SCHOOL OF MEDICINE Department of Surgery ANNUAL REPORT July 2014 Message from the chair Wilson named to endowed chair. Bariatric program recognition. Trauma center, breast center accreditation. Ross named LCME chair. Urology residency ACGME approval and recognition. Tubman lecture by Wayne Frederick, Howard Univ. Thomas Covey lecture. Bernard Zimmermann symposium; ‘BZ’ remembered. ‘Coach’ Kandzari fete. World experts Cerfolio, Holcomb, Haider, Ellison, O’Neill, Giuliano will give named lectures in 2014-2015. Chief residents’ plans, incoming interns. Recognition and new midlevel providers. Special recognitions of residents and faculty. Service lines and clinical faculty. Summary of year by performance pillar: Finance, people, quality, service and efficiency, growth, education. Peer review publications, presentations by residents and faculty during 2013-2014. About the cover: The administrative suite has two scrolls with Japanese calligraphy called kakemono (“hanging object”). The one to the left reads “Respect the past, create the new (onkochishin),” an ethic of academic surgery where we acknowledge the traditions and contributions of surgery to modern medicine, and commit ourselves to creating new knowledge and training the next generation. The scroll to the right means “Carelessness is one’s greatest enemy (yudantaiteki),” a self-explanatory warning to all surgeons. La Rosa death, snapshots of the year’s events and visitors. Thank you for a great year: Sharon Bartholomew, Cindy Chandler, Ruth Fitzgerald. William “Rusty” and Anne Skewes of Bluefield made a $1.5 million contribution to the WVU School of Medicine to fund the Skewes Family Endowed Chair in Trauma Surgery. Alison Wilson, associate professor, was named by Dean Arthur Ross as its first recipient. The endowment will fund educational and research activities of the Division of Trauma, Acute Care Surgery, and Surgical Critical Care. The Skewes met Dr Wilson and assistant professors Hannah Hazard and Jen Knight last November. Dr Wilson described the accomplishments of the Jon Michael Moore Trauma Center at Ruby Memorial Hospital, and showed videos of JMMTC patients. “They [Drs Wilson, Hazard, and Knight] have great attitude,” Mr Skewes said. “We could see that they’re very dedicated to what they’re doing.” He recalled his business experience as a mining executive in making the donation. “It’s critical to keep your best employees. Bigger businesses constantly try to steal them away.” “We want to help the largest number of people,” added Mrs Skewes. “This endowment benefits everyone in West Virginia, even the world through Dr. Wilson’s travels,” she said, in reference to international exchanges with the JMMTC with surgeons in Ukraine and China. Bariatric program named center of excellence Jon Michael Moore Trauma Center level 1 status affirmed In December the JMMTC hosted the Changzou No. 2 People’s Hospital of the Nanjing Medical University. Ronda Fike, administrative assistant, organized the international event. Arthur Ross named chair of medical school organization Residency in urology recognized, wins full accreditation Top: Arthur Ross; below, Stanley Zaslau. Alan Brader, Lawrence Tabone added to bariatric faculty Nezar Jrebi, colon and rectal surgery Cancer center wins full three-year accreditation From top: Alan Brader, Lawrence Tabone, Nezar Jrebi. From top right: Hannah Hazard, Jessica Partin. Wayne A.I. Frederick, surgical oncologist and interim Department of Surgery in February. He spoke on president of Howard University in Washington, D.C., gave the inaugural Harriet Tubman lecture in the unconscious racial bias in academic medicine and racial disparities in cancer care in black patients, two wellreceived talks that were both inspiring and informative. He also discussed cancer cases with residents in surgery and medical students. Jen Knight, assistant professor, led organizational efforts for the event. Arthur Ross, professor and dean of WVU SOM, and Christopher Colenda, chancellor, welcomed Dr Frederick. The visit was co-sponsored by the WVU Health Science Center chancellor’s office and the Center for Black Culture. WVU president Gordon Gee participated in a reception at the Erickson Alumni Center. Dr Frederick met with student leaders from black undergraduate clubs and Greek organizations, arranged by Marjorie Fuller and Bruce Mitchell of the Center for Black Culture. Thomas H. Covey, M.D., emeritus professor, was honored March 18 at the annual lecture bearing his name. After the lecture, given by John B. Hanks, University of Virginia in Charlottesville, a portrait of Dr Covey was unveiled by his wife Hope and members of his family. John Hanks, Charlottesville: Covey lecturer Dr Covey became one of the most esteemed clinicians at WVU. Born in Beckley and educated in Weston, he graduated Phi Beta Kappa from WVU in 1957. He went to medical school at Harvard and trained in surgery at the University of Michigan. His first academic appointment was at Washington University and the Jewish Hospital in St Louis. He returned to WVU as associate professor in 1984, Above: Dr Covey unveils his portrait with family. From left: Sharon Lindsey, Myra and received a full Jo White (sisters); Hope, his wife; and daughters Emily Kiral and Joda Lynn professorship in 1991. Respected for his professionalism and judgment, he served in leadership roles at Ruby Memorial Hospital, including hospital chief of staff, executive medical board, and as acting chair of the WVU Department of Surgery twice. He was recognized as outstanding attending surgeon by the residents three times. Dr Covey established the Moran Fund for Surgical Education and Research in honor of his friend and colleague Walter H. Moran, one of the founding faculty. He served as interim director of the Jon Michael Moore Trauma Center. He continues to teach anatomy and serves on the admissions committee. His likeness will be displayed outside the Department administrative suite in honor of his service to his patients of the state, the hospital, and the medical school. Amy Halverson: 25th Zimmermann symposium Above: Dr Halverson chats with Charles Rosen, chair, department of neurosurgery. They were residents together at George Washington University in Washington, D.C. Dr Zimmermann was founding chair of the department of surgery, a post he held from 1960 to 1973. He was born in St. Paul, Minn., the son of a surgeon, and graduated from Harvard College and Medical School. He described in 1945 a technique that anticipated modern intravenous therapy and appeared in Science. He trained under Owen Wangensteen at the University of Minnesota, where he stayed on faculty. He was part of the wave of Minnesota clinician-scientists who became the founding leaders of the four-year WVU medical school, recruiting the first fulltime clinical faculty that would become the foundation of the department for decades. He led an active basic science laboratory with an emphasis on the metabolic and endocrine responses to injury. He was on the founding editorial board of the Journal of Surgical Research, a founding member of the Society for Surgery of the Alimentary Tract, and served as president of the Halsted Society. The annual research symposium of the department is dedicated to his memory. He had myriad interests that reflected his adopted state, including fly fishing, hiking, hunting, Angus cattle and his exacting use of grammar. More than 100 colleagues, alumni, and friends honored Chancellor Chris Colenda and Senator Joe Manchin. Stanley Kandzari in a testimonial dinner held at the The highlight of the evening Erickson Alumni Center was the unveiling of a April 3 in honor of his more portrait of Dr Kandzari by than 40 years of service to his grandson Gage the people of the state, the Campbell. His likeness will Hospital, and the School of be displayed outside the Medicine. Organized by Department office suite on urology division chief the 7th floor. Stanley Zaslau, a scientific symposium preceded the dinner and featured alumni from the residency in urology: Ashish Kamat, professor of urology at the MD Anderson Cancer Center in Houston and WVU chief resident in 2000 - 2001; Stephen Sparks, chief in 2007 - 2008 and now at the Children’s National Medical Center in Washington, D.C.; 1985 - 1986 graduate Ron Prize-winning papers at the ACS CoC residents’ competition, Morgantown. From left: Peter Zmilewski, PGY1; Patrick Bonasso, PGY1; Linda VonaCercone of Pittsburgh; and Can (John) Talug of Davis, research sponsor. Princeton and chief in 2008 - 2009. All the speakers expressed gratitude for Dr Kandzeri’s training and mentorship in their residencies and careers. Dr Kandzari is known as “Coach,” an honorific nickname that reflects affection, respect, and his devotion to WVU athletics. The featured speaker appropriately was Tony Caridi, play-by-play announcer for the Mountaineer Sports Network. Dr Kandzari received formal commendations from University of Alabama, Birmingham, School of Medicine September 30 - October 1, 2014 University of Texas Medical School, Houston Johns Hopkins School of Medicine October 7 - 8, 2014 February 17 - 18, 2015 Dr Holcomb will be the 2014 Peter Mucha visiting professor and give the Mucha lecture Dr Cerfolio will be the Gordon Murray during his visit. He holds the Jack H. visiting professor and give the Murray Mansfield chair at UTMSH, where he serves lecture. He is James H. Estes Family Lung in a number of leadership capacities, Cancer Research professor and chief of including vice chair, director of translational thoracic surgery at UAB. He is the injury research, and chief of the division of acknowledged leader in minimally invasive acute care surgery. He is widely known for surgery for thoracic cancer in the U.S. He his research in trauma resuscitation, has published more than 125 major peercompletely revolutionizing the approach to reviewed articles, and has given named lectures at major institutions throughout the the management of hemorrhagic shock. He has been recognized by the U.S. Department world. A three-sport letterman in high of Defense for his research, service, and school, he is a member of both Phi Beta Kappa and Alpha Omega Alpha, graduating dedication to the care of wounded soldiers cum laude from the University of Rochester with a number of major awards, and by the for both undergraduate and medical schools. Committee on Trauma of the American College of Surgeons for his outstanding contributions to trauma care. Dr. Haider will give this year’s Harriet Tubman lecture celebrating diversity in medicine. He is associate professor of surgery at the Johns Hopkins School of Medicine, specializing in trauma and surgical critical care. His clinical research interest is outcomes in large databases, for which he has federal funding through the National Institutes of Health. An area of focus is disparities in outcome following trauma among racial minorities in the U.S., and among the trauma response systems in different countries. He is known as among the vanguard of young thought leaders in trauma care, asking highly original questions and using insights from “big data” databases to improve clinical surgical care. Ohio State University College of Medicine March 17 - 18, 2015 Vanderbilt School of Medicine Cedars-Sinai Medical Center April 14 - 15, 2015 May 6, 2015 Dr O’Neill will be the keynote speaker at the Dr Ellison is known as the world’s foremost 2015 Bernard Zimmermann research expert on endocrine surgery of the pancreas. symposium in Spring 2015. He is professor He is immediate past chair of the department of surgery and chair emeritus of the section of surgical sciences at the Vanderbilt of surgery at Ohio State, holding both the University Medical Center in Nashville. He OSU College of Medicine distinguished chair, and the Robert M. Zollinger chairs of was surgeon-in-chief at the Children’s Hospital of Philadelphia. surgery. He served also as CEO and vice A noted pediatric surgeon with an dean for clinical affairs. international reputation, he has held major With Robert M. Zollinger, Jr., Dr Ellison leadership positions in surgery, including the authors the definitive atlas of surgery, Zollinger’s Atlas of Surgical Operations, now presidencies of the American Pediatric in its 9th edition. He serves on the editorial Surgical Association and the Southern board of major surgical journals. He has held Surgical Association. Active in African mission work, he continues to have an active major leadership positions in surgery, translational research project with federal including chair of the American Board of funding to study cancer genetics among Surgery and chair of the Advisory Council African populations where pediatric cancer is for General Surgery for the American endemic. College of Surgeons. The Department is honored to host Armando Giuliano, M.D., as its inaugural Donald Morton lecturer in surgical oncology. One of the world’s leading breast cancer surgeons, Dr Giuliano is ececutive vice chair of surgery at Cedars Sinai Medical Center in Los Angeles. He was a pioneer in the use of needle biopsy and sentinel node biopsy in the evaluation of breast cancer. More recently he led a study that documented the limited utility of node dissection in women with early stage breast cancer. The lecture honors Donald Morton, M.D., a native West Virginian who left to attend Berea College in Kentucky before leaving for the west coast where he established a worldrenowned reputation in surgical oncology, and helped organize the John Wayne Cancer Center in Santa Monica, Calif. Brenner Dixon, Colorado University D. Michael Fourquean, WVU Robert Jansen (Urology), Medical University South Carolina Jason Turner, WVU Zachary Baker, American University Caribbean Jennifer Danniel, Kasturba Medical College Chad Hubsher (Urology), University of Florida Smarika Shrestha, Dalhousie University Robert Andres, University of Illinois James Bardes, University of Texas Medical Branch Jared Feyko, Touro University Nevada College Dana Point (Urology), Marshall University Amanda Bailey, Nova Southeastern University Moungar Cooper, Howard University Chad Morley (Urology), WVU Robert Roddenberry, Georgia Regents University From left: Patrick Bonasso, III, WVU; Nsisong Ipka, Chicago Medical School, Rosalind Franklin University; Morris Jessop (Urology), WVU; Amanda Palmer, WVU; Jacinta Robenstine, St Louis University; Peter Zmijewski, Albany Medical College. Brenner F. Dixon A Colorado native, Brenner attended Colorado University for both undergraduate medical school. He will begin his fellowship in minimally invasive surgery at St Vincent’s hospital in Indianapolis. He and Amy have son Taylen, 2. D. Michael Fourqurean A Parkersburg native, Mike attended college at West Virginia Wesleyan College and majored in chemistry and WVU SOM. He will enter the University of Miami residency in plastic surgery. He enjoys golf, cooking, and guitar. N.Y., and raised in Columbia, Martinsburg with a clinical S.C. He attended Clemson appointment with the University and the Medical Department of Surgery. He University of South Carolina. He will be entering private practice in Myrtle Beach, S.C. Bob and Brittany have new baby Jonathan born February 24 2014. Jason Turner Born in Frostburg, Md., Jason grew up in West Virginia’s Eastern Panhandle. At WVU SOM he was class president, graduated magna cum laude, and was a member of AOA. He served on the WVUH medical executive committee and was administrative chief resident. Robert Jansen Bob was born in Long Island, Dr. Turner will practice in Meet the new 2014 - 2015 interns and Julie have two children, Myla Jewel, 4, and Colson West, 2 and pet dog Jada. In November Phil Slates, information technology specialist with the department, was struck by a car while walking to work near highway 705 at the crosswalk. No bones were broken but convalescence and immobilization was required. The next month he wrote the lead letter to the editor of the Dominion Post asking for programs in walking and bicycling safety. award from the WVU hospital for their top notch teamwork in caring for patients with breast cancer. The award recognizes the unsung heroes that regularly provide excellent care and thereby help build a better workplace. in the build a better workplace category. Assigned to the vascular service, Crystal cross-covered and helped get the work done when other services were short-staffed. Crystal is now involved in onboarding new hires. Crystal Alkire, RN, was nominated for the WVUH “Bravo!” award, also Amanda Leinweber, nurse practitioner, was a member of the breast care team that received the December “Bravo!” Welcome to the Department of Surgery! Coders Lora Hall, Ashley Moore, and Amanda Shaffer earned recognition for 100% accuracy in the most recent coding audit conducted by the compliance office. Tracy Bollinger was also recognized for a 90% rating. Congratulations! Tara McCormick, nurse manager in the physician’s office complex, passed her certifying examination in ambulatory care by the American Academy of Ambulatory Care Nursing, the professional organization that represents nurses involved in outpatient care. Farrell Adkins and Mary Vinson, 2013 chief residents, passed the Certifying Examination (CE; familiarly known as oral boards) of the American Board of Surgery (ABS) in March. They passed both the CE and the Qualifying Examination (written boards) on their first attempt. First attempt pass rates are a measure used by the Accreditation Council for Graduate Medical Education (ACGME) to certify residency training programs. Jason Turner, PGY5, won third place at the annual residents’ paper competition at the regional meeting of the Committee on Trauma of the American College of Surgeons (ACS) in Philadelphia in December. It was the highest award ever received by a WVU resident. Alison Wilson was his sponsor. Jason’s presentation also won the Zimmermann research symposium event this year. SOM second-year medical students, received Departmental scholarships to attend the annual meeting of the Eastern Association for the Surgery of Trauma (EAST) at Lake Buena Vista, Fla., in January, sponsored by Jen Knight, assistant professor. They were selected on the basis of their interest in general surgery and scholastic achievement. They gave summaries of their experience to the newly instituted Friday afternoon medical student review organized by assistant professors Jim Bardes, PGY3, and Morris Jessop, PGY1 (Urology), were at the WV Chapter of the ACS annual meeting in May. Jim took second place in the trauma resident paper competition, and Morris took second place in the general resident paper Greg Schaefer and Pamela Zimmerman. competition. Dana Point, PGY3 (Urology), The trauma center outreach and education and Patrick Bonasso, PGY1, also team was selected for the WVU participated. Chancellor's Award at a ceremony in April Drs Jessop, Amanda Bailey, PGY2, and for outstanding service to the state. Bonasso were selected to participate in the Included in the recognition were Jon 2014 graduate medical education week Michael Moore Trauma Center staff research day in May. Morris was selected in members Trudy Clark, Lori Double, Ronda the basic science area; Amanda and Fike, Michelle Putnam, Holly Riley, Patrick’s projects were in clinical science. Ramona Rodriguez, Josilyn Sanner, ChainStanley Zaslau, Hannah Hazard, and Dr Wen Wang, and Leslie Willard. Faculty Wilson, respectively, were project sponsors. recognition included assistant professors Dr Bardes won a scholarship to attend the Jorge Con, Fawad Khan, and Drs Schaefer, ACS Leadership and Advocacy Summit in Knight, and Wilson. Washington, D.C. in April. In addition to Dr Knight was elected as an alumni meeting ACS leadership and advocacy member of the Alpha Omega Alpha groups, the program includes workshops in medical honor society in January. The leadership and public policy. honor society, founded in 1902, recognizes Katie Helin and Leslie Matthews, WVU scholastic achievement, humanism, and professionalism as embodied in its motto, “Worthy to serve the suffering.” Hannah Hazard, assistant professor and division chief, surgical oncology, is coinvestigator with the cancer center’s research with the ACS Oncology Group beginning December 2013. Kevin Tveter and Anthony Holden, assistant professors, are co-investigators with a WVU research project in the microRNA regulation in the diabetic heart. Bryan Richmond, professor, Charleston division, was named to the executive committee of the Southeastern Surgical Congress as an at large representative from the SESC council, where he serves as councilor for West Virginia. Sung Cho, assistant professor, was recognized by the Fellowship Council with a certificate of completion in hepatopancreatobiliary surgery by the Americas Hepato-Pancreato-Biliary Association (AHPBA) in February. Lisa Jacob, assistant professor, nominated for a distinguished teaching award from the WVU SOM in March. Linda Vona-Davis, associate professor, is co -investigator with Mark Olfert on an internal WVU grant program to stimulate competitive research titled, “Metabolic influence of VEGF-A linking obesity to breast cancer.” Dr Zaslau is president of the Mid-Atlantic section of the American Urologic Association. Dr Nakayama was elected president of the Southeastern Surgical Association at its meeting in February. Tom McClelland, clinical assistant professor, was featured in the winter 2014 issue of West Virginia Executive magazine. The article featured his clinical work, his mission trips to central America, and his business interests in medical device inventions. Administration Education Bariatric and metabolic surgery Cardiac and thoracic surgery Hand, plastic and reconstructive surgery Colon and rectal surgery Pediatric surgery General surgery Research Surgical oncology and breast surgery Trauma, surgical critical care, and acute care surgery Vascular surgery Urology Veteran’s Administration Hospital Ashland, Ohio Theodore Avtgis, Assoc Prof Wheeling Hugh Andreini, Jr., Instr; Robert Cross, Asst Prof; Rosemarie Hardin, Asst Prof; David Kappel, Prof; E. Phillips Polack, Prof; Ahmad Rahbar Assoc Prof; Howard Shackelford, Assoc Prof; C. Alan Tracy, Assoc Prof Morgantown John Battin, Instr; David Fogarty, Prof; Andrew Heiskell, Instr; Jerome Johnson, Assoc Prof; David Hall, Instr; Mark Johnson, Asst Prof; W. Thomas McClellan, Asst Prof; Todd Tallman, Asst Prof; Thomas Covey, Prof Emeritus; Donald McDowell, Prof Emeritus; Franklin Schiebel, Assoic Prof Emeritus Pittsburgh Keith Apelgren, Prof McMurray Timothy Weyrich, Inst Kingswood Theresa Rutledge, Instr Keyser Suratkal Shenoy, Asst Prof Clarksburg Carl Fischer, Asst Prof; Richard Kaufman, Asst Prof; Catalino Mendoza, Prof; Frank Schiebel, Jr., Asst Prof Huntington Rocco Morabito, Prof; Rocco Morabito, Jr., Asst Prof Bridgeport Gaspar Barcinas, Asst Prof Fairmont Charles Frank, Asst Prof; David McClellan, Asst Prof; Frank Schiebel, Jr., Asst Prof Beckley Rajinikant Shah, Asst Prof Petersburg Anil Makani, Asst Prof Martinsburg James Carrier, Assoc Prof, clerkship director, Richard Casuccio, Asst Prof; Robert Cicchino, Asst Prof; Jessica Johnson, Asst Prof; John Thomas, Asst Prof Southpoint, N.C. Gordon Murray, Prof Emeritus Charleston Roberto Kusminsky, Prof &chair; John DeLuca, Asst Prof, prog dir, residency surgery; Ali AbuRahma, Prof, prog dir, vascular surgery fellowship; Todd Witsberger, Assoc Prof, clerkship director; Shadi AbuHalimah, Asst Prof; Mark Bates, Prof; James Campbell, Asst Prof; Robert Cochran, Prof; Benjamin Dyer, Asst Prof; Michael Elmore, Asst Prof; Michael Hall, Asst Prof; Steve Hass, James Lohan, Asst Prof; Frank Lucente, Prof; Albeir Mousa, Asst Prof; Aravinda Nanjundappa, Assoc Prof; Bryan Richmond, Prof; Mohrit Srivastava, Asst Prof; Pat Stone, Asst Prof; Eduardo Suson, Assoc Prof; Willis Trammel, Prof; Richard Umstot, Asst Prof. Ranson Wesley Harris, Asst Prof; Jan Kletter, Asst Prof The most remarkable feature over the past year is the optimism and dedication of WVU Healthcare, Hospital, and School of Medicine in their support of surgical services and the Department of Surgery. Uncertainty in medical economics and tectonic changes in healthcare have led to multibillion dollar realignments among providers and insurers. As the leading provider of healthcare and tertiary care in the state, the WVU health institutions have been resolute in their mission to provide high quality care to the people of the state. The Department of Surgery is proud to work in such an organization. Special thanks goes to the WVU leadership, Christopher Colenda, MD, MPH, HSC chancellor and president of the WV United Health System, Arthur Ross, professor of surgery and dean of the SOM, Judie Charlton, chief medical officer of WVU Healthcare and SOM vice dean of clinical affairs, and Bruce McClymonds, president and CEO WVUH. Within the Department, a leadership team has been named. Alison Wilson, MD, associate professor, serves as vice chair. There are three associate chairs that manage important areas: Matt Loos, MD, associate professor, clinical services and quality; Hannah Hazard, assistant professor, cancer; and Stanley Zaslau, education and research. Named in November they have already started important programs in their areas, some summarized below. As always the day-to-day operation and management of the providers and staff of the Department are in the capable hands of Cindy Chandler, department administrator, Ruth Fitzgerald, department manager, and Sharon Bartholomew, administrative assistant. Those who work in Department and interact with our operations know it is Cindy, Ruth, and Sharon who provide the necessary plans and organization that somehow make things work. total draw from Departmental accounts was $141,059. Finance. The Department had a FY 2014 budgeted loss of $1,030,304 in part because of new faculty. Actual loss was $667,725, with a positive variance of $362,579. Revenue of $11.2 million was under budget of $11.5 million (5.9% increase from 2013), but expenses of $11.9 million were well under budget of $12.6 million. Expenses increased 13.5% over the The spend for 2013-2014 exceeds the annual endowment income by $41,000. It includes a number of one-off costs. Community event costs include the Jon Michael Moore Trauma Center annual Trauma Night of Recognition, which is repaid from proceeds from the event. Facility remodeling and portraits include one-time costs of remodeling the common space of the administrative suite, occasioned from removal of office cubicles, filing cabinets, and spare office furniture. Portraits also are onetime costs for likenesses and accompanying plaques that honor past chairs, benefactors, and distinguished clinicians. Resident education costs include supplying magnifying loupes for junior residents. Resident education and faculty meeting categories include meeting costs beyond those covered by established professional development funds that come with faculty and resident compensation. Such meetings include presentations at state, regional, and national meetings, and professional development courses that add to clinical and administrative skills. Medical student education costs include meeting costs for medical students as representatives of the School of Medicine at regional and national meetings, and presentations of research work sponsored by fulltime faculty. Details are available upon request. previous year. Work RVU for the Department totaled 220,941, meeting budget (220,674) and a 6.2% increase over 2013. People. The biggest event of the year was the departure of the entire division of Departmental accounts within the WVU plastic surgery, Drs Casuccio, Butterworth, Foundation includes $2.07 million in and Lisa Jacob. Dr Jacob’s husband, hand endowments and $701,000 in cash. Annual surgeon Glen Jacob, was also a member of income from endowment income totals the Department and will join her in her some $99,000. Cash accounts and spend new position. The Department recognizes distribution from the endowment supports their skill and contributions to the School, educational, research and academic events WVUH, and the people of the state and sponsored by the Department. This year the wishes them well on their future careers. Contingency plans were formulated to provide acute plastic surgery coverage and recruitments are underway to rebuild the division that will provide a full spectrum of plastic and reconstructive services. This may cause inconveniences and service disruptions, but our plan is to keep these to a minimum while taking deliberate steps to bring dedicated and skilled clinicians and committed educators and academicians. people of the state and hours of teaching and guidance to WVU’s resident surgeons and medical students. The Department wishes them well. evaluation manager (LEM) goals set by WVUH. Led by Drs Loos and Zaslau, the overall goal is to implement a Departmentwide, division-based performance improvement (PI) program. There are three Quality. Key service lines underwent objectives. The first, to educate the faculty accreditation by the American College of Surgeons (ACS) during the year. Dr Wilson and residents on the use of various PI led a successful site visit by the Committee reports, the metrics used, and introduce Plan-Do-Study-Act (PDSA) methodology. on Trauma, the Jon Michael Moore The second will assign the faculty in various Trauma Canter maintaining its level one Important recruitments were completed, trauma center designation. Dr Quinlin and PI programs as a part of expected activity. Regular reports of PI activities will be a part with a faculty now at 39.7 FTE from 36 in program coordinator Kristin Rosati of all faculty meetings. The final objective is achieved full approval as a level one 2013. Alan Brader, MD, will join the to publish results of PI programs and Department as chief of bariatric and weight accredited bariatric center. Drs Hazard, involve residents and students in current Partin, and program coordinator won loss services, assisted by Robert Quinlin, MD, assistant professor. Lawrence Tabone, another three-year accreditation as a breast programs. Morbidity and mortality data require MD, will join the service interdisciplinary attention. line as assistant professor. Participation and alignment Surgical oncology is now with other hospital and one of the Department’s clinical departments have strongest divisions, with been initiated to address assistant professors Sung surgical site infection. Dr Cho, MD, Alan Thomay, Loos is working with Frank MD, and Jessica Partin, Briggs and Mike Sweet, MD, all joining during the WVUH quality 2013-2014 year. Nezar department, have embarked Jrebi, MD, will come in on an important August in colon and rectal management project to surgery. Returning the same improve documentation month after fellowship that will more accurately training in trauma and reflect the co-morbidities of surgical critical care is Uzer our patient population. Khan, MD, chief resident Kumar Pillai, MD, 2012-2013. Both will have associate professor and appointments as assistant professor. center by the National Accreditation division chief, vascular surgery, has Program for Breast Centers. Nicholas Shorter, MD, fills a key position instituted a vigorous improvement program in pediatric surgery as professor, and will University Healthsystem Consortium to decrease surgical site infections and serve as chief of the division. Assistant (UHC) for 2013 shows observed to readmissions. Other programs to improve professor Khumara Huseynova, MD, expected ratios above 1 and above UHC preoperative care, manage high-risk surgical joined the division of vascular surgery with medians for post-surgical (1.21, median patients, enhance postoperative care, and to a joint appointment with the WV clinical 0.90), quality and accountability (3.23, provide intensive postoperative outpatient and translational science institute. Offers 0.91) and total inpatient mortality (1.13, care to avoid readmissions, are planned. have been made in urological oncology and 0.91). General vascular mortality on the leadership positions in plastic surgery and Patient satisfaction is high. The National Surgical Quality Improvement general surgery. The Department is assisting Project (NSQIP) was within expected range Department is in the high 90th percentile in key positions in the Heart Institute and (odds ratio 1.11), but general surgery for peer institutions (96th, large community the division of gastroenterology in the morbidity fell into the needs improvement hospitals; 99th, academic institutions) in department of medicine. ambulatory patient satisfaction, and within range (odds ratio 1.27, ninth decile). range for inpatient satisfaction (49th and Other departures include Fawad Khan, Clearly much work needs to be done. The 57th, respectively). Glenn Warden, and Jerome Johnson. All Department aligned both quality and provided years of committed service to the clinical activities with the leadership Service and efficiency. Drs Loos, Zaslau, and Tara McCormick, R.N., head nurse, ambulatory services, physicians’ office center (POC), are embarking on a project to improve efficiency and throughput in the surgery clinics. Dr Loos and Cynthia Graves, M.D., assistant professor and program director, residency in surgery, are organizing midlevel providers and residents in training in the department to ensure patient service, operating room (OR) assistance, and nighttime call coverage. Key features include organizing physician assistant outpatient practices to ensure daytime availability for all service lines, and providing inpatient surgical OR assistants, intensive care, and emergency coverage for services not covered by the educational services. Christina Carey will serve as lead midlevel provider and provide administrative leadership for the service. Resident service coverage will be contracted to those that provide core surgical experience and meet educational priorities, rather than “making sure all the cases are covered.” nursing resource pool, to improve patient discharges that improve overall efficiency of all inpatient units, but especially the OR. Tiffany Yanuzo, R.N. (Aaron’s wife), director of care management, will assist the divisions and service lines create care plans to standardize care and improve inpatient movement from admission to discharge. Growth. The Department will have offices in the new outpatient facility at the University Town Centre near the interstate. Planned for a 2016 opening, the three-story facility will have 127 exam rooms. Urology, plastic surgery, bariatric, hand, and general surgery services will offer services there. A new 114-bed inpatient tower expansion surgery, bariatric programs, limb salvage, and advanced wound care. Education. Medical student education fell short of standards. The clerkship has room to grow with regard to quality, attending staff engagement, and student evaluation. Greg Schaefer, DO and assistant professor, has initiated meetings to improve coordination among the three SOM campuses. All issues will be addressed in anticipation of the Liaison Committee on Medical Education site visit scheduled for February 2015. There will be new programs in medical student engagement augmenting a biweekly wrap-up session to review problem cases and situations with senior faculty. A mentorship program in surgery was started by Dr Zaslau in conjunction with his efforts in the undergraduate surgery interest group. Pamela Zimmerman, assistant professor, assists as co-director of the junior clerkship. The Department sponsored two medical students to will modernize and expand inpatient and attend the Clinical Congress of the neonatal intensive care facilities, as well as American College of Surgeons meeting in Dr Nakayama is working with Aaron expand and improve accessibility for Washington, D.C., and one to attend the Yanuzo, M.B.A., director, process emergency and trauma services. The Southeastern Surgical Congress. Two will improvement, and Myra Beech, R.N., licensed bed capacity will increase to 645. receive summer research stipends to work director of the operating room (OR), The Department is exploring new with Linda Vona-Davis, Ph.D., adjunct Michael Hurst, M.D., OR medical director, alignments with other hospital and SOM professor, and Dr Zaslau in the Department and anesthesia chief Manuel Vallejo, M.D., service lines and departments to create new basic science laboratory. to improve OR capacity and efficiency. An service lines. These include programs with American Board of Surgery (ABS) first taker important project is standardizing add-ons the division of gastroenterology, the WVU pass rates for the qualifying examination to the OR and service line scheduling to Heart Institute, and the cancer center. The (QE, written board exam) was 86%; the allow scheduling of complicated cases like Department is assisting with key certifying examination (CE, oral board cancer operations that require urgent recruitments in these areas, including exam), 82%; and both QE and CE, 73%. attention. He and Dr Vallejo are working advanced endoscopy and cardiac surgery. with Dan Bazzoli, RN, manager of the Other opportunities are in cosmetic The most recent graduating class of 2013, Farrell Adkins, Uzer Khan, and Mary Carolyn Vinson, all passed the QE on their first attempt. Azam Jan, 2012 grad, passed both his CE and QE on his first attempt. The residency in urology received a full accreditation without citations, the highest level of recognition, by the Accreditation Council for Graduate Medical Education. Dr Zaslau, program director, led the certification effort. Dr Graves and the medical gastroenterology (GI) service started a new patient care conference on their shared patients, emphasizing medical and surgical aspects of GI disease. Assistant professor Jon Cardinal and associate professor Jen Knight accepted posts as associate program directors and will share responsibility for the program. As noted above there will be a reorganization of the services so that residents will cover the mandated services in general surgery necessary for their training. For the next two years the program will participate in the Flexibility in duty hour requirements for surgical trainees trial (FIRST), a joint study by the ABS and the American College of Surgeons (ACS) to see whether more flexible work hour requirements result in difference in surgical outcomes. Changes include longer 24 h intern shifts, resident availability after call beyond 4 h, and staying to complete operations and care for critically ill patients despite being post call. The interview season ended with four categorical residents in surgery and one intern assigned to urology. More than 40 candidates of hundreds of applicants received interviews. The new interns selected are introduced elsewhere in the Annual Report. Peer review articles. Chapters. EAST leadership course, Naples, Feb 9 2014. Clinical Congress, American College of Surgeons, Oct 6 - 10, 2013, Washington, D.C. Books. Presentations. National. Trauma, critical care, and acute care surgery. Las Vegas, Mar 31 - Apr 2 2014. Trauma symposium. Phoenix, Feb 14 2014. Annual meeting, American Urological Association, Orlando, May 19 - 21 2014. Mid-Atlantic Section, American Urological Association, annual meeting, White Sulphur Springs, Oct 24 - 27 2013. Resident trauma paper competition. Regional. Annual scientific meeting, Southeastern Surgical Congress. Savannah, Feb 22-25, 2014. Invited lectures. National. Annual meeting, World Congress on Exercise is Medicine, Orlando, May 27- 31, 2014. Resident paper competition State. Charleston Area Medical Center Health Education and Research Institute. Charleston, WV. Visiting professorships. State. Annual meeting, West Virginia Chapter, American College of Surgeons, White Sulphur Springs, May 1 - 3 2014. West Virginia Chapter, American College of Surgeons, Commission on Cancer, Morgantown, October 11 2013. James LaRosa, Department donor He had lifelong passions for Italian cuisine and golf. Various community development efforts, including a recreation center in Summit Hill and the humane societies in Harrison and Upshur counties, received his support. He was named by Ronald Reagan to serve on the Jubilee Commission to celebrate the 500th anniversary of Christopher Columbus’s first voyage to the Western Hemisphere. A 1948 WVU graduate in business administration, he assumed in 1961 the position of president of LaRosa Fuel Company, the surface mining company his father founded. In time the business expanded to include facilities in Upshur, Randolph, Barbour, and Harrison Counties. He served on the WV Coal and Advisory Commission and was on the founding board of the WV Surface Mining and Reclamation Association. He developed the Bridgeport Hill interstate interchange at US Highway 50. Christina Carey was named lead advanced practice professionals for the Department. She will coordinate the activities and assignments of the physician assistants (PA) and nurses who help attending surgeons and staffs. She has been a PA for 14 years, first working in clinic research at Merck & Co., then as an outpatient clinic PA in cardiology with Thomas The Residency in Surgery will Jefferson University Hospital in participate in a national study Philadelphia. Coming to investigating the effect of resident Morgantown when her husband was duty hour restrictions on patient on military assignment in the area, outcomes. The study will take place she came to work at Ruby Memorial in the 2014 - 2015 year. Cynthia Hospital first with the inpatient Graves, assistant professor and orthopaedic trauma service then program director, will coordinate the recently with general surgery. study at WVU. WVU in national duty hour study James D. LaRosa (1926 - 2014) of Bridgeport established the James and Emilia Surgical Research Endowment Fund in addition to his many contributions to the School of Medicine and University. Among his donations was the first heliport at WVU Hospital. Christina Carey named lead advanced practice professional The Flexibility in Duty Hour Requirements for Surgical Trainees trial is co-sponsored by the American Board of Surgery and the American College of Surgeons. Using indices generated by the National Surgical Quality Improvement Program (NSQIP), FIRST will test whether allowing flexibility in duty hour restrictions affect patient care outcomes. The only work restrictions that will remain in force will be the 80 hour per week restriction, one day off in seven averaged over four weeks, and no more than one night on call out of three nights, averaged over four weeks. Left: Incoming intern (urology) Ali John Najiran (kneeling) proposes marriage to fellow graduate Jessica Johnson at commencement in May. She said yes, to the delight of Dr Najiran, attendees at the graduation ceremony, newspaper readers statewide and YouTube viewers throughout the internet. Clockwise from above left: Chair Don Nakayama (from left), Dean and Professor Arthur Ross, WVU president Gordon Gee, and inaugural Harriet Tubman visiting professor Wayne Frederick at the Erickson Alumni Center; Frederick and Gee; Frederick and WVU health chancellor Christopher Colenda. Right: John Hanks (at left), 2014 Covey visiting professor, and WVU SOM Dean and Professor Arthur Ross enjoy a laugh before the Covey lecture. They were surgery residents together at Duke University. Below: Always engaging, honoree Thomas Covey charms medical students. Above: Mid-level providers meet in the newly remodeled administrative suites on the 7th floor, Health Science Center South. Long-time home of coders and billing personnel, cubicles were removed with reorganization that allowed work from home. A meeting area is in the rear, with a large screen monitor that allows access and review of on-line resources, records, and images. Left: Sara Bias and Kristin Rosati of the bariatric service at the Morgantown Mall in October. Right: Gianna Maria Bonasso, born March 12 2014, a healthy 5 lb 14 oz, to Marissa and Patrick Bonasso, PGY1. Right: The Salkini family helping dad at the HealthExpo event in October. From left: Mohamad Salkini and his wife Sarah, son Zade, grandfather Huzefa holding Khaled, grandmother Rabab and oldest son Malek. Below: The Coach and his urology team. From left: Robert Jansen, PGY5; Morris Jessop, PGY1; Dana Point, PGY3; Chad Morley, PGY2; Coach; Hilary Morley; Mary Helen Hess, PA-C; Ashley Point. Above: Jen Knight and Matt Loos hosted their annual Christmas party in December. Their son Andrew, 8, made sure everyone felt welcome. Sharon Bartholomew Cindy Chandler-Pasquarelli Ruth Fitzgerald Bruce McClymonds About the photography: The real high-quality photographs comes from long-time Health Center photographer Bob Beverly. Always accommodating and professional in his craft, the images that make this publication approach industry standards come from his talent. The Department office has other images from our events - requests can be made with Sharon Bartholomew and must come with lots of chocolate.