Rutgers New Jersey Medical School's Department of Surgery Newsletter, v1 2014

Vol. 1 Issue 1 - 4, 2014

I am so pleased to welcome you to our new Department of Surgery Newsletter. Change is afoot in the Department, and we have lots of exciting news and accomplishments to present.

On February 1, 2014 I was honored to become the third Chair of the Department of Surgery, following in the distinguished footsteps of Dr. Edwin Deitch and Dr. Benjamin F Rush, Jr. They are big shoes to fill but I hope to carry on the long tradition of academic and surgical excellence they established. Founded by Dr. Rush in 1969, as part of the then, new University of Medicine and Dentistry of New Jersey, the Department grew over the next twenty-five years under his leadership, to become nationally recognized in surgical research and education, and a major provider of cutting edge surgical care in the region. Dr. Deitch assumed the chairmanship in 1994, expanding the department to include ten surgical divisions, developing many with the national prominence we enjoy today. Under his leadership the Department flourished, becoming one of the top ten Departments of Surgery in NIH research funding, and one of the most highly sought after surgical residency programs in the nation. Over the forty-five years of its history, we have trained over six hundred surgeons, many who have gone on to be leaders in their own right.

I am proud to carry on this great legacy, and look forward to leading the Department forward to new heights, - expanding our high quality specialty services both here in Newark, and out into the region, developing new centers in clinical, translational, outcomes and practice based research, and advancing educational innovation in our surgical training programs. As part of Rutgers University, we have tremendous opportunity for collaboration with our sister schools, and new alignment with University Hospital and others.

While we look toward an exciting future, our first Newsletter gives us cause to celebrate the last year. Inside you will find much to be proud of, - I hope you enjoy reading about our talented new young clinical faculty, Dr. Lloyd Brown, Dr.

Aziz Merchant, Dr. Ajay Dhadwal, and Dr. Jonathan Keith. Just a few other highlights - our basic science research program in sepsis and shock continues to expand with a new NIH grant awarded to Dr. Gyorgy Hasko, and a landmark publication in Nature Medicine by Dr. Luis Ulloa. We were awarded a Gold/Picker Humanism Foundation grant to develop innovative curricula for surgical residents in communication of bad news. Our residents continue to excel both in and out of the operating room, with a record number of teaching awards and national research presentations. Dr. Kimberly Song won the Earl Young Award of the Western Trauma Association for the best resident paper presentation. Most recently we were honored to host Dr. Diane Meier, Vice-Chair for Public Policy and Professor of Geriatrics and Palliative Medicine, as the inaugural speaker for the Pat Murphy Endowed Lecture in Palliative Care.

Also inside you will find information about our upcoming Benjamin F Rush, Jr Symposium and Gala on May 9th 2014, The Legacy of Bemjamin F. Rush Jr, M.D.: Embracing Surgical Innovation. This promises to be an exciting event, - many of you have already committed – and it will be a wonderful reunion and day to celebrate Dr. Rush and our surgical heritage.

Details on registration, tickets are inside, and I hope to see you all there on May 9th.

Please read about these and other news inside - I hope you enjoy this Newsletter. The past year has been a great one for us, and I have no doubt that 2014 will prove to be even better. I look forward to sharing with all of you the achievements throughout the Department of Surgery and am excited for what the coming year holds for us all.

Sincerely,

Department News

Highlights: Message from the Chair

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Department News

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New Faulty & Staff

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Achievements, Awards and Acknowledgements

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Retirements and Departures

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In Memorium

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Department Events

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Education

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Patient Care

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Research

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Community Outreach

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2014 Golden Apple Nominees

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Upcoming Events

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Publications and Presentations

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The Department of Surgery would like to thank Darlene Adams, Tiffanie Hart and Krystina Rosania for their work on putting together this edition of the Department Newsletter. For future submissions, please contact Krystina Rosania at 973-972-9573.

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“Coming together is a beginning; keeping together is progress; working together is success.” - Henry Ford In the past year and a half, the Department of Surgery has undergone a complete reorganization of staff. Within that time frame, we have welcomed wonderful additions to our team and have had to say farewell to others.

Two thousand and thirteen was a transitional year for us, and we look forward to the great things that are in store.

Indeed, one of our proudest moments was the announcement of Anne C. Mosenthal, M.D. as the Chair of the Department of Surgery here at New Jersey Medical School. Dr. Mosenthal was serving as the Interim Chair since 2011, and after a nationwide search Dean Robert Johnson, M.D. made the announcement of her new role on January 31, 2014.

A little bit about our new Chairman…

Dr. Mosenthal completed an undergraduate degree from Cornell University and received her MD with Honors from Dartmouth Medical School. She completed her surgical training at the University of Massachusetts Medical Center and served as Chief Resident from 1989 to 1990.

She then completed a research fellowship in mechanisms of sepsis, under the mentorship of Dr Mitchell Fink, followed by a fellowship in Surgical Critical Care. Since completing her fellowship in Surgical Critical Care at Massachusetts General Hospital in 1992, Dr. Mosenthal has devoted her career to academic surgery, primarily as a trauma/critical care surgeon, and more recently as a palliative medicine physician. She is Board Certified by the American Board of Surgery, Surgical Critical Care, and Hospice and Palliative Medicine.

Through her work caring for the critically injured, Dr Mosenthal developed her academic and research interests in palliative medicine and end-of- life-care in surgery, trauma and critical care. She is the founding director of the first Palliative Care Division in Surgery in the nation.

She is nationally recognized as an expert and leader in this field, holding leadership positions as a member of multiple national advisory boards in surgery and palliative care, including

Vice Chair of the American College of Surgeons Committee on Palliative Care, the Improving Palliative Care in ICU Project (IPAL-ICU) of the Center to Advance Palliative Care, and the Robert Wood Johnson Foundation Promoting Excellence in End of Life Care. She has received multiple awards. She was chosen as a Faculty Scholar in the Project on Death in America Program of the Soros Foundation and the recipient of grants from the Robert Wood Johnson Foundation for her work in palliative care in trauma and critical care. She received the Grenvik Family Award in Ethics from the Society of Critical Care Medicine in 2007.

Dr. Mosenthal has been on the faculty of New Jersey Medical School since 1992. She has served admirably as Interim Chair of Surgery since 2011, during a time of great transition in the institution. Prior to being named Interim Chair, Dr. Mosenthal served as Chief of the Division of Surgical Critical Care, Chief of the Division of Surgical Palliative Care, and Director of the Surgical Intensive Care Unit at University Hospital. In the past, she has held multiple leadership positions such as Program Director of the General Surgery Residency, and President of Faculty Organization at New Jersey Medical School. She is a Fellow of the American Association for the Surgery of Trauma, and American College of Surgeons. She was a 20112012 Fellow in the Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) program for women at Drexel University College of Medicine.

Within NJMS, Dr. Mosenthal has served the institution by her membership in several standing committees, working as a member of the UPA Board, serving on several search committees, and, along with Dr. Vivian Bellofatto, chairing the very successful Strategic Planning Committee for New Jersey Medical School, culminating in a five-year New Jersey Medical School Strategic Plan.

Dr. Mosenthal has mentored several fellows and post-docs during her career, and has been the recipient of significant grant support. She has contributed to the literature through her authorship of over 65 publications, books and chapters, 40 abstracts and multiple presentations.

Dr. Mosenthal lives in Manhattan with her husband, Dr. Peter Rice. They have two children: Henry, age 19 and Leah, age 16.

The Department of Surgery Welcomes…

LLOYD BROWN, M.D., M.S – TRANSPLANT Lloyd Brown, M. D., M.S. is an Assistant Professor of Surgery at Rutgers New Jersey Medical School. Dr. Brown has a strong interest in both research and education. He is a graduate of the University of Rochester where he dual majored in both Biology and Health and Society. Upon completion of his studies at University of Rochester, he spent time teaching in middle school in Rochester New York. He was awarded his medical doctorate from the University of Rochester School of Medicine and Dentistry in 2002, during which time he was awarded a oneyear Howard Hughes Medical Institute Medical Student Fellowship at the National Institute of Health in 1999-2000.

Upon completing medical school he went on to residency training in General Surgery at The Ohio State University Medical Center. During his residency he did translational research in OSU Comprehensive Cancer Center and earned a Master of Science degree by participating in the Ohio State University College of Medicine’s Master of Science in Medical Science Program (MMSP). After residency he underwent fellowship training in abdominal organ transplantation at the Henry Ford Hospital in Detroit, Michigan. His training experience included Hepatobiliary Surgery and Abdominal Organ Transplantation including living donor Liver and Kidney transplantation. During his training he gained experience in isolated intestine and multi-visceral transplantation as well. His current role is as a member of the faculty Department of Surgery Division of Liver Transplantation and Hepatobiliary Surgery. Dr. Brown’s current research interests include: Non Alcoholic Fatty Liver Disease related to General Surgery and Liver Transplantation.

JOHN KEITH, M.D. – PLASTIC SURGERY Dr. Jonathan Keith recently joined Rutgers New Jersey Medical School as Assistant Professor in the Division of Plastic and Reconstructive Surgery. He completed his undergraduate work at the University of Maryland and went on to earn his medical degree at the University of Pittsburgh. After completing his M.D., Dr. Keith went on to his residency at the University of Pittsburgh, one of the most well respected plastic surgery training programs in the nation.

In 2012, he was awarded the Stephen S. Kroll Fellowship in microsurgery at the University Hospital of Gent, Belgium; one of four Americans to achieve this honor. During his fellowship, Dr. Keith gained expert experience in cutting edge techniques for creating the aesthetic ideal in reconstructive breast surgery.

He has also participated in medical missions to places such as South Africa and Vietnam, and while in Vietnam he lectured on Hand Transplantation and Advanced Breast Reconstruction.

With a dual appointment as attending staff at The University Hospital, Dr. Keith takes pride in his responsibility as surgeon and teacher, enabling him to share his knowledge and experience in surgical principles and aesthetic ideals in reconstructive surgery. Dr. Keith specializes in microvascular surgery for breast reconstruction as well as management of complex wounds. He is an Associate Fellow of the American College of Surgeons.

AJAY DHADWAL, M.D. – VASCULAR SURGERY Dr. Ajay Dhadwal is a Vascular & Endovascular Surgeon who has joined the Division of Vascular Surgery.

He received his medical degree from University College London and undertook basic surgical training in London, including St Mary’s hospital and Great Ormond Street Hospital for Children. After a two year Vascular Surgery research fellowship at Yale University School of Medicine focusing on the role of Nicotine in causing atherosclerosis at the molecular level, he completed a General Surgery Residency at Boston University and Maimonides Medical Center in Brooklyn followed by a Vascular & Endovascular Surgery Fellowship at Baylor College of Medicine in Houston. He comes to us after holding a faculty appointment at University of Illinois and holding his own HMO practice in Seattle, WA. Dr. Dhadwal joins us to pursue his passion for teaching and provide high quality minimally invasive endovascular techniques to the urban population of New Jersey. He will be seeing patients at University Hospital, Jersey City Medical Center, and Trinitas Hospital.

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The Department of Surgery Welcomes…

AZIZ MERCHANT, M.D. – GENERAL SURGERY Dr. Aziz M. Merchant is an Assistant Professor of Surgery in the Department of Surgery at New Jersey Medical School. His clinical expertise and areas of interest include minimally invasive surgical techniques, advanced laparoscopy, Bariatric surgery, and obesity. His research interests include surgical outcomes, patient-centered outcomes, quality improvement, and cost-effectiveness research. From an educational perspective, Dr. Merchant’s interests include surgical residency training and surgical simulation. Dr. Merchant currently serves as a committee member for Research, Publications, and Bariatrics committees of the Society of American Gastrointestinal and Endoscopic Surgeons. He is an active member of the American College of Surgeons, the American Society for Metabolic and Bariatric Surgery, and the Association of Academic Surgery. Dr. Merchant completed medical school at Thomas Jefferson University in Philadelphia, followed by surgical residency at Georgetown University. The finished a fellowship in advanced laparoscopy and bariatric surgery at Emory University.

MICHAEL SHAPIRO, M.D. – GENERAL SURGERY Dr. Shapiro is a graduate of Williams College and the University of Rochester School of Medicine and Dentistry. He trained in General Surgery at Boston’s Beth Israel Hospital and Harvard Medical School, and did a post-doctoral fellowship in Immunology with Nobel Laureate Baruj Benacerraf at Harvard. Dr. Shapiro then joined the faculty at Harvard Medical School, practicing general surgery and teaching residents and medical students. He became Chief of Organ Transplantation at Beth Israel Hospital in 1992 and Chief of Pancreas Transplantation at Beth Israel Deaconess Medical Center in 1996. In 1999, Dr. Shapiro moved to Hackensack University Medical Center as its first Chief of Organ Transplantation and Associate Professor of Surgery, New Jersey Medical School/UMDNJ. Dr. Shapiro has been active in bioethics, serving on clinical ethics consultation services in both Boston and Hackensack, and the national and international transplant ethics committees. He also has many years involved in both basic and clinical transplant research, leading to new antirejection drugs. He is author of more than 70 peer-reviewed papers, review articles and book chapters. Dr. Shapiro’s now serves as the Residency Program Director and Chief, Division of General Surgery at Rutgers-New Jersey Medical School. His clinical interests include all aspects of general surgery, with particular interests in endocrine and gastrointestinal surgery, and in the comprehensive surgical care of patients with renal disease.

The Department of Surgery would also like to welcome new members to our administrative and clinical support teams.

Tiffanie Hart; Administrative Coordinator Marquiah Geiger, Administrative Coordinator Krystina Rosania, Administrator Coordinator Michelle Jimenez, Program Coordinator

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Yahaira Torres, Surgical Representative Lili Bustamante, Medical Assistant Gina Pettigano, Medical Assistant

Achievements, Awards And Acknowledgements Promotions/New Appointments

“An inquiring, analytical mind; an unquenchable thirst for new knowledge; and a heartfelt compassion for the ailing - these are prominent traits among the committed clinicians who have preserved the passion for medicine.” Lois DeBakey, Ph.D. Anne C. Mosenthal, M.D. was appointed Chair of the Department of Surgery.

Ravi J. Chokshi, M.D. (Division of Surgical Oncology) was recently promoted to Section Chief for Surgical Oncology and became an ACS Fellow in October 2013.

David Livingston, M.D. and Anastasia Kunac, M.D. (Division of Trauma) are now SICU Co-Directors.

Dr. David Livingston and Dr. Leslie Tyrie are Co-Directors for the Surgical Critical Care Fellowship.

Justin Sambol, M.D. (Division of Cardiothoracic Surgery) is President Elect 2013 of the University Hospital Medical Staff and will be 2015 Medical Staff President.

Paul Bolanowski, M.D. (Division of Cardiothoracic Surgery) is now President of Alumnae Association.

Dr. Edward S. Lee is now the Program Director for the Plastic Surgery Residency.

Dr. Imani Jackson Rosario is now the Program Director for the Urology Residency.

Yolonda Keith, CPC is now the Practice Administrator for the Faculty Practice.

Congratulations to the following faculty and staff members for their outstanding work: Christine Cesareo (Division of Surgical Oncology) was presented with the Certification of Appreciation on 1/29/14 for supporting the community outreach initiatives of University Hospital.

Adam Fox, M.D. (Division of Trauma) received the “Making a Difference” award from the Rutgers Emergency Medicine Residency Program.

Dr. David H. Livingston was appointed President of the Western Trauma Association (WTA) for 2013-2014 and presided

over the 44th Annual Western Trauma Association conference in Steamboat Springs, Colorado, March 1-7, 2014. The WTA, originally founded by general and orthopaedic surgeons, is the only multispecialty trauma organization in the United States. As outlined in its mission statement the WTA is committed to the improvement of trauma care through research, education, sharing of clinical experiences, as well as the development of physicians of all specialties who are involved in the care of trauma it is dedicated to the care of the injured. Unique to this group, the goals of the Association are not only the intellectual growth attained through increased knowledge, but also the emotional growth, attained through camaraderie and interaction with family and friends in an environment conducive to winter sports. Dr. Livingston gave his Presidential Address, titled “Fellowship of the Snow”, which described the optimal environment required for advanced professional education and personal growth to an audience of 500 members, family and guests.

Imani Jackson Rosario, M.D. (Division of Urology) had a New Jersey Policemen’s Benevolent Association Dinner held in honor for all of the wonderful work she does for Prostate Awareness.

She received the Ronald B. Lopez Hope Award for the Law Enforcement Officers Against Prostate Cancer FoundationLEOAPCF in April 2013.

Lloyd G. Brown, M.D. and Baburaukoneru, M.D. (Division of Transplantation) both received “U are University Hospital” Recognition Certificates on behalf of the Patient Relations Department for their commitment to service excellence and patient satisfaction.

Dorian Wilson, M.D. participated in the Who’s the Human in Your Humanism panel on January 24, 2014.

Resident Sarah Bryczkowski, MD (General Surgery) was nominated for the H.E.R.O. Award honoring Excellent Resident Observations, launched by the professional lab coat company, Medelita. Let’s show Dr. Bryczkowski our support by voting for her. An online community vote will take place for two weeks from April 1, 2014 – April 15, 2014, at which time you may submit one vote per available social network (Facebook, Twitter, and Google Plus) for Dr. Bryczkowski. The honorarium winner will be announced on April 25, 2014.

Resident Kimberly Song, M.D. (General Surgery) received the Earl G. Young Resident Research Prize for best paper by a resident or fellow at the 43rd Annual Meeting of the Western Trauma Association. She is the 3rd Rutgers NJMS surgical resident to win this prize.

Fellow Eric Olivero Ramirez, M.D. (Division of Vascular Surgery) received the 2013 Vascular Society of New Jersey Hobson Award.

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Retirements and Departures MARK L. JORDAN, M.D. – UROLOGY Dr. Jordan joined the Department of Surgery faculty of New Jersey Medical School in June 2003 and was appointed as the Chair and Program Director of the Division of Urology. He held that role until his departure in November of 2013. He has since moved on to a faculty position at UCLA.

PAT MURPHY, APN - 15 YEARS OF SERVICE BARBARA AZZATI – 40+ YEARS OF SERVICE VIVIAN WILLIAMS – SURGICAL EDUCATION/ CLERKSHIP - 27 YEARS OF SERVICE

ALICIA M. MOHR, M.D. – TRAUMA Dr. Mohr started here at New Jersey Medical School as a student and stayed through to the completion of her general surgery residency. In 2000, she went to complete a fellowship in Surgical Critical Care and Trauma at University of North Carolina Chapel Hill, only to return to us as a full time surgical attending. In 2009 Dr. Mohr became the Program Director for the Surgical Critical Care Fellowship. As of December 1, 2013, Dr. Mohr has moved on to College of Medicine, University of Florida in Gainesville Florida.

VANESSA BROWN – DIVISION OF UROLOGY – 32 YEARS OF SERVICE

MARGARET BROWN – GENERAL SURGERY RESIDENCY PROGRAM COORDINATOR – 10 YEARS OF SERVICE

In Memoriam Benjamin F. Rush, Jr., M.D. – Benjamin F. Rush, Jr., M.D. was the founding chairman of the Department of Surgery at New Jersey Medical School in 1969. He passed away on February 22, 2013, and we as a department were given the responsibility to carry on his wonderful legacy. For more information on Dr. Rush, as well as information on attending and supporting the “Legacy of Benjamin F. Rush, Jr. M.D.: Embracing Surgical Innovation” Educational Symposium and Gala, please see page 14 of our newsletter.

CLAIRE D. SMITH – Claire D. (nee: Scott) Smith, 65, of Secaucus, NJ entered into rest at home on Friday, April 12, 2013.

Claire came to the UMDNJ family in July 1999. Claire work in an administrative capacity for the Department of Surgery for nearly 14 years. Donations in memory of Claire may be made to St. Jude Children's Research Hospital , 501 St. Jude Place, Memphis, TN 38105.

Department Events Not only do we work together, but we celebrate together too…

First Annual Department of Surgery “Family Fun Day” On Saturday, August 10, 2013 the Department held its first annual Family Fun Day. The event was held on the party deck at Newark Bears’ Stadium for the Bears vs. Quebec Capitales game. While the Bears’ lost with a score of 6-5, the day was a win for the Department. Families and friends came together for a delightful day of quality time. We look forward to planning the next event for 2014!

Annual Department of Surgery Holiday Party Another of the Department’s annual successful events is the Holiday Party. This past year’s party was held at McCloone’s Boathouse in West Orange, NJ on Thursday, December 5. It was a fantastic evening; a night away from the office to enjoy each other’s company and share in the holiday spirit.

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EDUCATION

“Education is the kindling of a flame, not the filling of a vessel.” – Socrates With three residency programs, two fellowship programs, and a clerkship, the Department of Surgery strives every day to not only meet the needs of our students, but encourage them to greatness. Our faculty members work diligently to ensure that all of the residents, fellows, and medical students learn not only the core surgical knowledge required of them, but the best possible patient care necessities as well. As a whole, the Department strives for outstanding medical care for our patients, and we aim to instill those beliefs into every learner we educate.

The Surgical Clerkship is a level of education here at New Jersey Medical School that works hard to provide medical students with a well-rounded set of knowledge and techniques to help propel them into their medical careers. In the graduating class of 2013, thirty seven students chose a surgical path for their residency training. This number is an all-time high for the Clerkship, with a record 21% of the class choosing Surgery. The Surgical Clerkship is divided into a group of six rotations, eight weeks per rotation. The fifth rotation for the NJMS Graduating Class of 2015 has reached another record!

Their Surgical Shelf Exam results have come in and thirteen of the thirty students were honored; 43% of the class.

New to our academic program is a course developed by Dr. Mark S. Granick, Dr. Kenneth Swan, Dr. Jonathan Keith, Dr. Devashish J. Anjaria, and Dr. William Fallon, known as “Surgical Bootcamp.” This is a two week intensive preinternship course designed for our graduating medical students that have been accepted into surgical programs around the country. They will be taught things such as how to give presentations, be able to participate in cadaver and skills labs, along with other valuable skills they will need in order to start their surgical education careers on the right path.

The General Surgery Residency welcomes new Program Director, Dr. Michael Shapiro and Program Coordinator Michelle Jimenez. We are excited to announce our affiliation with St. Peter’s in New Brunswick, New Jersey, where we will be having our residents rotate at the start of the 2014 Academic Year. Residency interviews have wrapped in January of this year and match day is in March. We are looking forward to the welcoming of our new residents.

In the Division of Plastic Surgery, new Program Director, Dr. Edward Lee, has overseen the reorganization of the Plastic Surgery Residency Program and has been actively mentoring residents in clinical research. Dr. Mark Granick is a founder and co-Editor in Chief of ePlasty, the first Open Access Journal of Surgery. It is Pub Med and Pub Central indexed with involvement from both the faculty and residents of the program.

The Department of Urology welcomes Dr. Imani Jackson Rosario as the new Residency Program Director. They also welcome their two new residents from January 2014 Match Day. The new academic year has wonderful things in store.

The Vascular Surgery Fellowship at Rutgers New Jersey Medical School has a proud history. Since graduating their first fellow in 1978, Dr. Zafar Jamil, the fellowship has produced some of the finest vascular surgeons in the country. The Vascular Fellowship graduates are leaders in their communities and active in regional and national vascular societies. We are proud to continue the vascular educational excellence initiated here by Dr. Robert Hobson. The fellowship was recently restructured and now has two strong training sites, University Hospital and Hackensack University Medical Center. Fellows spend their first and final six months at University Hospital, and their middle 12 months at Hackensack University Medical Center. Dr. Curi serves as the Program Director and the first graduate of the new program, Eric Olivero-Ramirez, M.D., will be graduating this coming June.

The two Trauma fellows have accepted new appointments that they will be moving on to post graduation. Tim Schwartz, M.D. accepted a faculty position at Kings County Hospital Center/SUNY Downstate. Michael Matos, M.D. signed a contract for a position as a faculty member at West Virginia University Health Sciences Center – Charleston Division.

A Picker/Gold Graduate Medical Education Challenge Grant was awarded to Dr. Lamba, Dr. Mosenthal and Dr. Tyrie entitled “Acquiring Skills in Communication: A curriculum to teach emergency medicine and surgery residents the procedure of ‘having a difficult conversation’ in a high-stakes environment.” It is designed to address the important issues of caring and compassionate communication and support for loved ones after resuscitation of a patient who has suffered a traumatic injury. In the emergency department, trauma resuscitations are intense, all-consuming events that can end in patient death or uncertain/poor outcomes in a previously healthy person. Traditionally, trauma training in surgery and emergency medicine (EM) is focused on acquiring the technical resuscitation skills, exemplified by the Advanced Trauma Life Support (ATLS) course. Little, if any, attention is paid to teaching residents how to cope with the death of the patient and many residents feel unprepared to deal with the stress and emotions of the resuscitation. This is further compounded by the chaotic setting of the trauma bay, the compressed time frame, and the need to deliver difficult news to a family with whom there is no prior existing relationship. Family members often face significant emotional trauma due to the unexpected nature of injury and have high emotional support needs. In this hectic environment it is vital that effective communication occurs. Therefore, surgery and EM residents need training to relay patient prognosis and support the family. This project (Continued on page 8)

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Education

PATIENT CARE

(Continued from page 7)

“Wherever the art of Medicine is loved, there is also a love of Humanity.” - Hippocrates

builds upon this group’s prior work, including teaching communication skills post-trauma resuscitation in the senior EM clerkship and teaching family meeting and palliative care skills to surgery residents in the surgical intensive care unit (SICU). The project is on-going and an update about its progress and outcomes will published in subsequent newsletters.

As we know, education is never ending in the work of physicians. Not only is it a value to us as a department to educate our students, but also to aid in the continuing education of our doctors and other medical staff. Our Trauma doctors provide an EMT Outreach program, which helps to better treat trauma patients on-scene and en route to the emergency room.

The Trauma Division also offers a course for Advanced Trauma Life Support. The Advanced Trauma Life Support course teaches doctors a systematic, concise approach to the early care of the trauma patient. This course is vital to guiding care for the injured patient in emergency department trauma rooms. ATLS course training provides a common language that can save lives in critical situations. The ATLS program provides participants with a safe, reliable method for immediate management of the injured patient and the basic knowledge necessary to: 1.

2.

3.

4.

Assess the patient’s condition rapidly and accurately.

Resuscitate and stabilize the patient according to priority.

Determine if the patient’s needs exceed a facility’s capacity.

Arrange appropriately for the patient’s inter-hospital transfer (who, what, when, and how).

5. Assure that optimum care is provided and that the level of care does not deteriorate at any point during the evaluation, resuscitation, or transfer process.

For doctors who infrequently treat trauma, the ATLS course provides an easy to remember method for evaluating and treating the victim of a traumatic event. For doctors who treat traumatic disease on a frequent basis, the ATLS course provides a scaffold for evaluation, treatment, education, and quality assurance. In short, ATLS is a measurable, reproducible, and comprehensive system of trauma care. (contact: Iesha Suber 973-972-5354) The upcoming ATLS Course Dates are: Thursday, March 27th and Friday, March 28th -Thursday, June 26th and Friday, June 27th & -Thursday, October 23rd and Friday, October 24th Please contact Iesha Suber for registration information at suberimuhnj.org or 973.972.5354.

Much evolution is occurring within education in the Department of Surgery, at New Jersey Medical School, and on national forums.

We are excited to grow and develop as a unit and continue to educate outstanding doctors to serve the community.

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Surgeons are an exceptional group, and the group on staff here at Rutgers New Jersey Medical School makes us proud to call them our own. Our doctors devote day in and day out to providing the ultimate in patient care. Each division works tirelessly to help its patients enjoy the best life they can live. In a community such as Newark, ensuring that patients have access to the care they need can truly be a challenge. The Reconstruction of DOC Suite 2300 Department of Surgery is honored to say that our doctors and their support staff rise to that challenge every day.

The Division of Cardiothoracic Surgery, Dr. Justin Sambol, Dr. Constantinos Lovoulos, and Dr. Paul Bolanowski, had a great year in 2013. The team was the first to perform a Valve Sparing Root Replacement at University Hospital and they continued to expand their robotic and minimally invasive program. Dr. Sambol has done about 50 cases and Dr. Lovoulos has been trained to begin use with the new technology. The thoracic practice has spread into the surrounding communities at Trinitas Hospital and Clara Maas. At Clara Maass, the CT Surgery team began a Navigational Bronchoscopy Program involving the biopsy of lesions that are far out from the lung known as “Super Dimensions” Overall, there was an increase in CT volume and the year ended with a zero mortality rate for coronary artery bypass.

Our Surgical Oncology Division aims to provide the best cancer care for the surrounding community and state. As an academic center we acknowledge that we provide aggressive surgical care and treatment that is not available at other institutions. The coming year hopes to prove beneficial for growth of the division and our pancreatic and peritoneal malignancies programs.

The Transplant Division jointly recruited a new Chief of Hepatology with the Department of Medicine in order to reinvigorate and invest our Liver Transplant Program. We are currently in discussions with University Hospital to reorganize and reallocate the resources of the program. Additionally, the UH liver disease census has increased significantly, and the hope is to to open a designated unit.

New faculty member, Dr. Aziz Merchant, has additional goals for the upcoming year that involve the development of programs in General Surgery that will help the department expand. Dr. Merchant would like to begin a bariatric program along with a strong minimally invasive program. He’d also like to develop clinical outcomes research and surgical simulation curriculum.

blood.”Glucono-delta-lactone is safe and commercially available as USP or food grade. It could become useful for treating conditions that require anticoagulants, such as coronary heart disease, and the life-threatening thrombotic complications observed in diabetes. We are presently seeking biotech or pharmaceutical company funding to license this technology and initiate clinical studies.

In the Division of Plastic Surgery, the residents have begun a Residency Aesthetic Service available on Thursday afternoons.

It allows the community to have more accessibility to plastic surgery treatments.

Hossein Sadeghi-Nejad, M.D. (Division of Urology) coauthored the section on the effects of smoking on reproductive health with Dr. Arthur Burnett from the Johns Hopkins University. Clearly the impact of smoking on overall health is absolutely tremendous and goes far beyond the work we did on reproductive health.

The Division of Vascular Surgery has seen tremendous growth over the past 3 years, most recently welcoming new faculty member Dr. Ajay Dhadwal in October 2013. In addition to the Division’s Outpatient Vascular Lab in the Doctors Office Center (DOC), featuring diagnostic testing and ultrasound guided procedure room, in fall of 2013 they have also opened a new office location in Jersey City on the campus of Jersey City Medical Center. With multiple office sites, and an in-office vascular lab & procedure room for ultrasound based interventions, the Division offers patients from Essex and Hudson counties convenient modern vascular care. We expect continued growth with the division providing services at Trinitas Regional Medical Center in Elizabeth starting on January 1, 2014.

RESEARCH

“Every great advance in science has issued from a new audacity of the imagination." John Dewey Making sure that patients get the best possible treatment must at times go a step farther than an office visit or procedure. Significant advances in the medical field get achieved on account of the research done and those that put the time in to investigate the undiscovered.

The Department has an outstanding reputation in research, and all those involved in it today carry on that reputation. It is a wonderful opportunity not only for our faculty, but for our students as well. The research here allows for residents to partake in a crucial opportunity that sets them apart and supplies them with another lever of education that is invaluable.

Charles R. Spillert, PhD, (Division of Research) Associate Professor of Surgery, has been granted US Patent 8,530,455 B2, HAEMOSTATIC EFFECTS OF GLUCONO-DELTA-LACTONE, September 10, 2013. “The invention claimed is: 1. A method of lessening the coagulation properties of a patient’s blood which comprises administration to a patient in need of anticoagulation therapy an appropriate effective amount of glucono-deltalactone and lessening the coagulation properties of the patient’s

The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Full Publication: http://apps.nccd.cdc.gov/osh_pub_catalog/PublicationList.aspx George Hasko, M.D., Ph.D. (Division of Research) recently renewed his R01 grant entitled “Adenosine in Trauma and Sepsis” (Oct 2013). In the current cycle, Dr. Hasko will study the role of the two metabolic enzymes that produce extracellular adenosine, CD39 and CD73, in regulating the immune response during sepsis. Previous studies by Dr. Hasko’s lab had shown that extracellular adenosine, which is an ancient extracellular signaling molecule, is an important regulator of the immune system and inflammation in sepsis. The current studies will increase our understanding on how adenosine is produced by CD39 and CD73, which will direct future therapeutic approaches targeting this signaling system in the management of patients with sepsis. It is important to emphasize that this is a 2nd renewal of a grant that he first obtained in 2002, which means that by the time this grant expires, he will have been continuously funded on this project for 15 years. The translational nature of these studies is highlighted by the fact, that Dr. Hasko has recently filed a patent entitled “Method for Attenuating or Treating Sepsis or Septic Shock”, which invention provides a method for attenuating or treating sepsis or septic shock by administering CD39 or CD73 to patients.

In addition to the area of sepsis, George Hasko, MD, PhD is also interested in other aspects of inflammation. His recent studies have uncovered an important role for adenosine and adenosine receptors in regulating inflammation in the adipose tissue. These studies show that endogenously produced adenosine decreases inflammation in the adipose tissue through binding to one of its receptors, the A2B adenosine receptor. This adenosine-mediated decrease in adipose tissue inflammation is crucial for the maintenance of glucose and lipid homeostasis in the body. The results of these studies were published in the March 2014 issue of Diabetes.

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Research (Continued from page 9) Luis Ulloa, Ph.D. is publishing an article in Nature Medicine Journal titled: Dopamine mediates vagal modulations of the immune system by electro acupuncture. The research is detailing a direct connection between the treatment of sepsis, a condition stemming from exposure to infection in hospital intensive care units, and acupuncture. “In many cases patients don’t die because of the infection. They die because of the inflammatory disorder they develop after the infection.

Electroacupuncture and specific therapeutics that mimic dopamine are complementary strategies for the treatment of sepsis” says Luis Ulloa,PhD. He and his team found that the treatment ceased to work when adrenal glands were removed, prompting them to seek an alternative treatment that would work for patients with low-functioning adrenal glands. The team ultimately found that fenoldopam, a drug that mimics the effects of dopamine, resulted in reducing sepsis-related deaths by 40 percent. This was the case even when electroacupuncture was not used. The studies are being highlighted and featured by: Yahoo news http://news.yahoo.com/acupuncture-looks-39promising-39-inflammatory-disease-treatment-165902245.html NIH http://www.nih.gov/researchmatters/march2014/031020 14sepsis.htm http://complementaryandalternativemedicine.blogspot.com/2 014/02/acupuncture-holds-promise-for-treating.html SCIENTIFIC AMERICAN http://blogs.scientificamerican.com/talkingback/2014/03/03/can-acupuncture-reverse-killer-inflammation/ NATURE MEDICINE http://www.nature.com/nm/journal/v20/n3/full/nm.3501.html CREST - The purpose of the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) is to compare the relatively new procedure of stent-assisted carotid angioplasty (CAS) to the traditional and accepted surgical approach of carotid endarterectomy (CEA) for the treatment of carotid artery stenosis to prevent recurrent strokes in those patients who have had a TIA (transient ischemic attack) or a mild stroke within the past 6 months (symptomatic) and in those patients who have not had any symptoms within the past 6 months (asymptomatic).

• CREST recently received clearance from the NIH/ NINDS to publish long-term results of the CREST cohort at the 5-year mean follow-up mark.

• CREST/CREST-2 Dinner meeting for AHA International Stroke Conference held earlier in February 2014.

The Surgical Oncology Division has ongoing research relating to cancer outcomes, cancer disparities, and studies investigating benign and malignant biliary strictures.

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Within the Transplant Division, Lloyd Brown, M.D. and Joseph Oliver, M.D. are utilizing the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP) database to investigate the impact of chronic liver disease on surgical outcomes. This database has over 200 participating hospitals (including the University Hospital) and is one of the richest databases regarding preoperative risk assessment and in robustness of postoperative complications.

Specifically, we are looking to see the magnitude chronic liver disease increases 30 day mortality, complication rates, hospital length of stay, rate of readmission and reoperation, and rate of discharge to assisted care facilities. Preliminary results submitted as an abstract to the annual ACS NSQIP conference which will be held in New York City in July.

Baburao Koneru, M.D. received FDA approval to conduct clinical trial regarding Thymoglobulin in Neurological Death Organ Donors (THYMONOD) Study- a Phase I Trial of Safety and Dose Escalation and published in Transplantation Journal 2014: Does Liver Ischemic Preconditioning in brain Death Donors Induce Kidney Preconditioning? A Retrospective Analysis.

Edwin Deitch, M.D. is the Principal Investigator for two grant supported trials: Training in Trauma and Critical Care Research, an NIH supported grant, and Novel approaches to shock-induced MODS, an active non-NIH supported grant.

The Division of Vascular Surgery has been participating in two multicenter clinical trials. The “TRANSFIX Zenith® Low Profile Endovascular Graft for Blunt Thoracic Aortic Injury Clinical Study” is a multicenter trial studying the efficacy and safety of a new low profile thoracic aortic stent graft and the EUCLID PAD Trial, which is a randomized prospective double blinded study that aims to compare the long term effects of treatment with ticagrelor versus clopidogrel on rates of cardiovascular death, myocardial infarction, and ischemic stroke in patients with established peripheral artery disease. The Division has several other ongoing research projects and some eager undergraduate students who work alongside the physicians learning the scientific method while helping construct databases and answer clinical questions that arise.

A year II grant from the Healthcare Foundation of New Jersey was awarded to Peter Yonclas, M.D. and Anne Mosenthal, M.D. in close collaboration with resident Sarah Bryczkowski, M.D. to continue their research in the area of Delirium prevention. The project entitled “Patient Centered Program for Prevention and Treatment of Delirium in ICU and Trauma Units” is critical to our patients as delirium among hospitalized patients is most common in the Intensive Care and Trauma Units, but particularly difficult to prevent due to the complexity of illness and care. This project tested an interdisciplinary patient and family centered clinical pathway

coupled with family and professional education to yield an anticipated decline in the incidence of hospital-acquired patient delirium.

Beginning in April 2012 within the University Hospital Trauma Center, the Delirium Observation Screening Scale (DOSS) has been completed every 12 hours. Sleep and light therapy has been fully implemented since April 2012 as well.

Faculty and PT students from the Rutgers School of Health Related Professions began providing range of motion and massage. They continue to administer treatments weekly with concurrent family education and emphasis on delirium prevention. Radios and compact disc players have been installed in all ICU rooms. Massage Therapy Instruction began in September 2012 for nursing staff to begin therapy with patients. In regards to Sleep Quality and Quantity, “Quiet Times” are in effect in our ICU with two 90 minute intervals of quiet time between the hours of 2 and 4 a.m. and 2 and 4 p.m.

Then, during daylight hours we will continue to incorporate “bright light therapy” exposure for our patients not exposed to natural light to further promote normal circadian rhythms.

Current research projects in the Division of Plastic Surgery include an NIH grant for Mark Granick, M.D. to study biofilm disruption in surgical prep solutions. This study is being conducted with Jeff Kaplan, M.D. from American University at the Walter Reed Army Institute of Research in Washington DC. Another study is a project on telomere physiology of wound healing with Abraham Aviv, M.D. and Utz Herbig, M.D. This is a preliminary study prior to grant application. The Division as a whole is involved in clinical research as well.

COMMUNITY OUTREACH

“Be the change you wish to see in the world.”

- Mahatma Gandhi All of the faculty, residents and staff here in the Department of Surgery have a passion for helping the world around them. Their life’s work has been devoted to outstanding patient care, and that includes going above and beyond to serve not only locally, but globally as well.

From educational outreach, to clinics, to fundraisers, to surgical missions, and back, the Department as a whole strives to make a lasting impact with the service we provide. Here’s just a few ways how…

International Surgical Health Initiative (ISHI) is a non-profit group founded in 2009 by Ziad Sifri, M.D. (Division of Trauma) and Asha Bale, M.D. who, along with Kevin Clarke, M.D. (also a graduate of NJMS), are the three mission leaders. They lead a group of up to 16 volunteers consisting of physicians, nurses, and medical staff that visit underserved countries to provide free surgical care to patients that otherwise do not have access to basic medical treatment. The missions are about two weeks’ time and have taken place in countries such as Sierra Leone, Haiti, Philippines, Ghana and Guatemala. In the years since

Ziad Sifri, M.D. on an ISHI mission.

ISHI originated, the number of surgeries performed has grown exponentially, totaling 931 surgeries (278 of which were performed last year alone).

The year 2013 was an amazing year for ISHI because it not only marked the achievement of their 10th mission, a wonderful milestone, but also the development of the ISHI NJMS Chapter.

The chapter was founded by two medical students and has since given six lectures on surgical missions. Three of our surgical residents, Julie Son, M.D. (PGY 4), Letitia Bible, M.D. (PGY 4), and Joyce Bonitz, M.D. (PGY 4), and three of our surgical attendings, Devashish Anjaria, M.D., Ravi J. Chokshi, M.D. and Ziad Sifri, M.D., participated in ISHI missions in 2013.

In 2014, ISHI aims to reach another milestone by completing their 1000th free surgery at one of their upcoming missions to Peru, Tanzania, Ghana and Sierra Leone. They welcome participation from residents and medical students alike, and look forward to more presentations related to surgical missions at Surgical Academic Meetings. ISHI works hard to provide free, safe surgeries while educating and supporting the local staff. As noted by Dr. Sifri, the work takes dedication and passion to serve communities where patients will come from miles away simply in the hopes of receiving basic medical care.

For more information on ISHI, along with details on annual fundraising dates and how you can lend a helping hand, please visit their website at http://www.ishiglobal.org or their Facebook page https://www.facebook.com/ISHIglobal.

Surgical Oncology Outreach Initiatives include Pseudomyxoma Peritonei/PMP PALS, which is working to increase exposure to the program offered here. In addition, the division has also co-chaired the Multidisciplinary Hepatocellular Carcinoma and Metastatic Liver Tumors Symposium and has grown it to include pancreatic malignancies in order to expose our institution's expertise. The division also participates in Surgical Volunteer trips to Haiti and the Philippines.

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Community Outreach (Continued from page 11) Some of our other doctors participate in similar missions.

Anastasia Kunac, M.D. (Division of Trauma) is going on Surgical Missions to Kenya from March 7-16 and Haiti April 25May 3. Mark Granick, M.D. (Division of Plastic Surgery) is working to reinstate the annual trips to Mauritius along with resident missions to Bangladesh with Shahid R. Aziz, M.D., D.M.D. (Plastics/Oral Maxillofacial).

Ogori Kalu, M.D. is the newest edition to the Surgical Oncology Division. Since her start here with us, she has been very active in patient care, education, and research relating to breast cancer. With a deep-rooted passion for medicine, Dr. Kalu takes much pride in the care and treatment of her patients.

The compassion and motivation that drives her to help her

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patients is truly to be admired. Dr. Kalu enjoys the education of not only the students here at Rutgers New Jersey Medical School, but also to the community. She hopes to increase the outreach programs offered to the surrounding area and is already working on expanding the breast cancer center at University Hospital.

The Department of Surgery staff, in conjunction with University Hospital Marketing, volunteered to work the University Hospital 2nd Annual Breast Health Awareness Conference on October 12, 2013. The event brought in over 150 guests and allowed them to interact with medical professionals to gain more awareness of breast cancer detection, treatment, care and research. The day’s presentations included “The Role of Mammography in Screening and Detection,” “Surgical Options in Breast Care,” “Advances in Breast Reconstruction,” and “Medical Oncology—Skilled Physicians Guide Your Care.”

On June 24, 2013 the University Hospital Staff held its Second Annual Medical Staff Tournament and Gala Dinner & Auction at Greenbrook Country Club in North Caldwell, New Jersey. The event is held not only to celebrate the quality of healthcare that University Hospital and its medical staff provide to the community, but also to raise money that goes to the renovations of patient waiting rooms throughout the hospital.

With Michael Curi, M.D. of Vascular Surgery as the event’s

Chair alongside Michael Jaker, M.D., Medical Staff President, Michael Sirkin, M.D., Medical Staff Past-President, Justin Sambol, M.D. and Anne Egan, the committee worked to make the second Golf Classic better than the first. Since the start of this annual University Hospital tradition in 2012, it has raised $130,000 and the Department of Surgery is proud to support this wonderful cause.

2014 Golden Apple Nominees We are proud to congratulate 21 of our faculty members, 47 or our residents/fellows and 1of our support staff for becoming nominated by the Rutgers New Jersey Medical School medical students a 2014 Golden Apple Award. The NJMS Student Council will be holding their Annual Golden Apple Awards and Dinner Dance on Saturday, March 29, 2014. If you are interested in attending please contact one of the Student Council Chairpersons: Jordan Pasternack – (732) 757-5749; Mark Biebel – (908) 601-8717; Blasé Ferraris – (908) 405-4689; or Rahul Dutta – (862) 485-3104. Here are the nominees for the Dept of Surgery: FACULTY Devashsih Anjaria David Dershewitz Joseph DiTrolio Adam Fox Joe Huang Anastasia Kunac Keith Kuenzler

Baburao Koneru Eric Lazar Edward Lee David Livingston John Manicone Mirseyed Mohit-Tabatabi Ravi Munver Frank Padberg

Rolando Rolandelli Hossein Sadeghi-Nejad Ziad Sifri Kenneth Swan Rachel Wellner Dorian Wilson

RESIDENTS/FELLOWS Eihab Abdelfatah Dare Adibaje Takintope Akinbiyi Vamsi Ali Edward Andraos Gregg Baranski Advaith Bongu Paul Bonitz Sarah Bryczkowski Atuhani Burnett Benjamin Chandler Dhaval Chauhan Kristin Cook Lilly Daniali Kunj Desai

Jack Diep Lorenzo DiGiorgio Jordan Dozier Adam Feintisch Jordan Fishman Amy Gore Farshid Hajimirzaee Maria Ham Franchesca Hwang Peter Johnston Puja Kachroo Neil King Leonard Mason George Mazpule Vinnie Medina Chris McGreevey

Joseph Oliver Lyly Nguyen Parth Patel Irene Say Anthony Scholer Jacob Schwartzmann Kim Song Aditya Sood Ketan Thanki Gregory Tiesi Ghia Vinluan Christine White Fatima Wilder Michelle Wilkens Janet Yeh Bledi Zaku

SUPPORT STAFF Vivian Williams

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UPCOMING EVENTS In memory of Benjamin F. Rush Jr., MD, Founding Chair, NJMS Department of Surgery

Educational Symposium Friday, May 9, 2014 8:00 A.M. to 3:00 P.M. Delta Dental Educational Conference Center in the Oral Health Pavilion Rutgers School of Dental Medicine 50 12th Avenue Newark, NJ 07103 Free of charge. Space is limited. Please register.

Biographical Sketch Benjamin Franklin Rush, Jr., was born January 14, 1924 in Honolulu, Hawaii.

His family bears no relationship to the famous 18th century physician. He received an A.B. degree from the University of California at Berkeley in 1944, and a M.D. degree from Yale in 1948. During the Korean conflict, Dr. Rush was assigned to a MASH (Mobile Army Surgical Hospital) and then to a surgical research unit. From 1954 to 1957, he received surgical training at the Sloan Kettering Division, Medical College, and Cornell University. In 1957, Dr. Rush was an instructor of surgery and assistant professor of Surgery at Johns Hopkins University; where later he became an assistant professor of surgery from 1959 to 1962.

Dr. Rush moved in 1962 to the University of Kentucky at Lexington, where he was appointed an associate professor of surgery at the new College of Medicine.

The college recruited students mainly from rural communities. His varied work at the University of Kentucky included research in the areas of hemorrhagic and traumatic shock, and renal physiology. The Army and National Institute of Health (NIH) supported this research. Dr. Rush was made professor of surgery at the University of Kentucky.

In the spring of 1969, he accepted the chairmanship of the Department of Surgery, New Jersey Medical School, at the College of Medicine & Dentistry of New Jersey, a forerunner to the University of Medicine and Dentistry of New Jersey (UMDNJ). At that time, the house staff was comprised primarily of foreign residents. By 1982, the surgical training program had recruited a house staff drawn totally from American medical schools. Also between 1969 and 1982, annual grant support increased from zero to $1 million, one half of this funding from NIH. In 1980-1981, the Department of Surgery, under Dr. Rush's leadership, was responsible for more than 300 publications.

Dr. Rush has held two chairs at UMDNJ: the Johnson & Johnson Chair from 1971 to 1980 and the Wesley Howe Chair from 1988 to 1991. He is held in high regard nationally for his research activity in the two areas of fluid balance and renal physiology in relation to surgery, and surgical oncology. After Dr. Rush stepped down as department chair, he remained on the faculty as a Distinguished Professor of Surgery before retiring from active faculty on June 30, 1996.

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Benjamin F. Rush Jr., MD

Gala Friday, May 9, 2014 7:00 P.M. The Newark Club Metropolitan Room One Newark Center, 22nd Floor Newark, NJ 07102

To register for the symposium, purchase tickets for the gala or make a donation to the Endowed Chair, visit: www.support.rutgers.edu/benrushchair

All proceeds benefit the Rush Endowment at the NJMS Department of Surgery.

Third Annual

Rutgers Day Come visit the Department of Surgery at Rutgers Day!!

Maplewood Country Club 28 Baker Street Maplewood, NJ 07040

We Will Have Games, Prizes and Loads of Information all about Our Department!!

Thursday, June 5, 2014 Hosted by

Saturday, April 26, 2014 10am-4pm

University Hospital Medical Staff Organization in support of

Upcoming Surgical Ground Rounds (Fridays, 8:00 a.m. – 9:00 a.m., MSB B-610) FRIDAY—April 4, 2014 “SURGICAL ONCOLOGY” Gregory Tiesi, MD Administrative Chief Resident, General Surgery Residency Program Rutgers New Jersey Medical School, Newark, NJ FRIDAY—April 11, 2014 “TRAUMA CRITICAL CARE” Tim Schwartz, MD Trauma Fellow Rutgers New Jersey Medical School, Newark, NJ FRIDAY—April 18, 2014 GOOD FRIDAY– NO GRAND ROUNDS FRIDAY—April 25, 2014 "CURRENT MANAGEMENT OF VASCULAR TRAUMA” Eric V. Olivero MD Vascular Surgery Fellow Rutgers New Jersey Medical School, Newark, NJ

FRIDAY—May 2, 2014 RESIDENT RESEARCH PRESENTATIONS FRIDAY—May 9, 2014 THE 19TH ANNUAL BENJAMIN F. RUSH, JR., MD SURGICAL SOCIETY KEYNOTE SPEAKER PRESENTATION RESIDENT RESEARCH PRESENTATIONS FRIDAY-May 16, 2014 ERIC MUNOZ MEMORIAL DISTINGUISHED LECTURE C. William Schwab, MD, FACS, FRCS Professor of Surgery University of Pennsylvania Medical Center Philadelphia, PA Physician-In-Chief PennSTAR Flight Hospital of the University of Pennsylvania, Philadelphia, PA

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Presentations And Publications Dr. Ziad C. Sifri was the 17th annual Paint the Ceiling lecturer for the 44th Annual Meeting of the Western Trauma Association in Steamboat Springs, Colorado. His lecture titled, “When Reality is Better than the Dream: The Story of ISHI”. Dr. Sifri co-founded and is currently the President of International Surgical Health Initiative (ISHI). ISHI is a humanitarian non-profit organization that provides free surgical care to underserved communities internationally through volunteer services provided by surgeons and other health care professionals. The lecture was named in honor of Dr. Gregory “Jerry” Jurkovich. Dr. Jurkovich delivered his Presidential Address entitled “Paint the Ceiling: Reflections on Illness” in 1997. This was a personal account of his battle with non-Hodgkin’s lymphoma. His deep insights were shared from a patient’s perspective, and the title coming from his ongoing observation of a stained ceiling while lying on his back in his hospital bed. He proposed that all future WTA Scientific Programs have some time “dedicated to our patients and to the Art of Medicine”.

Publications Patel B, Han E, Swan KG, Schatzki, R. A Familiar Ring. American Journal of Radiology. 2013 Nov;201(5):W678-82. doi: 10.2214/AJR.13.10748.

Swan KG “Tourniquets and Pressure Points – What You Need to Know.”

Presented at Hackensack University Medical Center Surgical Grand Rounds, Hackensack, NJ November 2013.

Creange C, Enriquez R, Swan KG. Frederic E.B. Foley: Beyond the Catheter.

Journal of Trauma and Acute Care Surgery. 2013 Sep;75(3):520-4. doi: 10.1097/TA.0b013e31829bb866.

Swan KG “Our Surgical Heritage – Lessons from the Battlefield.” Presented at Trinitas Medical Center, Elizabeth, NJ May 2013.

Belilos E, Oleske JM, Medow NB, Sadovsky R, Campese CL, Bello JA, Swan KG. The Greater Metropolitan Medical Alumni Council (GMMAC): The Realization of a Need. Journal of Investigative Medicine. 2013 Aug;61(6):967-71. doi: 10.231/JIM.0b013e318297d249.

Levy G, Fishman JE, Xu DZ, Feketeova E, Dong W, Qin Y, Chandler B, Alli V, Ulloa L, Deitch EA. Parasympathetic Stimulation Via the Vagus Nerve Prevents Systemic Organ Dysfuction by Abrogating Gut Injury and Lymph Toxicity in Trauma Hemorrhagic Shock. Shock. 2013 Jan;39(1):39-44.

Sambol J, Deitch EA, Takimoto K, Dosi G, Yatani A. Cellular basis of burninduced cardiac dysfunction and prevention by mesenteric lymph duct ligation.

Journal of Surgical Res. 2013 Aug; 183(2):678-85. Epub 2013 Feb 22.

Fishman JE, Levy G, Alli V, Sheth S, Lu Q, Deitch EA. Oxidative modification of the intestinal mucus layer is a critical but unrecognized component of trauma hemorrhagic shock-induced gut barrier failure. Am J Physiol Gastrointest Liver Physiol. 2013 Jan 1;304(1):G57-63. Epub 2012 Nov 1.

Tiesi G, Reino D, Mason L, Palange D, Tomaio JN, Deitch EA. Early traumahemorrhage-induced splenic and thymic apoptosis is gut-mediated and toll-like receptor 4-dependent. Shock. 2013 Jun;39(6):507-13.

Chandra R, Federici S, Bishwas T, Németh ZH, Deitch EA, Thomas JA, Spolarics Z. IRAK1-dependent signaling mediates mortality in polymicrobial sepsis. Inflammation. 2013 Dec;36(6):1503-12.

Son JY, Chandler B, Feketova E, Qin Y, Quackenbush EJ, Deitch EA. Oral pretreatment with recombinant human lactoferrin limits trauma-hemorrhagic shock-induced gut injury and the biological activity of mesenteric lymph. J Surg Res. 2014 Mar;187(1):270-7. Epub 2013 Oct 19.

Choudhry AJ, Anandalwar SP, Choudhry AJ, Svider PF, Oliver JO, Eloy JA, Chokshi RJ. Uncovering malpractice in appendectomies: a review of 234 cases. J Gastrointest Surg. 2013 Oct;17(10):1796-803. Epub 2013 Aug 1.

Bongu A, Lee ES, Peters SR, Chokshi RJ. Locally aggressive and multicentric recurrent extraocular sebaceous carcinoma: case report and literature review.

Eplasty. 2013 Aug 21;13:e44. eCollection 2013.

Agarwal N ’14, Grover K ’15, Tabakian M, Swan KG “A Paradigm for Increasing Medical Student Matriculation into Surgical Specialties.” Presented at the 9th Annual Academic Surgical Congress, San Diego, CA, February 2014.

Huang JT “Update on the Management of Venous Thromboembolic Disease.”

Presented at Rutgers New Jersey Medical School Department of Surgery Grand Rounds, Newark, NJ September, 2013.

Curi MA Lower Extremity Arterial Disease – Evolution of Therapy. Grand Rounds: Palisades Medical Center, North Bergen, NJ October 9, 2013.

Curi MA Arterial Thrombolysis for Acute Limb Ischemia. Presented at the 35th Annual Meeting of Vascular Society of New Jersey, Belleville, NJ March 2013.

Curi MA Moderator, Vascular Section of Annual Meeting of the NJ Chapter of American College of Surgeons, December 2013.

Lajoie L, “Predictors of Recurrent Violent Injury” AAST National, September 18, 2013.

Olivero Ramirez E “Renal Artery Reimplantation in a 12 Year Old with Renovascular Hypertension.” Presented at the 11th Annual Innovations and Controversies in Complex Vascular Interventions and Wound Management, New York City, NY, May 2013 and presented at the 35th Annual Meeting of Vascular Society of New Jersey, Belleville, NJ March 2013.

Olivero Ramirez E “Endovascular Repair of a Ruptured Kommerells Diverticulum, Contemporary Management of Developmental Arch Anomalies in Adults.” Presented at the 29th Annual Vascular Fellows Abstract Competition, New York City, NY May 2013.

Fox A “President Garfield: Assassination or Medical Murder?” Presented at the History of Medicine Lecture Series, Rutgers New Jersey Medical School, Newark, NJ February 2014.

Burnett A, Bailey J, Chokshi RJ “Improving Identification of Pancreatic Malignancies to Reduce Unnecessary Surgeries: A Retrospective Chart Review and Comprehensive Cost-Benefit Analysis of Tests That Enhance the Sensitivity of Endoscopic Retrograde Cholangiopancreatography (ERCP) Brush Cytology.”

Accepted for Presentation at the Academic Surgical Congress, San Diego, CA February 2014.

Burnett AS, Calvert TJ, Chokshi RJ. Sensitivity of endoscopic retrograde cholangiopancreatography standard cytology: 10-y review of the literature. J Surg Res. 2013 Sep;184(1):304-11. Epub 2013 Jul 5. Review.

Chokshi RJ “Benjamin Rush Society Lecture – Hands on Surgery.” Rutgers New Jersey Medical School, Newark, NJ November 2013.

Svider PF, Pashkova AA, Vidal GP, Mauro AC, Eloy JA, Chokshi RJ. Esophageal perforation and rupture: a comprehensive medicolegal examination of 59 jury verdicts and settlements. J Gastrointest Surg. 2013 Oct;17(10):1732-8.

Chokshi RJ “Role of Hepatectomy in the Presence of Extrahepatic Disease.”

Multidisciplinary Hepatocellular Carcinoma and Metastatic Liver Tumors Symposium, New Brunswick, NJ October 2013

Chokshi RJ, Kuhrt MP, Arrese D, Martin EW Jr. Reconstruction of total pelvic exenteration defects with rectus abdominus myocutaneous flaps versus primary closure. Am J Surg. 2013 Jan;205(1):64-70. Epub 2012 Jul 30.

Chokshi RJ Moderator, Multidisciplinary Hepatocellular Carcinoma and Metastatic Liver Tumors Symposium, New Brunswick, NJ October 2013

Oliver JB, Anandalwar SP, Chokshi RJ. How Data is Expressed and Summarized. The SCORE Portal. Http://www.surgicalcore.org. Accepted June 2013.

Arrese D, McNally ME, Chokshi R, Feria-Arias E, Schmidt C, Klemanski D, Gregory G, Khabiri H, Shah M, Bloomston M. Extrahepatic Disease should not preclude transarterial chemoembolization for metastatic neuroendocrine carcinoma. Ann Surg Oncol. 2013;220(4):1114-20 Presentations Patel D ’15 Publication #4, Medical History Society of New Jersey, 15 October 2013.

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Burnette A, Chokshi RJ, Phay J “Sensitivity of ERCP Standard Cytology: 10 Year Review of the Literature.” Presented at the Academic Surgical Congress, New Orleans, LA February 2013.

Chokshi RJ Moderator, 8th Annual Academic Surgical Congress, New Orleans, LA February 2013.

Garuba F, Bongu A, Chokshi RJ “Robotics in Colorectal Surgery: A Paradigm Shift?” Presented at Digestive Diseases Week, Orlando, FL May 2013.

Shah S, Razvi R, Chokshi RJ, Brelvi Z “Corrosive Acid Ingestion: A Consideration in an Isolated Rectal Ulcer.” Presented at Digestive Diseases Week, Orlando FL May 2013.