Learning Theme: New Technologies/Skills Acquisitions

Technical Modifications/Endpoints of Dissection

Presented by David Earle, MD at the SAGES 2014 Meeting; Panel – Per Oral Endoscopic Myotomy (POEM) where do we begin?–40 sec anterior or posterior?–2:10 where do we end?–3:43 video clip–4:34 technical modifications–6:46 options for creating submucosal tunnel–7:54 Keyword(s): absorbable, achalasia, actual measurement, animal, anterior, aorta, aortic arch, balloon dissector, bleeding, blue dye, Botox, bx […]

POEM: 2008-2014 (Myotomy to Tumor Enucleation)

Presented by Haruhiro Inoue, MD at the SAGES 2014 Meeting; Panel – Per Oral Endoscopic Myotomy (POEM) disclosures–44 sec ESD & beyond–46 sec http://www.ncbi.nlm.nih.gov/pubmed/?term=20354937 mucosal incision–1:33 submucosal tunnel–2:11 beginning of myotomy–3:36 GEJ before and after POEM–4:3 Keyword(s): aberrant pancreas, advisory board, age, air insufflation, angle of His, anterior approach, anterior myotomy, anterior wall, application of […]

Pre-operative Planning: Patient selection and Exclusion “When to say No”, Pre-op Imaging and Multidisciplinary Teams, IORT and Flaps – Getting Set for Success

Presented by Y. Nancy You, MD at the SAGES 2014 Meeting; Pre-operative Pelvic Surgery, Benign and Malignant – What is the Big Deal outline–19 sec concepts–56 sec adjunctive tx–2:13 negative impact of non-curative (R2) re-operation–2:52 http://www.ncbi.nlm.nih.gov/pubmed/21448750 candidacy determination–4:04 comprehensiv Keyword(s): 3D image, ABD, acetabulum, adjunctive tx, anatomic assessment, anatomic details, anatomic limits, anatomic regions, anatomy, […]

Balancing Surgeon Responsibilities to Individuals and Society

Presented by Alberto Ferreres, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation outline–57 sec 7 stages in the career of medical or surgical innovation–3:15 introduction of a new technique–3:56 what is value in healthcare?–4:27 ethical challenges generated by innovative s Keyword(s): ACS, advertising, Annals of Surgery, association, autonomy, beneficence, cardiac surgery, clinical advantages, […]

Be it Resolved That It Is Time To Declare The Death Of Natural Oriface Translumenal Endoscopic Surgery

Presented by W. Scott Melvin, MD and David Rattner, MD at the SAGES 2014 Meeting; The Great Presidential Debates of 2014 NOTES: Been there, done that presentation begins by Dr. W. Scott Melvin–2:41 group intelligence–3:56 access routes–5:36 clinical data–6:23 citation–7:12 http://www.ncbi.nlm.nih.gov/pubmed/?te Keyword(s): ablation, ABS, access routes, ACO models, advantages, adverse event reporting, AIDS, Annal of Surgery, […]

Evolving Responsibility for SAGES – New Technology Guideline

Presented by Robert Fanelli, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation disclosures–13 sec SAGES guidelines–16 sec https://www.sages.org/publications/guidelines/ what is GRADE?–1:38 how are guidelines created?–2:36 definitions–3:48 what are the recommendations?– Keyword(s): body of lit, CE, clinical databases, clinical practice, complication, consultant, Cook, Inc, database searches, device, device-specific training, director, disease entities, efficacy, EndoGastric […]

Paying For New Technologies – Insurance Company Perspective

Presented by Richard Dal, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation background–54 sec CDPHP company background–2:00 CDPHP awards & recognitions–3:20 premium dollar breakdown–3:48 health value strategy–4:29 standard policy–4:43 technology review process Keyword(s): A-Fib, ACHP, Adirondack Medical Home Pilot, ancillary, Apollo Overstitch, appeals process, behavioral health technology, cardiac surgeon, CEO, competition, consultants, denial […]

Paying For New Technologies – National Healthcare Perspective

Presented by Joel Brill, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation disclosures–19 sec critical milestones in development–1:28 how does a new item or service fit into the U.S. healthcare system?–2:19 reimbursement trends–2:50 fee-for-service vs fee-for-value– Keyword(s): administrators, aggregate data, BCBS, beneficiary, budget neutrality, bundled payment method, bundled services, CE, centers of excellence, […]

Tracking Outcomes of New Technologies

Presented by Anne Lidor, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation IDEAL collaboration–55 sec http://www.ideal-collaboration.net/ IDEAL framework–1:39 http://www.ncbi.nlm.nih.gov/pubmed/?term=24113195 citations–3:10 http://www.ncbi.nlm.nih.gov/pubmed/?term=23549 Keyword(s): accreditation, ACS NSQIPII risk calculator, activity report, adverse events, Asia, bariatric surgery, CABG, Candada, cardiac surgery, clinical registry, CMS, Cochrane collaboration, congenital heart surgery, consensus document, ECR, endpoints, esophageal cx, ethical […]

Innovation in Surgery Responsibilities and Ethical Considerations

Presented by Lee Swanstrom, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation disclosures–34 sec surgical movements–1:46 future–3:00 2 forms of surgical innovation–4:26 forces against the adoption of the “new”–7:45 conclusion–16:04 Keyword(s): administrative structures, algorithm, cost vs benefit, credentialing committees, disruptive innovation, endoluminal therapies, endoscopy, epistemic drive, equipment funds, ethical boundaries, ethical consideration, ethical […]

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