Learning Theme: Professional/Economic

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 […]

Evolving Responsibility for SAGES – TAVAC

Presented by Dmitry Oleynikov, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation committee charge–1:47 recent activity–5:34 conclusion–8:50 Keyword(s): 3D technology, bill, clinical data, collect for services provided, conflict of interest, cost reduction, Covidien radial reload, DaVinci surgical system, device, disclosure, dissemination of knowledge, efficacy, emerging technology, equipment, ethics, evaluation, evidence-based, experts, fascial closure […]

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 […]

Introducing Emerging Technologies – Timing and Process

Presented by Jeffrey Ponskey, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation issues to consider–24 sec utility–1:11 facilitating technologies–2:15 disruptive technologies–5:40 evaluating efficacy–9:27 evaluating competing use of funds–10:42 not all new technology i Keyword(s): administrators, Angelchick prosthesis, Barretts esophagus, BaRRX, blood vessel ligation, capital budget, cautery, CBD injury, competing funds, cost, CT, death, […]

Semantics and Patient perceptions of emerging tech

Presented by David Urbach, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation citation–3:05 http://www.ncbi.nlm.nih.gov/pubmed/?term=17253531 semantics–5:12 technology: social understanding–6:28 http://www.ncbi.nlm.nih.gov/pubmed/22404262 Keyword(s): acute appendicitis, advancement, Angelchick prosthesis, Archives of Surgery, Australian, Boston Scientific, CBD injury, cholecystectomy, clinical use, Cochrane collaboration, Cochrane database of systematic reviews, colon resection, complications, conventional management, conventional tx, convincing evidence, death, […]

The “Informed Consent” Process

Presented by Lelan Sillin, MD at the SAGES 2014 Meeting; Symposium: Ethics of Innovation surgical innovation–41 sec history–2:10 informed consent process–5:03 disclosure–5:13 understanding–6:13 decisional capacity–6:38 limitations–7:33 tx vs research–8:17 hx–8:48 researc Keyword(s): ad-hoc development, adverse effects, alternative tx, assualt, autonomy, battery, Belmont Report, beneficence, breach of contract, Canterbury vs Spence, case law, communication skills, competence, […]