidential Debate will feature the 2018 and 2020 leaders of the ICS-US Section. Opposing views on the question will be presented with a live poll of the audience determining who made the better argument. Participants will obtain important insight into contrasting views on the relevance and impact of mission trips today, reflecting a broader discussion on the most effective ways to offer surgical assistance and foster development in LMICs.

  4/27/2024       10:45am-12:00pm
  ICS and Latin America

In a showcase of medical innovation across Latin America, highlights include groundbreaking hemorrhage control training in Guatemala by the Harvard Global Surgery Group, advancements in percutaneous surgery techniques in Paraguay, and a critical evaluation of a national plan focusing on surgical, obstetric, and anesthesia services in Ecuador through governmental and US academic global surgery partnership. Participants will learn the region's commitment to enhancing healthcare through specialized training, surgical innovation, and comprehensive healthcare planning.

  4/27/2024        12:45pm-1:30pm
  Honors Luncheon
  The Dr. Arno Roscher Endowed Lecture

Dr. Arno A. Roscher became a Fellow of the International College of Surgeons in 1968. Dr. Roscher has been very active in ICS activities throughout his over 50 years as a member. He has also held numerous elected leadership positions at both the US Section and International levels. When he contributed $100,000 to the US Section in 2009 the Dr. Arno A. Roscher Endowed Lecture was established. This year marks the 14th presentation of this special lecture that has featured renowned physicians presenting on varied topics ranging from the Reduction of Health Disparities to Molecular Genetic Testing to our distinguished guest speaker, Dr.  Rocco Orlando’s presentation this year titled, "Artificial Intelligence in Surgery: Ensuring the Promise and Managing the Risks."

Dr. Orlando will explore the different types of AI and how they are relevant to surgical practice now and in the future. Participants will receive recommendations of how they might introduce AI into their clinical practices safely and thoughtfully. In addition, participants will be able to evaluate the risks of AI use in certain situations.

  4/27/2024        1:30pm-3:30pm
  Global Surgical Resiliency and the Future

This session addresses global surgical resiliency, emphasizing equity in care, educational reform, and the importance of a strengthened surgical workforce, particularly in challenging environments. Insights from seasoned professionals highlights the transformative lessons from the Peace Corps to surgical missions, advocating for systemic changes in surgical education and workforce development. Topics also include the significance of mentorship, the role of social media in surgical communities, collaborative efforts to enhance care in Zambia, and strategies for international surgical endeavors. The discussions illustrate a collective pursuit to innovate and implement solutions for improving surgical care globally, focusing on education, training, collaboration, and direct interventions in under-resourced areas.

  4/27/2024       3:30pm-5:30pm
  Global Obesity Epidemic: Changing Paradigms  (Discussion Panel)

Worldwide adult obesity has more than doubled since 1990, and adolescent obesity has quadrupled. In 2022, 2.5 billion adults (18 years and older) were overweight. Of these, 890 million were living with obesity. Our panel will tackle critical issues from a global health perspective, focusing on the evolving strategies for obesity management. Discussions    around integrating Anti-Obesity Medications (AOM) with Metabolic and Bariatric Surgery (MBS), debating whether AOM could decrease the need for MBS or boost its use. The debate extends to the potential global shift towards outpatient MBS procedures, contrasting views on its safety and practicability. Furthermore, the panel will address medical tourism in obesity treatment, analyzing its advantages for global patients against potential safety concerns. These conversations underscore the complexity of responding to the worldwide obesity crisis, emphasizing the importance of adapting healthcare strategies to the diverse needs and circumstances faced by populations worldwide.

  4/27/2024         3:30pm-5:30pm
  General Plenary Session 2

This second multidisciplinary educational session, enriched by the expertise of ICS Fellows, offers a multidisciplinary overview of the latest medical and surgical innovations. It covers various topics, from surgical complication management and the significance of inflammatory markers in cancer to cutting-edge wound healing technologies. The program explores both surgical and non-surgical treatment efficacies for conditions like prolapsed colostomy and colorectal cancer, explores advancements in plastic surgery, and evaluates the outcomes of robotic-assisted procedures. Moreover, it examines how patient-specific factors, such as BMI and body surface area, predict surgical outcomes, highlighting the dynamic integration of medical research in improving patient care across various specialties