MAXILLOFACIAL SURGERYRocco R. Addante, DMD, MDSection ChiefProfessor of Surgeryand AnesthesiologyBarbara RiesebergSenior Practice ManagerIntroductionOral and Maxillofacial Surgery providesa diverse spectrum of care rangingfrom primary to tertiary levels. We areseeing an increase in the number ofcomplex cases involving pathologicaland structural deformities of themaxillofacial region being referredto <strong>Dartmouth</strong>-<strong>Hitchcock</strong> from thetri-state area.Patient <strong>Care</strong>Dr. Addante participates in a numberof D-H interdisciplinary care clinics.He is a key member of the CraniofacialAnomalies Clinic and interacts on theHead and Neck Cancer team andtumor board. He also provides carefor patients from the HematologyOncology Section who typically exhibitcoagulation disorders and immunesuppression along with their needfor oral surgery intervention. Casesinvolving the care of patients whohave undergone radiation therapyas a component of their head andneck cancer care or who developosteonecrosis as a consequence ofbisphosphonate use are also includedin the mix of patients with significantco-morbidities.EducationRocco Addante, DMD, MD remainsactive academically as a journal reviewerfor articles submitted for publication tothe Journal of Oral and MaxillofacialSurgery. In addition, he continuesto mentor students from <strong>Dartmouth</strong>with an interest in careers combiningmedicine and dentistry and morerecently, fourth-year students fromHarvard Dental School who rotatethrough the Red Logan Dental Clinic.Dr. Addante hosts monthly meetingsfor D-H dental staff, and he regularlypresents lectures to members of thedental community on topics of mutualinterest. He serves on the AnesthesiaReview Committee for the State ofNew Hampshire which credentials oralsurgery offices and care providers forthe administration of sedation andanesthesia. He also lectures to theOperating Room Technicians Programgroup at D-H.Nationally, he has completed a longtenure on the Commission ofProfessional Conduct of the AmericanAssociation of Oral and MaxillofacialSurgeons and as a member of theExamination Committee for theAmerica Board of Oral andMaxillofacial Surgery. Although thereis no residency program in Oral andMaxillofacial Surgery at D-H, Dr.Addante maintains close affiliationswith the Sections of Plastic Surgeryand Otolaryngology and is an activecontributor to the training programsin each of these specialties.Maxillofacial Surgery Gross Professional Revenue$2M$1.5M$1M$.5MMaxillofacial Surgery Cases25020015010050FY07 FY08 FY09 FY10 FY11 FY12FY07 FY08 FY09 FY10 FY11 FY1228
MEDICAL STUDENT EDUCATION, SURGERY CLERKSHIPHorace F. Henriques III, MDSurgery Clerkship Co-Director,Trauma/Acute <strong>Care</strong> Surgery FacultyLearning LeaderAssociate Professor of SurgeryGina L. Adrales, MDSurgery Clerkship Co-Director,Minimally Invasive SurgeryLearning LeaderAssociate Professor of SurgeryTerri J. NicholsonClerkship CoordinatorMelissa A. Hoyt, MDConcord Clerkship ProgramDirectorAssistant Professor of SurgeryThe evolution of our medical schoolinto The Geisel School of Medicineat <strong>Dartmouth</strong> (GSM) has begunthe process of a change from thetraditional two-year basic science, thentwo-year clinical medical education,to a longitudinal (integrated) four-yearcurriculum. We are most excitedthat initial funding is in place. In thelongitudinal curriculum, Surgery willplay a role in the earliest developmentof a clinician in such areas as acute careassessment, communication skills, andinformed consent.The LCME re-accreditation process isfully underway with the formal reviewin March, 2013. The LCME processhas allowed us to adjust goals, expandour clinical offerings, and consequentlyimprove our flexibility for studentexperiences. Our clerkship educationalfocus remains on basic surgicalprinciples and acute care assessment.Otolaryngology, Orthopedics, Urology,a Community Surgery practice, andNeurosurgery are the newest part of ourrotations. This expansion allows us tokeep the surgery experience within TheGeisel School of Medicine/ <strong>Dartmouth</strong>-<strong>Hitchcock</strong> environment, and addsexperience opportunities as we evolve toa longitudinal curriculum. Exclusivelyin the Surgical Clerkship and in keepingwith the discipline of acute care, studentsare exposed to and actively participatein the Critical <strong>Care</strong> Units, EmergencyRoom, and with Anesthesia. Additionally,the interactive decision makingwith other “invasive” disciplines suchas Gastroenterology, Endoscopy, orInterventional Radiology offersperspective, broadens choices, andeducates students with respect to risksand benefits beyond just “pills or invasiveprocedures.”Gina Adrales, MD, a six-year memberof our faculty, has formally taken on aleadership role in the Clerkship. Herexperience in developing and instructingsimulation lab models is an importantaspect of longitudinal educationintegrating basic science and clinicalmedicine, as we guide the leastexperienced learners through importantprocedures and medical crises withoutthreatening patients in a high-fidelity,safe learning environment. Dr. Adrales’ssurgical focus is in Minimally InvasiveSurgery and Endoscopy.The <strong>2012</strong> Arthur Naitove SurgicalScholar, awarded by the Departmentof Surgery and based on: an honorsevaluation on the wards, a 95 percentileor greater NBME exam, and evidenceof participation in efforts to “better thegreater good,” was awarded to AnnaEley, who is taking her training at theUniversity of California at Davis, andplans a general surgical career. The Classof <strong>2012</strong> graduated with 31% of thestudents entering an acute care field:Anesthesia (9%), Emergency Medicine(4.5%), and Surgery (17%).In 2013, the Department of Surgerywill continue to foster a culture oflearning by providing diverse learningopportunities for students, residents, andattending surgeons. By supporting anenvironment in which feedback is freelygiven and welcomed, with the ultimategoal of providing the best patient care,we are reminded that at all levels we arelearners and strive for continuousimprovement.DARTMOUTH-HITCHCOCK MEDICAL CENTER DEPARTMENT OF SURGERY ANNUAL REPORT <strong>2012</strong>29
- Page 1: DEPARTMENT OF SURGERY ANNUAL REPORT
- Page 4 and 5: MESSAGE FROM THE CHAIR2012 has brou
- Page 6 and 7: CARDIOTHORACIC SURGERYLawrence J. D
- Page 8 and 9: DERMATOLOGYM. Shane Chapman, MDSect
- Page 10 and 11: GENERAL SURGERYRichard J. Barth, Jr
- Page 12 and 13: NEUROSURGERYDavid W. Roberts, MDSec
- Page 14 and 15: OPHTHALMOLOGYWilliam J. Rosen, MDSe
- Page 16 and 17: OTOLARYNGOLOGY AND AUDIOLOGYDaniel
- Page 18 and 19: PEDIATRIC SURGERYLaurie A. Latchaw,
- Page 20 and 21: PLASTIC SURGERYDale C. Vidal, MDSec
- Page 22 and 23: TRANSPLANTATION SURGERY: KIDNEY AND
- Page 24 and 25: UROLOGYWilliam Bihrle, III, MDSecti
- Page 26 and 27: VASCULAR SURGERYRichard J. Powell,
- Page 28 and 29: SURGICAL RESEARCH LABORATORYP. Jack
- Page 32 and 33: GENERAL SURGERY RESIDENCY TRAINING
- Page 34 and 35: DERMATOLOGY RESIDENCY TRAINING PROG
- Page 36 and 37: OTOLARYNGOLOGY RESIDENCY TRAINING P
- Page 38 and 39: UROLOGY RESIDENCY TRAINING PROGRAME
- Page 40 and 41: VASCULAR SURGERY RESIDENCY TRAINING
- Page 42 and 43: GLOBAL SURGERY INITIATIVEKurt K. Rh
- Page 44 and 45: PANCREAS AUTOISLET CELL TRANSPLANT
- Page 46 and 47: 2012 AWARDSThe Arthur NaitoveDistin
- Page 48 and 49: CLINICAL TRIALS AND RESEARCHDavid A
- Page 50 and 51: CLINICAL TRIALS AND RESEARCHJames E
- Page 52 and 53: PUBLICATIONSHolubar SD. An Economic
- Page 54 and 55: PUBLICATIONSJames E. SaundersStachl
- Page 56 and 57: PUBLICATIONSHyams ES, Pierorazio P,
- Page 58 and 59: PUBLICATIONSGoodney PP, Wallaert JB
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