MESSAGE FROM THE CHAIR<strong>2012</strong> has brought new achievements, changes, and challenges to the Department of Surgery at<strong>Dartmouth</strong>-<strong>Hitchcock</strong> and The Geisel School of Medicine at <strong>Dartmouth</strong>. Most noticeably,<strong>Dartmouth</strong> Medical School received a very generous endowment from the family of Theodor(Dr. Seuss) and Audrey Geisel and renamed the School in their honor. This will have a profoundimpact on shaping the future of our Medical School and helping to provide a stable foundationon which to build the medical school of the future. Parallel to this, we in the Department ofSurgery have been focusing on revamping, updating, and improving our medical student curriculumand overall teaching effort. Through the direction of Horace Henriques, MD, Gina Adrales, andAndrew Crockett, MD, the entire medical student clerkship schedule and curriculum have beencompletely revised. We have also appointed a new General Surgery Residency Program Director,Paul Kispert, MD and an Associate Director, Kari Rosenkranz, MD, who have already made asignificant and positive impact on our program through a very successful RRC review.Richard B. Freeman, Jr., MDWilliam N. and Bessie AllynProfessor and ChairDepartment of SurgeryThe Department’s commitment to define and improve the value of our clinical care remainsforemost through the “care path” development process. Surgical care paths are aimed atstreamlining and standardizing the delivery of surgical care, while reducing costs, for the routineprocedures we do most frequently. We awarded the second annual $25,000 prize to ThoracicSurgery Team for their “Esophageal Cancer <strong>Care</strong>” pathway this year. Every section had at leastone project in development.Two other cutting edge programs have been developed over the past year and are highlighted inthis report, both of which are developing cellular therapies for surgical diseases.1) Our Section of Vascular Surgery has reported preliminary findings for the application of bonemarrow derived stem cells for the treatment of critical limb ischemia. Significantly fewer patientsreceiving the stem cell infusions went on to limb amputation compared with patients treatedwith placebos. This new treatment has the potential to significantly reduce the number ofamputations that patients with critical limb ischemia require and, thereby, dramatically improvetheir quality of life.Kerry RyanDirector, Department of Surgery2) A multidisciplinary team from Gastroenterology and Surgery performed our first autoislet celltransplant after total pancreatectomy. Patients with severe pain from chronic pancreatitis oftenhave their pain markedly improved by total pancreatectomy; however, this leaves them withdifficult to control diabetes. By isolating the islet cells from the pancreas specimen retrieved atthe time of pancreatectomy and re-infusing them to the patient, the need for insulin can begreatly reduced or eliminated altogether. <strong>Dartmouth</strong>-<strong>Hitchcock</strong> is one of only a few centersaround the country that is doingthese procedures.We continue to strive for cuttingedge treatments within the valuebasedaccountable care world. Asyou will see in this report, the<strong>Dartmouth</strong>-<strong>Hitchcock</strong>/GeiselSchool of Medicine Department ofSurgery is uniquely poised to meetboth needs while continuing toteach, train, and develop thesurgeons of the future.William N. and Bessie Allyn Professor and ChairDepartment of Surgery2
Department of Surgery Total Gross Professional RevenueDepartment of Surgery Total Cases$200M$150M$100M$50M16K12K8K4KFY07 FY08 FY09 FY10 FY11 FY12FY07 FY08 FY09 FY10 FY11 FY12DEPARTMENT STATISTICS <strong>2012</strong>SectionFacultyAssociateProvidersResidentsClinical Trialsand ResearchPublicationsOutpatientAppointmentsOR CasesAudiology109,905CT Surgery66282,784827Dermatology983529,085General Surgery21333142512,2363,306Maxillofacial11,358165Neurosurgery54710205,819936Ophthalmology9261228,8441,085Otolaryngology92521313,6901,917Pediatric Surgery6313,814909Plastic Surgery7131466,5671,327Transplantation316152,575259Urology818123411,3631,204Vascular101850706,227975Surgical Res. Lab63119Dept. of Surgery341Total1033872171217139,85512,910DARTMOUTH-HITCHCOCK MEDICAL CENTER DEPARTMENT OF SURGERY ANNUAL REPORT <strong>2012</strong>3
- Page 1: DEPARTMENT OF SURGERY ANNUAL REPORT
- 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 30 and 31: MAXILLOFACIAL SURGERYRocco R. Addan
- 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
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PUBLICATIONSJames E. SaundersStachl
- Page 56 and 57:
PUBLICATIONSHyams ES, Pierorazio P,
- Page 58 and 59:
PUBLICATIONSGoodney PP, Wallaert JB
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DARTMOUTH-HITCHCOCK MEDICAL CENTERO
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