March is Colorectal Cancer Awareness Month - Surgery
March is Colorectal Cancer Awareness Month - Surgery
March is Colorectal Cancer Awareness Month - Surgery
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<strong>March</strong> 2003<br />
<strong>March</strong> <strong>is</strong> <strong>Colorectal</strong> <strong>Cancer</strong> <strong>Awareness</strong> <strong>Month</strong><br />
Each year over 150,000 Americans are diagnosed<br />
with cancer of the colon or rectum, and over onethird<br />
will die from the d<strong>is</strong>ease. <strong>March</strong> has been<br />
designated as <strong>Colorectal</strong> <strong>Cancer</strong> <strong>Awareness</strong><br />
month in an effort to educate patients, physicians,<br />
and the media about the incredible opportunity<br />
we have to impact upon th<strong>is</strong> deadly d<strong>is</strong>ease.<br />
Educating patients about their r<strong>is</strong>k for developing<br />
colorectal cancer, and need for screening and surveillance,<br />
<strong>is</strong> part of our m<strong>is</strong>sion in the Div<strong>is</strong>ion of<br />
Colon and Rectal <strong>Surgery</strong>. We follow the guidelines<br />
establ<strong>is</strong>hed by the American Society of<br />
Colon and Rectal Surgeons, the AGA, and others.<br />
Screening of asymptomatic patients of average<br />
r<strong>is</strong>k should take place at the age of 50 years.<br />
Colonoscopy can detect and treat most polyps and<br />
even some early cancers. Flexible sigmoidoscopy,<br />
which examines only the lower 60 cm of large<br />
intestine, <strong>is</strong> best when combined with a barium<br />
enema to evaluate the right and transverse colon.<br />
Digital rectal exam <strong>is</strong> crucial to detect tumors of<br />
the d<strong>is</strong>tal rectum. Fecal occult blood tests are useful<br />
to determine the presence of blood in the stool,<br />
but fairly vague in locating the source of blood<br />
loss. The "camera in a pill" technology <strong>is</strong> useful in<br />
certain situations as well, and even virtual<br />
colonoscopy has its proponents. It <strong>is</strong> critical to<br />
tailor the examination to the individual patient.<br />
Patients should bring symptoms of colorectal cancer<br />
to the attention of their health care providers.<br />
Blood in the stool <strong>is</strong> never normal and should<br />
always be evaluated. A change in caliber of stool,<br />
new and pers<strong>is</strong>tent constipation, diarrhea or<br />
incontinence, abdominal bloating and pelvic pain<br />
can all be symptoms of malignancy and should<br />
not be ignored.<br />
State-of-the-art surgical treatment of colorectal<br />
cancer <strong>is</strong> available in the Div<strong>is</strong>ion of Colon and<br />
Rectal <strong>Surgery</strong>. Laparoscopic resection <strong>is</strong> utilized<br />
for patients with polypoid lesions and certain<br />
malignant conditions. Transrectal ultrasound to<br />
accurately stage rectal cancer allows us to make<br />
the best recommendation for treatment of each<br />
unique rectal tumor. Multid<strong>is</strong>ciplinary neoadjuvant<br />
therapy, coordinated by our faculty, results in<br />
a high rate of sphincter preservation, even for very<br />
low rectal cancers. Sharp total mesorectal exc<strong>is</strong>ion<br />
(TME) <strong>is</strong> routinely used during surgical<br />
resection of rectal cancer, leading to the lowest<br />
possible rate of local recurrence. Advanced techniques<br />
for improved post-operative rectal reservoir<br />
function are also used in certain patients.<br />
Careful and close follow-up of patients with colorectal<br />
cancer <strong>is</strong> coordinated by our staff.<br />
<strong>March</strong> <strong>is</strong> the month for us to remove the stigma<br />
and embarrassment from routine screening for<br />
colorectal cancer. Take th<strong>is</strong> opportunity to provide<br />
a lifesaving service for your patients, your family,<br />
and yourself!<br />
For further information, please contact Janice F.<br />
Rafferty, M.D., Chief of the Div<strong>is</strong>ion of Colon<br />
and Rectal <strong>Surgery</strong>, at (513) 929-0104.<br />
Janice F. Rafferty, M.D.<br />
Dr. Rafferty completed a Fellowship in Colon<br />
and Rectal <strong>Surgery</strong> at Washington University<br />
Medical Center, St. Lou<strong>is</strong>, and <strong>is</strong> Board Certified<br />
by the American Board of <strong>Surgery</strong> and the<br />
American Board of Colon and Rectal <strong>Surgery</strong>.<br />
* * * * * *<br />
Dr. Rafferty recently implanted another artificial<br />
anal sphincter for the treatment of devastating<br />
fecal incontinence. Th<strong>is</strong> procedure <strong>is</strong> performed<br />
at only a few centers in the country.<br />
* * * * * *
UC Surgeons Prominent at National Meeting<br />
UC surgeons were everywhere at the recent annual meeting of the<br />
prestigious Society of University Surgeons (SUS) held in Houston<br />
on February 12-15, 2003. Jeffrey Matthews, M.D. (Chair,<br />
Department of <strong>Surgery</strong>) gave h<strong>is</strong> Presidential Address entitled<br />
"Relativity: Societies, Universities, and Surgeons," then passed<br />
the gavel to Brad Warner, M.D. (Professor, Div<strong>is</strong>ion of Pediatric<br />
<strong>Surgery</strong>), who became the new President of the SUS. Th<strong>is</strong> marked<br />
the first time that a Presidency was passed on from one member of<br />
a department to another member of the same department, and <strong>is</strong> a<br />
great credit to the academic and clinical strengths of our department.<br />
Jeffrey B. Matthews, M.D. Brad W. Warner, M.D.<br />
Andrew Lowy, M.D. (Chief, Div<strong>is</strong>ion of Surgical Oncology) was<br />
named to the Program Committee of the SUS.<br />
On Saturday morning, Joseph Solomkin, M.D. (Director of<br />
Research) presided over a clinical symposium on "New<br />
Developments in Surgical Infections."<br />
Andrew M. Lowy, M.D. Joseph S. Solomkin, M.D.<br />
Joseph Cuschieri, M.D. (Div<strong>is</strong>ion of Trauma/Critical Care) presented<br />
a paper entitled "Modulation of Macrophage Responsiveness<br />
to LPS by Manipulation of IRAK-1."<br />
Amod Sarnaik, M.D., surgical resident, won the resident research<br />
award at the meeting for h<strong>is</strong> paper entitled "A Novel Function of<br />
the Tumor Suppressor Gene Adenomatous Polypos<strong>is</strong> Coli:<br />
Transcriptional-Independent Inhibition of DNA Replication."<br />
Amod will represent the SUS at the upcoming meetings of the<br />
Brit<strong>is</strong>h and European surgical research societies.<br />
Joseph Cuschieri, M.D. Amod Sarnaik, M.D.<br />
Other surgical residents presenting abstracts were:<br />
Grace Mak, M.D. - "Differential Expression of Laminin-5 in<br />
Kidney Epithelial Cell Growth."<br />
Joshua Mammen, M.D. - "Ischemic Stress Induces D<strong>is</strong>tinct<br />
Membrane and Cytoskeletal Targeting of PKC in Intestinal<br />
Epithelia."<br />
Kuojen Tsao, M.D. - "VEGF Promotes the Expression of<br />
Pro-angiongenic Hox D3 in Cultured Sinusoidal Endothelial<br />
Cells."<br />
Konstantin Umanskiy, M.D. - "ß1 Integrin Ligation<br />
Mediates NADPH Oxidase Activation in Human Neutrophils."<br />
Grace Mak, M.D.<br />
Joshua Mammen, M.D.<br />
Kuojen Tsao, M.D. Konstantin Umanskiy, M.D.<br />
Such a strong presence at th<strong>is</strong> prestigious meeting indicates the<br />
high academic quality of the Department of <strong>Surgery</strong>, its dedication<br />
to research, and the national reputation of its faculty.
Annual Meeting of Ohio<br />
Valley Society of Colon and<br />
Rectal Surgeons to be Held in<br />
Cincinnati, April 2003<br />
The Div<strong>is</strong>ion of Colon and Rectal <strong>Surgery</strong> <strong>is</strong> sponsoring<br />
the Annual Meeting of the Ohio Valley Society of<br />
Colon and Rectal Surgeons (OVSCRS) scheduled for<br />
Saturday, April 26, 2003, to be held in downtown<br />
Cincinnati at the Cincinnatian Hotel, 601 Vine Street.<br />
Reservations can be made by calling (513) 381-3000 or<br />
toll free (800) 942-9000. A block of rooms <strong>is</strong> being<br />
held at the d<strong>is</strong>counted rate of $140/queen and<br />
$160/king. Rooms are available on a limited space and<br />
rate available bas<strong>is</strong>, and reg<strong>is</strong>trants should call soon.<br />
A reception <strong>is</strong> scheduled for Friday evening, April 25,<br />
with the meeting on Saturday, April 26, and a casual<br />
dinner <strong>is</strong> to be arranged on Saturday evening for interested<br />
persons. The meeting will open with talks by<br />
selected members, followed by resident presentations<br />
and case management d<strong>is</strong>cussions. The annual business<br />
meeting will occur after the day's educational<br />
program. Please share th<strong>is</strong> information with anyone<br />
who might be interested in attending such as surgical<br />
residents, colorectal fellows, and oncology or surgical<br />
colleagues.<br />
The Society <strong>is</strong> actively seeking new members. Any<br />
general surgeon with an interest can be an affiliate<br />
member of OVSCRS. If the physician's practice <strong>is</strong> primarily<br />
devoted (>90%) to colorectal surgery, membership<br />
can be complete with full voting rights. Consider<br />
your colleagues and share th<strong>is</strong> information with any<br />
that you regard as potential members.<br />
Please consider attending th<strong>is</strong> year's meeting and share<br />
th<strong>is</strong> information with potentially interested colleagues.<br />
If you have any questions regarding the meeting, or to<br />
request an application for membership, please contact<br />
Janice F. Rafferty, M.D., Chief of the Div<strong>is</strong>ion of<br />
Colon and Rectal <strong>Surgery</strong>, at (513) 558-4206.<br />
Guest Lecturer in <strong>Colorectal</strong> <strong>Surgery</strong><br />
In observance of <strong>Colorectal</strong> <strong>Cancer</strong> <strong>Awareness</strong> <strong>Month</strong>,<br />
the Div<strong>is</strong>ion of Colon and Rectal <strong>Surgery</strong> <strong>is</strong> hosting a<br />
Guest Speaker on <strong>March</strong> 26. Peter W. Marcello, M.D.,<br />
Staff Surgeon, Department of Colon and Rectal <strong>Surgery</strong>,<br />
The Lahey Clinic, Burlington, MA, will speak on<br />
“Laparoscopic Colectomy: Where Do We Stand?”<br />
Area physicians are invited to attend th<strong>is</strong> lecture. Please<br />
contact Gilda Young (513-558-4206) for more details.<br />
J. Wesley Alexander, M.D.<br />
Walter H. Merrill, M.D.<br />
Henry W. Neale, M.D.<br />
Michael F. Reed, M.D.<br />
Roger T. Worrell, Ph.D.<br />
Honors and Kudos<br />
J. Wesley Alexander, M.D., Professor of<br />
<strong>Surgery</strong>, Div<strong>is</strong>ion of Transplantation, has<br />
been honored in recognition of exceptional<br />
achievement in transplantation medicine<br />
by Baskent University and the Turk<strong>is</strong>h<br />
Transplantation Society, at which the “J.<br />
Wesley Alexander Research Award” will<br />
be presented every two years, with the first<br />
presentation to be made th<strong>is</strong> June. The<br />
award will include $10,000 and a silver<br />
commemorative medal emblazoned with<br />
an image of Dr. Alexander.<br />
Walter H. Merrill, M.D., Associate<br />
Professor of <strong>Surgery</strong> and Chief, Section of<br />
Cardiothoracic <strong>Surgery</strong>, was appointed<br />
Chair of the Workforce on Graduate<br />
Medical Education for the Society of<br />
Thoracic Surgeons, and will serve on the<br />
Education and Member Services Council<br />
Operating Board. He was also appointed<br />
to the Committee on Standards & Ethics.<br />
Henry W. Neale, M.D., Professor of<br />
<strong>Surgery</strong> and Chief of the Div<strong>is</strong>ion of<br />
Plastic, Reconstructive and Hand <strong>Surgery</strong>,<br />
was V<strong>is</strong>iting Professor at the Beth Israel-<br />
Deaconess Medical Center in Boston on<br />
Feb. 18-20, 2003, where he gave lectures<br />
on “Abdominal Wall Reconstruction” and<br />
“The 5+2 (Independent) vs. the 3+3<br />
(Integrated) Plastic <strong>Surgery</strong> Program.”<br />
Michael F. Reed, M.D., Ass<strong>is</strong>tant<br />
Professor of <strong>Surgery</strong>, Div<strong>is</strong>ion of Thoracic<br />
<strong>Surgery</strong>, presented a paper on “Surgical<br />
Treatment of Esophageal High-Grade<br />
Dysplasia” at the 39th Annual Meeting of<br />
the Society of Thoracic Surgeons in San<br />
Diego, February, 2003.<br />
Roger T. Worrell, Ph.D., Research<br />
Ass<strong>is</strong>tant Professor, was named Presidentelect<br />
of the Ohio Physiological Society.<br />
Dr. Worrell was also an invited seminar<br />
speaker for the Department of Physiology<br />
and Biophysics at Wright State University<br />
College of Medicine, where he presented a<br />
lecture on “Ammonium Inhibition of<br />
Colonic Chloride Secretion: Anomalous<br />
Mole Fraction Behavior.”
Physician Ass<strong>is</strong>tants Aid UC Surgeons<br />
According to the American College of Surgeons, many positions in<br />
general surgery residency programs went unfilled in 2001 and 2002.<br />
In addition, the Accreditation Council for Graduate Medical<br />
Education (ACGME) announced that effective July 1, 2003, more<br />
than 100,000 residents (including surgical residents) in the United<br />
States will be limited to a maximum of 24 hours per shift and no more<br />
than 80 hours per week.<br />
In an effort to meet these resident work hour restrictions, the<br />
Department of <strong>Surgery</strong> has begun to utilize Physician Ass<strong>is</strong>tants.<br />
While PA's are not intended to replace residents, when a resident <strong>is</strong><br />
unavailable the service will be covered by PA's or other mid-level<br />
providers. The PA's are intended to augment the resident staff to help<br />
reduce their work-loads and allow them additional quality education<br />
time. Michael Bowen, MA, RN, PA-C, has joined the Department to<br />
manage and oversee the development of the PA program. Michael has<br />
been a practicing PA for 25 years with extensive experience in<br />
Graduate Medical Education and PA education, and serves on the PA<br />
Policy Committee to the State Medical Board of Ohio.<br />
Several institutions have demonstrated that surgical PA's provide<br />
high-quality, cost-effective care as house officers. In addition to<br />
ass<strong>is</strong>ting in surgery, the surgical PA frequently takes the admitting<br />
h<strong>is</strong>tory and performs the physical examination, writes orders, interprets<br />
preoperative tests, educates the patient and obtains informed<br />
consent, dictates the operative report, manages patient care on the<br />
wards, handles d<strong>is</strong>charge planning, and performs follow-up care.<br />
There are 132 accredited physician ass<strong>is</strong>tant educational programs in<br />
the United States, located at medical colleges and universities, teaching<br />
hospitals, and the Armed Forces. All PA educational programs are<br />
accredited by the Comm<strong>is</strong>sion on Accreditation of Allied Health<br />
Education Programs (CAAHEP). Prior to adm<strong>is</strong>sion, the typical PA<br />
student has a bachelor's degree and 45 months of health care experience.<br />
PA education typically <strong>is</strong> 111 weeks in length. PA students will<br />
spend 400 hours in basic sciences, 70 hours in pharmacology, 150<br />
hours in behavioral sciences, and 550 hours in clinical medicine. In<br />
addition, the PA student will spend over 2000 hours on clinical rotations,<br />
with emphas<strong>is</strong> on primary care in ambulatory clinics, physicians'<br />
offices, and acute/long-term care facilities.<br />
To practice, the PA must pass a national certification examination<br />
developed jointly with the National Board of Medical Examiners and<br />
admin<strong>is</strong>tered by the National Comm<strong>is</strong>sion on Certification of<br />
Physician Ass<strong>is</strong>tants (NCCPA). Following a successful certifying<br />
examination, the PA must obtain an individual license from the state<br />
medical board or PA regulatory committee.<br />
The Department of <strong>Surgery</strong> currently has five PA’s: Doug Knight,<br />
Trauma; Joseph Konys, Cardiothoracic; Susan Hatfield, Burns;<br />
Glenda Updyke, Transplant; and Michael Bowen. We anticipate<br />
additional PA's for Trauma/Critical Care, Vascular, General <strong>Surgery</strong>,<br />
Cardiothoracic, and Transplantation.<br />
For additional information, please contact Michael Bowen at (513)-<br />
558-1759; e-mail: Michael.Bowen@UC.EDU.<br />
Left to right: Susan Hatfield, PA-C; Doug Knight, PA-C; Joseph Konys, PA-C; Michael Bowen, PA-C; and Glenda Updyke, PA-C.
New Clinical Trials<br />
J. Wesley Alexander, M.D., Div<strong>is</strong>ion of Transplantation:<br />
NIH-funded study at University Hospital and Chr<strong>is</strong>t Hospital: “A<br />
randomized trial of immunomodulating diets with arginine and<br />
omega-3 fatty acids in renal transplant recipients.” Th<strong>is</strong> study will<br />
evaluate the plasma and blood cell membrane absorption levels of<br />
amino acids and fatty acids in renal transplant patients receiving<br />
special transplant dietary supplements and will determine potential<br />
beneficial effects of decreased rejection ep<strong>is</strong>odes, decreased incidence<br />
of acute rejection, improved long-term allograft survival,<br />
reduced cardiac and vascular complications, reduced infectious<br />
complications, and improved quality of life.<br />
Internally funded study at University Hospital and Chr<strong>is</strong>t Hospital:<br />
“A pilot study of relationships of gastrointestinal hormones and<br />
appetite following gastric bypass.” Th<strong>is</strong> study will measure hormones<br />
which may be associated with loss of appetite following<br />
gastrointestinal bypass. Changes in the hormones after the procedure<br />
will be correlated with changes in appetite, the amount of<br />
weight loss and technical features of the operation, such as the size<br />
of the remaining gastric pouch and the lengths of the intestinal<br />
limbs that are a normal part of the operation.<br />
NIH-funded grant for the development of new technologies for<br />
studying the mechan<strong>is</strong>ms of graft acceptance or dysfunction following<br />
renal transplantation. The study, approved by the IRBs at<br />
University Hospital and Chr<strong>is</strong>t Hospital, <strong>is</strong> currently underway.<br />
For further information, please call (513)-558-6006.<br />
Recent Publications<br />
Cuschieri J, Gourlay D, Garcia I, Jelacic S, Maier RV. Modulation<br />
of endotoxin-induced endothelial activity by microtubule depolymerization.<br />
J Trauma 54:104-112, 2003.<br />
Giglia JS, J Ollerenshaw, P Dawson, K Black, WM Abbott.<br />
Cryopreservation prevents arterial allograft dilation. Ann Vasc<br />
Surg 16:762-767, 2002.<br />
Johannigman JA, Miller SL, Dav<strong>is</strong> BR, Dav<strong>is</strong> K, Campbell RS,<br />
Branson RD. Influence of low tidal volumes on gas exchange in<br />
acute respiratory d<strong>is</strong>tress syndrome and the role of recruitment<br />
maneuvers. J Trauma 54:320-325, 2003.<br />
Kitzmiller J. Non-invasive skin measurements after CO 2 and<br />
Erbium laser resurfacing. Aesthetic <strong>Surgery</strong> Journal 23:20-27,<br />
2003.<br />
Song JC, Rangachari PK, Matthews JB. Opposing effects of PKCalpha<br />
and PKC-epsilon on basolateral membrane dynamics in<br />
intestinal epithelia. Am J Physiol (Cell) 283(5):C1548-C1556,<br />
2002.<br />
Yoo J, Nichols A, Song JC, Mammen J, Calvo I, Worrell R,<br />
Cuppoletti J, Matlin K, Matthews JB. Bryostatin-1 attenuates TNFinduced<br />
epithelial barrier dysfunction: Role of novel PKC<br />
<strong>is</strong>ozymes. Am J Physiol (GI/Liver), Dec. 27, 2002.<br />
V<strong>is</strong>iting Professors<br />
Dr. Jeffrey L. Ponsky to V<strong>is</strong>it as John<br />
and Elizabeth McDonough V<strong>is</strong>iting<br />
Professor on April 8-9<br />
The Section of General <strong>Surgery</strong> will<br />
sponsor a v<strong>is</strong>it by Jeffrey L. Ponsky,<br />
M.D., Professor of <strong>Surgery</strong> and the<br />
Director of Endoscopic <strong>Surgery</strong> at<br />
The Cleveland Clinic Foundation.<br />
Dr. Ponsky will speak at Surgical<br />
Grand Rounds on Wednesday, April<br />
9, on “Therapeutic Pancreatico-<br />
Biliary Endoscopy: A Surgical Viewpoint.”<br />
At the Cincinnati Surgical<br />
Society that evening, Dr. Ponsky will<br />
speak on “New Horizons in Surgical<br />
Endoscopy.”<br />
Jeffrey L. Ponsky, M.D.<br />
******<br />
Dr. Gerald Buckberg to Lecture as<br />
V<strong>is</strong>iting Professor on May 13-14<br />
In honor of John B. Flege Jr., M.D.,<br />
Professor of <strong>Surgery</strong>, and establ<strong>is</strong>hment<br />
of the Flege Chair in <strong>Surgery</strong>,<br />
the Section of Cardiothoracic <strong>Surgery</strong><br />
will host Gerald D. Buckberg, M.D.,<br />
Professor of <strong>Surgery</strong>, Div<strong>is</strong>ion of<br />
Thoracic and Cardiovascular <strong>Surgery</strong>,<br />
at UCLA. Dr. Buckberg's v<strong>is</strong>it will<br />
include teaching activities as well as<br />
two lectures: “The Helix and the<br />
Heart” at Surgical Grand Rounds and<br />
“New Geometric Surgical Approaches<br />
Gerald D. Buckberg, M.D.<br />
to Congestive Heart Failure” at the<br />
Cincinnati Surgical Society.<br />
Upcoming Guest Speakers:<br />
May 21, 2003 - Frame Lectureship (Trauma/Critical Care): Rao<br />
R. Ivatury, M.D., Professor of <strong>Surgery</strong>, Medical College of<br />
Virginia - “Towards Optimal Resuscitation After Trauma”<br />
June 4, 2003 - Barrows V<strong>is</strong>iting Professor (Surgical Oncology):<br />
Douglas Evans, M.D., Professor of Surgical Oncology, MD<br />
Anderson <strong>Cancer</strong> Center - Topic to be announced<br />
Area physicians are invited to attend these lectures. Please contact<br />
Gilda Young at 513-558-4206 for further information.<br />
******
Surgical Grand Rounds Schedule<br />
<strong>March</strong> 26, 2003 V<strong>is</strong>iting Professor (<strong>Colorectal</strong> <strong>Surgery</strong>): Peter W. Marcello, M.D., Staff Surgeon, Department of<br />
Colon and Rectal <strong>Surgery</strong>, Lahey Clinic, Burlington, MA - “Laparoscopic Colectomy: Where<br />
Do We Stand?”<br />
April 2, 2003 Elizabeth Shaughnessy, M.D., Ph.D. (Surgical Oncology) - “HIPAA Regulations”<br />
April 9, 2003 John and Elizabeth McDonough V<strong>is</strong>iting Professor (General <strong>Surgery</strong>): Jeffrey Ponsky, M.D.,<br />
Director, Endoscopic <strong>Surgery</strong> and Professor of <strong>Surgery</strong>, The Cleveland Clinic Foundation -<br />
“Therapeutic Pancreatico-Biliary Endoscopy: A Surgical Viewpoint”<br />
April 16, 2003 Steven M. Rudich, M.D., Ph.D. (Transplant <strong>Surgery</strong>) - “Live Donor Liver Transplantation: Sum<br />
of Parts <strong>is</strong> Greater Than the Whole”<br />
April 23, 2003 Amy B. Reed, M.D. (Vascular <strong>Surgery</strong>) - “Carotid Artery Stenos<strong>is</strong>”<br />
April 30, 2003 Chr<strong>is</strong>topher Gordon, M.D. (Plastic & Reconstructive <strong>Surgery</strong>) - “Craniofacial <strong>Surgery</strong>”<br />
Upcoming Guest Speakers:<br />
May 14, 2003 V<strong>is</strong>iting Professor (Cardiothoracic <strong>Surgery</strong>): Gerald Buckberg, M.D., Professor of <strong>Surgery</strong>,<br />
UCLA Medical Center - “The Helix and the Heart”<br />
May 21, 2003 Frame Lectureship (Trauma/Critical Care): Rao R. Ivatury, M.D., Professor of <strong>Surgery</strong>, Medical<br />
College of Virginia - “Towards Optimal Resuscitation After Trauma”<br />
June 4, 2003 Barrows V<strong>is</strong>iting Professor (Surgical Oncology): Douglas Evans, M.D., Professor of Surgical<br />
Oncology, MD Anderson <strong>Cancer</strong> Center - TBA