ACS

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ACS Rural Surgery

• Paul E. Collicott, MD FACS
• Director, Member Services

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Definition of Rural Surgery

• It is a lot like pornography, you may not be
  able to define it, but you know it when you see
  it.
• OR
• No assigned MSA (lt50,000)
• 93 of US reside in assigned MSAs

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American College of Surgeons
Dedicated to improving the care of the surgical
patient and to safeguarding standards of care in
an optimal and ethical practice environment.
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American College of Surgeons

• Domestic 55,430
• Canadian 1,329
• International 4,123
• Associates 2,943
• Residents 6,941
• Students 943
• Affiliate 237
• Initiates 1,240
• TOTAL 73,231

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ACS Active Rural Surgeons

• Orthopaedic Surgery 206
• Pediatric Surgery 7
• Plastic Surgery 109
• General Surgery 2,617
• Thoracic Surgery 158
• Urological Surgery 406
• Vascular Surgery 88

• Oral-Maxillofacial 1
• Otolaryngology 334
• Colon-Rectal Surgery 26
• Gen/Thoracic Surgery 3
• Gyn (Oncology) 6
• Neurological Surgery 65
• Obst Gyn 83
• Ophthalmic Surgery 171

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Active US ACS Members

• 10.38 ACS active Membership considered rural
  by MSA
• Rural 4,284
• Rural GS 2,617 (61)

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ACS Rural Surgery

• Advisory Council for General Surgery
• Maintenance of Certification
• Case Log System
• Electronic Learning
• ACS Portal (www.efacs.org)
• Accreditation of Regional Ed Centers

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Maintenance of Certification

• Evidence of Professional Standing
• Commitment to Lifelong Learning and
  Self-Assessment
• Cognitive Expertise
• Evaluation of Performance in Practice

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Evaluation of Performance in Practice

• Participation in a national, regional or local
  surgical outcomes study or quality assessment
  process, including communication skills
  assessment, with verification every 5 years.
• Peer review and patient feedback may also be used.

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Practice Based Learning
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Main System Screen
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Data Entry Options

• Web
• PDA (Palm OS)
• Any combination of the two

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Current Data Points

• MRN, Name, Gender, DOB
• Surgeon Role / Assistant
• Admission / Procedure / Discharge Dates
• Co-morbidities
• Pre op / Post op Diagnosis (ICD-9)
• ASA Class / Emergency Procedure
• Procedure Code (CPT)
• Pathology (Stage)
• Post op Occurrences
• 30 day Outcomes (Return to OR / Death)
• Free form text field
• Entry complete flag
• 20 data points

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Most Common Procedures
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Co-morbidities based on National Surgical
Quality Improvement Program (NSQIP)
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Post Op Occurrences Based on NSQIP
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Reports
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Frequency Report
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Comparative Report
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Surgical Education
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ACS Web Portal Projectwww.efacs.org
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ACS Web Portal Login Page
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Specialty Communities

• Cardiothoracic Surgery
• Colon Rectal Surgery
• General Surgery
• Gynecology Obstetrics
• Neurological Surgery

• Ophthalmic Surgery
• OtolaryngologyHead Neck Surgery
• Pediatric Surgery
• Plastic Surgery
• Urologic Surgery
• Vascular Surgery

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Special Interest Communities

• Biomedical Engineering
• Canadian Fellows
• Career Mentoring
• Geriatric Surgery
• History Philosophy
• International Surgery
• Medical Students
• Minimally Invasive Surgery
• Palliative Care Pain Management

• Residents Associate Fellows
• Rural Surgeons
• Senior Surgeons
• Surgical Educators
• Surgical Informatics
• Surgical Journal Editors
• Surgical Patient Safety
• Terrorism
• Translational Oncology
• Uniformed Services
• Volunteerism
• Women Surgeons
• Young Surgeons

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Inside ACS Portal Communities

• Core content
• RSS news feeds
• Reports/Reviews/Editorials
• Videos
• Links to podcasts
• Discussion forums
• Links to related Web sites/portals
• Important meeting dates
• Algorithms
• Recommended reading
• Accreditation/certification information
• More!

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Sample Community Surgical Patient Safety
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PubMed portlets
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Add to Bookmarks
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My Bookmarks
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Surgical Videos
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Surgery video
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Podcasts
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• Boston, MA
• Philadelphia, PA
• Vancouver, BC
• Orange, CA
• Albuquerque, NM
• Dallas, TX
• Seattle, WA
• Columbus, OH
• Toronto, ON

• Royal Oak, MI
• Ann Arbor, MI
• New Orleans, LA
• Hershey, PA
• Rochester, MN
• Chicago, IL
• Stanford, CA
• Springfield, MA
• Baltimore, MD

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Education Resources
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Patient Educationhttp//www.facs.org/patienteduca
tion/
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Conclusion

• "It is not the strongest who survive, or the
  fastest. It is the ones who can change the
  quickest.
• Charles Darwin

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THANK YOU!