Robert S. Poston, MD, nationally knownfor his work in the use <strong>of</strong> robotics for minimallyinvasive cardiac surgery, has beenappointed pr<strong>of</strong>essor and chief <strong>of</strong> the Division<strong>of</strong> Cardiothoracic <strong>Surgery</strong>. In addition,he has been named the Jack G. CopelandEndowed Chair <strong>of</strong> Cardiothoracic<strong>Surgery</strong> at the UA Sarver Heart Center.With his arrival, The <strong>University</strong> <strong>of</strong>Arizona Medical Center – <strong>University</strong>Campus is the only hospital in Arizona, andone <strong>of</strong> only a handful in the nation, to <strong>of</strong>ferrobot-assisted minimally invasive coronaryartery bypass surgery.Minimally invasive, robot-assistedbypass surgery allows physicians to gainaccess to the heart with several smallincisions (unlike conventional bypasssurgery, which requires the chest to beopened with an incision the length <strong>of</strong> thebreastbone, or sternum). With this newprocedure, the patient has smaller scars,fewer side effects and complications, lesspain, reduced risk <strong>of</strong> infection, and fasterrecovery than with conventional bypassgraft surgery. On average, hospital stay isreduced from six to three days.Dr. Poston previously served as chief <strong>of</strong>cardiac surgery at Boston Medical Center;prior to that, he was an associate pr<strong>of</strong>essor <strong>of</strong>cardiac surgery at the <strong>University</strong> <strong>of</strong> MarylandSchool <strong>of</strong> Medicine. He succeeded JackCopeland, MD, who joined the <strong>University</strong> <strong>of</strong>California, San Diego.“My aim for our division is to providedistinctive services that are highly valued bypatients and their families,” said Dr. Poston.“Robot-assisted heart surgery is a primeexample <strong>of</strong> this type <strong>of</strong> service. Similarly,our internationally renowned mechanicalassistprogram, the only one in Tucson, canimprove the quality <strong>of</strong> life for those with severecongestive heart failure.“We encourage patients who mightbe candidates to come to us for a secondopinion so they understand all their options.The emphasis on shared decision-makingwith patients by discussing these types <strong>of</strong>innovative options is a growing priority inhealth care.”Dr. Poston received his undergraduate degreein biology with highest honors from the<strong>University</strong> <strong>of</strong> Texas at Austin and his medicaldegree from the Johns Hopkins School <strong>of</strong> Medicine,as a member <strong>of</strong>the Alpha OmegaAlpha (AOA) medicalhonor society. Hecompleted a generalsurgery residency atthe <strong>University</strong> <strong>of</strong> California-San Francisco; aresearch fellowship in the <strong>Department</strong> <strong>of</strong>Cardiothoracic <strong>Surgery</strong>, CardiothoracicTransplant Laboratory, at Stanford <strong>University</strong>School <strong>of</strong> Medicine; and a cardiothoracicresidency at the <strong>University</strong> <strong>of</strong> PittsburghMedical Center.Dr. Poston has authored more than<strong>10</strong>0 scientific papers and abstracts. Heis currently the principal investigator onseveral multicenter research studies. In afive-year initiative funded by the NationalInstitutes <strong>of</strong> Health (NIH), Dr. Poston isexploring the use <strong>of</strong> high-resolutionimaging technology during heart surgeryto identify the optimal bypass graft fora patient. In another ongoing study, heis investigating the ability <strong>of</strong> roboticsurgery to accelerate the return <strong>of</strong> exercisetolerance, as compared with traditionalsurgical techniques.20School. He completed his residency in generalsurgery at Allegheny General Hospitalin Pittsburgh. During his residency, Dr. Pateldedicated an additional year to basic scienceresearch at the <strong>University</strong> <strong>of</strong> Pittsburgh. Hewent on to complete a fellowship in colonand rectal surgery at Washington <strong>University</strong>/Barnes-Jewish Hospital in St. Louis.Dr. Patel has published more than 24 articles,is an invited reviewer for The AmericanSurgeon, and serves on the editorial board<strong>of</strong> the World Journal <strong>of</strong> Gastrointestinal Endoscopy.His research interests include localexcision for the treatment <strong>of</strong> rectal cancer andinvestigation <strong>of</strong> molecular or genetic markersin determining the response to adjuvanttherapy.Dale Payne, MD, PhD,has joined the Division<strong>of</strong> Cardiothoracic <strong>Surgery</strong>as surgical director<strong>of</strong> the CardiothoracicIntensive Care Unit.Dr. Payne receivedhis doctorate and thenhis medical degree fromOhio State <strong>University</strong>. He completed generalsurgery residency training at the <strong>University</strong> <strong>of</strong>California, Los Angeles and Davis, and cardiothoracicresidency training at the <strong>University</strong><strong>of</strong> Pittsburgh.Following his residency training, Dr. Paynewas recruited to the <strong>University</strong> <strong>of</strong> North Carolinaat Chapel Hill, where he developed anddirected the first heart transplant program inthe state. He then was recruited by the LosAngeles Heart Institute at St. Vincent MedicalCenter to develop and direct its heart transplantprogram and also to direct the heartand lung transplant program at the <strong>University</strong><strong>of</strong> California, Irvine. Dr. Payne returned tothe <strong>University</strong> <strong>of</strong> Pittsburgh to develop anddirect a new open-heart teaching program atWestmoreland Regional Medical Center nearthe <strong>University</strong> Hospital.After moving to Arizona in 2000, hedeveloped a successful cardiothoracic andvascular surgery private practice, serving severalmajor hospitals in Scottsdale, Mesa, andPhoenix. He joined the UA <strong>Department</strong> <strong>of</strong><strong>Surgery</strong> to return to teaching, research, andinvolvement in cutting-edge surgical proceduresas part <strong>of</strong> a major academic surgerydepartment.Dr. Payne has expertise in many areas <strong>of</strong>cardiothoracic and vascular surgery, includingheart transplant and artificial heart devices.He has also been named director <strong>of</strong> the Cardiothoracic<strong>Surgery</strong> Robotic Lab at the <strong>University</strong><strong>of</strong> Arizona.Allen Raczkowski, MD,has joined the Division<strong>of</strong> Cardiothoracic<strong>Surgery</strong> as assistantpr<strong>of</strong>essor <strong>of</strong> surgery.Recognized as one <strong>of</strong> thepioneers in using the daVinci robot for minimallyinvasive coronary operations,Dr. Raczkowski performed hundreds<strong>of</strong> robot-assisted heart surgeries in Phoenixbefore joining the UA.Dr. Raczkowski’s practice focuses onrobot-assisted heart valve surgery, such asmitral valve repair or replacement and robotassistedaortic valve surgery. He was the firstsurgeon in the world to use the robot to donon-arrested mitral repairs in a human. Duringthis procedure, the heart continues tobeat while the valve is repaired. In Arizona, hewas the first to do endoscopic robotic mitralvalve replacement and repairs and the first todo a surgical maze procedure to treat atrial
fibrillation. During the maze surgery, thesurgeon uses small incisions, radio waves,freezing, or microwave or ultrasound energyto create scar tissue to block the abnormalelectrical signals causing the arrhythmia.The <strong>University</strong> <strong>of</strong> Arizona Medical Center– <strong>University</strong> Campus is the only hospital inArizona where mitral valve repair and replacement,aortic valve surgery, and coronary bypassprocedures are performed using theda Vinci surgical robot.Board-certified in surgery and thoracicsurgery, Dr. Raczkowski completed his generalsurgery residency and cardiothoracic surgeryfellowship at the <strong>University</strong> <strong>of</strong> Wisconsin inMadison.Sergio Rivero, MD, hasjoined the Division <strong>of</strong>Neurosurgery as associatepr<strong>of</strong>essor. Dr. Riverospecializes in complexneurosurgery <strong>of</strong> thebrain and spine, includingcervical, thoracic,and lumbar disorders;cervical and lumbar stenosis; cervical andlumbar disc herniations; tumors <strong>of</strong> the brainand spinal cord; and inclusion <strong>of</strong> spinal cordstimulation surgery and peripheral nerve surgery,including carpal tunnel surgery.Dr. Rivero attended medical school at theUniversidad Autónoma de Guadalajara, Mexico.He completed residency and fellowshiptraining at the UA College <strong>of</strong> Medicine, wherehe was one <strong>of</strong> the first residents to completethe UA’s Medical Sciences Graduate Programin Clinical Research.Dr. Rivero is a member <strong>of</strong> the AmericanAssociation <strong>of</strong> Neurological Surgeons and theCongress <strong>of</strong> Neurological Surgeons. His researchinterests focus on pain and the spine.Bruce E. Stewart, MD,has been appointedassistant pr<strong>of</strong>essor inthe Division <strong>of</strong> Otolaryngology– Head andNeck <strong>Surgery</strong>. Withmore than 20 years <strong>of</strong>experience, Dr. Stewart<strong>of</strong>fers a full range <strong>of</strong>medical and surgical services for head andneck disorders and diseases to patients <strong>of</strong> allages, from newborn infants to seniors. His servicesinclude comprehensive care <strong>of</strong> patientswith sinonasal disorders, hearing loss andchronic ear disease, obstructive sleep apnea,and masses <strong>of</strong> the thyroid, head, and neck.A descendant <strong>of</strong> an Arizona pioneer family,Dr. Stewart was born and raised in Tucson. Hereceived both his bachelor’s degree in electricalengineering and his medical degree fromthe UA, where he also received the LangeAward for Academic Excellence. He completedresidency training in otolaryngology at the<strong>University</strong> <strong>of</strong> Utah in Salt Lake City.He previously was in private practice inTucson, serving patients at Davis-Monthan AirForce Base.Dr. Stewart serves on the board <strong>of</strong> directors<strong>of</strong> the Adult Loss <strong>of</strong> Hearing Association(ALOHA), a nonpr<strong>of</strong>it support and advocacyorganization that provides hearing loss servicesfor hard-<strong>of</strong>-hearing or deaf adults. He isthe immediate past president <strong>of</strong> ALOHA andleads “Let’s Loop Tucson,” an ongoing projectto promote “looping,” a technology to helphearing aid users in public places.Sreekumar ”Kumar”Subramanian, MD, assistantpr<strong>of</strong>essor, hasjoined the Division <strong>of</strong>Cardiothoracic <strong>Surgery</strong>.Dr. Subramanian’spractice includes a broadspectrum within adultcardiac surgery, rangingfrom on-pump and beating heart coronaryartery bypass surgery to minimally invasiveheart-valve operations, surgical treatment <strong>of</strong>atrial fibrillation, and minimally invasive procedureson the aorta. While he <strong>of</strong>fers patientsmultiple minimally invasive surgical options,Dr. Subramanian also developed special expertisein reoperative and high-risk reoperativecardiovascular surgery at the ClevelandClinic Foundation.Dr. Subramanian completed a seven-yearcombined program leading to a bachelor <strong>of</strong>science degree and medical degree at UnionCollege and Albany Medical College in NewYork. He joined the U.S. Air Force and completeda six-year general surgery residencyat David Grant Medical Center in California.Subsequently stationed at Spangdahlem AirBase in Germany, he deployed to Liberia andKazakhstan, and served as a combat traumasurgeon in Balad, Iraq. He then completed hiscardiothoracic surgical training at the ClevelandClinic.Dr. Subramanian received an ArizonaHeart Institute traveling fellowship and spenttwo years working as a cardiac surgeon at theHeart Center Leipzig while doing a fellowshipin percutaneous and minimally invasive heartvalve surgery and innovations.His clinical and research interests also includeaortic valve-preserving operations andaortic surgery, including the use <strong>of</strong> hybridoperations for the descending thoracic aorta.He has authored and coauthored about 60publications, which include articles, abstracts,and book chapters.Jess L. Thompson III,MD, MSc, a cardiothoracicsurgeon specializingin the repair <strong>of</strong>congenital heart defectsin children, has joinedthe Division <strong>of</strong> Cardiothoracic<strong>Surgery</strong>as assistant pr<strong>of</strong>essor. Afourth-generation Arizona native, Dr. Thompsoncomes to the UA from Texas Children’sHospital in Houston, where he completed afellowship in congenital heart surgery. Hisclinical expertise includes repair <strong>of</strong> complexneonatal congenital heart disease and treatment<strong>of</strong> adults with congenital heart disease.Dr. Thompson attended medical school atthe <strong>University</strong> <strong>of</strong> Southern California, Los Angeles,Keck School <strong>of</strong> Medicine. He completedhis general surgery residency training andcardiothoracic training at the Mayo Clinic inRochester, MN.While at the Mayo Clinic, Dr. Thompsonparticipated in a National Institutes <strong>of</strong> HealthClinical Investigator Program, receiving amaster’s degree in biomedical sciences:clinical research. His studies centered oncomplex heart-valve disease with a specificNEWS BRIEFTrauma CenterRe-verified as Level IThe Trauma Center at The <strong>University</strong><strong>of</strong> Arizona Medical Center has beenre-verified by the American College<strong>of</strong> Surgeons as a Level I TraumaCenter. The ACS survey team visitedthe Trauma Center in November.A Level I trauma certification isthe highest national designationa hospital can receive. The TraumaCenter at The <strong>University</strong> <strong>of</strong> ArizonaMedical Center is one <strong>of</strong> eightLevel I Trauma Centers in the state,and the only one serving all <strong>of</strong>Southern Arizona.21
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