On May 5, the Department of Surgery hosted its first Resident Research Day, which featured poster and oral presentations by more than 50 residents and medical students.
In addition to the poster presentations, which took place in the lobby of the Neuroscience Hospital, residents made oral presentations later in the day and were able to attend informational sessions which focused on relevant topics including setting up a research database, basic statistical support, and others.
The department welcomed special guest Herbert Chen, MD, as the event’s visiting professor. Chen is an internationally recognized surgeon-scientist and medical educator, and chair of the Department of Surgery at the University of Alabama at Birmingham School of Medicine and Surgeon-in-Chief of the University of Alabama hospital system. He took in the poster and oral presentations and later delivered the Dr. George F. Sheldon Lecture
Several students described their research:
“Our primary outcome is pain control, so we want to make sure patients are able to manage their pain. But, we’re also looking at the secondary effects of opioids and the impacts on the patients. We are still recruiting participants, but hopefully we can use the results of this study to establish a regimented pain management protocol.”
- Kathleen Marulanda, MD, a first-year resident, who is working on a research study evaluating the most effective means of pain management for patients following hernia surgery.
“Like a lot of things in plastic surgery, this gives you a framework to think about future problems. You may not see this exact problem again, but you may see something similar and you can say ‘I remember when we did that’ and figure something out a solution.”
- Patrick Mannal, MD, a plastic surgery resident, describing an innovative surgery technique recently used to help a patient maintain the appearance of her breast after a mastectomy.
“Using this simulator, you can basically run through the whole operation. Where we plan to go forward is assessing the residents this summer and hopefully seeing them improve with repetition, which we believe will happen because that’s what most simulators end up showing. We’ll also be using them at medical schools around the area and working on new simulators.”
- Yousef Abu, a first-year medical student who has developed a tracheostomy simulator.
“We looked at smoker status and how that affects the response to burn injuries. You may expect that if a smoker experienced an inhalation injury, their odds of fatality would go up. But, we found the rate of mortality is actually lower. When you think about it, smoking is a chronic inhalation injury and so it seems that over time, your body becomes more accustomed to that stress.”
- Laquanda Knowlin, MD, surgery fellow, on research into how co-morbidities affect the response to burn injuries.
Several outstanding students were honored for their presentations and research accomplishments, including:
Best Oral Presentation: Megan Quintana, MD, for her presentation entitled "Bag3+ P209L Transgene Provides a Cardiac-Specific Murine Model of Non-ischemic Cardiomyopathy."
Best Poster Presentation: Aimee Kim, MD, for her poster entitled "Mobilization of host hematopoietic cells increases engraftment after in utero hematopoietic cell transplantation (IUHCT)"
Proctor Award for Excellent Resident Research: Michael Phillips
, a resident in surgery at UNC Hospitals, had been following media coverage about #iLookLikeAnEngineer -- a hashtag created by software engineer Isis Anchalee in response to negative feedback she received after being featured in an ad for her company. These comments suggested that Anchalee was not a believable example of what a "female software engineer looks like."
Anchalee responded with a a story published by The New York Times on August 5th.that included a picture of herself holding a sign that read, "I HELP BUILD ENTERPRISE SOFTWARE. #iLOOKLIKEAnEngineer." This touched a chord with many other women engineers, who followed Anchalee's example and tweeted pictures of themselves with the hashtag. Extensive media coverage followed, including
In response to the New York Times story, Logghe tweeted, "Hashtag Aims to Break Gender Stereotypes in Engineering - Is #ilooklikeasurgeon next?" Within a few days, women surgeons all over the world began tweeting pictures of themselves and tagging them with Logghe's hashtag.
Logghe tweeted a picture of herself wearing scrubs and holding her baby daughter. And soon she found herself doing media interviews about the incredible response her hashtag had generated -- LOTS of media interviews. A few notable examples: stories on, the , and .
"I posted the original tweet at the suggestion of UNC general surgery resident blog post," Logghe said. "The response has been nothing short of amazing."and followed it up with a
"The media coverage of #ILookLikeASurgeon has been phenomenal, with articles on the Today Show website, KevinMD.com, German Spiegel, as well as Boston, New York, France, and Australia press. It has also been covered by the BBC both in print and on radio," she said. "The original blog post has been read nearly 7,000 times. There have been multiple guest blog posts since that time and they have been read thousands of times as well. One well-received guest post was by UNC's Nancy Ho, NP."
"While the movement initially emphasized women in surgery, it has expanded to include broadly defined diversity. A recent guest blog post was written by a surgeon who identifies as queer. The movement has emphasized 'humanizing the profession', aiming to promote diversity and inclusion as well as inspire a global surgical community," Logghe said.
Clayton Commander and Teddy Puzio were awarded Kaiser-Permanente Excellence in Teaching Awards. This award was created by the Class of 2000 to recognize those residents and interns who contribute in an exemplary way to the education of medical students with their enthusiasm for teaching, including students in patient care decisions, and promoting involvement of students in the medical team.
Two of the Department of Surgery's Residents, Jared Gallaher and Clayton Tyler Ellis, received awards at the North Carolina/South Carolina chapters of the American College of Surgeons Joint Meeting in 2015.
Tyler won 1st Commission of Cancer with a presentation titled "MSCR National Trends in Non-Operative Management of Rectal Adenocarinoma"
Jared won 2nd Commission on Trauma, Clinical Outcomes. Her presentation was titled "Injury Characteristics and Outcomes in Elderly Trauma Patients in Sub Saharan Africa"
Christopher Tignanelli, MD from the Division of Surgical Oncology has been chosen as one of three recipients of the John William Pope Clinical Fellowship. The award honors the best young physicians and scientists at UNC Lineberger who combine excellence in clinical practice as a physician and as a researcher in the laboratory.
More information on the Pope Clinical Fellows can be found here.
The 2012 award, named in honor of the prior director of the Office of Graduate Medical Education, was presented to Dr. Jeff Dehmer for his exemplary service to patients and their families, professional performance and compassionate patient care.
For additional information on the Dr. Robert C. Cefalo House Officer Award and a list of prior winners, see the Awards page on the Surgery web site.
Announcement from Dr. Anthony Meyer, chair of the Department of Surgery:
To Department of Surgery Faculty, Residents and Staff:
The Graduate Medical Educational Committee has approved Dr. Michael Meyers as the new Program Director of General Surgery. The transition from Dr. Mark Koruda to Dr. Meyers will occur on September 1, 2012 so recruiting for next year’s PGY 1 residents will be done with Dr. Meyers as the Program Director.
I want to personally thank Dr. Koruda for the decade that he has served as program director and all of the tremendous improvements that he has made in the General Surgery training program. It has been a period of great change in the requirements, structure and all of the other elements of surgical training from duty hours to complex case numbers, to many forms of documentation of resident teaching. His impact on the general surgery residents has been and will continue to be great and long lasting in their careers. Dr. Koruda will continue to help guide many residents on his role as faculty member and Chief of Gastrointestinal Surgery.
The General Surgery program is in excellent shape right now. The cumulative pass rate determined by The American Board of Surgery is 93% for residents who pass the written and oral exams the first time. This puts is in the Top 10 of surgical training programs in the country by this measurement.
Dr. Meyers has considerable experience in working with residents in the skills courses and with medical students on their senior Capstone Course. I have no doubt that he will bring new ideas and continue the excellence of the training program here at The University of North Carolina. Dr. Timothy Sadiq will serve as an Associate Program Director and work with Dr. Meyers and the faculty to look for new opportunities to improve our residency.
Please take the opportunity to thank Dr. Koruda for his remarkable efforts as program director and welcome Dr. Mike Meyers as the new program director in general surgery here at UNC.
Anthony A. Meyer, MD, PhD
The Fogarty Global Health Program is a year-long research fellowship that provides mentorship, training, and funding for living expenses, insurance, travel, and research efforts at the Kamuzu Central Hospital in Lilongwe, Malawi.
Dr. Boschini is the second UNC Surgery resident to be named a Fogarty Fellow. Jonathan Samuel, MD, received funding for his efforts in Malawi during 2009-2010. Other residents who have helped establish a Surgery presence at the Kamuzu Central Hospital include Javeria Qureshi, MD, and Michelle Kiser, MD. See their reports on the World section of the Surgery web site.
The article, A Surgeon at Night, was published in the. Dr. Dehmer is a PGY-4 with the UNC General Surgery residency program.
Abstract and introduction:
"Like many important lessons in surgery, this one came at night. Hospitals change when the sun goes down—mere survival becomes paramount. Particularly early in training, we learn who we are as doctors at night. The feelings of fear and confidence meld together. Unlike in the operating room, rarely is anyone looking over your shoulder at night. During the day, we present our best selves to our colleagues and patients. At night, though, we are tired and often our defenses are worn down.
Typically, we review labs and radiology studies prior to seeing the patient because it's more efficient. However, the emotional side effect is detachment. The patient becomes a sick colon that we'll have to remove. As residents, we rationalize our reactions because this practice optimizes the time that we spend on each consult. With so many patients to see and only 80 hours a week to do so, every second counts. The need is even more acute at night; we just try to stay afloat until our replacements arrive at 6 am.
One night, I was paged about a female patient reported to have the most holy and coveted of all nontraumatic surgical diagnoses—an acute abdomen. I rushed to review her CT scan, searching for any indication that surgery was necessary. Like a shark who smells blood, I was following the trail that led straight to the OR.
The case seemed innocuous enough. From her CT, the patient looked frail—not terribly young or healthy even before her most recent intestinal insult. Her internal organs all showed the signs of age. I felt so smart after my computer biopsy—ready to go forth and operate. She was another sick colon to me, one of many in a steady stream of cutting, dissecting, sewing, and ultimately learning.
The attending came in to see the patient. She is the type of physician who I would want taking care of my mother's, my wife's, even my own, sick colon. She simply talked to the patient. And I listened. The patient lived alone, albeit with much help from family and friends, so she was unwilling to do anything that would compromise her independence. Admittedly, when I saw her labs, CT scan, and finally her in person, I immediately thought, "nursing home." After talking to her, we chose not to operate. I never found out the details of what happened to her after that, an underappreciated side effect of night rotations. However, I do know that staying out of the OR was the right decision that night.
So much of our training seems diametrically opposed to restraint, to knowing when to stop. At times, it even appears at odds with rational thought. The gray area between the appendectomy and the Whipple, the gunshot wound to the abdomen and the aortic dissection, is where we learn how to be doctors. Those brief moments sitting on the bed and listening are what patients remember. They don't see the quality of an anastomosis or the empty right-upper quadrant anxious to receive a new liver. They see and hear and feel who we are as people when we talk to them and, more important, when we listen to them. At night, as the frenetic pace of the day slows, everyone— patients, families, physicians—realizes the toll that the day has taken. I learned that sometimes we all need to simply sit down and listen."
The full article is accessible on the Academic Medicine web site to those who are members.
Farrell was presented with the award at the "Celebrating Educational Scholarship" Banquet held as part of ASE's 2012 Surgical Education Week in San Diego, CA. Anthony Meyer, Chair of the Department of Surgery, and Pamela Rowland, Associate Chair for Education, with strong recommendations from his peers and students. The ASE Awards Committee annually selects those candidates who best demonstrate the qualities of an outstanding teacher, as follow:
- commitment to teaching
- expert knowledge
- enthusiasm and stimulation of interest
- encouragement of problem solving
- ability to provide feedback and effective evaluation
- role modeling of professional characteristics
- accessibility and openness to new ideas.
For more information on this and other ASE awards, click here.
The Kaiser award was created by the UNC School of Medicine Class of 2000 to recognize those residents and interns who contribute in an exemplary way to the education of medical students with their enthusiasm for teaching, including students in patient care decisions, and promoting involvement of students in the medical team. For a list of prior winners, please click here.
-Victor Calderon, Department of Surgery
Dr. Raeshell Sweeting was awarded second place for her presentation, "Intraoperative Electron Radiation Therapy Improves Local Control in Retroperationeal Sarcoma."
Other Surgery residents who presented:
- Dr. Jeffrey Dehmer, poster presentation, "Experience and Opinions of 4th Year Medical Students in Acquiring Competence with Basic Procedural Skills"
- Dr. Mark Joseph, poster presentation, "Use of a Hemodialysis Filter to Oxygenate as a Bridge to Extracorporeal Live Support: A Proof of Concept"
- Dr. Shiara Ortiz-Pujols, oral presentation, "Burn Injury: The Challenge of Insufficient Facilities and Providers"
- Dr. Shiara Ortiz-Pujols, poster presentation, "The Role of Bacterial Infection in Airway Inflammation and Acute Inhalational Injury"
The 2011 award, named in honor of the prior director of the Office of Graduate Medical Education, was presented to six house officers for their exemplary service to patients and their families, professional performance and compassionate patient care. Of the six honorees, three were from the Department of Surgery:
- Jean Ashburn, MD, General Surgery Chief Resident
- Aaron Garrison, MD, General Surgery Chief Resident
- Mark Joseph, MD, Critical Care Fellow
For additional information on the Dr. Robert C. Cefalo House Officer Award and a list of prior winners, see the Awards page on the Surgery web site.
The award recognizes a member of the house staff for the qualities of patience, humility, and devotion to medicine.
See the full list of those honored at the May 7th event.