A Dissection of News from the Department of Surgery

In another turbulent time, a singer poet warned us that the “old road was rapidly aging” and that we should lend a hand to the new one. Well, our times are changing and the department is striving to keep “afloat,” by continuing to pro- duce skilled and thoughtful surgeons who can function in any environment, from the rural to the highly academic. Our residents’ 100% pass rate on the qualifying exami-nation continues. They are able to obtain first class fellowships, build successful practices and fill the gaps in rural general surgery. We have instituted the SCORE curriculum and fully invest in simu-lation as part of education and patient safety. Our faculty has grown. This has been done in the face of declining funds for gradu-ate education, declining reimbursement to the faculty and increas-ing difficulty to support research. Because of this, I am unabashedly asking for your help. Per-haps you recall that the faculty not only invested their time in edu-cating residents, but they also invested money from their own practices to support the educational and research mission of the department. This commitment has been unswervingly voluntary and it provides an educational environment that many depart-ments have yet to achieve. We need your help now to continue that work, “the chance won’t come again”, before we have to make decisions to cut into the successes exemplified by this issue of the Scalpel we have established.

Continued on page two...

I N S I D E T H I S I S S U E :

Chairman’s Thoughts

Cronan/OAB-dry 1-3

New faculty 4-5

Dr. Akin

Dr. Nelson 6-7

Blunt trauma in Iraq

Dr. Sams/Dr. Blake 8-9

Faculty inagurated

Alumni appointed/ Grandas

elected

10-11

New residents

Recent publications

12-13

Simulation Center opens

doors/ Former residents

14-15

Chief Resident’s Dinner

Presentations/Dr. Enderson

16-17

MISS ION

STATEMENT

The Department of Surgery

at the University of Tennes-

see Graduate School of

Medicine provides surgical

education by delivering the

highest quality patient care,

teaching and research.

A U G U S T 2 0 1 2 V O L U M E X I 1 , I S S U E 1 I

Thoughts from the Chairman...

A Dissection of News from the Department of Surgery

Mitchell Goldman, MD

Rawn selected as president

Graduated residents

18-19

Shelter from the Storm

Interested in giving to the Department of Surgery?

Scan the QR code or follow this link:

https://utmedicalcenter41273.thankyou4caring.org/page.aspx?pid=398

So please remember how the Department has inspired you and consider contributing to the endowment established by Dr. Nelson to support rural surgery, to the Crutchfield Memorial Fund to support resident education, to the Filston Fund to support edu-cation and research. Try to remember us when you think about charitable giving and look into planned giving through our devel-opment office. I hope you have fond memories of your sojourn at UT and I hope you remember the commitment of our department to your growth and your career. The times are changing and we need your help now more than ever to meet the challenges of the new roads of the changing times.

Mitchell H. Goldman, MD Professor and Chairman

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Chairman’s Thoughts...Continued ...Continued from page one

UT Athletics Director Speaks at Grand Rounds V O L U M E X I 1 , I S S U E 1 I P A G E 3

Urology Study Calls for Redefinition of OAB-dry Associate Professor in the Dept. of Urology, Ragi Doggweiler, MD and urology resident, Adam Stewart, MD indi-cated a need for reexamination of the current definition of overactive bladder (OAB)-dry during a research presentation at the Winter Meeting of the Society for Urodynamics and Female Urology (SUFUA) as part of a longitudinal, observational study. The international Continence Society defines OAB-dry as the presence of urgency, without urge continence, usually associated with frequency and nocturia, in the absence of other pathological disorders. However, many patients demonstrated evidence of bladder and/or urethral hypersensi-tivity or a low cystometric bladder capacity. Urodynamic study revealed bladder capacities of 90-750 mL, and 66 patients had a maximum urodynamic capacity of < 300 mL without signs of overactive detrusor contractions. Urethral sphincter pressure was > 100 cm H2O in 58 patients, and 73 patients reported pain (>5/10) during introduction or adjustment of the cathe-ter. The urodynamic study included 418 patients with clin-ical symptoms of OAB-dry.

Adam Stewart, MD

Ragi Doggweiler, MD

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Former University of Tennessee Lady Volunteer athletics director, Joan Cronan, spoke to surgery resi- dents during Grand Rounds in January. Cronan helped the Lady Vols celebrate 29 years of SEC and NCAA titles under her leadership. She told the residents about her three Cs to success in sports and how they could transfer to surgery: compliment, confi- dence and competition. Compliment: thank your competition for making you better; learn to thank those who contributed to your success. Confidence: gain confidence by learning as much as you can; use a mentor. Competition: sports are life with the volume turned up; they same applies to a surgery residency. Cronan used her Grand Rounds lecture to motivate residents before the ABSITE test.

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New Faculty

Glaze Vaughan, MD

James McLoughlin, MD

Dr. Vaughan joined the East Tennessee Pediatric Group in February and is a Clinical Assistant Professor in the department. Dr. Vaughan spent almost 17 years in pediatric surgery private practice in Ft. Worth, Texas. Dr. Vaughan received his General Surgery training at the University of Texas Southwestern Medical Center and Affiliated Hospitals in Dallas, Texas. He then com-pleted a fellowship in Pediatric Surgery at the J. W. Riley Hospital for Children in Indianapolis, Ind. Dr. Vaughan received his M.D. at the Medical College of Georgia and his M.S. in Nutrition at Clemson University. Dr. Vaughan earned his B.S. in Biology from State University in Dahlonega, Georgia.

Dr. McLoughlin joined the Division of Surgical On-cology as an Associate Professor of Surgery. Before com-ing to UT, Dr. McLoughlin was an Associate Professor at the Medical College of Georgia in Augusta, Ga. for four years. Dr. McLoughlin completed his residency at Baylor University and his fellowship in Surgical Oncology at H. Lee Moffitt Cancer Center in Tampa, Fla. Dr. McLoughlin earned his M.D. from Rush University in Chicago, Ill. and his B.S. in microbiology from the University of Illinois. His clinical interests include neuro-endocrine tumors, gastrointestinal cancer and breast cancer. Dr. McLoughlin is certified by the American Board of Surgery and is a Fellow with the American College of Surgeons.

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V O L U M E X I 1 , I S S U E 1 I

David Casillas, MD

Joshua Arnold, MD

New Faculty

Dr. Casillas joined the Division of General Surgery in August as an Assistant Professor. Before joining the department, he completed his Colon and Rectal Surgery fellowship at the Indiana Uni-versity School of Medicine. Dr. Casillas completed his General Surgery residency at Saint Joseph Mer-cy Hospital in Ann Arbor, Mich. Dr. Casillas earned his MD and his master’s degree in biology from the University of Alabama. He studied Microbiology during his undergraduate, graduating with honors from the University of Alabama.

Dr. Arnold transitioned to Assistant Professor in the Division of Vascular Surgery this summer after he completed his fellowship in Vascular Sur-gery here at UT. Before coming to Knoxville Dr. Arnold completed his residency at the University of Tennessee, Chattanooga. Dr. Arnold earned his MD at the University of Louisville School of Medicine in Louisville, Ky. and his BS in Business Administra-tion from Wake Forest University in Winston-Salem, N.C.

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Dr. Akin Provides Medical Care in Africa For four weeks, University of Tennessee Graduate School of Medicine physicians in Surgery and Family Medicine provided medi-cal care and medical training in northern Ghana, located in West Af-rica. David Stockton, MD, MPH, Professor of Family Medicine, first joined a mission trip to the Baptist Medical Center in Nalerigu in 2007 and has returned several times. This year, Hobart Akin, MD,

Assistant Professor of Surgery, along with Gregory Blake, MD, Professor and Chair; second-year resi-dents Jonathan Laymance, MD, and Michael Mar-tin, MD also participated in the medical mission. Working out of sparsely equipped operating, procedure and clinic rooms and using antiquated techniques, the physicians were able to treat pa-tients for a variety of conditions including general wound care, skin grafts, suture of lacerations, ab-scess drainage, cesarean sections, exploration of tumors and more. "We had to treat patients based on the abil-

ity to do physical diagnosis," Dr. Akin said. "We could take x-rays, but we had no other imaging equipment available. If a patient had abdominal pain, the on-ly option was to open him up." Dr. Laymance, who said he has a passion for mission work and has previ-ously been to Brazil, Honduras and Cos-ta Rica, said they were exposed to pa-thology rarely seen in the United States, including cases of mumps, leprosy and elephantiasis. He said he also enjoyed the opportunity to learn surgical technique, assist-ing Dr. Akin on cases including hernia repair and exploratory lapa-rotomies with repair of bowel perforation due to typhoid. Dr. Akin said his main goal during the trip was to train not on-ly visiting residents but also local medical staff on surgical tech-niques as the staff at the hospital, including one obstetrics and

“If a patient had abdominal pain, the only option was to open him up.”

Hobart Akin, MD

Continued on page seven...

T H E S C A L P E L

V O L U M E X I 1 , I S S U E 1 I P A G E 7

gynecology physician and a pediatrician, was never formally trained in surgery. The GSM physicians noted the biggest hurdle in treating patients was the language barrier. Although

many of the people speak Eng-lish, there are about 100 dia-lects in Ghana. They also said one of the hardest things to see was the infant mortality, usually from malaria. "Death is accepted there," Dr. Akin said. "You don't see grieving. The infant mortality rate may be as high as fifty percent.” Baptist Medical Center was established

more than 50 years ago and is the only hospi-tal in the region. It has two full-time American physicians and is partially staffed by more than 150 volunteer practitioners each year. Dr. Stockton said UTGSM has a long history of faculty and resident physicians volunteering in Ghana.

“Death is accepted there...the infant mortality rate may be as high as fifty percent.”

...Continued from page six

Hobart Akin, MD (left) and David Stockdon, MD set and splint a

young girl’s tibia after she was hit by a motorcycle

Dr. Nelson Steps Down as Division Chief

Henry Nelson, MD Matthew Mancini, MD

Henry Nelson, MD stepped down as Division Chief of General Surgery after 24 years at the helm. He handed the wheel over to Mat-thew Mancini, MD, who took over as the new chief in July.

P A G E 8

Trauma and Critical Care Surgeons Blaine Enderson, MD, and Lou Smith, MD, participated in a 10-day medical mission to Kurdi-stan, an autonomous region of Iraq, where they performed surgeries such as appendectomies and laparoscopic cholecystectomy as well as a presentation on trauma system development to local healthcare professionals.

Dr. Enderson said one of the great-est healthcare needs in Kurdistan is to set up trauma systems. Ambulance services were recently initiated, but Dr. Enderson said there is not a system in place for treating injured patients. "They don't take the same safety

measures we take here," Dr. Enderson said. "For example, seatbelt use is non-existent. You might see ten kids hang-ing out the window or sitting in laps. Pedestrians are often hit. Blunt trauma is a big issue."

Dr. Enderson said the economy in Kurdi-stan is thriving and that the region has access to state-of-the-art medical equipment. Howev-er, due to lack of availability of medical train-ing, physicians do not know how to use the equipment. "Kurdistan is safe right now," Dr. Ender-son said, "but it's surrounded by Turkey, As-syria, and Iran, all of which have invaded the region. The doctors were restricted during this time and were going all over the Middle East for training. As they re-turn, they are trying to build the medical system back up. They are going through growing pains and there are things we can do to help." The mission was led by Kurdistan native Gazi Zibari, MD, Pro-fessor of Surgery and Malcolm Feist Endowed Chair in Transplanta-tion at Louisiana State University, Shreveport, who has led missions to Kurdistan since 1991. Dr. Enderson and Dr. Smith are making plans to return next year.

Dr. Smith and Dr. Enderson Teach Blunt Trauma in Iraq

T H E S C A L P E L

(From left) Lou Smith, MD and Blaine Enderson, MD meet with a surgeon in Zakho.

This hospital in Akre has been open for two years

V O L U M E X I 1 , I S S U E 1 I P A G E 9

Valerie Sams, MD presented her research entitled, “Non-Steroidal Anti-Inflammatory Medications Impact on Non-Union and Infection Rates in Long Bone Fractures,” at the Tennessee Chapter of the American College of Surgeons for which she was awarded second place in the trauma paper competition. Her research was in response to the well documented clinical data regarding the effect of non-steroidal anti-inflammatory (NSAI) drugs on tissue healing in the setting of long bone fractures. The orthopedic community believes that use of NSAIs in the postoperative period will result in poor healing and increased infectious complications. Her study hy-pothesized NSAI use would not increase non/malunion and in-fection in patients after long bone fracture. In addition, she hy-pothesized tobacco use would cause higher rates of these complications. Through retrospective review of the data, her research found that patients with long bone fractures who received NSAIs in the postoperative period were twice as likely and smokers more than three times likely to suffer complications such as non/malunion or infection. David R Jeffcoach, M.D., Christy M Lawson, MD, Blaine L. Enderson, MD, MBA, Scott T. Smith, MD, Heather Kline, PA, Patrick B Barlow, BS, Doug R Wylie, PharmD, Laura A Krumenacker, Pharmacist, James C McMillen, Pharmacist, Jordan Pyda, GSM, Brain J Daley*, MD, are all contributors to this research.

T H E S C A L P E L

Former Surgery Chair Passes Away

Hu A. Blake, MD

Dr. Sams Receives Research Award

Hu A. Blake, MD, Professor and Chair of Surgery from 1967-1982, passed away following a battle with cancer. Dr. Blake is remembered for estab-lishing one of the most successful open-heart surgery programs at the hospital, performing the first coronary artery bypass graft in 1968. In 1975, 127 open heart cases were performed un-der his leadership. Dr. Blake also published mul-tiple articles in medical and scientific journals, led numerous conferences, and was a member and officer to multiple professional organizations and societies. Dr. Blake received his cardiac training in the Army, spending 23 years in the Army Medi-cal Corps and retiring in 1967 as a full colonel.

Valerie Sams, MD

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Faculty Inaugurated as KAM President Matthew Mancini, MD, Associate Pro-fessor of Surgery, is now serving as 2012 president to the Knoxville Academy of Medi-cine. He was inaugurated at a dinner honor-ing the KAM Executive Committee in Febru-ary. KAM is a constituent of the Tennessee Medical Association, of which Dr. Mancini is chair on the Board of Trustees. Dr. Mancini completed his General Surgery Residency at the UT Graduate School of Medicine in 1999, acted as Chief Resident from 1998-1999. Upon comple-tion of his residency, Dr. Mancini joined Department of Surgery faculty.

Alumni News

Send your news to the Scalpel! Brittany Nauta

bnauta@utmck.edu

Or

1924 Alcoa Hwy., Box U-11

Knoxville, TN 37920

Matthew Mancini, MD (right) is inaugurated as KAM president by former president, Robert Page, MD

UT Department of Surgery Alumni Reception

October 1, 2012 6:00 – 8:00pm

Millennium Parlor Palmer House Hilton

Chicago, IL

Mark Your Calendar!

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T H E S C A L P E L

Alumni Appointed at St. Luke’s

Jose Amortegui, MD, was appointed as the Direc-tor of the Mechanical Circulatory Support Program for St. Luke’s University Health Network. Dr. Amortegui completed his residency at the University of Tennessee in 2009. He joined St. Luke’s Division of Cardiovascular Surgery in July 2011 after completing his cardiovascu-lar Surgical training at the University of Maryland Medi-cal Center. In addition to his role as Cardiac Surgeon, he will serve to direct the network’s extracorporeal mechanical support of patients with cardiovascular or pulmonary collapse with devices such as ECMO (Extracorporeal Membrane Oxygenator), and guide the surgical treat-ment options of patients with end-stage heart failure in need of VAD (Ventricular Assist Device) support.

Dr. Grandas Elected to Represent GSM

V O L U M E X I 1 , I S S U E 1 I

Oscar Grandas, MD, Associate Professor in the Di-vision of Vascular/Transplant Surgery was elected to represent the Graduate School of Medicine on the UTHSC Faculty Senate. The Faculty Senate representa-tives were voted on by faculty to provide a systematic means for faculty participation in the affairs of the Uni-versity of Tennessee. Faculty members in each depart-ment elect senators for three-year terms. Robert Craft, MD, Professor, Anesthesiology was also selected to serve on the Faculty Senate.

Jose Amortegui, MD

Oscar Grandas, MD

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New Residents

Ryan Owen Texas Tech University

Eric Owings University of Louisville

Ryenn West Duke University

Jennifer Yam Medical College of Georgia

Matthew Abraham Wright State University

Junior Universe Creighton University

Chris Kolze Texas Tech University

Kyle Basham University of Arkansas

Stephen Tonks University of Alabama

Nafiseh Hashemi Iran University

Kyle Kleppe Medical College of Georgia

Nick Echemendia Case Western Reserve

University

T H E S C A L P E L

V O L U M E X 1 1 , I S S U E I P A G E 1 3

Recent Presentations Oral Presentations 2012 Annual Scientific Meeting of the Southeastern Sur-gical Congress, Birmingham, Alabama, Feb. 11-14 Keith Gray, MD "Predictors and Effect of Blood Transfusion on Morbidity follow-ing Pancreaticoduodenectomy" 8th International Melanoma Congress of The Society of Melanoma Research & 5th Annual Meeting of Interdisci-plinary Melanoma/Skin Cancer Centres, Tampa, FL, Nov. 9-12, 2011 James Lewis, MD "Advances in Surgery and Regional Therapy for Melanoma" Oak Ridge National Laboratory, Oak Ridge, Tennessee, Sept. 2011 Keith Gray, MD "Gastrointestinal Reflux Disease (GERD)" Society of Vascular Surgery 2012 Vascular Research Initiatives Conference, Chicago, Illinois, Apr. 17 Deidra Mountain, PhD "Polymeric Transfection Is Superior to Traditional Transfection Methods in Targeting the Cellular Processes of Intimal Hyper-plasia" Co-authors: Stacy Kirkpatrick, Michael Freeman, MD, Scott Stevens, MD, Mitchell Goldman, MD, Oscar Grandas, MD Poster Presentations 2012 Annual Scientific Meeting of the Southeastern Sur-gical Congress, Birmingham, Alabama, Feb. 11-14 Michelle Fillion, MD "Intraoperative Marking Technique Facilities Second-Stage Ablation of Occult Hepatic Tumors" Contributors: Keith Gray, MD, John Bell, MD, James Lewis, MD Academic Surgical Congress, Feb. 14-16, Las Vegas, Ne-vada Joshua Arnold, MD "Smooth Muscle Cell Polymeric Transfection Is An Efficient Alternative to Traditional methods of Experimental Gene Ther-apy" Co-authors: Deidra Mountain, PhD, Michael Freeman, MD, Stacey Kirkpatrick, Scott Stevens, MD, Mitchell Goldman, MD, Oscar Grandas, MD Southern Association for Vascular Surgery Annual Meet-ing, Scottsdale, Arizona, Jan. 18-21 Joshua Arnold, MD "Establishing Polymeric Transfection as a Non-Viral, Non-Toxic Method for Gene Therapy in the Prevention of Vascular Dis-ease" Co-authors: Deidra Mountain, PhD, Michael Freeman, MD, Sta-cy Kirkpatrick, Scott Stevens, MD, Mitchell Goldman, MD, Os-car Grandas, MD Daniel Alterman, MD "Contemporary Outcomes of Vertebral Artery Injury - A Ten Year Single Center Experience" Co-authors: Eric Heidel, Brian Daley, MD, Scott Stevens, MD, Oscar Grandas, MD, Mitchell Goldman, MD, Michael Freeman, MD

Abdominal Wall Reconstruction Summit, Brecken-ridge, Colorado, Jan. 12-14 Camille Blackledge, MD "Unique Technique for Repair of Bilateral Parastomal Hernias without Ostomy Resiting" Co-authors: Gregory Mancini, MD, Melissa Phillips, MD Hien Le, MD "Retromuscular Preperitoneal Repair of Recurrent Her-nia through the Linea Similunaris after Kidney Trans-plantation" Co-authors: Gregory Mancini, MD, Melissa Phillips, MD Eastern Association for the Surgery of Trauma, Orlando, Florida, Jan. 10-14 Valerie Sams, MD "Effect of Local Anesthetic on Microorganisms in a Mu-rine Model of Surgical Site Infections" Co-authors: Christy Lawson, MD, Patricia Coan, DVM, David Bemis, PhD, Kim Newkirk, DVM, Michael Karlstad, PhD, Jamison Norwood, BS, Brian Daley, MD American Heart Association Atherosclerosis, Thrombosis, and Vascular Biology 2012 Annual Meeting, Chicago, Illinois, Apr. 18-20 Deidra Mountain, PhD "Polymeric Transfection Is Superior to Traditional Transfection Methods in Targeting the Cellular Process-es of Intimal Hyperplasia" Co-authors: Stacy Kirkpatrick, Michael Freeman, MD, Scott Stevens, MD, Mitchell Goldman, MD, Oscar Gran-das, MD American Association of Cancer Research Annual Meeting, Chicago, Illinois, Apr. 4 Lindsay Fish, MD "Odontogenic Ameloblast-Associated Protein (ODAM) Alters the Growth and Migration of Human Melanoma Cells" Southeastern Section of the American Urological Association Meeting, Amelia Island, Florida, Mar. 22-25 Brent Hardin, MD "Screening for Preclinical Coronary Artery Disease Using Coronary Artery Calcium Scores in Men Presenting with Erectile Dysfunction" Jared Moss, MD "Cadaveric Nerve Graft During Robotic Radical Prosta-tectomy: Using a Posterior Reconstruction to Improve Cost-Effectiveness for Patients" Jason Beddies, MD "Obstetrical Complications in the Management of Uro-lithiasis: A Multi-Institutional Experience" 2012 Society of Surgical Oncology’s 65th Annual Cancer Symposium, Orlando, Florida, Mar. 21-24 Valerie Sams MD "Characteristics Differentiating Breast Conservation Therapy Versus Contralateral Prophylactic Mastectomy-Single Institution Experience" Contributors: Lindsey Rumberger MD, Abigail Cacacer, Brittaney Kirby, Paul Terry, Keith Gray, MD, John Bell, MD, James Lewis, MD

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Simulation Center Opens Doors The UT Graduate School of Medicine held a grand opening event in its new medical simulation center, inviting faculty, staff and the community to tour the facility and participate in simulations. The UT Center for Advanced Medical Simulation is expected to enhance the quality of patient care and improve outcomes by advancing the medical skills of physicians and other healthcare professionals. Physicians and staff said the new facility stands alongside the nation's best simulation centers for meeting the needs of practicing and aspiring medical professionals. Complete with lifelike adult and newborn manne-quins that mimic humans, simulated operating, intensive care and endovas-

cular suites and a host of other advanced training devices for medical and dental proce-dures, the center is equipped to help clini-cians improve their skills and decision making capabilities. "The new simulation center represents the changing paradigm in healthcare educa-tion and training," said Dr. Leonard Hines, Co-Director of the UT Center for Advanced Medi-cal Simulation and an assistant professor with the UT Graduate School of Medicine. "Similar to training in the aviation industry, every member of the healthcare team has the op-portunity to learn and master skills and to become familiar with ad-vancing technology in a

safe, risk-free environment, before accepting the chal-lenge of patient care. In promoting safer and higher quality healthcare, the center becomes a valuable asset to the region's medical community and the patients served." The new center is 6,500 square feet, significantly larger than the 400-square-foot original simulation cen-ter that opened in 2008. Already recognized as a regional asset for clinicians from a variety of hospitals and health systems in the Knoxville area, the newly renovated facili-ty is expected to attract medical professionals from around the region and country for training. "In addition to physicians, other healthcare providers such as nurses, therapists, physician assistants, EMTs and dentists learn techniques at the simulation center that can quickly be put into practice for their patients," said Dr. Paul Huffstutter, Co-Director of the simulation center and an assis-tant professor with the UT Graduate School of Medicine.

UT Sim. Center Co-Director, Leonard Hines, MD, (left) leads a tour of the new facili-ty during the open house

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V O L U M E X I 1 , I S S U E 1 I

"Our physicians and staff provide significant hands-on training, but we also step back to observe and capture video recordings of proce-dures from a control room, with immediate debriefing and critiquing sessions afterward, to optimize student learning." In accordance with their role at the region's only academic medical center, staff members, including Melinda Klar, RN, Administrative Director, and Judy Roark, CST, Lab Coordinator and Skills Coach, employ a model by which they continually study their own training and teaching techniques as well as how others best learn. As a result, they can continually modify their training modules and methods to help those they teach maximize what they've learned on behalf of their patients. "Not only will the UT Center for Advanced Medical Simulation make a great contribution to our education-al programs here, but it also will provide excellent op-portunities for physicians and other healthcare professionals in the region to update their skills and meet newer requirements for certification," said Dr. James J. Neutens, Dean of the UT Graduate School of Medicine. "Although the center revolves around providers of healthcare, the ultimate success story will be improved patient care and safety. We're delighted to open the new simulation center." Congratulations to LaMar Mack, MD, KJ Nagarsheth, MD, A. Michael Tummers, MD and Mariah Alexander, MD for passing the American Board of Surgeons qualifying exam and to Daniel Alterman, MD and Aaron Hurd, MD for passing the ABS certifying exam on the first attempt. UT maintains a 100 percent qualifying exam first-attempt pass rate and a 94 percent first-attempt pass rate on the certifying exam. These are fantastic ratings compared to the respective national statistic of first-time passing of 86 and 81 percent.

Sim. Center Co-Directors Leonard Hines, MD and Paul Huffsutter, MD discuss the In-tensive Care Unit medical simulation suite with nursing staff

Congratulations Former Residents!

Mariah Alexander, MD

Daniel Alterman, MD

LaMar Mack, MD

Aaron Hurd, MD

KJ Nagarsheth, MD

A. Michael Tummers, MD

This year we celebrated the graduation of four chief residents at the Resident Research Day and Chief Residents Dinner at East Tennessee Histori-cal Society. Lazar Greenfield, MD the developer of the first successful IVC filter was the keynote speak-er. He reviewed extensively the history, indica-tions for and future of IVC interruption for pulmo-nary embolus and DVT. The banquet was well attended and the roasting of residents and faculty continued the tradition of sending our residents off in a light-hearted manner.

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Chief Resident’s Dinner

(from left) Lazar Greenfield, MD with Mitchell Goldman, MD at Resident Research Day

As few as four surgeons per 100,000 people work in rural America, and in Tennessee that means there are far more vacancies for general surgeons than trained physicians to fill them. In 1997, the UT Graduate School of Medicine began a rural surgery rota-tion to help encourage young doctors to fill the need for physicians in remote areas, and it has resulted in more than 20 new general surgeons practicing in East Tennessee. To further this effort and to create an everlasting en-dowment of support for the Rural Surgery program, Henry Nelson, MD and Carroll Rose, MD have issued a challenge grant to their peers and Department of Sur-gery alumni. The goal is to raise $40,000 for the Rural Surgery En-dowment by December 31, 2012 with every dollar raised for this effort matched dollar for dollar by Dr. Nelson and Dr. Rose, up to $20,000. This special campaign effort will ensure financial support will always be available for residents wishing to pursue a rural surgery rotation, as well as expanding teaching programs to recruit and train rural surgeons. We invite you to join us in this special effort, through pledging you gift online at, http://www.utmedicalcenter.org/make-a-gift/ or mailing your contribution to: Office of Development, 2121 Medical Center Way, Suite 110, Knoxville, TN 37920.

Nelson/Rose Challenge

Henry Nelson, MD

Carroll Rose, MD

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Recent Publications

Dr. Enderson Serves National Committee on Trauma

V O L U M E X I 1 , I S S U E 1 I

The Board of Regents of the American College of Surgeons has appointed Blaine Enderson, MD, Professor of Surgery in the Division of Trauma/Critical Care, to the Ex-ecutive Committee of the National Committee on Trauma for a three-year term. Dr. Enderson has also been ap-pointed Chair of the Committee on Trauma's Performance Improvement and Patient Safety Committee for that time period. Dr. Ender-son has previously served a three-year term to the Na-tional Committee on Trauma, whose mission is to develop and implement meaningful programs for trauma care in local, regional, national and international arenas. These programs must include education, professional develop-ment standards of care and assessment of outcomes. Blaine Enderson, MD

PubMed Publications Siddiqui S, Heidel RE, Angel CA, Kennedy AP Jr. Pyloromyotomy: randomized control trial of laparoscopic vs open technique. J Pediatr Surg. 2012 Jan;47(1):93-8. Fillion MM, Black EA, Hudson KB, Morin-Ducote G, Bell JL, Gray KD, Lewis JM The Effect of Multiple Wire Localization in Breast Conser-vation. Am Surg. 2012 May;78(5):519-22. White WM, Pickens RB, Bazzi WM, Raheem O, Der-weesh IH Less and Notes: Rationale and Terminology. Arch Esp Urol. 2012 Apr;65(3):273-279. Daley BJ Editorial Critique. J Trauma Acute Care Surg. 2012 Apr;72(4):915. No ab-stract available.

Mountain DJ, Kirkpatrick SS, Freeman MB, Ste-vens SL, Goldman MH, Grandas OH Role of MT1-MMP in Estrogen-Mediated Cellular Pro-cesses of Intimal Hyperplasia. J Surg Res. 2012 Apr;173(2):224-31. Epub 2011 Jun 23.

Non-PubMed Publications

Sams VG, Lawson CM, Shibli AB, Taylor DA, Branca PR Severe Tracheobronchomalacia after Prolonged Intu-bation of Multitrauma Patient Case Reports in Surgery 2011; 2011: Article ID Fish L, Duncan LD, Gray K, Bell J, Lewis J Primary Cutaneous Melanoma Arising in a Long-Standing Irradiated Keloid Case Reports in Surgery 2012; 2012

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Susan Rawn, BSN, CCRP, RN, Research Coordi-nator in the Department of Surgery, was elected as President of the newly-formed East Tennessee Chap-ter of the Society for Vascular Nursing (SVN). The so-ciety's focus is advancing the care of persons living with vascular disease through excellence in clinical practice, education and research. The East Tennessee Chapter, the first local chapter of SVN, focuses on volunteer efforts in com-munity education events. To date, members have vol-unteered at Heartwise, a health fair at the Heart, Lung, Vascular Institute; Life Line Screenings; and Diabetes NOW!, filling in as needed with presenta-tions, calcium scoring and more. SVN held its annual conference in May, when the East Tennes-see Chapter was introduced to the national organization. Also at the 2012 conference, Rawn, together with UT Medical Center vascular nurses Renee Black, MSN, Lauren Scarbro, RN, and Tammy Seay, RN, presented the findings of their study, "Retrospective Study of Rates of Infection among Dressings Used in Surgeries with Femoral Puncture," which led to the formation of the East Tennessee Chapter. This presentation earned them the peer-elected Judith Troyer-Caudle Award. On forming the chapter, Rawn noted it would not have hap-pened without the support of vascular surgeons Mitchell Goldman, MD, Assistant Dean of Research and Chair of Surgery; Scott Stevens, MD, Professor of Surgery and Director of Endovascular Surgery; Mi-chael Freeman, MD, Professor, Chief of Vascular Surgery and Fellow-ship Program Director; Oscar Grandas, MD, Associate Professor and Alex Cantafio, MD, Assistant Professor. The chapter's inaugural execu-tive committee also includes Seay as President-Elect; Ashley Dennis, RN, operating room nurse at UT Medical Center, as Secretary; and Meschel Wallace, RN, endovascular nurse at UT Medical Center, as Treasurer. The local chapter includes 26 members from the Knoxville area, all RNs with a range of specialties.

New Vascular Nursing Chapter Selects Rawn as President; Wins SVN Award

Susan Rawn, RN

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V O L U M E X I 1 , I S S U E 1 I

Mariah Alexander, MD began a Minimally Invasive Surgery Fellow-ship at the University of Texas, Southwestern Michelle Fillion, MD began her Surgical Oncology Fellowship at The Ohio State University Michael Tummers, MD continued his military career at the US Na-vy Practice Fleet Surgical Team Four in Norfolk, Va. Roshni Venugopal, MD is an Instructor of Surgery in the Division of Critical Care and Acute Care at the University of Minnesota

Adam Stewart, MD joined a private practice in Germantown, TN

Joshua Arnold, MD is an Assistant Professor in the Division of Vascular Surgery at the University of Tennessee

Ainsley Freshour, MD began locum tenens across the country

Graduated Residents General Surgery

Vascular Surgery Fellow

Urology

Surgical Critical Care Fellow

Division of Physical Medicine and Rehabilitation Jeffery S. Hecht, MD* Division of Ophthalmology David J. Harris, Jr., MD* Nicholas G. Anderson, MD Charles G. Ange, MD Paul D. Froula, MD David G. Girkin, MD Gary N. Gitschlag, MD Herbert J. Glatt, MD Joseph M. Googe, Jr., MD John c. Hoskins, MD D. Lee McDaniel, MD T. McMillan, MD James H. Miller, MD Bradley L. Pearman, MD Jonathan W. Sowell, MD Division of Orthopedic Surgery Scott T. Smith, MD* George R. Baddour, MD Michael S. Eilerman, MD Edwin M. Holt, MD Glenn Ed Jeffries, MD G. Mathien, MD Michael J. McCollum, MD William R. Oros, MD Richard S. Smith, MD Division of Plastic and Reconstructive Surgery Joseph T. Chun, MD* Kathleen S. Herbig, MD David B. Reath, MD James W. Taylor, MD Division of Surgical Research Michael Karlstad, PhD Eric Heidel, PhD Oscar H. Grandas, MD Deidra Mountain, PhD Christopher Stephens, PhD

Division of Vascular/ Transplant Surgery Michael B. Freeman, MD* Joshua Arnold, MD Alex Cantafio, MD Mitchell H. Goldman, MD Oscar H. Grandas, MD Scott L. Stevens, MD Division of Otolaryngology Richard J. DePersio, MD* Leslie L. Baker, MD Michael J. Belmont, MD Robert A. Crawley, MD William D. Horton, MD John Little, MD Allen M. Rosenbaum, MD Ronald K. Sandberg, MD S. Soss, MD Division of Trauma/Critical Care Brian J. Daley, MD* Blaine L. Enderson, MD Christy M. Lawson, MD Todd A. Nickloes, DO Lou M. Smith, MD Dana A. Taylor, MD Division of Urology and Urologic Oncology Frederick A. Klein, MD* Mark G. Bowles, MD Stuart A. Chasan, MD Regula Doggwieler, MD Paul A. Hatcher, MD David E. Hill, MD Edward D. Kim, MD Laurence T. O’Connor, MD Randall E. Pearson, MD James C. Sloan, MD W. Bedford Waters, MD Wesley M. White, MD Bruce E. Woodworth, MD

Division of Cardiothoracic Surgery Thomas E. Gaines, MD* Raymond A. Dieter, III, MD Jeffrey E. Everett, MD John Mack, MD Division of General Surgery Matthew L. Mancini, MD* Mark Casillas, MD Paul Crawford, MD Daniel Drinnen, MD Hobart Akin, MD Terry Bingham, MD Gregory J. Mancini, MD Henry S. Nelson, Jr., MD Jeffrey Nix, MD Melissa Phillips, MD Julio A. Solla, MD Tom Thompson, MD Division of Neurosurgery William S. Reid, MD* Todd Abel, MD Lewis W. Harris, Jr., MD Frederick Killeffer, MD James A. Killeffer, MD+ Albert L. Meric, III, MD William E. Snyder, Jr., MD William A. Tyler, Jr., MD Division of Surgical Oncology Keith D. Gray, MD* John L. Bell, MD James Lewis, MD James McLoughlin, MD Division of Pediatric Surgery Carlos Angel, MD* Eric R. Jensen, MD Glaze Vaughan, MD

*Division Chief + Academic Chief

The University of Tennessee Medical Center

Department of Surgery—827

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Knoxville, TN 37920-6999

Phone: 865-305-9230

Fax: 865-305-8894 Email: gmiya@utmck.edu

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Volume XI1 , Issue 1 I August 2012

Department of Surgery Faculty

The University of Tennessee Medical Center comprises the University Memorial

Hospital and the Graduate School of Medicine. Together, these entities embody the

medical center’s philosophy and mission through the spirit of exploration, the passion

for teaching, and the compassion to restore. The University of Tennessee is an EEO/

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