2013 Department of Surgery Annual Report

Transcription

DEPARTMENT
of SURGERY
ANNUAL REPORT 2 013
DEPARTMENT
of SURGERY
ANNUAL REPORT 2 013
MISSION
We advance health through research, education, clinical practice
and community par tnerships, providing each person the best care,
in the right place, at the right time, ever y time.
VISION
Achieve the healthiest population possible,
leading the transformation of health care in our
region and setting the standard for our nation.
TABLE OF CONTENTS
Message from the Chair . . . . . . . . . . . . . . . . . . . . 6
Department of Surgery Sections
Cardiothoracic Surgery . . . . . . . . . . . . . . . . . . . . 9
Dermatology . . . . . . . . . . . . . . . . . . . . . . . . .11
General Surgery . . . . . . . . . . . . . . . . . . . . . . 13
Neurosurgery . . . . . . . . . . . . . . . . . . . . . . . 16
Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . 18
Otolaryngology and Audiology . . . . . . . . . . . . . . . 20
Pediatric Surgery . . . . . . . . . . . . . . . . . . . . . . 22
Plastic Surgery . . . . . . . . . . . . . . . . . . . . . . . 24
Transplantation Surgery . . . . . . . . . . . . . . . . . . . 26
Urology . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Vascular Surgery . . . . . . . . . . . . . . . . . . . . . . 30
Surgical Research Lab . . . . . . . . . . . . . . . . . . . . 33
Maxillofacial Surgery . . . . . . . . . . . . . . . . . . . . 36
Office of Surgical Education
Medical Student Education Program . . . . . . . . . . . . . 38
Dermatology Residency Training Program . . . . . . . . . . 39
ADMINISTRATION
Richard Freeman, Jr, MD
William N. and Bessie Allyn
Professor and Chair of Surgery
Kerry Ryan
Director
Administrative Associate in Surgery
Linda Barie
Administrative Manager
Audrey Carr
Financial Manager
Jo-Ann Dugdale
Administrative Assistant
Nino Dzebisashvili
Statistical Research Analyst
John Higgins
Data Center Manager
Terri Nicholson
Clerkship Program Coordinator
Laura Stancs
Assistant to the Chair
General Surgery Residency Training Program . . . . . . . . . 41
Neurosurgery Residency Training Program . . . . . . . . . . 43
Otolaryngology Residency Training Program . . . . . . . . . 44
Plastic Surgery Residency Training Program . . . . . . . . . . 45
Urology Residency Training Program . . . . . . . . . . . . . 46
Vascular Residency Training Program . . . . . . . . . . . . . 49
1) Proving the Need for Surgical Care in Developing Countries . 50
2) Community Surgery Program . . . . . . . . . . . . . . .51
3)The Center for the Evaluation of Surgical Care (CESC) . . . 52
Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Clinical Trials and Research . . . . . . . . . . . . . . . . . . 56
Publications . . . . . . . . . . . . . . . . . . . . . . . . . .61
DEPARTMENT OF
SURGERY
Sarah Pletcher, MD
Assistant Professor of Surgery
Medical Director,
Center for Telehealth
MESSAGE FROM THE CHAIR
Richard B. Freeman, Jr., MD
William N. and Bessie Allyn
Professor and Chair,
Department of Surgery
The Department of Surgery at
Dartmouth Hitchcock/Geisel School
of Medicine continues to build on
past accomplishments and explore
new directions. We have highlighted
in this report new opportunities and
developments that have occurred in
2013. Consistent with DartmouthHitchcock’s primary goal to enhance
population health, 2013 has been a
year of expansion of surgical services
into our surrounding communities.
We have developed relationships with
four community hospitals at which
Dartmouth-Hitchcock surgical faculty
now spend a significant amount of
their time practicing. Currently, we
have members of our sections of
Urology, Otolaryngology, and General
Surgery regularly seeing patients and
operating at these community sites.
These arrangements allow patients to
have access to an academic medical
center level of surgical care while
remaining much closer to their homes.
This also allows Dartmouth-Hitchcock
to support health care in the local
communities. There are numerous
examples where these arrangements
have enhanced transitions of care,
both to the tertiary levels of care when
needed, as well as enabling transfers
back from the academic medical center
to the local community when
6
tertiary care is no longer required.
All of this is managed by our surgeons
who practice in both settings.
In addition, we are actively working
to improve our coordination with our
established surgeons who practice in
our five community group practice sites
to help advance surgical sub-specialist
services in these communities as
well. All of these new venues will also
allow us to expand our educational
offerings. In fact, some of our surgical
residents and medical students are now
getting one-on-one experiences as a
result of developing these community
based faculty. We envision these
efforts as important components of
delivering and teaching more rational,
accountable, surgical care in the right
place, at the right time.
Our global surgery program is continuing
to develop. We now sponsor at least one
faculty member in Rwanda through
the Clinton Foundation’s partnership
with the Rwandan Health Ministry.
We welcomed Dr. Peter Bendix back to
complete his surgical training after his
two year project measuring the burden
of surgical disease in Mozambique.
We are continuing to explore additional
relationships in Haiti and Tanzania
through Dartmouth-Hitchcock’s
Global Health Initiatives Program.
The Center for the Evaluation of
Surgical Care (CESC) is also taking
shape under the able guidance of
Dr. Phil Goodney. Working with
collaborators at The Dartmouth
Institute (TDI), he is developing a
Dartmouth Surgical Atlas that will
provide an important resource for
better understanding the breadth
and depth of surgical care across the
nation. This new compilation will
hopefully highlight where there are
unexplained variations in surgical care
and offer opportunities to improve
surgical decision-making by using these
comprehensive data.
These are just a few areas where our
department is making significant
strides academically and clinically.
I invite you to read further to find
more specific details about the great
accomplishments and work underway
in our department.
DE PARTM ENT STATISTI CS 2013
Section
Associate
Providers
Faculty
Audiology
Residents
Clinical Trials
and Research
10
0
4
Extramural
Funding
Publications
Faculty
CT Surgery
7
7
Dermatology
8
1
6
14
9
14
24
7
32
30
3
21
20
6
20
7
3
4
15
4
9
General Surgery
Maxillofacial
1
Neurosurgery
6
3
Ophthalmology
9
2
Otolaryngology
9
2
Pedi Surgery
4
2
Plastic Surgery
7
2
Transplantation
4
0
Urology
7
2
Vascular Surgery
10
1
Surgical Res. Lab
5
Dept. of Surgery
3
0
104
39
TOTALS
Publications
Residents
5
3
0
7
5
1
4
3
21
2
16
3
14
8
14
34
6
60
35
38
10
8
11
1
2
200
72
68
4
3
189
Department of Surgery Total Gross Professional Revenue
Department of Surgery Total Cases
$250M
14K
10
13K
12K
$200M
11K
10K
9K
$150M
8K
7K
6K
$100M
5K
4K
3K
$500M
2K
1K
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
DA RTM O U T H - H I TCH CO CK M ED I C A L CEN T ER D EPA RTM EN T O F SU RG ERY A N N UA L R EP O RT 2013 FY12
FY13
7
8
CARDIOTHORACIC SURGERY
I NTRO D U C TI O N
The Section of Cardiothoracic Surgery,
consisting of the Divisions of General
Thoracic Surgery and Cardiac Surgery,
continues to offer a full range of focused
and innovative surgical options to all
patients with surgical diseases of the
thorax. With this increased specialization
of the cardiothoracic surgical faculty,
the Section has witnessed an increasingly
complex caseload with excellent
outcomes while it continues to be an
institutional leader in inpatient, outpatient,
and referring physician satisfaction.
Our continued involvement with the
General Surgical Residency Training
Program and the Geisel School of
Medicine allows medical students and
surgical residents to experience supervised
training in a busy outpatient clinic,
inpatient consult, critical care service,
and operating room environment.
TH E D IVISI O N O F
CARD IAC SU RG ERY
The Division of Cardiac Surgery
continues to offer a full range of surgical
procedures for patients with acquired
adult cardiac diseases. This includes
standard cardiac surgery procedures,
i.e. coronary bypass, valve repair and
replacement, as well as more complex
procedures such as valve sparing aortic
valve surgery, and various forms of left
ventricular remodeling procedures.
Joseph DeSimone, MD continues
with Transcatheter Aortic Valve
Replacement in collaboration with our
Heart and Vascular Center colleagues.
Our continued involvement in the
Northern New England Cardiovascular
Disease Study Group and participation
in the Society of Thoracic Surgeons
Cardiac Surgical Database insures that
our outcomes are closely monitored
and transparently displayed against
institutional, regional, and national
standards. We are proud to continue to
demonstrate some of the best outcomes
in the nation. Patients can now access
and review our surgical outcomes
by logging onto www.dhmc.org/
qualityreports/list.cfm?metrics=CT.
The Aortic Center at Dartmouth
continues to thrive under the
directorship of Anthony DiScipio,
MD. This multidisciplinary initiative
offers patients with complex diseases
of the thoracic aorta many of the most
sophisticated surgical interventions
performed today. Patients with lifethreatening aortic diseases can now be
evaluated and electively treated by the
most advanced imaging and therapeutic
modalities available and by a team of
professionals dedicated
to understanding and treating
these conditions.
In collaboration with our
electrophysiology department, James
Yun, MD is helping to lead a laserassisted lead extraction program for
aging or worn out pacemaker and
defibrillator leads. This program
will address a mounting clinical
problem as more of these devices
need to be removed.
THE DIVISION OF GENERAL
THORACIC SURGERY
The Division of General Thoracic
Surgery is an integral part of
Dartmouth-Hitchcock’s and Norris
Cotton Cancer Center’s Comprehensive
Thoracic Oncology Program (CTOP).
This multidisciplinary initiative offers
all patients with malignant diseases
of the chest direct “one-stop” access
to a multidisciplinary team of experts
dedicated to better understanding and
treating these devastating conditions.
This program meets weekly and
combines a patient-centered clinical
conference, with a centralized clinic
that places clinicians from medical
oncology, surgical oncology, pulmonary,
diagnostic and interventional radiology,
and pathology in one location. This has
offered both patients and clinicians
the opportunity for “real-time”
collaboration and consultation. The
General Thoracic Division offers a
full range of surgical procedures for
patients with benign and malignant
diseases of the lung, esophagus,
mediastinum, and pleural spaces.
This includes, where appropriate,
video assisted thoracic surgery (VATS)
including VATS lobectomy and
esophagectomy. A workgroup headed by
Cherie Erkmen, MD is refining a care
pathway for esophageal cancer patients.
This will provide optimum care in a
timely fashion.
Lawrence J. Dacey, MD
Section Chief
Professor of Surgery and
Community & Family Medicine
Kerry Ryan
Director, Department of Surgery
DA RTM O U T H - H I TCH CO CK M ED I C A L CEN T ER D EPA RTM EN T O F SU RG ERY A N N UA L R EP O RT 2013 9
RESE ARCH WITH I N
TH E SEC TI O N O F
CARD I OTH O R ACI C
SU RG ERY
Research opportunities for faculty
and residents continue within the
Section. Under the direction of Dr.
DeSimone, we are continuing to enroll
patients into a trial for Transcatheter
Aortic Valve Replacements. Dr.
DeSimone also coordinates a large
animal laboratory study looking at
the effects of pulsatile perfusion on
organ systems. Finally, outcomes
research remains robust through our
collaboration with the Northern New
England Cardiovascular Disease Study
Group (NNE) cardiac database.
The General Thoracic Division
participates with the Norris Cotton
Cancer Center and the multiinstitutional national oncology
research organization, Cancer and
Leukemia Group B (CALGB). This
provides our patients access to the
most innovative cancer treatments
available and our residents and staff
to participate in many institutional
and national treatment protocols.
Under the direction of Cherie
Erkmen, MD, the Division of Thoracic
Surgery has an ongoing basic
science research initiative studying
immunofluorescence tumor marking
in malignancies and made available
clinical research opportunities through
our clinical outcomes registry and
membership in the Society of Thoracic
Surgeons Thoracic Surgical Database.
In addition, Dr. Erkmen and William
Black, MD, from our Department of
Radiology, are leading a Lung Cancer
Screening Program.
FACULTY
CARDIAC SURGERY
M. Adam Christopher, PA-C
Instructor in Surgery
Curtis Cote, PA
Lawrence Dacey, MD
Community & Family Medicine
O U TCOM ES AN D TH E
FUTU RE O F H E ALTH CARE
Joseph DeSimone, MD
Cardiac surgery remains the most
scrutinized speciality in all of
medicine. Since healthcare payers
and their patients have insisted
on increased accountability and
transparency in outcomes, the
Section of Cardiothoracic Surgery has
responded by making our surgical
outcomes transparent to the public.
DHMC now provides patient access
to our surgical outcomes in a patientfriendly format (www.dhmc.org/
qualityreports/list.cfm?metrics=CT).
Anthony DiScipio, MD
Associate Professor of Surgery
Jamie McCormack, PA-C
Robert Miljan, PA
James Yun, MD, PhD
THORACIC SURGERY
This initiative, combined with
our continued involvement with
the Northern New England
Cardiovascular Disease Study Group
(www.nnecdsg.org), makes the
Section of Cardiothoracic Surgery an
international leader in understanding
and improving healthcare outcomes.
Daniel Chentorycki, PA
Cherie Erkmen, MD
Assistant Professor of Surgery and
Medicine
Elizabeth Maislen, APRN
William Nugent, Jr, MD
Professor of Surgery,
Community & Family Medicine,
and The Dartmouth Institute
Cardiothoracic Surgery Gross Professional Revenue
Cardiothoracic Surgery Cases
$20M
1,000
900
800
$15M
700
600
500
$10M
400
300
$5M
200
100
FY08
10
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY12
FY13
DERMATOLOGY
I NTRO D U C TI O N
ED U CATI O N
Much time has been spent this year on
settling into our space in the Heater
Road medical office in Lebanon. On
November 12, 2013, we will celebrate
our one year anniversary at D-H
Heater Road location. This year has
seen many changes for Dermatology,
but we have continued to meet and
exceed our productivity benchmarks
while increasing our efficiency and
expanding our services.
Our Dermatology Residency Training
Program continues to move upward
under the leadership of Kathyrn
Zug, MD who is in her third year as
Program Director. Our two residents
who graduated this past June, Aelayna
Meyer, MD and Jeffrey Tiger, MD,
have both started Mohs Fellowships.
Thomas Knackstedt, MD presented
to the World Congress of Cutaneous
Lymphoma in Berlin, Germany on
“CD30+ Cutaneous T-Cell Lymphoma
and Response to Brentuximab Vedotin”
during his first year of residency. Mari
Paz Castanedo Tardan, MD received
the American Contact Dermatitis
Society 2013 Mentoring Award. M.
Shane Chapman, MD started a joint
Melanoma Clinic with Marc Ernstoff,
MD which our residents participated
in. As we continue to grow we have the
hopes of adding a seventh resident to
our program in the near future.
PATI ENT CARE
Dermatology outpatient care
continues to achieve very high
patient satisfaction, while
improving our patient volumes.
We have increased access by hiring
a new staff physician, Dorothea
Barton. Dr. Barton completed her
Dermatopathology Fellowship at
Dartmouth this June bringing a new
spin to our Faculty. Additionally,
she offers a joint clinic with
Rheumatology on a monthly
basis. Our patient satisfaction has
increased as we have settled into our
new space at Heater Road. Patients
are overjoyed with the improved
access due to additional exam rooms,
ease of parking, and the bright,
beautiful facility itself.
Our section is consistently working
on efficiencies including a focus
on seeing our patients within the
appropriate timeframe. Under the
leadership of a Greenbelt project, we
have reviewed our nurse workflow
and made changes that reduce wait
time throughout the clinic. Our staff
routinely present cost savings ideas
as they are discovered throughout
the clinic. Through the creation
of a Super Surgery Clinic, we have
been able to perform excisions on
patients in a more timely manner.
Our workflow, efficiencies, and
use of Epic are examples which
such groups as John Hopkins
Medical Center and Massachusetts
General Hospital have come to
observe. We have implemented new
equipment including MelaFind and
Coolsculpting machines.
M. Shane Chapman, MD
Section Chief
RESE ARCH
Our section began working with
the Clinical Research Unit (CRU)
office this year and is continuing
to participate in multiple
industry-sponsored trials and
enrolling patients.
FACU LT Y H I GH LI GHTS
Dr. Zug was quoted in the July
edition of Prevention “The
Allergen Hiding in your Makeup”
which focused on the allergen
methlisothiazolinone. Drs. Chapman
and Zug made the NH Top Doctors
list. In June, Dr. Chapman and
one of our third year residents, Jill
Wallace, MD traveled to Kenya on
a medical volunteer trip through
Free the Children, Me to We and
Passion to Heal. Richard Baughman,
MD was honored with Emeritus
Status. Dr. Chapman received a grant
through Dartmouth SYNERGY: The
Center for Clinical and Translational
Science for studying Personalized
Photodynamic Therapy (PDT) for
Improved Treatment of Lethal Skin
Lesions. Faramarz Samie, MD, PhD
is working on a care path for Mohs
micrographic surgery.
Ashley Luurtsema
Practice Manager
LO O KI N G AH E AD
We want to continue to make our
section a leader in office innovation
and efficiency, while maintaining
high patient satisfaction. Dermatology
is looking to hire additional faculty,
including a second Pediatric
Dermatologist as well as expanding our
staff through the addition of Physician
Assistants. Through this additional
staff we will continue to improve
access as we continue developing our
relationship with Primary Care. We are
also committed to making the Section
of Dermatology a leader in outpatient
clinical efficiency. Dermatology
continues to look to the future of
establishing a department with a
connection in the southern region.
FACULTY
DERM ATOLOGY
Virginia H. Arvold, PA-C (VA)
Denise Aaron, MD
Dorothea Barton, MD
and Pathology
John Bocachica, MD
M. Shane Chapman, MD
Marshall Guill, MD
Nicole Pace, MD
Faramarz Samie, MD, PhD
Kathleen Zug, MD
Professor of Surgery
Dermatology Gross Professional Revenue
$20M
$15M
$10M
$5M
FY08
12
FY09
FY10
FY11
FY12
FY13
GENERAL SURGERY
I NTRO D U C TI O N
The Section of General Surgery, on a
daily basis, strives to accomplish the
D-H mission: to advance health throu
gh research, education and clinical
practice, providing each patient the
best care, in the right place, at the right
time. We also strive to optimize the job
satisfaction of each of our providers and
staff, realizing this is essential for us to
collectively accomplish our mission.
M A J O R N EW I N ITIATIVES
During the past year, we have established
a new model for integrated surgical
care with our neighboring community
hospitals. D-H general surgeons have
begun, for the first time, to evaluate and
operate on patients in nearby community
hospitals. This model will optimize
patient care by providing ambulatory
surgical care in the community
setting, while fostering referrals to the
academic center for patients with more
complicated conditions. Since 2011,
Timothy Siegel, MD has been caring for
patients and teaching medical students
at both DHMC and Alice Peck Day
Hospital. This Spring, Brent White, MD
and Sean Bears, MD have also joined this
model, dividing their efforts between
DHMC and Mt. Ascutney Hospital or
New London Hospital, respectively.
This initiative has been so successful
that Valley Regional Hospital, in
Claremont, wishes to participate and
New London and Alice Peck Day
Hospitals both desire to utilize additional
surgeons in this model.
Kerrington Smith, MD in collaboration
with Timothy Gardner, MD from
Gastroenterology and David Axelrod,
MD from Transplant, has performed
the first islet cell transplantation at
D-H for patients with diabetes. This
required a substantial team effort
both to coordinate and implement.
Drs. Smith and Gardner have also
been fortunate to secure a major
development gift that will support the
general surgery laboratory now and a
pancreas center in the future.
Dr. Siegel, having met the requirements
for board certification in Palliative Care,
has now begun to serve as the first
surgical attending on the Palliative Care
Service at DHMC.
The Trauma and Acute Care Division,
boasting six members who are double
boarded in surgery and critical care
medicine, has now assumed complete
responsibility for the care of trauma
and acute surgical patients in the
intensive care unit. In the past, these
patients were jointly cared for by
surgeons and medical intensivists.
We have greatly expanded the role
of advanced practitioners in our
section. Priscilla Marsicovetere, PA
is now a vital part of the Colorectal
Surgery Division. Deborah Upton,
APRN, Rachel Sargent, APRN, and
Katelyn Husband, APRN have all
recently joined the Trauma & Acute
Care Division to streamline and
improve inpatient care.
Q UALIT Y PATI ENT CA RE
Our General Surgery providers
performed 3,391 operative cases in
FY13 and had 12,881 outpatient clinic
appointments, achieving 99% of our
budgeted volumes.
Richard J. Barth Jr., MD
Section Chief
Our patients continue to be very satisfied
with the care they receive. During 2012,
our patient satisfaction scores were
significantly above the DHMC mean.
Eighty-one percent of all patients rated
their provider overall as excellent.
We have begun a section-wide quality
improvement effort to decrease
our infection rate after colorectal
operations. John Murray, MD, Stefan
Holubar, MD, and Richard Barth, MD
identified and implemented a best
practice intervention bundle, and
are actively documenting whether
adherence to the bundle affects our
NSQIP reported complication rates.
We have also established, within eDH,
a comprehensive database to record
breast cancer outcomes. We have
established a process for populating
and updating this database, and look
forward to using this information
to enhance patient care and breast
cancer research.
Catherine Garfield Legare
Senior Practice Manager
In FY12 General Surgery contributed
over 4 million dollars toward the
D-H net operating margin, and have
exceeded this performance in the
first 9 months of FY13.
ED U CATI O N
the local recurrence rate of breast
conserving surgery in patients with
multicentric cancers. Dr. Barth
completed a study in conjunction with
Dartmouth Thayer School engineers
which showed supine MRI images can
be used to intraoperatively precisely
define the location of breast cancers.
Drs. Laycock, Trus and Adrales
demonstrated laparoscopic surgery
for paraesophageal hernias is safe in
octagenarians. Kenneth Burchard,
MD published the second edition of
his Handbook of Critical Care. Burton
Eisenberg, MD has initiated a new
clinical trial, termed the “Genius”
study, which plans to determine
whether personalized therapy which
targets specific mutations in patients
with metastatic tumors is more
effective than standard therapies.
Paul Kispert, MD and Kari Rosenkranz,
MD assumed the roles of General
Surgery Residency Program Director
and Co-Director a year ago. They have
improved the method by which new
residency candidates are evaluated and
have improved the process of current
resident feedback and evaluation. Gina
Adrales, MD and Andrew Crockett, MD
have implemented a new curriculum
for medical student teaching. Dr.
Thadeus Trus, MD directs a thriving
fellowship in laparoscopic surgery.
Two graduating chief residents this
year entered fellowship training in
thoracic surgery (Massachusetts
General Hospital and Denver), one is
doing an endocrine surgery fellowship
at the University of Michigan, and one
has stayed at Dartmouth pursuing a
Critical Care fellowship.
General Surgery Cases
General Surgery Gross Professional Revenue
$35M
3,500
$30M
3,000
$25M
2,500
$20M
2,000
$15M
1,500
$10M
1,000
$5M
500
14
FY10
FY11
The General Surgery leadership
team — Catherine Garfield,
Sr. Practice Manager;
Laurie O’Rourke, Nurse Manager;
Jeanne Minasian, Administrative
Supervisor; and Dr. Barth, Section
Chief — were encouraged by the
positive feedback received in the 2012
DHMC Employee Engagement survey
results and look forward to sustaining
a productive and happy section.
Drs. Rosenkranz and Murray were
chosen as the Top Surgeons in their
specialties by NH physicians, as
reported in NH Magazine. Several
section members are playing prominent
roles in national organizations.
Rajan Gupta, MD is Chair of the Rural
Trauma Committee of the Eastern
Association for Trauma and serves
on the American College of Surgeons
Committee on Trauma. Dr. Trus is
leading the international laparoscopic
training efforts of SAGES. Drs. Kispert,
Rosenkranz, Rhynhart, and Barth hold
leadership roles in the New England
Surgical Society, with Dr. Kispert
serving as Chair of the Program
The Section continued to add new
knowledge to the surgical literature
this past year. Dr. Holubar was
awarded a Dow-Crichlow Award
this year to support his research in
optimizing surgical decision making
for chronic ulcerative colitis patients
in the era of biologic therapy. Dr.
Holubar has been an invaluable
resource for members of the section
working with large national databases.
Dr. Rosenkranz is the Principal
Investigator on a new breast cancer
clinical trial, Z11102, activated by
the National Oncology Trial Group
Alliance which will determine
FY09
TAK I N G STO CK AN D
LO O K I N G AH E A D
RESE ARCH
FY08
Committee for the 2013 annual
meeting. At DHMC, Eric Martin, MD
has expanded his role to include an
Emergency Management Co-Medical
Directorship. Horace Henriques, MD
has assumed the clinical leadership role
in Care Management.
FY12
FY13
FY08
FY09
FY10
FY11
FY12
FY13
FACULTY
Rajan Gupta, MD
Ellen McKinnon, APRN
GENERAL SURGERY
Horace Henriques, III, MD
John Murray, MD
Richard Barth, Jr., MD
Stefan Holubar, MD
Maureen Quigley, APRN
Sean Bears, MD
(Community Surgeon)
Paul Kispert, MD
and Anesthesiology
Kenneth Burchard, MD
Professor of Surgery and Anesthesiology
William Laycock, III, MD
Thomas Colacchio, MD
Jean Liu, MD (VA)
Andrew Crockett, MD
Priscilla Marsicovetere, PA-C
Burton Eisenberg, MD
Eric Martin, MD
Debra Fournier, APRN
Instructor of Surgery
Elizabeth McCabe, APRN
Gina Adrales, MD
Kurt Rhynhart, MD
Kari Rosenkranz, MD
Timothy Siegel, MD
Kerrington Smith, MD
Thadeus Trus, MD
Benjamin Forbush, MD (VA)
NEUROSURGERY
Surgical Innovation, whose intraoperative
imaging, digitization and robotic
resources align well with our patient,
resident and investigator activities.
PATI ENT CARE
David W. Roberts, MD
MD, Section Chief, Neurosurgery
Neurology
Alma Hass Milham Distinguished
Chair in Clinical Medicine, Geisel
Although short of a full clinical team
most of the year, the Section exceeded
its wRVU benchmark by 110%. We
continue to provide comprehensive, highly
subspecialized neurosurgical care in the
areas of intracranial and spinal tumor,
degenerative spine, cerebrovascular,
peripheral nerve, pediatric, radiosurgery,
trauma, and functional neurosurgery.
Dedicated faculty, midlevel and resident
teams, and multidisciplinary programs
in each of these areas provide essential
infrastructure. Successful recruitment
of Robert Singer, MD, with fellowships
in both open cerebrovascular and
interventional neurosurgery, substantially
augments our capability, particularly
in the institution’s neurointerventional
program that has thrived under Cliff
Eskey, MD, PhD. Development of regional
activity in the south continues through
outpatient clinics in Manchester.
ED U CATI O N
Kevin D. Williams
Director, Neurosciences
I NTRO D U C TI O N
The Section of Neurosurgery, with
its focus on highest quality patient
care, education and investigation,
has had another successful year. New
personnel have brought additional
programmatic initiatives to all
three of those missions, and core
activities of the section have been
sustained and refunded. The Section
is particularly excited about the
imminent opening of the Center for
16
The Dartmouth-Hitchcock Neurosurgery
Residency Program has had another
great academic year. Chief Resident
Atman Desai, MD secured a fellowship in
complex spine at Johns Hopkins and will
be taking a faculty position at Stanford.
Joon-Hyung Kim, MD from Cornell-Weill
Medical School and first author on a
study just published in Lancet Oncology,
has joined our resident team. Kimon
Bekelis, MD on the American Association
of Neurological Surgeons (AANS) Young
Neurosurgeons Committee, is now
serving on the Executive Committee of
the Joint Section on Cerebrovascular
Neurosurgery as well as the Guidelines
and the Medico-legal Committees of
the Council of State Neurosurgical
Societies (CSNS), from whom he
was awarded a CSNS Socioeconomic
Fellowship. Residents presented this
past year at the AANS, the Congress of
Neurological Surgeons, the Pediatric
Joint Section meeting, and the New
England Neurosurgical Society (NENS).
They participated in the Woods Hole
RUNN course and the AFIP/Cook County
Neurosurgery, Neuroradiology, and
Neuropathology Review courses. Melissa
Robb, our Residency Coordinator, was
awarded DHMC’s Residency Coordinator
of the Year Award. Our first-year elective,
Exposure to Neurosurgery, continues to be
over-subscribed. A new third-year medical
student rotation has been implemented
under the direction of Scott Lollis, MD,
and fourth year sub-internships have
remained popular with both Dartmouth
and visiting medical students. Sebastian
Rubino, Geisel Medical School IV, won
the Shucart Award at this year’s NENS
meeting for best student paper, with his
presentation, “Outpatient follow-up of
non-operative cerebral contusion and
traumatic subarachnoid hemorrhage: does
repeat head computed tomography alter
clinical decision-making?” Coming off a
postdoctoral year in the section, MD-PhD
student Pablo Valdes, MD continued
innovative work in technological
development of hyperspectral and dual
fluorophore optical imaging.
RESE ARCH
Population-based studies by Dr. Bekelis
and Dr. Desai in trauma and stroke
have generated publications receiving
wide attention. Supported by an AANS
Dandy Fellowship Award, Dr. Bekelis has
continued his work using nanoparticle
imaging to investigate the inflammatory
response in intracranial aneurysm.
Linton Evan, MD worked on acute spinal
cord injury as well as glioma volumetric
resection analysis. Jennifer Hong, MD
investigated helicopter transport for
subarachnoid hemorrhage as well as
surgical interventions for headache. Dr.
Lollis continues to explore the novel
imaging technique of magnetic resonance
elastography and is developing a research
program in image-guided spinal surgery,
work that will directly benefit from the
Center for Surgical Innovation. Pediatric
neurosurgeon David Bauer, MD, received
the Harmes Surgical Scholar Award
and is working in collaboration with
Ryan Halter, PhD, in the Biomedical
Engineering program on a new shunt
design. New addition Robert Singer, MD,
has brought his cerebrovascular
laboratory from Vanderbilt, and with
the assistance of his research assistant,
Imad Khan, also from Vanderbilt,
it is already up and running. The
NIH-supported fluorescence-guided
surgery project was successful in
its NIH competitive renewal and is
investigating dual fluorophore imaging
(protoporphyrin IX and fluorescein),
new methodologies for quantitative and
depth-resolved imaging, and development
of a large data base on quantitative tumor
fluorescence, which will be expanded to
include Johns Hopkins and UCSF this
coming year. We are also working with
Brian Pogue, PhD, on a successfully
NIH-funded project to develop a new
EGFR-targeted fluorophore. The section’s
long-standing program in imageguidance and computational brain
modeling, incorporating Keith Paulsen,
PhD, Songbai Ji, PhD, Xiaoyao Fan, PhD,
Kolbein Kolste, and Alex Hartov, PhD
successfully implemented ultrasoundalone surgical co-registration and further
refined its stereovision technology
whereby 3D images of the surgical
field are fully co-registered. The
section continues to work with neurooncologist Camilo Fadul, MD, on a
glioma vaccine trial.
Simmons, MD, a model of clinical
efficiency and productivity in pituitary,
complex spine, and intracranial tumor,
has expanded his activities to skull
base tumor, working closely with
ENT surgeon, Jim Saunders, MD.
Dr. Simmons continues to lead our
weekly operating room scheduling
and efficiency committee and this
past year has been a principal in the
institution’s OR quality improvement
safety initiative. Dr. Lollis is focusing
his clinical activity in spine, and in
synergy with the investigative work
outlined earlier. He is overseeing our
medical student rotations as well as
manning a Manchester neurosurgery
clinic. Dr. Bauer’s clinical work in
pediatric epilepsy and in spasticity
has highlighted his development of a
pediatric neurosurgery practice, and
has proved a greatly appreciated and
invaluable member of the neurosurgery
team. Dr. Singer’s arrival, alluded to
with respect to his cerebrovascular
and interventional activities, has
been long-awaited and the source
of much excitement. Section Chief
David Roberts, MD, rotating off the
Executive Committees of both the
Society of Neurological Surgeons and
the American Academy of Neurological
Surgeons, is presently serving as
Chairman of the American Board of
Neurological Surgeons. He continues
on the advisory or editorial boards of
the Journal of Neurosurgery,
Neurosurgery, and World Neurosurgery,
and as editor of Stereotactic and
Functional Neurosurgery.
Perry Ball, MD, who in addition to
operating on complex spine spends part
of his time on the Critical Care service,
is now directing the Neuroscience
Special Care Unit. Recently promoted
to full Professor, he continues to serve
on the Executive Committee of the
Neurosurgical Society of America,
its Long-Range Planning Committee
which he chairs, and the editorial board
of the journal, Neurosurgery. Nathan
Neurosurgery Gross Professional Revenue
Neurosurgery Cases
$25M
1,200
With a full complement of physicians,
mid-level providers, and residents,
the Section of Neurosurgery
looks forward to another exciting,
productive, and successful year. With
the opening of the Center for Surgical
Innovation, the resources to further
complement and grow our clinical,
educational, and research mission
will be substantially enhanced.
FACULTY
NEUROSURGERY
Perry Ball, MD
Professor of Surgery and Anesthesiology
S. Scott Lollis, MD
Amber Merrill, APRN
Sharon Morgan, APRN
David Roberts, MD
Professor of Surgery and Neurology
David Sargent, PA
Nathan Simmons, MD
Robert Singer, MD
Radiology
Joellen Speaker, MSPA
1,000
$20M
800
$15M
600
$10M
400
$5M
200
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
17
OPHTHALMOLOGY
David Campbell, MD serves as
Director of The Glaucoma Service.
This year he is joined by Robert
Schertzer, MD who was in solo
private practice in Vancouver, British
Columbia, after spending many years
in academic medicine at the Kellogg
Eye Institute and the University of
British Columbia. Dr. Schertzer offers
the latest surgical techniques available
for treating advanced glaucoma.
William J. Rosen, MD
Section Chief
Michael R. Barrington
Practice Manager
I NTRO D U C TI O N
With the aging population, we are
seeing increased incidence of eye
disease. This past year, the Section of
Ophthalmology provided services for
over 20,000 patient visits. The Section
is providing primary, secondary, and
tertiary eye care, with subspecialty
care in neuro-ophthalmology,
pediatrics, glaucoma, oculoplastics,
vitreo-retina, and cornea. We also
offer state-of-the-art cataract surgery.
Our team also has an optometrist
offering complete primary eye care
including contact lens fitting.
PATI ENT CARE/FACU LT Y
H I GH LI GHTS
Michael Zegans, MD provides surgical
care for patients with complex corneal
disorders and uveitis syndromes. Dr.
Zegans spends fifty percent of his
time doing research centered on the
microbiology of the eye.
Donald Miller, MD provides cataract
surgery, including the use of toric
intraocular lenses for patients with
significant astigmatism.
18
Susan Pepin, MD serves as Director
of Neuro-Ophthalmology and works
closely with the Department of
Neurology, seeing those patients that
have neurological disorders affecting
the ocular system. In addition, she is
a skilled cataract surgeon. Dr. Pepin
spends fifty percent of her time as
Associate Dean for Diversity at Geisel
School of Medicine (GSM).
Christopher Chapman, MD provides
comprehensive medical and surgical
expertise for patients with complex
disorders of the retina, vitreous and
macula, including trauma, and laser
treatment for premature infants with
retinopathy of prematurity. Crystal
Colby, PA is now part of the team,
assisting in patient evaluation and
surgery. Rosalind Stevens, MD provides
comprehensive medical treatment
for patients with retinal and macular
disease. Dr. Stevens is very involved in
the flying eye hospital, ORBIS, where
she is Program Director.
Erin Salcone, MD is a comprehensive
pediatric ophthalmologist and treats
pediatric eye disease and adult
strabismus. She was a medical student
at GSM before doing her residency and
fellowship at Mass Eye and Ear, and
Children’s Hospital in Boston.
In addition to being Section Chief,
William Rosen, MD provides
comprehensive ophthalmic care as well as
expertise in diseases of the eyelid, orbit,
and lacrimal system. He is a diplomate
of the American Society of Oculoplastics
and Reconstructive Surgeons.
Cynthia Lawrence, OD provides
primary eye care and optometric
services as well as contact lens fitting
and prescribing.
ED U CATI O N
All providers in the Section of
Ophthalmology provide educational
opportunities onsite at DartmouthHitchcock as well as regionally,
nationally, and internationally. Dr.
Stevens finished her MPH degree in
International Ophthalmology from
Johns Hopkins, and is now an advisor
for Global Programming for ORBIS,
the flying eye hospital. Our vibrant
Grand Rounds Program features
nationally recognized leaders in
ophthalmology. Dr. Chapman serves
as coordinator of medical student
and resident education. Dr. Campbell
continues to be an invited speaker
at the Lancaster Ophthalmology
Review Course. We are proud of our
collective success in matching GMS
students each year to competitive
ophthalmology residency programs.
CLI N I CAL TRIALS AN D
RESE ARCH
Dr. Zegans continues his research
in epidemiology and microbiology
and also is active in international
eye care through the Dickey Center
at Dartmouth, and through his
association with the Aarivand Eye
Hospital in India. Dr. Pepin conducts
several clinical trials including
therapeutic studies involving multiple
sclerosis, Alzheimer’s disease, and
ischemic optic neuropathy.
The Section of Ophthalmology is
constantly striving to improve our
patient access and satisfaction, while
we deliver state-of-the-art treatments
in the most cost-effective manner
possible. The principal three-year goal
of the Section is starting a residency
program. A major step that will help
our residency application is the new
ophthalmology program being started
at the White River Junction Veterans
Administration. Our goal is to affiliate
our residents with rotations at the
VA facility. All of the faculty view
education and teaching as part of
their mission and all desire a residency
training program.
FACULTY
OPHTHAL MOLOGY
David Campbell, MD
Christopher Chapman, MD
and Pediatrics
Crystal Colby, PA
Cynthia Lawrence, OD
Donald Miller, MD
Susan Pepin, MD
and Pediatrics
William Rosen, MD
Erin Salcone, MD
Robert Schertzer, MD
Rosalind Stevens, MD
Ronald Swendris, MD
Michael Zegans, MD
Microbiology & Immunology
Ophthalmology Gross Professional Revenue
Ophthalmology Cases
$30M
1,500
$25M
1,200
$20M
900
$15M
600
$10M
300
$5M
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
19
OTOLARYNGOLOGY AND AUDIOLOGY
I NTRO D U C TI O N
Throughout 2013 we continued to focus
on our core business of patient care
and improving the quality of care that
we deliver. As the financial pressures
of a changing healthcare landscape
continue to increase, efficiency and
cost containment are also priorities.
Activities surrounding these focus areas
consume most of our time and energy,
but due to the strong commitment of
the faculty and staff, we have also been
able to meet the needs of our academic
mission through teaching and research.
PATI ENT CARE
Daniel H. Morrison, Jr, MD
Section Chief
Annette M. Tietz
Practice Manager
20
In June, we graduated our second
resident, Laura Shively, MD. Dr. Shively
chose to follow her passion of care for
the disadvantaged and took a job with
the Indian Health Service in Anchorage,
Alaska. As one of our first residents,
she helped guide the evolution of the
residency educational structure. Patrick
Tate Maddox, MD, our first graduating
resident, easily passed his written and
oral boards on the first try and is now
a board certified otolaryngologist
practicing in Abingdon, VA. Brian
Thomas, MD has taken over as Chief
Resident, and we welcome Jake Ossoff,
MD as our new PGY-1 resident. We are
all looking forward to the upcoming
year as Mark Smith, MD, our Residency
Program Director, prepares to submit
a request to increase the number of
residents in the Program.
Expanding our view and working
toward developing a regional practice
strategy became a priority over the
course of this year. This sharpened
focus was precipitated in part by a
downturn in tertiary referrals for
large parts of our practice. Increased
competition for patients from the
academic medical centers in Boston
as well as the addition of several
otolaryngologists and subspecialty
expertise across New Hampshire and
Vermont resulted in budget shortfalls
across most section subspecialty
practices. To meet these challenges,
we have been actively seeking ways
to increase our presence in the
Manchester, NH area and explore
new regional practice models. Dr.
Morrison started a two-day per week
general otolaryngology practice at
New London Hospital and will use
this experience to shape our response
to a rapidly changing health care
delivery landscape.
We have been pushing forward with
value creation on several fronts. Our
head and neck care pathway transitioned
to the standardization phase and
continues to benefit from the oversight
of Sheila Keating, RN, BSN, our Clinical
Nurse Navigator. In our next care path
project, we have decided to tackle the
continuum of care for children referred
to us for management of chronic
otitis media with effusion (potential
myringotomy with tube candidates).
In this project we will look beyond our
walls and include care delivered at the
level of the primary care office. We will
also work to develop a care path model
that is able to adapt over time as well as
capture and study those patients who
deviate from the pathway.
ED U CATI O N
Changes in the structure of the Geisel
Surgery clerkship allowed us to be
regular participants in this MS-3
clerkship for the first time this past
year. In addition to hosting third year
medical students in the clerkship, we
continue to offer a popular elective in
otolaryngology and a sub internship
experience. The entire section is
energized and enthusiastic about these
medical student teaching opportunities.
Daniel Morrison, MD, MS and Mark
Smith, MD continued their regular
involvement in teaching basic exam
and assessment skills to students in the
Family and Community Medicine and
Pediatrics clerkships and will be looking
forward to new opportunities as the
Geisel curriculum redesign unfolds.
Our relationship with the The
Dartmouth Institute (TDI)
microsystem group continued as
we sent another team to participate
in ECS 124, serving as a clinical
system for the class to study as
well as benefitting students in the
class. A similar arrangement has us
regularly sending clinical teams to
the Microsystem Academy Coach-theCoach Program. Projects completed
during the year include an overhaul
of our hearing aid line of business
and a fiscal overhaul of the entire
Audiology line of business resulting
in a positive operating margin for the
first time.
None of these activities move forward
without effective leadership. Annette
Tietz, our Practice Manager, has
been phenomenally effective in
her role as a quality improvement
leader, personnel manager, and
financial guru. Her personality and
capability shone brightly as she met
the challenges of the past year. Jen
Christoffers, RN, NP, joined us as our
nurse manager. She has been busy
dealing with a significant reduction
in our nursing support staff and the
continued challenges of turnover
within this group. Her energy,
enthusiasm, and expertise are clearly
evident every day.
Other significant accomplishments
include that of Giri Venkatraman,
MD, MBA. Dr. Venkatraman was
offered a part-time appointment
with the Value Institute and now
spends half his time involved in
quality improvement work with the
Perioperative Center and the Value
Institute. James Saunders, MD was
appointed the American Academy
of Otolaryngology’s International
Affairs Coordinator and continues
active lines of research in hearing
loss in developing countries. Louise
Davies, MD, MS remains an active
member of the VA Outcomes
Group studying treatment decision
making for head and neck cancer
patients. Eunice Chen, MD, PhD has
maintained an active bench research
program with funding through the
Dow-Crichlow Award.
FACULTY
OTOL ARYNGOLOGY
Louise Davies, MD
Peter Dixon, PA
JJ Benoit Gosselin, MD
Ryan McCool, MD
Daniel Morrison, Jr, MD
Joseph Paydarfar, MD
2,500
$20M
2,000
$15M
1,500
$10M
1,000
$5M
500
FY11
AUDIOLOGY
Maria Stella McHugh, MS
Eunice Chen, MD
and Pediatrics
$25M
FY10
Giridhar Venkatraman, MD
Julie Johnson, AUD
Sharon Bry, APRN
Otolaryngology Cases
FY09
Mark Smith, MD
and Pediatrics
Kerry Gudlewski, AUD
Otolaryngology/Audiology Gross Professional Revenue
FY08
James Saunders, MD
FY12
FY13
FY08
FY09
FY10
FY11
FY13
21
PEDIATRIC SURGERY
I NTRO D U C TI O N
The Section of Pediatric Surgery
includes Pediatric General and Thoracic
Surgery, Pediatric Neurosurgery, and
Pediatric Urology. 2013 continued to
be a transitional year for the section
as changes in healthcare delivery
and reimbursements mandated a
reorganization of the sections activities.
PATI ENT CARE
Laurie A. Latchaw, MD
Section Chief
and Pediatrics
Striving to provide outstanding surgical
health care to the children we serve
remains the primary mission of the
Section. The Manchester/Bedford
facilities have seen increases in the
General Pediatric Surgery clinics as the
Pediatric Urology clinics were scaled
back following the departures of Drs.
McQuiston and Herz. Dr. David Chavez
joined the section at the beginning of
2013 as the only pediatric urologist in
the region. He has rapidly increased his
clinical availability in both the Lebanon
and Manchester/Bedford campuses.
Along with Dr. Latchaw, Dr. Chavez
performs outpatient pediatric urology
surgery at the Manchester ASC.
Pediatric Trauma Program
In November, 2011, the American
College of Surgeons verified the
Pediatric Trauma Program as a Level
2 Pediatric Trauma Center. This is the
only ACS designated Pediatric Trauma
Center in Northern New England.
Laurie A. Latchaw, MD is the Pediatric
Trauma Medical Director and Renee
Gaffney, RN is the Pediatric Trauma
Program Manager.
Ann C. Kitson
Practice Manager,
Pediatric Surgery
The Chest Wall Deformity Program
For the past 7 years, Daniel Croitoru,
MD, has evaluated hundreds of
patients with Pectus Excavatum and
Pectus Carinatum in both Lebanon
and Manchester/Bedford clinics.
Dr. Croitoru is a nationally known
expert in Minimally Invasive Pectus
Excavatum Repair and sees referrals
from all over the U.S.
Minimally Invasive Surgery
Minimally invasive surgery continued
to expand this past year and can now
be offered for most intra-abdominal
and intra-thoracic surgical procedures
when indicated. Dr. Bauer started
the minimally invasive treatment
22
of brain tumors through advance
neuroendoscopy techniques which
allows tumor biopsy and resection
through small openings in the skull.
Peripheral Nerve Clinic
Susan Durham, MD continued the
only coordinated care of children and
adults with peripheral nerve problems
in Northern New England. This
multidisciplinary clinic facilitates the
proper diagnosis and treatment plan for
these debilitating conditions.
Pediatric Brain Tumor Clinic
This multidisciplinary clinic involving
Pediatric Neurosurgery, Pediatric
Neurology, and Pediatric Neurooncology was instituted four years
ago and continues to coordinate the
surgical and medical care follow-up of
infants and children with brain and
spinal cord tumors.
Pediatric Epilepsy and
Spasticity Programs
David Bauer, MD, established a
multi-disciplinary program for the
care of children with cerebral palsy
who have debilitating spasticity and
dystonia. Services offered include
orthotics, medication adjustments,
Botox injections, and assessment
for Baclofen pump placement and
selective dorsal rhizotomies. The
latter 3 treatment options were not
previously offered at DHMC. Surgical
therapy for seizure disorders in
children is also offered by Dr. Bauer.
Pediatric Genitourinary Robotic
Surgery Program
Dr. Chavez offers the only pediatric
urology robotic program in northern
New England.
ED U CATI O N
Medical education of our patients and
families as well as present and future
health care providers continues to be a
top priority of the Section. The Division
of General and Thoracic Pediatric
Surgery remains one of the core surgical
teaching services for the third-year
Dartmouth medical students as well as
offering a Sub-internship for 4th year
students. All three Divisions participate
actively in residency training programs.
Dr. David Bauer was an invited speaker
at the New England Neurological
Society Annual. Bridget Logan, PhD,
APRN, contributed lectures to the
Franklin Pierce Physician Assistant
Program and worked with the iSURF/
INBRE programs teaching research to
nursing students.
RESE ARCH
Bridget Logan, PhD, APRN, is
involved in research correlating
psychological and adverse childhood
experiences with treatment of voiding
dysfunction. Her work has been
accepted for presentation to the Society
of Pediatric Urologists. Dr. Daniel
Croitoru mentored Dr. Andrea Stroud
in her research comparing epidural
vs. PCA analgesia following pectus
excavatum repair which was presented
in September, 2013, at the Canadian
Association of Pediatric Surgeons.
The section welcomes David Chavez,
MD, pediatric urologist, who arrived
early January 2013. Dr. Chavez who
trained in urology at DHMC and in
pediatric urology at Duke University
has considerable experience in robotic
urologic surgery.
LO O K I N G AH E AD
PEDIATRIC NEUROSURGERY
The Pediatric Surgical Specialties
Section is actively recruiting a second
pediatric urologist and hopes to fill
that position in the next few months.
Regretfully, Dr. Susan Durham will
be leaving DHMC in November, 2013.
We wish her well in her new position
at FAHC in Burlington, VT. Next
year will continue to be a challenge
as new health care initiatives and
reimbursement options require
innovative ways to care for the children
of New Hampshire and Vermont.
Cooperation and alliances with other
children’s hospitals in New England
will be paramount to our success.
David Bauer, MD
FACULTY
Susan Durham, MD
and Pediatrics
PEDIATRIC UROLOGY
Mary Gheen, PNP
Instructor in Surgery and Pediatrics
Daniel Herz, MD
and Pediatrics
Bridget Logan, NP-C
Leslie McQuiston, MD
and Pediatrics
PEDIATRIC GENERAL AND
THORACIC SURGERY
Daniel Croitoru, MD
and Pediatrics
Scott Lannon, MSN
Laurie Latchaw, MD
and Pediatrics
Pediatric Surgery Gross Professional Revenue
Pediatric Surgery Cases
$12M
1,200
$10M
1,000
$8M
800
$6M
600
$4M
400
$2M
200
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
23
PLASTIC SURGERY
I NTRO D U C TI O N
The Section of Plastic Surgery is
committed to continuous improvement
in the work we do and services we
provide to our patients, their families,
and each other. We are constantly
engaged in looking at ways to improve
their work and provide better care for our
patients. Leaders from the group have
been invited to present their work for the
Value Institute, various Grand Rounds
and other educational forums. We are
looking into the future to find more
ways to improve and share this work
throughout the institution and beyond.
PATI ENT CARE
Dale C. Vidal, MD
Section Chief
Ashley Luurtsema
Practice Manager
Over the past year, we have worked to
design new interdisciplinary clinics
which our patients will benefit greatly
from and provide care to those less
fortunate in various trips to third world
countries. We continue to find ways to
meet patient demand while balancing
financial stewardship and looking at
ways to cut expenses and work more
efficiently. Now that we have settled
in with eDH, we are working on ways
to make it the most valuable for our
patients, maximizing the use of the
After Visit Summaries and the patient
portal, myDH. We have found our
patients very receptive to these new
tools for communication and look for
ways they can benefit all of us.
We have recently started an
interdisciplinary clinic for our hand
patients in which we have Occupational
Therapists offering joint appointments.
The interdisciplinary nature of these
visits makes them convenient and
well received by patients. We continue
to collaborate regularly with various
specialties such as General Surgery,
Dermatology, Otolaryngology,
Orthopedics, and others.
ED U CATI O N
We have two third-year residents this
year, Sunny Chatterjee, MD and
Tom Kosowski, MD. Jeffrey Wu, MD
is our second-year resident, and we
were joined this year by Tamara Dawli,
as a first-year resident. Our residents
continue to be an integral part of
our program and our faculty enjoy
engaging with them in regular lecture
24
sessions and grand rounds, but mainly
in day-to-day patient care.
RESE ARCH
Carolyn Kerrigan, MD continues to
collaborate with researchers from
Memorial Sloan-Kettering to develop
outcome measures for women
undergoing breast surgery. She has also
focused on clinical outcomes of needle
aponeurotomy for Dupuytren’s and
utilizing patient-reported outcomes in
common hand problems as a bedside
diagnostic tool.
Mitchell Stotland, MD has been
exploring perceptual response to
facial difference; the effect of isolated
muscle paralysis on emotional
processing, and is involved in a new
project evaluating a novel approach to
total ear reconstruction.
Joseph Rosen, MD has a grant
entitled, “Armed Forces Institute of
Regenerative Medicine (AFIRM);”
is the Craniomaxillofacial Program
Director for the Armed Forces Institute
of Regenerative Medicine, Rutgers
Cleveland Clinic Consortium; is on
the Executive Committee of AFIRM; is
Chair of the Clinical and Rehabilitative
Advisory Team; and co-investigator on
a grant focused on predicting surgical
errors. He led an international surgical
team to Vietnam and is developing a
network-based telemedicine healthcare
system for Vietnam called RICE (Remote
Interaction Consultation Epidemiology
and Reconstructive International
Cooperation Exchange).
Dale Vidal, MD is the coPI on a grant
submitted to the Arthur Vining
Davis Foundation to allow for the
Patient Support Corps, a program
that partners students with patients
facing difficult medical conditions.
She also supports several junior faculty
members as mentor on sponsored
research developmental awards.
Dr. Kerrigan is a trustee of the American
Society of Plastic Surgeons and an
evaluator of examiners for the American
Board of Plastic Surgery (ABPS). Since
the start of eDH, she has become more
involved in advancements of the EMR,
recently leading and collaborating with
clinicians who seek to create patientcare surveys to optimize patient and
provider time during their visit.
translational science. As a leader in
Health Care Transparency and Shared
Decision-Making, she continues as
Curriculum Committee Chair for
the Masters of Health Care Delivery
Science Program at Dartmouth. This
role allows Dr. Vidal the ability to
effectively shepherd new advances in
health care delivery, oversee quality
improvement efforts in the use of
health information technology systems,
and development of novel clinical and
translational methodologies.
Dr. Stotland is Chair of the CHaD
Development Committee. As part of
his work with CHaD, he leads the
Craniofacial Anomalies Clinic (“Face
of a Child Program”), which is the
only comprehensive, inter-disciplinary
craniofacial team in Northern New
England. With an active patient
census of approximately 800 children,
36 half-day clinics per year, and 8
participating specialties (including 4
surgical sections), this is a vibrant and
productive program. In addition to the
wonderful clinical services that the
“Face of a Child” program offers, the
past 2 years have seen an astounding
burst of patient- and family-centered
outreach activities including “family
fun days” and Craniofacial families
organically coming together to lead
the way in fundraising at the CHaD
Hero Half Marathon and the Battle of
the Badges events. This group raised
$30,000 for the Hero Half Marathon
in 2012 and $3,000 for the Battle of the
Badges in 2013.
In July, Drs. Nigriny and Ridgeway
joined Dr. Rosen’s international surgical
team trip to Vietnam, which is a trip
that Dr. Rosen hosts twice per year.
Many of the faculty have been
involved in Care Path development.
Drs. Ridgeway, Vidal, Freed, Nigriny,
and Kerrigan have collaborated
to redesign their Care Path on
Breast Reconstruction, focusing on
standardizing practices within the
clinic setting.
FACULTY
PL ASTIC SURGERY
Alison Evans, APRN
Gary Freed, MD
Carolyn Kerrigan, MDCM, MSc
The Dartmouth Institute
John Nigriny, MD
Emily Ridgway, MD
Joseph Rosen, MD
Professor of Surgery and Radiology
Mitchell Stotland, MD, CM
and Pediatrics
Dale Vidal, MD
As Chief of the Section of Plastic
Surgery, Professor of Surgery at
Geisel School of Medicine, Director
of the Center for Informed Choice,
and Medical Director of the Center
for Shared Decision Making, Dr.
Vidal is engaged in activities aimed
at transforming local, regional, and
national environments for clinical and
Plastic Surgery Gross Professional Revenue
Plastic Surgery Cases
$20M
1,500
1,200
$15M
900
$10M
600
$5M
300
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
25
TRANSPLANTATION SURGERY:
KIDNEY AND PANCREAS TRANSPLANT
I NTRO D U C TI O N
The mission of the Section of
Solid Organ Transplantation and
Hepatobiliary Surgery is to improve the
lives of patients with advanced organ
failure and complex liver disease through
innovative, integrated medical and
psychosocial care, education, research,
and engagement with public policy
development. Over the past 21 years,
following the first kidney transplant at
DHMC, the Section has experienced
tremendous growth in both its volume
and in the clinical programs. The Section
is actively involved in both clinical and
outcomes research, national leadership
roles within the major transplant
organizations, and education for medical
students, residents, and fellows.
David A. Axelrod, MD
Section Chief
Assistant Professor of Surgery,
Koren L. Fay
Transplant Administrator
26
PATI ENT CARE
Kidney Transplant
Our Program has continued to
expand transplant services to patients
living in Northern New England. We
have expanded services in the D-H
Manchester clinic to better serve
patients living in the southern part
of the region. Patients can now be
seen at D-H Manchester through all
phases of their transplant care. The
program is actively involved in direct
patient outreach through dialysis unit
visits, local transplant education, and
cooperative relationships with referring
providers across New Hampshire,
Vermont, and northern New York.
The D-H Transplantation Program
continues to grow with an emphasis
on excellent outcomes and improved
patient quality of life. Through active
participation in national living donor
exchange programs, and, most recently,
the use of novel therapies to decrease
antibody levels to permit selected cross
match positive transplants, we are
bringing state-of-the-art transplant
care to our patients. Led by Dr.
Christopher Simpkins, these programs
expand opportunities for donation and
contribute to significant reductions in
waiting times and wait list mortality.
Our transplant rate is now two to three
times faster than the average in our
region and in the nation.
Pancreas Transplant
D-H has the largest pancreas transplant
program in New England. Unique in the
region, pancreas transplant recipients
are managed without corticosteroids
improving quality of life and reducing
complications. Immunosuppression is
limited to two medications (tacrolimus
and mycophenolate mofetil) and is
well tolerated by our patients. We have
performed over 75 pancreas transplants
in the past 6 years and are pleased that
our first pancreas recipient is doing well.
Autoislet Transplantation
In cooperation with the section of
General Surgery and Gastroenterology,
we have initiated a program of
total pancreatectomy and autoislet
transplant for patients with disabling
chronic pancreatitis (TPIAT).
Patients are offered a laparoscopically
assisted total pancreatectomy. Next,
in cooperation with Massachusetts
General Hospital (MGH), we isolate
their islets from the pancreas,
reinfuse them into the liver, and
substantially reduce the incidence
of post-pancreatectomy diabetes. To
date, we have completed a total of 12
procedures. We are pleased that all
patients have experienced significant
reductions in pain and have minimal
insulin requirements. Through the
combined efforts of Drs. Gardner,
Axelrod, and Smith, DHMC has
emerged as the leading center in New
England for TPIAT.
Liver Transplantation and
Hepatobiliary Surgery
At D-H, we offer state-of-the-art care for
patients with hepatocellular carcinoma,
cirrhosis, or end-stage liver disease
in our multidisciplinary liver care
center. Here surgeons, hepatologists,
oncologists, and interventional
radiologists participate in a shared
medical appointment providing timely,
integrated care on a weekly basis. Liver
care has now expanded to include the
evaluation and post-operative care of
liver transplant patients in cooperation
with MGH where Dr. Axelrod also
practices. This integrated program
allows for seamless continuity between
the northern evaluation team and the
liver transplant programs. Led by the
members of the Sections of Solid Organ
Transplantation and Gastroenterology/
Hepatology, the Program has seen and
evaluated over 300 liver patients.
ED U CATI O N
The Transplantation Section remains
committed to the education of
students, residents, fellows, patients,
and the community. Currently, fourthyear surgical residents spend three
dedicated months on the transplant
service participating in all aspects of
the service. We also train nephrology
fellows, urology residents, medical
students, and have recently developed
a new transplant medicine rotation
for the internal medicine residents.
Michael Chobanian, MD, Medical
Director of Transplantation, won an
award for outstanding teaching.
For our patients, the Section continues
to conduct outreach sessions and
has sessions planned in Manchester,
Portsmouth, and Nashua, NH. These
sessions bring together health care
professionals, local nephrologists, and
transplant patients in community
sessions designed to promote an
understanding of transplant.
RESE ARCH
The Transplantation Section has been
active in research. An investigator-initiated
research program, led by Drs. Zuckerman
and Chobanian, has focused on immune
reconstitution in immunosuppressed
patients, with a specific focus on
regulatory T cells. David Axelrod, MD
has been funded by the NIH to examine
strategies to decrease disparities in access
to transplantation. Section research has
recently been presented at the American
Transplant Congress, the American
Society of Nephrology, and the Winter
Meeting of the American Society of
Transplant Surgery.
Members of the D-H faculty are
active in the national transplant
community. Dr. Axelrod recently
served as the Chairman of the National
Pancreas Transplant Committee of the
United Network for Organ Sharing
(UNOS). He also created and directs
the American Society of Transplant
Surgeons Leadership Development
Programs. Richard Freeman, MD,
Chair of the Department of Surgery
and member of the Transplantation
Section, is the past-President of the
International Liver Transplant Society
in recognition of his long standing
commitment to developing the art,
science, and policies that govern liver
transplantation in the US and abroad.
He also served as member of the UNOS
Board of Directors setting national
transplant policy.
$3.5M
350
$3M
300
$2.5M
250
$2M
200
$1.5M
150
$1M
100
$500K
50
FY11
David Axelrod, MD
Associate Professor of Surgery,
Michael Chobanian, MD
and Pediatrics
Richard Freeman, Jr, MD
Sarah Parmelee, FNP
Christopher Simpkins, MD
Transplantation Surgery Cases
400
FY10
TRANSPL ANTATION SURGERY
We anticipate continued growth in
all aspects of the Transplantation
Program. We continue to focus on
improving patient outcomes and
enhancing our ability to provide timely
local care to patients in Northern
New England. We have embarked
$4M
FY09
FACULTY
LO O K I N G FO RWARD
Transplantation Surgery Gross Professional Revenue
FY08
on expanded outreach and clinical
activities in the southern region to
ensure access to efficient care for
patients in this area and expanded
cooperation with referring providers.
FY12
FY13
FY08
FY09
FY10
FY11
FY13
27
UROLOGY
I NTRO D U C TI O N
The Section of Urology continues to
expand its role as a regional tertiary
service in oncology, lower and
upper urinary tract reconstruction,
incontinence, and complex stone
disease through the development
of relationships with our referring
medical and urological community.
The minimally invasive approach
to the treatment of prostate cancer,
upper urinary tract malignancies,
and stone disorders is an example of
the Section’s ability to adopt state-ofthe-art technology in the delivery of
genitourinary surgical care.
PATI ENT CARE
William Bihrle, III, MD
Section Chief
The growth in the volume of renal
surgeries and cystectomies performed at
Dartmouth-Hitchcock (D-H) suggests
that the comprehensive genitourinary
oncological initiative is resonating
with referring physicians. Our high
risk bladder cancer pathway continues
to evolve; ensuring consultation and
treatment to a population of patients
whose prognosis is dependent on timesensitive intervention.
The Section remains on the forefront
of the minimally invasive approach
to the treatment of genitourinary
malignancies and benign disorders
of the upper urinary tract. Faculty
provide state-of-the-art surgical care
to our prostate cancer patients with
the aid of the da Vinci robotic surgical
platform. Most nephrectomies and
nephron-sparing nephrectomies are
now performed with the aid of roboticassisted techniques. Dedicated PSA/
prostate biopsy, hematuria, vasectomy,
and metabolic stone clinics represent
models of efficient, patient-focused care
for common genitourinary problems.
Teresa Leblanc
Practice Manager
28
An investment in nursing and
administrative support services
continues to reward our patients
and referring providers with
improved ambulatory access. Our
“nurse navigator” program has been
particularly effective in coordinating
the evaluation and treatment of
patients with complex urological
problems through every aspect of their
healthcare experience.
The Section is expanding its
community outreach program to the
established program at Alice Peck
Day Hospital. We have initiated
joint recruitment programs with
Springfield, Valley Regional, and Mt.
Ascutney Hospitals and are exploring
collaborative opportunities with New
London Hospital.
ED U CATI O N
The transition to a five-year residency
program has been fully implemented.
The revamped block emphasizes the
clinical strengths of the Dartmouth
program - surgical mentoring
based on a core urological syllabus without sacrificing the importance of
investigative scholarly activity. Elective
flexibility allows residents to gain
experience in renal transplantation,
urogynecology, and clinical research.
Senior residents rotate at the VAMC and
Concord Hospital, pediatric experience
is solidified at the junior and senior
levels and our chief residents oversee
two adult services at D-H.
Change made to the third-year surgical
core curriculum, allowing medical
students exposure to subspecialty
surgery, has resulted in a number of
successful urology matches by Geisel
students. The last year has seen a
threefold increase in the number of
medical students applying for fourth
year clerkships at D-H.
FACU LT Y
Our newest faculty, Elias Hyams, MD
and David Chavez, MD have rapidly
developed robust surgical practices
in their respective areas of expertise,
namely minimally invasive and pediatric
urology. Torrence Wilson, MD, formerly
on staff at the Mayo Clinic, joins the
Section as staff urologist at the VAMC.
Section members remain active in
regional and national organized urology.
Ann Gormley, MD, Chair of the Urinary
Incontinence Network, an investigative
arm of the NIH and member of the
Residency Review Committee of
the ACGME, recently ascended to
the presidency of the New England
Section of the AUA. John Seigne, MD
serves on the AUA Superficial Bladder
Cancer Guidelines Panel and is the
Program Director of the Genitourinary
Oncology Group at the Norris Cotton
Cancer Center. Dr. Pais, the Urological
Section Editor of Clinical Nephrology
and the New Hampshire representative
to the New England Section of the
AUA, was recently invited to serve on
the AUA Stone Disease Guidelines
Panel. All faculties serve as reviewers
for the major urologic journals.
LO O K I N G A H E AD
RESE ARCH
UROLOGY
Collaborating with Ryan Halter, PhD
at the Thayer School of Engineering on
an NIH funded grant investigating the
use of electrical impedance technology
in the accurate diagnosis and staging
of prostate cancer, Eli Hyams and John
Seigne are engaged in applied research
activity. Vernon Pais and his resident
collaborators continue to expand our
understanding of stone epidemiology
and stone disease in pregnancy as well
as the proper use of ultrasonagraphy in
ureteral stone treatment. Working with
investigators at the VAMC, faculty and
residents have initiated novel evaluative
studies in urethral stricture disease and
renal cell carcinoma using the Vinci
database. The Section of Urology had
eight presentations at this year’s New
England Urologic Annual Meeting,
six presentations at the National
AUA Meeting, and eight manuscripts
accepted in peer-reviewed periodicals.
Our residents have won the prestigious
Willscher Award for outstanding
research at the last two New England
Urologic annual meetings.
The challenges presented by a
maturing urological workforce and
the delivery of specialty care in a
rural environment accentuate the
need to develop collaborative and
innovative programs with our critical
access partners.
FACULTY
E. Ann Gormley, MD
Kelley Hamill Lemay, APRN
John Heaney, MB, BCh
Elias Hyams, MD
Vernon Pais, MD
John Seigne, MB, BCh
David Barrett, MD
Clinical Professor and
Rodney Taylor, MD
William Bihrle, MD
Urology Gross Professional Revenue
Urology Cases
$20M
1500
1200
$15M
900
$10M
600
$5M
300
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
29
VASCULAR SURGERY
The Vascular Regenerative Medicine
Program includes clinical protocols
and trials to utilize autologous stem
cell and gene therapy to treat patients
with critical limb ischemia. To date
we have participated in six clinical
trials using either autologous stem
cells or gene therapy to treat patients
with limb threatening ischemia who
have no options for lower extremity
revascularization. Richard Powell,
MD has served as the national or
international principle investigator for
these trials.
Richard J. Powell, MD
Section Chief
Radiology
I NTRO D U C TI O N
The members of the Section of Vascular
Surgery continue to work together
to achieve the mission of the Section
which is to deliver patient-centered
value based vascular care through
innovation, research, and education.
The remarkable achievements of the
Section have been delivered in a time of
tremendous change and uncertainty in
the health care system. Despite these
challenges we have been successful in
maintaining a busy clinical volume,
reducing our cost for delivering care,
remaining at the forefront of vascular
research, and continuing to provide
outstanding training for future
vascular surgeons.
CLI N I CA L
Our clinical volume has remained stable.
Over the last year we saw 5,492 patients
in the ambulatory clinic, performed 514
procedures in the interventional suite,
and 970 procedures in the operating
room. We continue to develop highly
specialized programs in vascular care.
These include a regenerative medicine
program for critical limb ischemia and
branched fenestrated endovascular
aneurysm repair program.
30
The Branched/Fenestrated
Endovascular Aneurysm Program
is led by Mark Fillinger, MD. This
program has assumed a nationally
recognized leadership role in training
vascular surgeons in branched/
fenestrated endovascular aneurysm
repair. This technique allows for a
minimally invasive approach to repair
thoracic-abdominal aneurysms that
would otherwise require extensive
open surgery with a much higher
associated morbidity and mortality.
This center is one of only a handful
in the country capable of repairing
complex thoracic-abdominal aneurysm
through a minimal invasive endov
ascular approach.
In order to better provide vascular
care throughout our region, we have
developed a regional vascular surgery
program that includes vascular
surgeon Larry Young, MD at D-H
Nashua Clinic and William Tanski,
MD at D-H-Concord Clinic as well as
outreach programs in Cheshire Medical
Center in Keene (Eva Rzucidlo,MD),
Brattleboro Memorial Hospital in
Brattleboro, VT (Daniel Walsh, MD),
and the White River Junction Veterans
Administration Hospital (David Stone,
MD, Philip Goodney, MD, Brian Nolan,
MD). These programs allow patients
to be cared for locally while having
any needed procedures performed in
an appropriate hospital commensurate
with complexity of the care they
require. In the future, we hope to
implement telemedicine programs to
provide rapid access for our patients
and referring physicians in more rural
environments.
Q UALIT Y I M PROVEM ENT/
VALU E BASED CA RE
As technology in vascular surgery
evolves, expense has assumed an
increasing concern in caring for
patients with complex vascular disease.
The Section of Vascular Surgery
has adopted process improvement
methodologies to improve efficiency
and eliminate waste while maintaining
quality in the care we deliver. Many
members of the Section, including
residents and fellows, have obtained
formal training in process improvement
methodology through the DHMC
Value Institute. Members of the Section
have participated in numerous value
improvement projects that include:
1.Endovascular Aneurysm repair
process improvement project
which was led by Dr. Stone and
Alexander J. Horvath. This project
improved patient flow through the
clinic, streamlined instrument use
and addressed escalating costs of
implantable endografts, and has
resulted in an annualized savings
of > $400, 000.
2.REVAMP Trial which was led
by PGY-4 Emily Spangler, MD
and Dr. Goodney which focused
on decreasing readmissions in
vascular patients. Dr. Spangler’s
study resulted in impressive
improvements in patient
engagement in caring for their
wounds after surgery — a major
cause of readmission — and she
was awarded the $25,000 Care Path
Award from the Department of
Surgery to further her efforts.
3.Varicose Vein project led by
Dr. Rzucidlo which focuses on
improving education, streamlining
the ambulatory care, and expediting
access to surgical intervention in
patients with varicose veins.
4.Ambulatory Clinic redesign led
by Dr. Powell which focuses on
minimizing patient wait times while
maximizing capacity of the vascular
lab and ambulatory clinic.
The Section continues to participate
in quality improvement projects as
part of the Vascular Study Group of
New England, a consortium of 30
New England hospitals that track key
outcomes and processes of vascular
heath care, and develop regional
QI projects. As part of this effort,
the Section is able to benchmark its
outcomes against others. Successful QI
projects have included the increased
usage of statin and antiplatelet
medication peri-operatively, increased
use of patching during carotid
endarterectomy to reduce restenosis,
reduction of reoperation for bleeding
after carotid endarterectomy, and better
selection of patients for surgery by more
accurate preoperative risk assessment.
This regional quality effort, which
originated at DHMC, has morphed into
the Society of Vascular Surgery Vascular
Quality Initiative (VQI), a national
collaboration of now 280 hospitals
in 45 states that have organized 15
regional quality improvement groups,
functioning like the VSGNE for regional
quality improvement, and using a shared
national data registry housed in the SVS
Patient Safety Organization.
Benjamin Brooks, MD, a graduate from
general surgery residency at Johns
Hopkins Hospital, has assumed a staff
position at the University of Utah in
Salt Lake City, UT. Replacing Randy
as chief resident in vascular surgery is
Thomas Simone, MD who graduated
from Jefferson Medical School. Our
chief fellow in Vascular Surgery is
Kristina Giles, MD who completed
her general surgery residency at New
England Deaconess Medical Center.
New additions to the Section include
Jesse Columbo, MD our PGY-1 resident
who graduated from University of
Massachusetts Medical School and
Claire Griffin, MD our first year fellow
who completed her general surgery
training at University of Florida.
RESE ARCH
All members of the Section are involved
in research. The Basic Science Program
is led by Dr. Rzucidlo. We are currently
graduating our fourth PhD candidate
from the lab. Our lab is investigating
the role of several proteins in the
vascular remodeling process. We use in
vitro and in vivo models to determine
the molecular mechanisms which
control vascular smooth muscle cell
phenotypic change and how these
changes affect the other layers of the
artery in the remodeling process. From
our work in the lab investigating the
role of adiponectin (cardioprotective
hormone made by adipocytes and
vascular smooth muscle cells), we are
now undertaking a human trial to
determine the role of adiponectin in
ED U CATI O N
The Vascular Surgery Fellowship and
Residency Programs are led by Program
Director, Dr. Fillinger and Assistant
Program Director Dr. Rzucidlo. This
year marks the graduation of our first
vascular resident Randall DeMartino,
MD who has taken a position at
the Mayo Clinic in Rochester MN.
predicting outcomes in patients with
peripheral vascular disease.
The Section has a remarkable track
record in outcomes research lead
by Drs. Goodney and Nolan. Dr.
Goodney, along with co-investigators
Drs. Cronenwett, Nolan, and others,
were awarded a $300,000 R21 grant
from AHRQ (R21HS021581-01A1)
to develop and implement a health
information technology tool to help
surgeons and patients choose whether
or not to proceed with asymptomatic
carotid surgery.
The Section is heavily involved in
clinical trials. This work is supported
by three full-time clinical research
nurses and an administrative secretary.
The Section currently participates
in 42 clinical trials that include
aneurysm device trials, carotid stent
trials, proteomic/genomic trials, as
well as gene therapy and stem cell
trials. The Section also participates in
several NIH sponsored clinical trials
including CREST, CREST-2 and BEST.
Several members in the Section serve
as national or international principal
investigators for these trials. Dr. Powell
is the National Principal Investigator
for REVIVE and RESTORE –CLI
Trials examining autologous stem cell
treatment for critical limb ischemia.
Dr. Powell is also the National PI for
AnGES 0206 clinical trial evaluating
the use of HGF gene therapy in patients
with critical limb ischemia. Dr. Powell
is the National PI of the recently
completed SuperNOVA trial evaluating
the outcomes of the Innova stent in the
Vascular Surgery Gross Professional Revenue
Vascular Surgery Cases
$30M
1,100
1,000
$25M
900
800
$20M
700
600
$15M
500
400
$10M
300
200
$5M
100
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
31
superficial femoral above knee popliteal
artery in patients with symptomatic
peripheral vascular disease. Dr. Powell
is also a member of the executive
committee of the NHLBI funded BEST
trial that compares lower extremity
bypass to best endovascular therapy
in patients with CLI. This trial has
been funded for 23 million dollars over
the next five years. Dr. Fillinger is the
National PI for the Pythagoras Trial
evaluating a novel endovascular graft.
AWARDS
Dr. Mark Fillinger
President-elect New England Society
for Vascular Surgery
Dr. Richard Powell
Secretary the New England Society
of Vascular Surgery
Dr. David Stone
E.J. Wylie Traveling Fellowship Award
from the Society of Vascular Surgery
to investigate the cost of endovascular
aneurysm repair abroad in capitated
systems of healthcare
Award of operational excellence from
the Value Institute recognizing EVAR
care path quality improvement/cost
reduction work
Dr. Daniel B. Walsh
Distinguished Reviewer, Journal of
Vascular Surgery
President, Vermont Medical Society
Secretary/Treasurer of the Eastern
Surgical Society
Dr. Philip Goodney
Director for the Center for the
Evaluation of Surgical Care at
Dartmouth Hitchcock
Interim Co-Director of the VA
Outcomes Group
Chair of the Research Advisory
Committee for the Society for
Vascular Surgery’s national Vascular
Quality Initiative
Research Advisory Committee for the
Vascular Study Group of New England
Dr. Jack Cronenwett
SVS as Co-Editor of the 8th edition of
Rutherford’s Vascular Surgery
Dr. Eva M. Rzucidlo
Program Chair for the New England
Society of Vascular Surgery
Video Committee Chair for the Society
for Vascular Surgery
32
FACULTY
Carey Stillman, APRN
VASCUL AR SURGERY
David Stone, MD
Jack Cronenwett, MD
Daniel Walsh, MD
Mark Fillinger, MD
Robert Zwolak, MD, PhD
Philip Goodney, MD
VASCUL AR RESEARCH L AB
Brian Nolan, MD
Richard Powell, MD
Professor of Surgery and Radiology
Eva Rzucidlo, MD
and Pediatrics
Mary Jo Mulligan-Kehoe, PhD
SURGICAL RESEARCH LABORATORY
M ISSI O N
FACI LIT Y
The Surgical Research Laboratory (SRL)
is a 10,000 sq. ft. research laboratory
and experimental animal OR facility
designed to perform a wide array in
vitro and in vivo translational research
studies (including sophisticated surgery
and imaging techniques) for improved
understanding of disease processes
including identification and facilitation
of new medical and surgical devices,
techniques and therapeutics.
Basic Research
The basic science component of the
SRL (six bench laboratories) includes
a complete array of molecular
biology instrumentation and
techniques including cell culture;
DNA microarray; proteomics
array; northern, western, and
southern blots; ELISA; RT-PCR;
autoradiography; etc. The SRL has
dedicated expertise in histologic
preparation and staining/labeling
techniques including histochemistry,
immunohistochemistry, in situhybridization as well as fluorescent
microscopy, and automated/
computer-based microscopic image
analysis/quantification.
FACU LT Y AN D
A DM I N ISTR ATI O N
Immediate supervision and oversight
of the SRL rests with Department
of Surgery (DOS) Chair, Richard
Freeman, MD, FACS. The facility is
directed by P. Jack Hoopes, DVM,
PhD (Professor of Surgery, Radiation
Oncology and Biomedical Engineering,
Director, Center for Comparative
Medicine and Research.
The Dartmouth College Provost Office,
the Geisel School of Medicine, the
Dartmouth Hitchcock Medical Center,
the Dartmouth College Center for
Comparative Medicine and Research,
the Norris Cotton Cancer Center, and
the Thayer School of Engineering are
key research partners, supporters and
administrative collaborators of the
SRL. The full-time SRL support staff
includes three veterinarians (Hoopes,
Moodie, Maurer), one veterinary
technician and senior OR manager
(Kane), two PhD research associates
(Petryk, Hodge) two senior bench
laboratory managers (Strawbridge,
Wagner) and administrative grant/
financial managers (Carr, Bursey).
Alicea A. Bursey is a new onsite SRL
administrator who works with Audrey
Carr to oversee budgets, grants and
organizational financial matters.
Seven DOS professors have dedicated
laboratory space in the SRL. More
than 25 DOS/DHMC/Thayer School
surgeons and faculty performed
research in the SRL in 2012-13. Twelve
graduate students and post-doctoral
fellows have a research home in the SRL
and more than 50 Dartmouth and nonDartmouth undergraduates engaged in
SRL research projects in 2012-13.
Surgical Research
A six room state-of-the-art
experimental animal operating
facility, which includes a lead
lined radiation suite (dedicated
cine-fluoroscope/angiography unit
and clinical ultrasound), performs
an extensive array of animal-based
experimentation (all commonly
used large research models)
including pigs, rabbits, sheep, and
spontaneous canine tumors (pet dogs
treated with curative intent and
long term follow-up). SRL surgical
and imaging techniques include
state-of-the-art animal anesthesia
delivery and monitoring. The facility
contains seven permanent and
two mobile operating microscopes,
suitable for conventional and
microsurgery applications.
Animal Imaging Resource
The SRL staff [Hoopes, Moodie,
Strawbridge, Kane and Hartov
(Thayer image reconstruction
engineer)] in collaboration with the
Center for Comparative Medicine
and Research and the Norris
Cotton Cancer Center, oversee the
Dartmouth animal imaging shared
resource (Director Hoopes). This
rodent and large animal imaging
facility includes rodent specific MRI,
CT, PET, ultrasound, fluoroscopy/
angiography and bioluminescence
/fluorescence imaging
instrumentation and clinical/large
animal MRI, CT, and PET
P. Jack Hoopes, DVM, PhD
of Medicine
ultrasound and fluoroscopy/
angiography. The SRL staff also
has expertise in the technical
aspect and use of endoscopy,
laparoscopy, and radiation therapy
(linear accelerator) / treatment
planning. Taken together, research
animal based imaging and surgery
technology and instrumentation is
at the forefront of the national
research effort in this area.
Center for Surgical Innovation (CSI)
The NIH/Dartmouth-Hitchcock
supported CSI, funded in 2010,
is now scheduled for completion
November, 2013. This facility, one
of fifteen in the USA, is a two-room
OR facility for clinical patients, and
selected research animal subjects,
includes built-in intraoperative MRI,
CT, and bi-planar fluoroscopic/
angiography technology. The DHMC
facility is the only one in the USA
and Canada to be dual-fitted for
animal-based surgical research
and clinical patients.
SRL RESI D ENT AN D
N O N - RESI D ENT FACU LT Y
(50 AC TIVE DARTMO UTH
FACU LT Y USERS)
Active, Resident SRL Faculty (10)
M.J. Mulligan-Kehoe, PhD, D. Roberts,
MD, K. Martin, PhD (adjunct),
M. Savellano, PhD, K. Samkoe, PhD,
K. Moodie, MS, DVM, B. Pogue, PhD,
E. Chen, MD, PhD, E. Rzucidlo, MD,
and P.J. Hoopes, DVM, PhD. Four of
these faculty members (Drs. Pogue,
Samkoe, Roberts and Hoopes) have
primary or adjunct appointments at the
Thayer School of Engineering.
Active, Non-resident DOS Faculty (17)
S. Lollis, MD, T. Trus, MD, C. Erkmen,
MD, M. Stotland, MD, R. Powell, MD,
M. Zegans, MD, C. Chapman, MD,
D. Miller, MD R. Gupta, MD, J. Rosen,
MD, R. Freeman, MD, J. Paydarfar, MD,
D. Morrison, MD, B. Gosselin, MD,
J. Saunders, MD, and B. Eisenburg, MD,
J. DeSimone, MD.
Active, Non-DOS D-H/Geisel Faculty
(16)
Dept. of Medicine (A. Kaplan,
R. Rothstein, L. Jarvis, D. Gladstone,
L. Lewis, B. Williams, N. Paradis,
T. Sroka, ), Dept. of Radiology
(J. Weaver, B. Gimi, N. Khan,
P. Kuppassamy, H. Swartz. K. Paulsen),
Dept. of Orthopedics (S. Mirza), and
Dept. Microbiology and Immunology
(S. Fiering, M.J. Turk, PhD).
Active, Thayer School of Engineering
Faculty (16)
B. Pogue, K.D. Paulsen, P. Meaney,
C.E. Sullivan, B.S. Trembly,
F. Shubitidze, R. Halter, S. Davis,
K. Griswold, T. Gerngross, J.C. Collier,
D. Van Citters, U. Wegst, I. Baker,
A. Hartov, and S. Diamond.
Funded research projects include:
• Antibody and non-antibody
directed iron oxide nanoparticle
breast and ovarian cancer
treatment (NIH NCI U54, ACS/
NCCC Internal, NIH SBIR Awards)
• Development of iron/iron
oxide nanoparticles (NIH U54,
Foundation Award, Industry:
Micromod/Aspen)
• Photodynamic therapy: treatment
efficacy and mechanism (NIH R01,
P01, and K01 Awards)
• Use and development of
fluorescence and near infared (NIR)
in cancer imaging, diagnosis, and
treatment (three NIH R01 Awards)
• Development and assessment of
interventional cardiovascular
models and technologies (NIH SBIR
and industry funding)
• Anti-angiogenesis and associated
developmental biology (NIH R01
and Foundation Awards)
• Electrical impedance spectroscopy
and tomography imaging
technology (NIH-NCI P01 and R01
Breast Cancer Imaging Awards)
• Natural Oriface Transluminal
Endoscopic Surgery/NOTES)
(CIMIT/NIH Award)
• Assessment of novel surgical mesh
material (Industry: B&G Medical, Inc.)
• Noninvasive microwave imaging
and heating techniques (ACS/NCCC
Internal Award)
• Electron paramagnetic resonance
assessment of O2 levels in radiation
tissue damage (NIH P01, U19 Award,
DOD Award, Robert W. Crichlow
Career Development Award)
• Radiation innovation and development
research (NIH P30 Award)
Maxillofacial Surgery Gross Professional Revenue
• Assessment of novel electrocautery
technology (Salient/Medtronic, Inc.)
• Protein engineering for diagnosis
and therapy of cancer and
developmental disease (NIH U54,
P20, and NSF)
• Development and assessment
of absorbable surgical staples
(Industry: OPUS-KSD, Inc.)
• Novel treatment of spinal cord injury
(Industry: Thompson MIS, Inc.)
• Use of novel preservation methods
to improve transplant organ health
(Industry: Somahlution, Inc.)
Maxillofacial Surgery Cases
200
$2M
175
150
$1.5M
125
100
$1M
75
50
$500K
25
FY08
34
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY12
FY13
• Novel techniques for the treatment
of glaucoma (Industry: Euclid
Systems Corporation)
• Optimizing cardiopulmonary care
during cardiac arrest. (Industry:
Zoll Medical Corporation)
• Identification of immune effects
associated with protein glycosylation
(Industry: Merck/Glycofi)
• Novel cardiovascular stent imaging
(Concord Biomedical Sciences and
Emerging Technologies)
• Novel endoscopic administration of
small bowel wall bulking agent for
weight control (Industry: Fractyl, Inc.)
• Ocular implant Lantanaprost for
Glaucoma Rx (Industry: Euclid
Ocular Systems)
Educational/training activities:
proceeding towards a breast cancer
clinical trial, which will be directed
by Dr. Eisenburg, DOS surgeon and
Deputy Director of the NCCC.
2012–13 PU BLI CATI O NS
Fulltime resident SRL faculty (Hoopes,
Pogue, Mulligan-Kehoe, Rzucidlo,
Roberts, Samkoe, and Chen) combined
for 91 peer-review publications and
more than 55 full-length published
proceeding papers in 2012-13.
Keith Paulsen, PhD
Professor of Engineering
and Surgery
Brian Pogue, PhD
Adjunct Associate Professor
of Surgery
Mark Savellano, PhD
Research Assistant Professor
of Surgery
Kimberley Samkoe, PhD
Research Assistant Professor
of Surgery
FACULTY
SURGICAL RESEARCH
L ABORATORY
Ryan Halter, PhD
Adjunct Assistant Professor
of Surgery
P. Jack Hoopes, DVM, PhD
Professor of Surgery and Medicine
• Microsurgery GME course
(plastic surgery)
• Medical student suture
training course
• Introduction to aseptic
training technique
• Advanced trauma surgery and life
support (ATLS) training course
• Animal surgery training
(all Dartmouth researchers who
perform surgical techniques)
• Head and Neck surgical training
(oral, skull-base, throat)
2012-13 G R ANT AN D
CO NTR AC T FU N D I N G
Research (2012-2013) associated directly
with the SRL facility and faculty is
supported by 38 funded research grants
(22 as Principle Investigator/PI). DOSSRL research funding accounted for
more than $3 million annually. The
majority of this funding is provided
by peer review funding mechanisms.
The SRL continues to be the central
research facility for an NCI Center of
Cancer Nanotechnology Excellence
(CCNE) grant awarded in 2010. The
original award for this five-year grant
was $12.8 million, with total funding
now over $3.5 million annually. Ten
CCNE faculty and staff and eight
graduate students, representing more
than 50% of the total CCNE award,
are associated with the SRL. Work is
MAXILLOFACIAL SURGERY
I NTRO D U C TI O N
Oral and Maxillofacial Surgery provides
a diverse spectrum of care ranging from
primary to tertiary levels. Complex cases
involving pathological and structural
deformities of the maxillofacial region
are referred to Dartmouth-Hitchcock
from the tri-state area.
PATI ENT CARE
Daniel H. Morrison, Jr, MD
Section Chief
Dr. Addante participates in a number
of D-H interdisciplinary care clinics.
He is a key member of the Craniofacial
Anomalies Clinic and interacts on
the Head and Neck Cancer team and
tumor board. He also provides care
for patients from the Hematology
Oncology Section who typically
exhibit coagulation disorders and
immune suppression along with their
need for oral surgery intervention.
Cases involving the care of patients
who have undergone radiation
therapy as a component of their
head and neck cancer care or who
develop osteonecrosis as a potential
consequence of bisphosphonate use
are also included in the mix of patients
with significant co-morbidities.
Imbalances in the relationship of
the upper and lower jaws are often
modified with orthognathic surgery
whereby surgery and orthodontics are
used in combination to improve facial
esthetics while improving function.
ED U CATI O N
Annette M. Tietz
Practice Manager
Rocco Addante, DMD, MD remains
active academically as a journal reviewer
for articles submitted for publication to
the Journal of Oral and Maxillofacial
Surgery. In addition, he continues to
mentor students from Dartmouth
with an interest in careers combining
medicine and dentistry and more
recently, fourth-year students from
Harvard Dental School who rotate
through the Red Logan Dental Clinic.
Dr. Addante hosts monthly meetings
for D-H dental staff, and he regularly
presents lectures to members of
the dental community on topics of
mutual interest. His most recent
presentations were to the Granite
State Dental Society on Hospital
Based Oral and Maxillofacial Surgery,
the Thayer School of Engineering on
36
Biomaterials used in maxillofacial
reconstruction and the Dept. of
Oral and Maxillofacial Surgery at
Vanderbilt University Medical Center
on Updates in Oral Cancer. He serves
on the Anesthesia Review Committee
for the State of New Hampshire which
credentials oral surgery offices and
care providers for the administration
of sedation and anesthesia.
Nationally, he has completed a
long tenure on the Commission of
Professional Conduct of the American
Association of Oral and Maxillofacial
Surgeons and as a member of the
Examination Committee for the
America Board of Oral and Maxillofacial
Surgery. He has established contacts
at the University of Rome La Sapienza
(Polyclinic) where he presents and
attends cases in their maxillofacial
unit on a yearly basis. Although there
is no residency program in Oral and
Maxillofacial Surgery at D-H, Dr.
Addante maintains close affiliations
with the Sections of Otolaryngology
and Plastic Surgery and is an active
contributor to the training programs in
each of these specialties.
Maxillofacial Surgery Gross Professional Revenue
Maxillofacial Surgery Cases
200
$2M
175
150
$1.5M
125
100
$1M
75
50
$500K
25
FY08
FY09
FY10
FY11
FY12
FY13
FY08
FY09
FY10
FY11
FY13
37
MEDICAL STUDENT EDUCATION PROGRAM:
SURGERY CLERKSHIP
Gina L. Adrales, MD, MPH
Surgery Clerkship Co-Director
Minimally Invasive Surgery
Rotation Director
Andrew Crockett, MD
2013 has been a banner year for the
Surgery Clerkship. Improvements in
our clerkship structure and teaching
have led to recognition by the students
and the Dean’s office. This has been
possible through the dedication to
teaching demonstrated by residents and
faculty across the entire Department of
Surgery. This year, Dr. Andrew Crockett
joined the Clerkship as Co-Director
and Rotation Director for Trauma and
Acute Care Surgery. His enthusiasm
for teaching and expertise in the care
of the acutely ill patient has been
invaluable. In the past year, Dr. Adrales
and Dr. Crockett have been joined by
other surgical faculty in engaging with
medical students at all levels of training
through participation in the pilot
longitudinal curriculum, the Scientific
Basis of Medicine second-year course,
the Surgery Interest Group, and the
Advanced Medical Sciences fourth-year
course. These important efforts serve to
enrich the student experience during the
third-year clerkship and sub-internships
by increasing the familiarity of the
students with surgical faculty and with
the care of the acutely ill patient.
With the conclusion of the LCME
review and successful re-accreditation
of The Geisel School of Medicine at
Dartmouth, we were able to focus fully
on curricular improvements to enrich
the educational experience for our thirdyear Surgery students. Based on regular
feedback from the students and with
the direction of the Clerkship Advisory
Board, rapid improvements were made
over the course of the year to improve
the curriculum and to ensure that
our actions and teaching were aligned
with Geisel policies. The expansion
Surgery Clerkship Co-Director
Trauma/Acute Care Surgery
Rotation Director
RESI D EN CY
Established
1946
Terri J. Nicholson
Prerequisite Training
4 years medical school
Clerkship Coordinator
Program Description
5-year program
Residents per year
4
38
to other surgical subspecialties, ENT,
Orthopedics, Urology, Community
Surgery, Pediatric Surgery, Neurosurgery,
and Plastic Surgery in addition to our
core general surgical services provided
an opportunity to explore the breadth
of the discipline of surgery and was
well-received by the students. While
our Clerkship curriculum is centered
on basic surgical principles, we have
highlighted the multidisciplinary nature
of our clinical practices by including
pathology case conferences and by adding
palliative care teaching with the able
direction of Dr. Timothy Siegel. This
culminates in a new team-based learning
session in which the students explore a
clinical scenario from presentation and
diagnostic workup to informed consent
discussion of recommended treatment
and family discussion of the management
of the critically ill patient. This highly
interactive session incorporates
discussion of the value of healthcare,
communication skills, the principles of
informed consent, and palliative care.
The Clerkship concludes with a skills
session utilizing our Patient Safety
Training Center and simulated patient
scenarios of “breaking bad news.”
The 2013 Arthur Naitove Surgical
Scholar award is presented by the
Department of Surgery and is based
on an Honors evaluation on the wards
of 95% or greater NBME exam, and
evidence of participation in efforts
to “better the greater good.” The
recipient is Julia Glaser, who is taking
her training at the Hospital at the
University of Pennsylvania, with plans
of pursuing a general surgical career.
The Class of 2013 graduated with 38%
of the students entering an acute care
field; Anesthesia (9%), Emergency
Medicine (12%) and Surgery (17%).
In 2014, the Department of Surgery will
continue to foster a culture of learning by
providing diverse learning opportunities
for students, residents, and attending
surgeons. By supporting a teamenvironment, with the ultimate goal of
providing the best patient care, we are
reminded that at all levels we are learners
and strive for continuous improvement.
DERMATOLOGY RESIDENCY
TRAINING PROGRAM
In July 2013, two new residents, Lindsey
Collins, MD (University of Arkansas for
Medical Sciences College of Medicine)
and Joan Paul, MD (Albany Medical
College) joined our program. They
were selected after a very competitive
match, as the Program received over 300
applications for our two spots.
Kathryn Zug, MD has been Program
Director since November 2010. M. Shane
Chapman, MD has been Section Chief
of Dermatology since 2011. Both are
graduates of our program.
The Dermatology Residency Program
trains six advanced dermatology
residents, two residents at each of the
three levels of residency training. Our
three-year curriculum emphasizes
graduated clinical autonomy while
maintaining a strong focus on academic
study. A Dartmouth-Hitchcock joint
fellowship in Dermatopathology (with
the Department of Pathology) graduated
a fellow last year.
Our residents receive their training
through the Dartmouth-Hitchcock
(D-H) and the Veterans Affairs Medical
Center (VA) in White River Junction,
VT. Residents benefit from a rich
array of dermatological cases, from
the general dermatology clinic, busy
and challenging consult service, and
specialty clinics at D-H and the VA.
The Dermatology Residency Training
Program draws on the strengths
of a committed section faculty and
a growing array of resources. The
dermatology residents rotate and
actively participate in the Section’s
subspecialty clinics, including:
• Contact and Occupational
Dermatology Clinic
(Dr. Zug attending)
• Cutaneous Lymphoma Clinic
(interdisciplinary with
hematology/oncology)
(Dr. Zug and Frederick Lansigan,
MD attending)
• Dermatology-Rheumatology Clinic
(interdisciplinary with rheumatology)
(Dr. Torti and Lin Brown, MD
rheumatology attending)
• Laser and Cosmetic
Dermatology Clinic
(Dr. Chapman attending)
• Melanoma Clinic
(Dr. Chapman attending)
• Mohs and General Dermatologic
Surgery Clinic
(Faramarz Samie, MD, Director
and attending)
• Pediatric Dermatology Clinic
(Nicole Pace, MD attending)
• Vulvar Dermatology Clinic
(interdisciplinary with GYN)
(Lynette Margesson, MD and
Debra Birenbaum, MD,
OB/GYN attending)
Residents quickly flourish in their
clinical decision making skills because
of their continuity clinic experience that
begins in the first year and continues
throughout their three program years.
Residents benefit from graduated
responsibility and increased complexity
of patients over the years.
All residents are well aware of the six
ACGME competencies:
Kathyrn A. Zug, MD
Dermatology Residency
Program Director
Professor of Surgery, Dermatology
Penny A. Atherton
Residency Program Coordinator
1.Patient care
RESI D EN CY
2.Medical knowledge
Established
1950
3.Practice-based learning and
improvement
4.Systems-based practice
5.Interpersonal and
communications skills
6.Professionalism
Curriculum is based on these
competencies, and residents are taught
and evaluated with respect to these
core competencies.
4 years medical school &
1 year preliminary training
Program Description
3-year program
Residents per year
2
The educational conference schedule
within the Dermatology Residency
Training Program remains robust.
Conferences include a noon conference
on most days of the week (clinical slides,
didactic lectures, journal club, and
dermatopathology practical sessions at
the microscope) and Melanoma Tumor
Board. Dermatology Grand Rounds
occurs twice a month as well as a
monthly interdisciplinary Cutaneous
Lymphoma Tumor Board.
The Dermatology Residency Training
Program hosts visiting professors
who present lectures in their areas
of interest. The visiting professor
participates in Grand Rounds and
interacts with residents and faculty.
We are an academic program and
continue to encourage and support
resident research and teaching. Our
residents have continuously produced
numerous abstract presentations at
national and regional meetings and
several peer-reviewed publications.
2012–2013 RESI D ENT
AWA RDS AN D OTH ER
ACCOM PLISH M ENTS
Mari Paz Castanedo Tardan, MD
Mari received the American Contact
Dermatitis Society 2013 Mentoring
Award. She will study contact
dermatitis and analytic methods of
allergen identification with Magnus
Bruze, in Malmö, Sweden.
Joyce Imahiyerobo-Ip, MD
Joyce received a Women’s Dermatologic
Society Mentorship Grant for an
elective focusing on skin of color with
Dr. Dina Strachan, Aglow Dermatology
New York, NY. April, 2013.
Parisa Ravanfar, MD
Parisa received a Women’s
Dermatologic Society Mentorship
Grant for an elective focusing on laser
surgery with Dr. Tina Alster at the
Washington Institute of Dermatologic
Laser Surgery, Washington, DC.
October, 2012.
Jeffrey Tiger, MD
Jeffrey was nominated for
Volunteerism and Members
Making a Difference Award for his
volunteer work at the Chinle Native
American Health Services in May,
2013. Sponsored by the AAD Native
American Health Services Rotation.
Jill Wallace, MD
Jill volunteered under the auspices of
Free the Children, in Baraka Clinic
in Masai Mara, Kenya. (Bogani site)
June, 2013.
40
2012–2013 RESI D ENTS’
WO RK ACCEP TED FO R
PU BLI CATI O N
2012-2013 RESI D ENTS’
PRESENTATI O NS
Castanedo Tardan MP, Zug KA.
Contact Allergen of the Year 2013:
Methylisothiazolinone. Dermatitis.
2013 Jan-Feb; 24(1):2-6. Review.
Knackstedt, T., Poster presentation at
the 2nd World Congress of Cutaneous
Lymphomas in Berlin, Germany,
“CD 30 Positive CTCL and Response
to Brentuximab Vedotin”. 2013
Magel GD, Haitz KA, Lapolla WJ,
DiGiorgio KM & Tyring SK. Systemic
antiviral agents (Invited chapter
in upcoming Wolverton edition).
In SE Wolverton (Ed.), Wolverton’s
Comprehensive Dermatologic Drug
Therapy. Orlando, FL. Saunders. 2013
Knackstedt, T., Poster Presentation
at 2nd World Congress of Cutaneous
Lymphomas in Berlin, Germany
“Diagnostic Challenges: differentiating
Allergic Contact Dermatitis and Early
Cutaneous T-Cell Lymphoma. (Zug and
Lansigan) 2013
Imahiyerobo-Ip, J., Wartman, D.,
Brennick, J., Chapman, M.S. A Warm,
Painful Nodule on the Back. Accepted
for Publication. Dermatology Online
Journal. 2012 August
RESI D ENTS’ A BSTR AC TS
AN D PRESENTATI O NS
I N 2012–2013 Meyer A, Aaron D, Perry A, Guill M.
Erythematous Reticular Patches:
A Rare Presentation of Mid-Dermal
Elastolysis. J Am Acad Dermatol.
2012 Nov; 67(5) e216-7.
Kassie Haitz, MD
Mari Paz Castanedo Tardan, MD
Thomas Knackstedt, MD
Joyce I. Imahiyerobo-Ip, MD
Aelayna Meyer, MD
Jeffrey Tiger, MD
Jill Wallace, MD
GENERAL SURGERY RESIDENCY
TRAINING PROGRAM
The General Surgery Residency
Program trains twenty categorical
general surgery residents, including
four residents at each of the five levels
of residency training. In addition,
twelve more surgical residents
participate in the General Surgery
Program preliminary to entering other
training programs.
Residents benefit from the rich array
of surgical cases. As the DartmouthHitchcock Medical Center (DHMC)
continues to grow, surgical cases
have not only continued to increase
in number, but also in complexity
as measured by case mix index
and severity of injury for trauma
patients. All incoming categorical and
preliminary interns are issues iPads
to allow seamless access to EPIC,
the platform for our fully integrated
electronic medical record
The Program draws on the strengths
of a committed departmental faculty
and a growing array of resources.
Dartmouth-Hitchcock’s new Patient
Safety Training Center contains our
center for laparoscopic simulations
as well as training in basic surgical
skills and advanced training in clinical
scenarios. The Program includes a
weekly “academic half-day.” This half
day of education includes didactic
and interactive case-based learning in
clinical and basic surgical sciences.
The didactic curriculum is based on
The Handbook of Surgical Critical Care
for PGY 1-2 residents and the SCORE
Curriculum for the PGY 3-5 residents.
The American College of Surgeons
SCORE Curriculum is available as a
resource as well for all residents.
The Program is supported by a
growing array of data centers that
collect and analyze information about
procedures and outcomes for surgical
patients admitted to DHMC. These
include registries administered by
the Surgical Outcomes Assessment
Program at Dartmouth, the Northern
New England Cardiovascular Disease
Study Group, and the Vascular Study
Group of Northern New England. Data
from these centers are made available
in a confidential manner to house
officers and faculty, and can be used
to inform the discussion at the weekly
Morbidity & Mortality conference and
for research purposes. The Department
of Surgery participates in the American
College of Surgeons National Surgical
Quality Improvement Program
(NSQIP). Expertise in epidemiology
and statistical analysis is available by
dedicated faculty in the Department
of Surgery. Data from the Trauma
Program is submitted to the National
Trauma Data Bank (NTDB), and
national data is available for review
which is encouraged.
The Program consists of rotations at
the Dartmouth-Hitchcock Medical
Center (DHMC), the Veteran’s
Administration Medical Center, and a
rotation at Concord Hospital (a large
community hospital) for second- and
third-year surgical residents. This
rotation at Concord Hospital allows us
to take further advantage of the robust
clinical volumes and increasing case
complexity occurring in southern New
Hampshire as well as to expose our
residents to community practice.
RESI D EN CY
FELLOWSH I P
Established
1946
Minimally Invasive
Surgery Fellowship
1
Paul Kispert, MD
General Surgery Residency
Program Director
and Anesthesiology
Kari M. Rosenkranz, MD
General Surgery Associate
Residency Program Director
Karen G. Lee
Residency Program Coordinators
Program Description
5-year program, training in all divisions
Residents per year
4
The teaching conference schedule
within the Program remains robust.
Available conferences include GI Tumor
Board, Trauma Rounds, Surgical
Seminars, Surgical Grand Rounds,
Morbidity & Mortality conference,
an interdisciplinary Gastrointestinal
Disease Conference, a monthly
Journal Club as well as service-specific
conferences. The Program hosts many
visiting professors who presented
Grand Rounds and interact with
residents and faculty.
in health care with comprehensive
training in outcome research. This has
been highly successful with residents
in the Program producing numerous
scientific presentations at national
and regional meetings and multiple
peer-reviewed publications. Resident
teaching has also maintained its
outstanding tradition with surgical
residents yearly receiving recognition
from the medical students at
The Geisel School of Medicine for
their outstanding efforts.
The General Surgery Residency
Program is an academic program that
encourages and supports resident
research and teaching. Residents are
encouraged to participate in clinical
and/or basic science investigation.
Three funded positions are available
for residents to participate in fulltime research activities usually
for one or two years between the
third- and fourth-years of training.
Many of our residents have elected
to pursue a master’s degree through
The Dartmouth Institute, a nationally
recognized program providing leaders
Fellowship programs in laparoscopic
surgery and vascular surgery are
supported by the Department. In
addition, the opportunity exists to
obtain fellowship training in our
multidisciplinary critical care training
fellowship after the third year of
surgical training.
42
Surgical training is changing. At our
center, approximately 80% of our
trainees match to highly competitive
fellowships and 20% go directly into
practice. We have used the Flexibility in
Training option through the American
Board of Surgery to allow some of our
trainees enhanced preparation for
fellowship programs. In this program,
residents can spend additional time
training in one area of interest
to enhance their preparation for
fellowship training.
The General Surgery Program at
DHMC is a rural academic medical
center committed to providing
superior training to our residents
in a professional environment. Our
environment is outstanding for
individuals who are committed to their
training and enjoy the multitude of
outdoor activities this region offers.
FACULTY
CONCORD GENERAL SURGERY
RESIDENCY PROGRAM DIRECTOR
Joseph P. Meyer, MD
Adjunct Associate Professor of Surgery
NEUROSURGERY RESIDENCY
TRAINING PROGRAM
The Neurosurgical Residency Program
has been an approved training program
since its inception in 1947 by Henry
Heyl, MD, later the editor of the Journal
of Neurosurgery. With a mission to
provide the highest level of academic
and clinical teaching, the Program
has proudly graduated neurosurgeons
who have been successful across a
wide range of endeavors. Over the past
twenty-five years, more than half have
gone on to academic positions.
The residency program in Neurosurgery
trains seven residents, one at each level
of training. The seven-year curriculum
begins at PGY-1 with rotations in
general surgery, neurology, critical
care, and neurosurgery. The PGY 2-5
rotations in clinical neurosurgery are
interspersed with dedicated blocks in
pediatric neurosurgery as well as related
neuroscience disciplines, including
neuroradiology and neuropathology.
The PGY-6 year provides a twelvemonth experience in the laboratory or
on independent study, variably involving
wet-bench research, clinical investigation,
supplementary clinical subspecialization,
or study in a master’s degree program.
Clinical instruction follows graduated
progression through increasing levels of
intellectual growth, technical proficiency,
and clinical responsibility culminating in
twelve months as chief resident. By the
final year of training, the resident has
acquired a broad education, is capable
of teaching medical students and junior
residents, and is able to operate across the
full range of neurosurgical disorders.
The clinical neurosurgical service is
founded on a model of subspecialization
within Neurosurgery, functioning
in multidisciplinary programs of the
Medical Center. Residents are fully
integrated into the clinical service,
each teamed with a faculty member.
Residents participate fully in the
operating room beginning in their
first year and are given progressive
responsibility through their succeeding
years. All subspecialties of Neurosurgery
are represented in the Program by
faculty with special training, clinical
expertise, and investigative interest.
The teaching conference schedule is
rigorous and protected. Conferences
include Neurosurgery Journal
Club, Grand Rounds, Clinical Case
Conference, Morbidity and Mortality,
Topic Review, Neuro-Oncology Tumor
Board, Cerebrovascular Conference,
Epilepsy Conference, Pediatric Trauma
and Tumor Board Conferences, and a
weekly case presentation conference
with the Program Director.
An active visiting professor program
brings four-to-six distinguished
academicians each year. In the tradition
of Dartmouth’s international reach,
neurosurgery residents have joined our
faculty in recent medical education
initiatives to Vietnam and Uruguay.
Residents have an opportunity
to participate in national courses
and workshops, including those
organized by the AANS, the CNS, and
the Washington Neuroradiology &
Neuropathology Review. Each resident,
during their training, attends the Woods
Hole RUNN course. Residents actively
present and publish their research and
clinical investigative work. During 20122013, the Program was responsible for 70
publications. Recent residents have won
the Shulman Award for the best resident
paper at the AANS/CNS Pediatric
Section meeting, the Gildenberg Award
for the best resident paper at the AANS/
CNS Stereotactic and Functional
Section meeting, the CNS Walter
Dandy Research Fellowship, a CNS
Travel Award, the Best Paper at the New
England Neurosurgical Society Annual
Meeting, multiple NIH awards, and the
Retzius Neuroanatomy competition.
State-of-the-art facilities at DartmouthHitchcock, the major teaching hospital
of a health care delivery system covering
Northern New England, include dedicated
neurosurgery and neurophysiology
laboratories, the Simulation Center,
the Advanced Imaging Center, and
the Center for Surgical Innovation,
comprised of two operating rooms with
intraoperative 3T MRI, CT, robotic
radiography, surgical robotics, and
angiographic capability. The Dartmouth
Institute for Health Policy and Clinical
Practice, the Norris Cotton Cancer Center,
and the Biomedical Engineering Program
at the Thayer School of Engineering
provide outstanding educational
and investigational opportunities for
residents in our program.
David W. Roberts, MD
MD, Section Chief, Neurosurgery
Neurology
Alma Hass Milham Distinguished
Chair in Clinical Medicine, Geisel
Melissa D. Robb
Administrative Supervisor and
RESI D EN CY
Established
1947
Program Description
7-year program, includes rotations
in Neurology, Critical Care,
Neuroradiology and Neuropathology,
one year of independent research/
training, and five years of clinical
neurosurgery, culminating in a one year
Chief Resident experience.
Residents per year
1
OTOLARYNGOLOGY RESIDENCY
TRAINING PROGRAM
Mark C. Smith, MD, FAAP
Director, Otolaryngology
Residency Program
Assistant Professor of Surgery,
Pediatric Otolaryngology
Christina M. Trottier
RESI D EN CY
Established
2008
Program Description
Five-year program consisting of a oneyear surgical internship followed by
four years of otolaryngology training.
Surgical internship includes general
surgical rotations (such as trauma
surgery, surgical oncology, plastic
surgery, cardiothoracic surgery), as
well as rotations in anesthesiology,
emergency medicine, critical
care medicine, neurosurgery,
and otolaryngology.
Residents per year
1
44
The Residency Program in
Otolaryngology-Head and Neck
Surgery at Dartmouth-Hitchcock is
designed to provide residents with
education in the comprehensive
medical and surgical care of patients
with disorders that affect the ears, the
upper respiratory and upper alimentary
systems, and the head and neck.
The program includes the core
knowledge, skills, and understanding
of the basic medical sciences relevant
to the head and neck; the upper
respiratory and upper alimentary
systems; the communication sciences,
including the knowledge of audiology
and speech therapy; and the chemical
senses, allergy, endocrinology, and
neurology as they relate to the head
and neck area.
The program also includes the clinical
aspects of diagnosis, therapy (medical
and/or surgical), and prevention of
diseases, neoplasms, deformities,
disorders and/or injuries of the ears,
the upper respiratory and upper
alimentary systems, the face, the jaws,
and other head and neck systems.
Following completion of the program,
residents will be prepared to care
for patients of all ages with medical
and surgical disorders of the ears,
the upper respiratory and upper
alimentary systems and related
structures, and the head and neck;
to carry out diagnostic evaluations
of patients with otolaryngologic
disorders; and to carry out the surgical
and nonsurgical management of
otolaryngologic disorders, including
rehabilitation and referral to
subspecialists when appropriate.
As a vital adjunct to the acquisition of
the required medical knowledge and
patient care skills, the resident will
acquire the skills needed to practice
medicine in a complex medical system.
The interpersonal and communication
skills needed for such a practice, as
well as expertise in systems-based
practice, are continually emphasized
and evaluated throughout the
residency. Proper professional behavior
is fostered as the resident masters
the essential skills of practice-based
learning that will prepare him or her
for a lifetime of learning.
The ACGME granted approval
for Otolaryngology to start a new
residency program in July of 2008.
The Program is now fully populated
with five residents, one in each year of
training. We graduated our first chief
resident in June 2012.
Our residents are quite active in
medical student and intern education.
They participate and present papers at
the New England Otolaryngological
Society meetings three times per year
and have each presented papers and
posters at national meetings.
PLASTIC SURGERY RESIDENCY
TRAINING PROGRAM
The Residency Program in Plastic
Surgery, trains three residents, one per
academic year in a three-year program.
The program was awarded a five-year
cycle effective 5/23/2013 based on an
ACGME site visit in September, 2012.
Dr. Kerrigan, who served as Program
Director since 1997, has stepped down
from the position effective June 1, 2013.
Dartmouth-Hitchcock (D-H) provides
a comprehensive and broad-based
training experience through exposure
to the outpatient clinics, minor surgery
suite, main operating room, outpatient
surgery center, and inpatient wards.
Most of our faculty members have
fellowship training and subspecialty
areas of clinical and research interest,
permitting an exposure to a wide
spectrum of plastic surgery problems.
We assign residents two half-day
supervised clinics per week, providing
them with a regular opportunity for
both new patient workups and followup evaluations.
During the final year of the program,
the chief resident is given increasing
responsibility for coordinating and
customizing the educational and
clinical aspects of the Program.
Residents at every level are involved
in the management of all plastic
surgical problems presenting through
the Emergency Department. Research
electives, throughout the residency,
provide meaningful learning
opportunities. During the chief
resident year, the resident may also
train overseas.
There are twice-weekly conferences for
resident education. In both settings,
there is active participation by the
resident and attending staff. These
conferences address the weekly case
log, a journal review, and discussion
series which are based on the core
curriculum established by the
American Board of Plastic Surgery.
The Program supplements the
experience at D-H with a dedicated
burn rotation at LAC/USC Hospital in
a burn unit within the plastic surgery
division. Additionally, exposure to
private practice settings is achieved
with rotations at a well-established
group in Maine and a nationally
recognized cosmetic surgeon in Miami.
Every year our residents present at both
national and regional society meetings.
The graduates of the Program have
been successful in pursuing fellowship
positions. Our most recent graduate,
Michael Van Vliet, MD, has just
completed a fellowship in Burn and
Critical Care at The University of
Southern California and accepted an
academic position at the University of
Tennessee Health Sciences Center.
Carolyn L. Kerrigan, MD
Plastic Surgery Residency
Program Director
Plastic Surgery
RESI D EN CY
Established
1990
Prerequisite Training for combined
program
Program Description
6-year training beginning
with 3 years of general surgery
followed by the independent program
(this path will be replaced with a
6-year
integrated program in 2016.)
Prerequisite training for independent
program
Completion of a residency in another
surgical discipline.
Program Description:
3-year training with a period
of research integrated into
the program.
Residents per year
1
UROLOGY RESIDENCY TRAINING PROGRAM
The Dartmouth-Hitchcock Urology
Residency Program was started in 1949
by William McLaughlin, MD as a twoyear urology residency with one resident
accepted per year. In 1987, we became
a four-year program and in 2006, we
were given approval to complete our
expansion to two residents per year.
Our residents enter urology with
one year of general surgery training.
The Dartmouth-Hitchcock Urology
Residency Program is dedicated to
the overall mission of the DartmouthHitchcock Medical Center (DHMC) and
strives to improve, through research
and education, our understanding of
the causes, courses, management, and
prevention of urologic diseases.
E. Ann Gormley, MD
Urology Residency Program
Director
Professor of Surgery, Urology
Bonnie Haubrich
RESI D EN CY
Established
1949
1 year general surgery
Program Description
4-year program. Training in pediatric
and adult urology; including oncology,
female urology, BPH, reconstruction,
stone disease, and transplant. Ample
experience is gained in open,
laparoscopic, robotic, and endoscopic
surgery
Residents per year
2
46
Seven full-time faculty members
provide a complete range of subspecialty
urologic training. Clinical urology
training at Dartmouth is oriented
around the philosophy of resident
exposure to continuity of patient
care. Residents are assigned on an
“apprenticeship basis” to a team of
two or three urology attendings.
The Section emphasizes one-on-one
interaction between the faculty and the
resident fostering an apprenticeship
style allowing a resident to progress
at his or her own pace, although there
are expectations for what the resident
should accomplish within each year. As
we have expanded our resident numbers,
we have also adapted certain aspects of
a hierarchical model where the Chief
Resident runs the in-patient service and
is ultimately responsible for assignment
of operative cases.
The Urology Training Program also
involves the Veterans Affairs Medical
Center (VA) in White River Junction,
VT and Concord Urology in Concord,
NH. While at the VA, the resident is
responsible for the total patient care
in the out-patient clinic, emergency
room, and the in-patient ward service.
The resident operates on virtually all
urologic cases with appropriate faculty
supervision. The Concord rotation
was designed to give our residents
exposure to a system that is more
of a private practice model. While
rotating at Concord, the resident,
under supervision, is potentially
responsible for total patient care of all
urological in-patients. The resident
operates three- or four-days per week
and, therefore, completes the rotation
having improved his or her surgical logs
and clinical experience.
The Urology Training Program has
a robust conference schedule which
affords residents protected educational
time. Research meetings, journal
club, urogynecology/female urology
case conferences, and faculty led case
conferences round out the teaching
program. During the summer months,
ethics conferences are held in place of
Urology Grand Rounds.
Resident research is expected
throughout the Urology Residency
Program. The goal is that all residents
will publish and present throughout
their residency. Our residents
routinely present at regional and
national meetings.
Last September we had an excellent
showing by our residents at the New
England American Urologic Association
which we listed in a prior report.
In February 2013 Drs. Barboglio and
Ingimarsson presented posters at
the Society of Urodynamics, Female
Pelvic Medicine and Urogenital
Reconstruction in Las Vegas.
• Barboglio P, Triaca V. Is there
a relationship between UDI−6
score after surgery for urinary
incontinence and urologist
perceived improvement?
• Ingimarsson J, Yap R. Holmium laser
ablation of the prostate and effects
of age on symptom scores, quality of
life and complications.
In May we had three residents make
five presentations at the American
Urologic Associations annual meeting
in San Diego. The usual acceptance rate
for abstracts, both poster and podium
presentation is approximately 30% with
our program’s acceptance rate being
well above this.
• Johnson E, Bechis S, Deshmukh S,
Barboglio P, Eisner B, Pais V. Impact
of Perioperative Anticoagulation on
Incidence of Bleeding Complications
in Patients Undergoing Percutaneous
Nephrolithotomy.
• Herrick BW, Eisner BE, Wallaert JW,
Pais Jr. VM. Insurance status,
stone composition and 24-hour
urinary parameters.
• Herrick BW, Yap RL. Laser
Prostatectomy in the Severely Ill Outcomes and Feasibility of a Rapid
Ambulatory Discharge Pathway.
• Moses R, Pais V, Ursiny M, Miller N,
Prien E, Eisner B. Epidemiology of
renal stone composition 1990-2010.
• Moses R, Laviolette M, Hyams E.
Lack of PSA screening is
independently associated with
adverse health behaviors.
Dr. Deters presented at the Northeast
Genitourinary Symposium in April 2013.
• Deters L, Recurrent Retroperitoneal
Liposarcoma
All of our residents submitted to the
Surgical Trainees Advancing Research
Symposium at Dartmouth in May 2013.
Two of our residents were chosen to
present and Dr. Deters was awarded
2nd prize for his presentation.
• Deters L, Herrick B, Silas A, Pais V
Ultrasound Guided Ureteroscopy
for Management of Ureteral Stones:
A Pilot Study.
• Ingimarsson J, Yap R. Effects
of obesity on outcomes of laser
prostate surgery. Surgical Trainees
Advancing Research Symposium,
Lebanon, New Hampshire, 2013
Once again we will have a very large
contingent of residents and faculty
at the Annual meeting of the New
England Section. The meeting will be
held in Hartford, Sept 26-29th.
The following residents will be first
authors on 8 presentations.
• Johann Ingimarsson
• Elizabeth Johnson
• Eric Pattison
• Rachel Moses
• Paholo Barboglio
Dr. Rachel Moses successfully
completed a manuscript of her research
on the epidemiology of changing
composition of stones over time
which qualified her to compete in the
residents’ prize essay contest. We were
very pleased to learn recently that Dr.
Moses will be awarded first prize. This
is the 2nd year in a row that the first
prize has gone to a Dartmouth resident
as Dr. Ben Herrick placed first in this
competition last year.
Drs. Vernon Pais will moderate a stone
session and I will give an update on the
Overactive Bladder Guidelines. Many of
the Concord Faculty will be lecturing
during the Allied Provider program.
In June we bid farewell to our two
Chief residents, Drs. Levi Deters and
Cullen Jumper. Dr. Levi has joined
a private practice group in Spokane,
Washington, and Dr. Cullen has joined
a hospital- based practice in Exeter,
New Hampshire. Both Levi and Cullen
successfully passed Part I of their
American Board of Urology exam in July.
In June we also welcomed our new
residents. Drs. Kevin Koo, a graduate of
Yale School of Medicine and Zita Ficko,
a Geisel School of Medicine graduate
have started their internships. Drs.
Rachel Moses and Joseph Yared joined
us in July as first year urology residents.
Joseph joined us directly out of his
internship whereas Rachel completed
her internship in 2012. Rachel spent
the past academic year doing outcomes
research with the Spine Center. In her
spare time she also completed a number
of urology research projects.
Our residents are also getting ready
to submit abstracts to a variety of
subspecialty programs that meet
throughout the winter and to the 2014
American Urologic Association Annual
Meeting in May.
Bonnie Haubrich, our residency
coordinator, and I are reviewing
approximately 240 applications for
our program for 2014. We will be
interviewing at total of 36 candidates
Nov 8 and 9 and Nov 19th.
Lastly our residents have had a
very productive year in terms of
publications. The residents had the
following papers published during the
2012-2013 academic year:
• Barboglio PG, Gormley EA.
The fate of synthetic mid-urethral
slings in 2013: a turning point.
Arab J Urol. 2013
• Barboglio PG, Gormley EA.
Retropubic versus transobturator
slings — are the outcomes changing
with time? Curr Urol Rep. 2013
• Deters L, Pais V. The Impact of
Renal or Ureteral Stone Location on
Operative Time. Urology. March, 2013.
• Deters L, Belanger G, Shah O, Pais V.
Ultrasound Guided Ureteroscopy
in Pregnancy. Journal of Clinical
Nephrology. October, 2012.
• Wiener S, Deters L, Pais V. Effect
of Stone Composition on Operative
Time During Ureteroscopic
Holmium:YAG Laser Lithotripsy
With Active Fragment Retrieval.
Urology. 76 (5): 354-7, 2012.
• Deters L, Costabile R, Leveillee R,
Moore C, and Patel V.Benign
prostatic hypertrophy workup and
management. eMedicine. 2013.
• Herrick BW, Eisner BE, Wallaert JW,
Pais Jr. VM. Insurance status, stone
composition and 24-hour urinary
parameters. J Endourol. 2013 May;
27(5):652-6.
• Herrick BW, Yap RL. It is safe to
teach residents laser prostatectomy
in the private practice setting.
Urology. 2013 Mar; 81(3):629-32.
• Ficko Z, Herrick BW, Herz, D,
Pais Jr.,VM. Successful Transcloacal
Ureteral Stent Removal —
A Pediatric Case Report. Urology.
2012 Dec;80(6):1361-3.
• Eisner B.H, Sheth S, Dretler S.P,
Herrick B, Pais Jr Vernon M.
Abnormalities of 24-hour urine
composition in first-time and
recurrent stone-formers. Urology.
2012 Oct;80(4):776-9.
• Eisner BH, Sheth S, Herrick B,
Pais Jr. VM. (2012) Effect of
socioeconomic status on 24-hour
urine composition in patients with
nephrolithiasis. Urology. 80(1):43-7.
• Eisner BH, Herrick B, Pais Jr VM.
High dietary magnesium intake
decreases hyperoxaluria in patients
with nephrolithiasis. Urology. 2012
Oct;80(4):780-3.
• Gershman B, Sheth S, Dretler SP,
Herrick B, Lang K, Pais Jr. VM,
Eisner BH. (2012) The relationship
between GFR and 24-hour urine
composition in patients with
nephrolithiasis., Urology. 2013
80(1):38-42.
• Eisner BH, Sheth S, Herrick B,
Pais Jr. VM, Sawyer M, Miller N,
Hurd KJ, Humphreys, MR. (2012)
The effects of ambient temperature,
humidity, and season of year on
urine composition in patients with
nephrolithiasis. BJU Int. 2012 Dec;110
Ingimarsson JP, Seigne JD. The
Conundrum of Prostatic Urethral
Involvement. Urol Clin NA. 2013,
May; 40, 249-259
Ingimarsson JP, Seigne JD. Chapter 48.
Testicular and Paratesticular Tumors,
in Pearls of Wisdom: Urology Board
Review: 4th edition. McGraw-Hill
Professional Publishing. May 2013
Ingimarsson JP, Isakson HJ,
Sigbjarnarson HP, Gudmunsson
JK, Gudmundsson G. Increased
population use of medications for
male lower urinary tract symptoms/
benign prostatic hyperplasia correlates
with changes in indications for trans
urethral resections of the prostate.
Scand J Urol. In press
Johnson EB, Krambeck AE, White WM,
Hyams E, Beddies J, Marien T, Shah O,
Matlaga B, Pais VM Jr. Obstetric
complications of ureteroscopy during
pregnancy. J Urol. 2012 Jul;188(1):151-4.
White WM, Johnson EB, Zite NB,
Beddies J, Krambeck AE, Hyams E,
Marien T, Shah O, Matlaga B,
Pais VM Jr. Predictive value of
current imaging modalities for the
detection of urolithiasis during
pregnancy: a multicenter, longitudinal
study. J Urol. 2013 Mar;189(3):931-4.
48
Johnson EB, Gormley EA,
The Evaluation of Women with
Stress Urinary Incontinence —
What is Appropriate?” AUA Update
Series, Feb 2013
Jumper C, Snyder P, Yap RL.
Rapid ambulatory pathway laser
prostatectomy is safe: results within the
global period. BJU Int. 2012 Oct;110(8).
FACULTY
DHMC RESIDENCY PROGRA M
CONCORD RESIDENCY
PROGRA M
Ronald L. Yap, MD
Clinical Assistant Professor of Surgery
Concord Program Director
David F. Green, MD
Clinical Associate Professor of Surgery
Scott J. Fabozzi, MD
William F. Santis, MD
William Bihrle, MD
Paul M. Snyder, MD
Chair Section of Urology
Veronica Triaca, MD
Adjunct Assistant Professor of Surgery
John Seigne, MD
Vernon Pais, MD
Elias Hyams, MD
David Barrett, MD
Clinical Professor of and Instructor
in Surgery
David Chavez, MD
Pediatrics
Tom Jackson, MD
Scott Mitchell, MD
Brian Marks, MD
VASCULAR SURGERY RESIDENCY
TRAINING PROGRAM
The Residency Program in Vascular
Surgery continues to maintain its
reputation as one of the best in the
nation. The overall Vascular Surgery
Residency Training Program continues to
have two options for training pathways,
with both the traditional fellowship and
the newer residency program.
The traditional vascular fellowship
is a course for residents in the “5+2”
pathway, who have completed a five-year
general surgery training program. The
fellowship continues to attract great
applicants from around the country.
Our five-year integrated Vascular Surgery
Residency Program is open for applicants
who will join after successful completion
of an MD program, also known as the
“0+5” training pathway. The Dartmouth
integrated program was the first
approved in the nation, and is now in its
seventh year. Our program had its first
site visit in 2009 and achieved full fiveyear reaccreditation by the ACGME. Our
most recent resident joining the Program
is Jesse A. Columbo, MD, PGY1, who
comes to Dartmouth-Hitchcock from
University of Massachusetts Medical
School. Randall De Martino, MD, the
first resident to begin the Program,
graduated on June 25, 2013 and accepted
an academic position at The Mayo Clinic
in Rochester, MN. Emily L. Spangler, MD,
MS is in her research year with a focus on
outcomes research using her Masters of
Science degree.
Both the residency and fellowship
programs have robust training with
regards to case volume, variety, and
complexity, with the complexity
ranking among the 90th percentile
nationwide. The full spectrum of
research opportunities exist, including
basic science, engineering, and outcomesrelated research, many of which include
NIH funding. A large number of
databases are available in this regard,
ranging from the Section’s own database
to the regional Vascular Study Group of
New England database (founded here
by Jack Cronenwett, MD), to a regional
and national aortic aneurysm imaging
database via M2S, as well as national
NIS and Medicare databases. The
vascular section continues to be active
in nationwide clinical trials, with over
forty such trials currently in various
stages. These trials provide patients and
trainees access to the latest technology,
ranging from devices for endovascular
repair of thoracic aortic aneurysms and
dissections, to branched-fenestrated
aneurysm repair of abdominal aortic
aneurysms and iliac aneurysms, carotid
artery stenting for stroke prevention,
lower extremity and renal artery
stenting, and even gene therapy for lower
extremity limb salvage.
Training opportunities include dedicated
Vascular Surgery conferences held each
Monday morning, when faculty and
trainees all have protected time to attend.
These include multidisciplinary clinical
case conferences, morbidity and mortality
conference, monthly vascular laboratory
conference, clinical and basic science
research conferences, and journal clubs.
Simulator training sessions are part of
regularly scheduled Monday conferences
as well to ensure dedicated time and good
faculty availability. Vascular laboratory
training includes dedicated, supervised
case review to complete the requirements
for credentialing as an MD reviewer. The
residency has weekly joint conferences
with the General Surgery Residency
Training Program as well as patient
simulation experiences built into the
training program.
Mark F. Fillinger, MD
Vascular Surgery Residency
Program Director
Vascular Surgery
The Vascular Programs at MHMH
have been very successful academically.
Residents and fellows have produced
numerous scientific presentations at
regional, national, and international
meetings, numerous peer-reviewed
publications, and awards at our national
meeting in multiple years. The Program
has been quite successful in training
academic vascular surgeons, with the
large majority of our trainees joining the
faculty at academic teaching institutions.
RESI D EN CY
FELLOWSH I P
Established
2007
Established
1988
completion of an accredited
General Surgery Residency
Program Description
5-year program, includes 26 months
of vascular surgery, 10 months of
interventional/endovascular surgery,
and 24 months of core general surgery
experience. Optional non-accredited
research education year (including option
for formal coursework at The Dartmouth
Institute leading to master’s degree in public
health with focus on outcomes research).
Program Description
2-year program, includes 16 months
of vascular surgery and 8 months of
interventional/endovascular surgery.
Fellows per year
1
Residents per year
1
PROVING THE NEED FOR SURGICAL
CARE IN DEVELOPING COUNTRIES
“It was a highly collaborative endeavor,
led by the Mozambique Institute for
Health Education and Research,” says
Dr. Bendix. “Drs. Emilia Noormohamed
and Steve Bickler were the principle
investigators that I worked under.”
His primary research focus involved
trying to estimate the burden of
surgical disease in Mozambique’s rural
settings. “The idea was to understand
how much surgical care is needed for a
population, to quantify that and place
it in relation to other conditions, like
HIV/AIDS and malaria, that currently
receive a lot of attention in developing
countries,” he explains.
Peter Bendix, MD
General Surgery Resident
Each year, the Surgical Outcomes
Club — a national group of top health
science researchers that are committed
to improving the practice of surgery —
typically convenes just before the
American College of Surgeons.
It was while attending this meeting last
fall in Washington, DC, that Stefan
Holubar, MD, heard a name that gave
him pause.
“There was a doctor, Stephen Bickler,
from the University of California at
San Diego, who was presenting on
international health initiatives for
surgery,” recalls Dr. Holubar. “and out
of the blue, he mentions the work of
Peter Bendix, MD one of our senior
residents at Dartmouth-Hitchcock
(D-H). I was aware that Dr. Bendix was
doing pretty interesting research, but
to be on the radar at a national level
already — that’s impressive.”
PROJ EC T I N MOZ A M B I Q U E
Dr. Bendix received funding from the
National Institutes of Health’s Fogarty
International Center Clinical Research
Fellowship, to take part in a two-year
research project studying surgical
care within rural health systems in
Mozambique, Africa.
50
I N TH E FI ELD
With a research team of 10 field
workers and three support staff, Dr.
Bendix traveled long distances to
rural districts to collect over 6,000
patient interviews. “We went doorto-door, asking a sort of ‘head-to-toe’
questionnaire, trying to determine
if people needed surgical care or if
they’d had surgery in the past,” he says.
“We also took pictures to verify our
findings, if they let us.”
While Dr. Bendix found the work
rewarding, the experience was not
without its challenges. “I had to buy a
used 1986 Land Rover and maintain it
on my own, so I learned a lot about car
repair in Africa,” he says, laughing. “We
relied on smart phones to collect data,
so I had to engineer these ‘lock boxes’
that also served as charging stations and
internet hubs, so we could upload our
data each night. Also relating well to our
very poor and relatively uneducated field
workers, who had to be trained on smart
phones, was essential — they helped
us translate the questionnaire into 5
different local languages.”
But luck also played a huge role. “A week
after we finished collecting data at one
of the field sites, there was a major flood
that displaced basically our entire survey
population,” Dr. Bendix said.
LO O K I N G AH E AD
With data on the 6,000 patients
complete, the research team is
preparing to publish its findings on
this, as well as related studies on
current surgical care rates and research
done to date on surgical care in low and
middle income countries.
“It looks like about 25 percent of all the
patients that we surveyed currently
need or has needed surgical care,” says
Dr. Bendix. “That’s a high number, and
it reflects the prevalence of traumatic
injury and medical complications in
developing countries. Many people
work outside doing physical labor, and
they don’t have the injury-prevention
and preventative care measures in place
that we have here.”
Dr. Bendix hopes to demonstrate that
there is an epidemiologically proven need
for surgical care in these settings. “It’s the
first step in making a policy argument
down the road to what needs to be done,”
Dr. Bendix says. “My goal is to continue
this type of research in the future
and to do it through work as an acute
care surgeon, both in the U.S. and for
populations in places like Mozambique.”
Thinking back to the Surgical
Outcomes Club meeting, Dr. Holubar
says, “We’re very lucky to have someone
like Dr. Bendix, not just because he’s
a good surgeon and doctor but also
because he’s helping to maintain the
international reputation in health
sciences outcome research that
Dartmouth already has.”
COMMUNITY SURGERY PROGRAM
The Division of Community Surgery was
established in August, 2011, after several
years of planning and coordinating by
Richard Barth, MD, Section Chief of
General Surgery. Timothy Siegel, MD,
was the first general surgeon to be
hired in the model, which was based
on a successful program in central
New York State. University-trained
general surgeons, based at a tertiary
care medical center, would travel to
smaller hospitals within the same
region. These surgeons would provide
routine care at the community hospitals
as a full member of the active staff at
these institutions, including operative
procedures, endoscopic procedures,
inpatient and outpatient consultations,
and clinic visits. Patients with complex
medical conditions or patients who
required more complicated procedures
would have their care provided at
Dartmouth Hitchcock (D-H), often by
the same surgeon they had seen in their
community hospital. These surgeons
would also spend a portion of their
time at D-H, seeing patients in the
clinic, in the Emergency Department,
and in consultation, thus acting as an
active member of the Department of
Surgery with its attendant requirements
for teaching surgical residents and
medical students. The goal was to
allow a seamless transition of care for
patients who needed the expertise or
environment of one type of institution
versus the other, and to allow patients
to stay at their community hospital if at
all possible. In this way, the relationship
between the community hospitals and
their medical staff with D-H would be
strengthened and could facilitate new
opportunities for both. The educational
benefits for the surgical residents and
medical students were numerous, and
include seeing how the practice of
surgery in a community setting differs
in subtle but meaningful ways from
the practice of surgery in an academic,
tertiary care setting.
respectively. The feedback continues
to be favorable, and both Alice Peck
Day Memorial Hospital and New
London Hospital are expanding the
program with new general surgeons
being recruited for summer, 2014. In
addition, Valley Regional Hospital
in Claremont, NH joined the model
in 2014, with recruitment efforts
underway there as well. Other surgical
specialties, including Urology, ENT,
and orthopaedics, are utilizing similar
models to provide care to the region in a
patient-centered, cost-effective manner.
Timothy Siegel, MD
at DHMC and Alice Peck Day
Memorial Hospital
The initial response to the Program
at Alice Peck Day Memorial Hospital,
where Dr. Siegel spends 80% of his time,
was so positive that expansion was
inevitable. In early 2013, Mt. Ascutney
Hospital and New London Hospital
adopted the model, and Brent White,
MD and Sean Bears, MD were hired,
THE CENTER FOR THE EVALUATION
OF SURGICAL CARE (CESC)
With the support of Richard Freeman, MD,
Chair, Department of Surgery as well as
the Department itself, Philip Goodney, MD
was named the first Director of the
Center for the Evaluation for Surgical
Care (CESC) in 2013. The inaugural
year for the CESC was a busy one, with
efforts focused on three initiatives
aimed at growing and expanding
surgical health services research at
Dartmouth-Hitchcock Medical Center.
B I -WEEK LY H E ALTH
SERVI CES RESE ARCH
(HSR) M EE TI N G
Philip Goodney, MD, MS
Director of the Center for the
Evaluation for Surgical Care
at DHMC and Alice Peck Day
Memorial Hospital
Richard Freeman, MD
Stefan Holubar, MD
David Goodman, MD
Collaborators
Jo-Ann Dugdale
Coordinator
A central part of the mission of the
CESC is the academic development of
surgical trainees who are interested
in becoming leaders in surgical
outcomes research. A cornerstone of
this effort occurs every first and third
Wednesday, in the Department of
Surgery conference room. Drs. Goodney,
Freeman, and others convene a “work-inprogress” meeting from 5-6 pm. Surgical
trainees, faculty, and researchers are
welcome to bring their ongoing research
project for presentation, discussion,
and interaction. Topics have spanned
the breadth of surgical research, from
basic science to health policy, using
qualitative and quantitative approaches.
A key element of this meeting is a short
presentation — typically 15 minutes
— given by the principal investigator.
This leaves plenty of time for the team
to offer their opinions and critiques
about how to improve the abstract,
paper, research presentation, or grant
proposal. We always have fun (as seen
in the photograph of several current,
past, and future CESC and VA Outcomes
Group research fellows) -- and every
investigator agreed that their project is
clearer, stronger, and more impactful
as a result of sharing their work at the
Surgery HSR meeting.
SU RG I CAL TR AI N EES
ADVAN CI N G RESE A RCH
(STARS) SYM POSI UM
On Friday, May 17th, 2013, we convened
the first annual STARS Symposium
in the Department of Surgery at
Dartmouth Hitchcock Medical Center.
Eight abstracts, submitted by surgical
trainees at Dartmouth, were selected in
a competitive process for presentation
at the symposium, which was developed
and co-chaired by Drs. Philip Goodney
and Stefan Holubar. Each of these
abstracts represented a paper that had
been accepted for presentation at a
regional or national meeting, but had
not yet been presented. This forum
gave the surgical trainees a chance
to hone their skills in front of a large
audience — complete with “celebrity”
judges (thank you Dr. Richard Barth!)
Tension was in the air, as there was a
Drs. Andrea Stroud, Emily Spangler, and Jessica Wallaert (and Andrea’s daughter Sylvie) enjoy a Wednesday afternoon Surgery HSR meeting.
52
lot at stake — cash prizes were offered
by Dr. Freeman and the Department of
Surgery for the best presentations!
All of the talks were outstanding —
as were the insights (and comedic
impressions) from the judges. While it
was difficult to decide on the winners,
eventually three presentations stood
out: Wayne Moschetti, MD, first
place ($500) for comparing surgical
approaches in total knee replacement;
Levi Deters, MD, second place ($250)
his study of ultrasound guidance in
removing ureteral stones; and Jessica
Wallaert, MD, third place ($100) for
evaluating glucose control in diabetic
patients undergoing vascular surgery.
News about the STARS Symposium
was featured in D-H Today, where Dr.
Holubar shared his thoughts about the
inaugural symposium: “We came up
with the idea to have this symposium
to highlight the hard work the surgical
residents have been doing — they are so
pressed for time, but still find the energy
to do this research at night, on weekends
and in their spare time,” says Dr. Holubar.
“There is such a strong tradition of
clinical research here at D-H and TDI.
The STARS program highlights the
success of those already doing such work,
and can inspire the younger trainees to
continue this tradition.”
This year will be certain to be as
informative and exciting, as we look
forward to the Second Annual STARS
symposium in the spring of 2014. We’ll
look forward to seeing you there!
delivery of care, and where these efforts
need to focus in the future. Finally, this
project will develop key mechanisms
and pathways which allow surgical
investigators access to key information
about how surgical care is provided
across the country.
Even though this project is in its early
stages, it has been widely supported.
Dr. Freeman and the Department of
Surgery provided the initial funding
for this effort, and Dr. Goodman
obtained significant support
from the Robert Wood Johnson
Foundation to enhance these efforts.
Dr. Goodney presented information
on this project at the 4th Annual
Wennberg International Collaborative
(WIC) Conference in Hanover, New
Hampshire in October, 2013, and will
give an update on the groups’ progress
at the 5th WIC Conference in London,
England in 2014.
RESE ARCH FELLOWSH I P:
A K EY I N G RED I ENT
A unique partnership with the White
River Junction VA Hospital’s VA
Outcomes Group/VA Quality Scholars
program has allowed surgical trainees
a unique opportunity in surgical health
services research. Dr. Goodney, and
colleagues Brenda Sirovich, Louise
Davies, and Greg Ogrinc lead an
intensive, two-year research fellowship —
which includes Masters’ training
at The Dartmouth Institute — for
surgical trainees interested in a career
in surgical outcomes research. This
opportunity has been an important
aspect of “building a team” of highly
skilled, insightful investigators with the
skill set — in surgery and in research —
to ask the right questions, and get the
best answers. Jessica Wallaert, MD,
MS (2013) and Andrea Stroud, MD,
MS, (2014) are two recent examples of
Dartmouth general surgery trainees
who have also been successful VA
Outcomes fellows, and Dr. Karina
Newhall has been accepted into the
program for this fall.
SUM M ARY
Overall, 2013 has been an exciting start
for the CESC, and opportunities abound
for our new developments to build on
our early achievements. Future efforts —
such as the addition of more research
staff and expanding research and
fellowship opportunities — will be our
main goals for 2014. We look forward
to the development of the CESC, and
anticipate building our program into a
national leader among national surgical
outcomes research efforts.
CHAN G I N G H OW WE
CH O OSE — A DARTMO UTH
ATL AS O F SU RG ERY
One of the newest and most exciting
developments in the CESC is a major
project, wherein we hope to study
and improve the delivery of surgical
care nationally, and potentially even
internationally. In a partnership with
the Co-Principal Investigator of the
Dartmouth Atlas, Dr. Goodman, Dr.
Goodney and the CESC is leading
a team of experts in surgical health
services research in generating a new
Dartmouth Atlas of Surgery. This team
will describe how variation in surgical
care affects several common and costly
conditions. Moreover, they will also
share their experiences, and highlight
how surgical outcomes research has
begun to limit variation improve the
2013 AWARDS
The Arthur Naitove
Distinguished Teaching
Award
The Harmes Surgical
Scholar Award
The Surgical Chair’s Award
William C. Nugent, MD
Kimberley S. Samkoe, PhD
The Harmes Surgical Scholar
Award is awarded annually to a
faculty member(s) at the Assistant
or Associate Professor level
in the Department of Surgery.
The annual financial award is
provided over three years to
facilitate career development
by strengthening individual
professional skills; enhancing
contributions to the academic,
clinical, and administrative
programs of the Department;
improving the regional and
national visibility of DHMC; and
increasing each individual’s sense
of professional competence and
satisfaction. The Harmes Scholar
Award for 2013 was awarded to
Kimberley S. Samkoe, PhD.
Each year, the Chair of the
Department has the opportunity
to acknowledge the contribution
of an individual, or several
individuals, through the Chair’s
Award. The Award is intended
to recognize an individual’s
accomplishments which have
especially reflected the ideals or
goals for the Department. The
2013 Surgical Chair’s Award
recipient is Mark C. Smith, MD.
The Arthur Naitove
Distinguished Teaching Award
was instituted by the residents
in l997 to recognize a faculty
member’s commitment to
the housestaff. The Award is
presented to an attending staff
for their commitment to enhance
the residency educational
experience. The 2013
recipient of the Arthur Naitove
Distinguished Teaching Award
is William C. Nugent,MD.
54
Mark C. Smith, MD
2013 AWARDS
The Richard Dow Award
The Robert Crichlow Award
Brian Nolan, MD
Scott Lollis, MD
The purpose of these two research awards is to provide protected time for up
to 2 early career Department of Surgery (DOS) faculty members to develop
research programs that will lead to independently funded careers in clinical,
translational, or basic Surgical Sciences. These awards are patterned after
NIH Mentored Research Scientist Development Awards (K01). The ultimate
goal of these awards is to stimulate career development in surgical research.
The Department of Surgery Care Path Award
Vascular Surgery “Revamp”
The team accepting the Vascular Surgery Revamp Care Path Award. Left to right:
Teri Walsh, RN; Carey Stillman, NP; Joy Nicolay, RN; Emily Spangler, MD.
CLINICAL TRIALS & RESEARCH
Axelrod, David
•Linkage of Medicare Claims and OPTN
Registry Data to Advance Outcomes
Research in Organ Transplantation
Barth, Richard
•D0928: A Study to Evaluate the
Use of Supine MRI Images In Breast
Conserving Surgery
•D0929: A Prospective Study of
Partial Breast Adjuvant Radiation
Therapy After Resection of Borderline
and Malignant Phyllodes Tumors
•D12016: A Study of the
Prognostic Importance of Local
T-cell Immune Reactivity in
Colorectal Cancer Metastases
•D12052: A Randomized Phase
II Study of the Effects of a Low
Calorie Diet on Patients Undergoing
Liver Resection
•DMS 0404: Alternative Breast
Imaging Modalities: Correlation with
Local Tissue Property Measurements
and Histopathological Indices in
Benign and Malignant Lesions
•DMS 9801: Prospective Study
of Adjuvant Radiation Therapy
After Resection of Borderline and
Malignant Phyllodes Tumors
(Training Grant AI07363)
•Multicenter Selective
Lymphadenectomy Trial II (MSLTII): A Phase III Multicenter
Randomized Trial of Sentinel
Lymphadenectomy and Complete
Lymph Node Dissection Versus
Sentinel Lymphadenectomy Alone
in Cutaneous Melanoma Patients
with Molecular or Histopathological
Evidence of Metastases in the
Sentinel Node
•Z0010: A Prognostic Study of
Sentinel Node and Bone Marrow
Micrometastases in Women with
Clinical T1 or T2 NO MO Breast
Cancer (Rapid Review Renewal –
June, 2001) (Training Grant AI07363)
•Z0011: A Randomized Trial of
Axillary Node Dissection in Women
with Clinical T1-2 NO MO Breast
Cancer Who Have A Positive Sentinel
Node (Training Grant AI07363)
56
Bekelis, Kimon
•Cerebral Aneurysm Inflammation:
Prospective Correlation of The
Preoperative Use of 18F-FDG PET/CT
and Ultrasmall Superparamagnetic
Iron Oxide Particles (Uspios) Assisted
MRI with Postoperative Histologic
Results in Human Subjects
•Motor and Somatosensory Evoked
Potential Monitoring During
Aneurysm Surgery: Effect on
Outcome and Surgical Strategy
•MRI/MRA Fusion Technique for
Intra-Operative Navigation During
Microsurgical Resection of Cerebral
Arteriovenous Malformations
Bihrle, William
•Can We Predict Readmission within
30 Days of Discharge Following
Renal Cancer Surgery?
Chapman, M. Shane
•A 10-Year, Post-Marketing,
Observational, Registry to Assess
Long-Term Safety of HUMIRA
(Adalimumab) in Adult Patients with
Chronic Plaque Psoriasis (Ps)
•A Multicenter, Open Registry of
Patients with Psoriasis Who are
Candidates for Systemic Therapy
Including Biologics
•A Phase 3, Multi-Site, Open-Label
Study of The Long-Term Safety
And Tolerability of 2 Oral Doses
of CP-690,550 in Subjects with
Moderate-to-Severe Chronic
Plaque Psoriasis
•A Phase 3, Multi-Site, Randomized,
Double-Blind, Placebo-Controlled,
Parallel-Group Study of the Efficacy
and Safety of 2 Oral Doses of
CP-690,550 in Subjects with
Moderate-to-Severe Chronic
Plaque Psoriasis
•A Phase 3B, Multicenter,
Randomized, Placebo-Controlled,
Double Blind, Double-Dummy,
Study of the Efficacy and Safety of
Apremilast (CC-10004), Etanercept,
and Placebo, in Subjects with
Moderate-to-Severe Plaque Psoriasis
•A Phase 3b, Randomized, DoubleBlind, Active Controlled, Multicenter
Study to Evaluate a Subject-tailored
Maintenance Dosing Approach in
Subjects with Moderate-to-Severe
Plaque Psoriasis – PSTELLAR
•A Randomized, Vehicle-Controlled,
Double-Blind, Parallel Group, MultiCenter, Phase IIB Dose Finding
Study of M518101 in Plaque
Psoriasis Patients
•Efficacy and Safety of Alitretinoin
in the Treatment of Severe Chronic
Hand Eczema Refractory to
Topical Therapy
•Observational Post Marketing Safety
Surveillance Registry of Enbrel
(Etanercept) for Treatment of Psoriasis
•PREDICT MK-3222-010 (#206682)
Psoriasis Study
•Quantifying Skin Response in
Photodynamic Therapy
Chen, Eunice
•The Role of Hypoxia and
Hypoxia-Inducible Pathways in
the Pathogenesis of Head and
Neck Diseases
•Tissue Hypoxia and Post-Radiation
Complications in Patients with Breast
and Head and Neck Cancers
Cronenwett, Jack
•Structure Process and Outcome in
AAA repair
•Northern New England Vascular
Surgery Quality Improvement Initiative
Davies, Louise
•Revising and Expanding the
Publication Guidelines for
Quality Improvement
•Thyroid Nodule Registry:
Algorithm Development
Durham, Susan
•Natural History Of Asymptomatic
Chiari 1 Malformation in the
Pediatric Population
Eisenberg, Burton
•D0906: An in Vivo Proof of Principle
Trial to Determine Whether the
Nutritional Supplement Conjugated
Linoleic Acid (CLA, Clarinol®) Can
Modulate the Lipogenic Pathway in
Breast Cancer Tissue
•ECOG 1697: A Phase III Randomized
Study of Four Weeks High Dose
IFN-a2b in Stage T2bNo, T3a-bNo,
T4a-bNo, and T1-4 ,N1a, 2a,3
(microscopic) Melanoma
•F0924: A Phase II, Non-Randomized,
Open-Label Multicenter Study of
5 year Adjuvant Imatinib Mesylate
(Gleevec®) in Patients at Significant
Risk for Recurrence Following
Complete Resection of Primary
Gastrointestinal Stromal Tumor (GIST)
[Protocol #CSTI571BUS282]
Abdominal Aortic aneurysms in
Patients Who are Not Candidates for
Repair with Commercially Available
Bifurcated Endovascular Protheses –
LeMaitre Study
•An Evaluation of the GORE
Conformable TAG® Thoracic
Endoprosthesis for the Primary
Treatment of Aneurysm of the
Descending Thoracic Aorta
•ANCHOR: Aneurysm Treatment
Using the HeliFX Aortic Securement
System Global Registry
•Clinical Outcomes of the Snorkel
Technique to Treat Juxtarenal
Aortic Aneurysms
•Dartmouth Hitchcock Medical Center
Experience with Management of
Thoracic Aortic Pathology
•Z 9001 A Phase III Randomized
Double-Blind Study of Adjuvant
STI571 (Gleevec®) vs. Placebo in
Patients Following the Resection of
Primary GastroIntestinal Stromal
Tumor (GIST)
•Endologix Bifurcated Powerlink
Stent System Clinical Study Size 34
Infrarenal Bifurcated Stent Graft
Erkmen, Cherie P.
•An Analysis of the Management and
Microbiology of Thoracic Empyemas
•Evaluation of the GORE Conformable
TAG® Thoracic Endoprosthesis for
Treatment of Traumatic Transection of
the Descending Thoracic Aorta
•D1046: A Proof of Principle Study of
Aminolevulinic Acid (ALA) — Induced
Fluorescence Detection in Resectable
Non-Small Cell Lung Cancer
•Retrospective Analysis of
Esophagectomies at DHMC
•Z4051: A Phase II Study of
Neoadjuvant Therapy with Cisplatin,
Docetaxel, Panitumumab Plus
Radiation Therapy Followed by
Surgery in Patients with Locally
Advanced Adenocarcinoma of the
Distal Esophagus
Fillinger, Mark
Treatment of Acute Complicated Type
B Aortic Dissection
•A Clinical Study Evaluating the Use
of the Gore Excluder (R) Bifurcated
Endoprosthesis-31 mm in the Primary
•Treatment of Infrarenal Abdominal
Aortic Aneurysms (AAA)
•A Phase II, single-Arm, Prospective
Study of the Safety and Efficacy of
the UniFit Aorto-uni-iliac Endoluminal
Stent Graft for the Repair of
•Endurant Stent Graft System US
Clinical Study-A Prospective, SingleArm, Non-Randomized, Multi-Center
Clinical Study
•.GREAT. Global Registry for
Endovascular Aortic Treatment
Outcomes Evaluation
System for the Endovascular Repair of
Juxtarenal and Pararenal Aneurysms
— Ventana IDE Pivotal Trial
•The PEVAR Trial: Protocol CP-0001:
Prospective, Multicenter, Randomized
Controlled Trial of Endovascular
Aneurysm Repair Using a Bilateral
Percutaneous Approach (PEVAR) vs
Standard Approach (SEVAR) Using
the IntuiTrak Endovascular AAA
Delivery System and the Prostar XL or
Perclose ProGlide Suture-Mediated
Closure System
•The Pivotal Study of the Aptus
Endovascular AAA Repair System
STAPLE 2 Trial
•The Role of Wall Stress Distribution
in Abdominal Aortic Aneurysm
Expansion and Rupture
•Use of the Zenith® Dissection
Endovascular System in the Treatment
of Patients with Acute, Complicated
Type B Aortic Dissection
•Zenith® Low Profile TAA Endovascular
Graft Clinical Study
•Zenith TX2® Thoracic TAA
Endovascular Graft Clinical
Investigation
•Zenith TX2® Thoracic Aortic
Aneurysm (TAA) Endovascular Graft
Post-Market Approval Study
•Zenith® Fenestrated AAA
Endovascular Graft Clinical Study
•INSPIRATION: A Multicenter, Open
Label, Prospective, Non-Randomized,
Study of the INCRAFT® Stent Graft
System in Subjects with Abdominal
Aortic Aneurysms
•.GREAT. Global Registry for
Endovascualr Aortic Treatment
Outcomes Evaluation
•Multicenter Evaluation of Aortic
Aneurysm Wall Stress and
Associated Risk Factors for Rupture
•Clinical Investigation Plan For
The Zenith TX2® Low Profile TAA
Endovascular Graft
•Post Approval Study Evaluating the
Long Term Safety and Effectiveness
of the Endurant Stent Graft System —
ENGAGE PAS
•PRESERVE – Zenith® Iliac Branch
System Clinical Study to Evaluate
the Safety and Effectiveness of the
Zenith® Branch Endovascular Graft-Iliac
Bifurcation with the Zenith® Connection
Endovascular Covered Stent
•Prospective Aneurysm Trial: High
Angle Aorfix™ Bifuracated Stent
Graft-Pythagoras Study
•Prospective, Multicenter, Single Arm
Safety and Effectiveness Trial of the
Endologix Fenestrated Stent Graft
•34 mm Infrarenal Bifurcated Stent
Graft Study
Treatment of Acute Complicated Type
B Aortic Dissection
Treatment of Traumatic Transection of
the Descending Thoracic Aorta
•Prospective, Multicenter, Randomized
Controlled Trial of Endovascular
Aneurysm Repair Using a Bilateral
Percutaneous Approach (PEVAR) vs.
Standard Approach (SEVAR) Using
the IntuiTrak Endovascular AAA
Delivery System
•Protocol P11-4601: A Multicenter,
Open label,Prospective, Non
Randomized Study of The INCRAFT®
Stent Graft System in Subjects With
Abdominal Aortic Aneurysms
•Proximal Abdominal Aortic Aneurysm
Anatomic Characterization Study
•Evaluating Accuracy and Reliability
of Hand Symptom Diagrams in
the Diagnostic Workup of Carpal
Tunnel Syndrome
•Measuring Patient Satisfaction
with Breast Surgery: Development
and Validation of a Patient-Based
Outcomes Instrument
•Twenty-Four Hour Urine Parameters
in Pregnant Patients With Stones:
Comparison Between Stone
Forming and Non-Stone Forming
Women During the Intra- and
Post-Partum Periods
•Patient Self-Reporting of
Complications after Breast Reduction
Paulsen, Keith
•ACRIN 6691: Monitoring
and Predicting Breast Cancer
Neoadjuvant Chemotherapy
Response Using Diffuse Optical
Spectroscopic Imaging (DOSI)
•Zenith TX2 TAA Endovascular Graft
Post Market Approval Study
Kispert, Paul
•Survival After Head Trauma in
Geriatric Population
•Development and Validation
of Near Infrared Spectral
Tomography Integrated with Digital
Breast Tomosynthesis
Freeman, Richard B.
•Perfusion and Preservation of Kidneys
in SOM102
Laycock, William
•Paraesophageal Hernia Repairs in
the Octogenarians
•Surgical Outcomes Assessment
Program Database Version 2
•Safety of Laparoscopic ParaEsophageal Hernia Repair in
Octogenarians
•PYTHAGORAS: Prospective Aneurysm
Trial: High Angle Aorfix™ Bifuracated
Stent Graft Study
•Zenith® Dissection Endovascular
System in the Treatment of Patients
with Acute, Complicated Type B
Aortic Dissection
®
Goodney, Philip
•Outcomes of Endoleak Following
EVAR for Ruptured AAA
•Towards Understanding the CostEffectiveness of Carotid Stenting and
Carotid Endarterectomy
Gormley, E. Ann
•Same Day Surgery Program for
Pubovaginal Fascial Sling in Women
with Stress Urinary Incontinence
•Mentor Adjunct Study for Silicone
Gel-Filled Mammary Prostheses
•Outcomes After Interhospital
Helicopter and Ground Transport for
Neurosurgical Care
Paydarfar, Joseph
•A Comparison Of Transoral
Robotic Surgery (TORS) with
Traditional Treatment Modalities for
Oropharyngeal Cancer
•Outcomes After Nonoperative
Management of Odontoid Fractures
Holubar, Stefan
•N1048: A Phase II/III trial of
Neoadjuvant FOLFOX, with
Selective Use of Combined Modality
Chemoradiation vs. Preoperative
Combined Modality Chemoradiation
for Locally Advanced Rectal Cancer
Patients Undergoing Low Anterior
Resection with Total Mesorectal Excision
Nolan, Brian
•Clinical Effectiveness of Secondary
Interventions for Restenosis Following
Renal Artery Angioplasty and
Stenting: Does it Help, Hurt or Even
Make a Difference?
•Ethicon Training Course
Kerrigan, Carolyn
•An Evaluation of Dupuytren’s
Contracture Treatment Outcomes
58
•Magnetic Resonance Microwave
Absorption and Tomography
Breast Imaging
•Measurements of Breast Tissue
Optical Properties with a Hand-held
Optical Spectroscopic Probe
•UITN
•Electrosurgical Instruments
•DMS 9332: Frequency-Domain
Optical Imaging of Breast Cancer
Lollis, Stuart
•Extradural Decompression For Chiari
Malformation
Mulligan-Kehoe, Mary Jo
•Anti-angiogenesis Therapeutic
Against Atherosclerosis
Hoopes, P. Jack
•Dartmouth Center for Cancer
Nanotechnology Excellence
•Dartmouth Center for Cancer
Nanotechnology Excellence
•Dartmouth Critical Leg
Ischemia Registry
•Quality of Life in People with
Abdominal Aortic Aneurysms
Pais, Vernon
•DHMC Urinary Tract Stone
Data Base
•Management of Ureteral Calculi
Using Ultrasound Guidance:
A Radiation Free Approach
•Extranodal Presentations of Head
and Neck Lymphoma
•Observational Study of Swallowing
Function after Treatment of Advanced
Laryngeal Cancer
Pepin, Susan
•Analysis of Adolescent and Adult
Headaches with Positive Visual
Phenomena
Powell, Richard
•A Multicenter, Randomized, DoubleBlind, Placebo-Controlled, Parallel
Group Study to Evaluate the
Efficacy, Safety, and Tolerability of
Ixmyelocel-T in Subjects with Critical
Limb Ischemia and Low Likelihood of
Successful Revascularization
•Carotid Angioplasty and Stenting
versus Endarterectomy in Asymptomatic
Subjects Who Are at Standard Risk
for Carotid Endarterectomy with
Significant Extracranial Carotid
Occlusive Disease-ACT I
•Magnetic Resonance Elastography in
Hydrocephalus
•Carotid Revascularization
Endarterectomy vs. Stent TrialCREST Study
•Preoperative, Intraoperative and
Postoperative Image Analysis of
Brain Deformation
•Comparison of Safety and
Primary Patency between FUSION
Vascular Graft, FUSION Vascular
Graft with BiolinE, and EXXCEL
Soft ePTFE (FINEST)
•FREEDOM: GORE Flow Reversal
System Extension Study for the Ongoing
Collection of Patient Outcomes
•Novel Hyperspectral Imaging
•Subdural Interhemispheric Grid
Electrodes for Intracranial
Epilepsy Monitoring: Feasibility,
Safety and Utility
•Fluorescence Imaging of the Infiltrative
Tumor Zone Using a Novel Matrix
Metalloproteinase Activatable Probe
•Stenting and Angioplasty with
Protection in Patients at High-Risk
for Endarterectomy — Sapphire
WW-P06-3603
Rosen, Joseph
•Surgical Simulation and its Utility in
Plastic Surgery Residency Training
•SuperNOVA: Stenting of the
Superficial Femoral and Proximal
Popliteal Arteries with the Boston
Scientific Innova™ Self-Expanding
Bare Metal Stent System
Rosenkranz, Kari
•Breast Conservation in Multicentric/
Multifocal Disease: Is it Feasible?
•55-1009-01 A Multicenter,
Randomized, Double-blind, Placebocontrolled Parallel Group Study to
Evaluate the Efficacy, Safety, and
Tolerability of Ixmyelocel-T in Subjects
with Critical Limb Ischemia and No
Options for Revascularization
•GORE Flow Reversal System
Extension Study for the Ongoing
Collection of Patient Outcomes
•Innova™ Self-Expanding Superficial
Femoral Artery/Proximal Popliteal
Artery Stent with Delivery System
•Understanding Peripheral Restenosis:
Genomic and Proteomic Determinants
of Vascular Intervention (PREDICTPVI) Superficial Femoral Artery (SFA)
Study Arm and Vein Graft (VG) Arm
Roberts, David
•Measuring Material Properties of the
Human Brain in Vivo
•Coregistered Fluorescence-Enhanced
Resection of Malignant Glioma
•DMS 0711 Co-registered
Fluorescence-Enhanced Resection
of Brain Tumors Stage I: Correlation
with MR and Biopsy
•Do Occipitotemporal Hippocampal
Depth Electrodes Have a Role in
Intracranial Epilepsy Monitoring?
•Frameless Robotic Stereotactic Brain
Biopsy: Feasibility, Diagnostic Yield
And Safety
•Correlation Between Perioperative
Use of Steroid and Increase in
Incidence of Local Recurrence or
Metastases Following Local Excision
of Primary Breast Cancer
•Do All Women with Invasive Papillary
Breast Cancer Require Node Biopsy?
•Z11102: Impact of Breast
Conservation Surgery on Surgical
Outcomes and Cosmesis in Patients
with Multiple Ipsilateral Breast
Cancers (MIBC)
Rzucidlo, Eva
•Serum Adiponectin Level and Lower
Extremity Revascularization Outcomes
•Open versus Endovascular Popliteal
Artery Aneurysm (OVERPAR) Repair Trial
•Patient Preferences and Treatment
Outcomes in Interventions for
Varicose Veins
•Pivotal Study of the Safety and
Effectiveness of Autologous Bone
Marrow Aspirate Concentrate
(BMAC) for the treatment of Critical
Limb Ischemia due to Peripheral
Arterial Occlusive Disease
Salcone, Erin
•A Rural Medical Student Run Vision
Screening Program: Effectiveness and
Barriers to Follow-Up
Saunders, James
•Automated System for
Digital Measurements of
Ear Canal Geometry
•Genetic Etiology of Hereditary
Hearing Loss in Rural
Nicaraguan Families
•Posterior Semicircular Canal
Dehiscence: CT Prevalence and
Clinical Symptoms
•Review of Otorrhea Microbiology: Is
there a pathogenic role of Corynebacter?
•Socioeconomic and Health
Risk Factors for Hearing Loss in
Nicaraguan Families
•Suppurative Otitis Media in African
Children with HIV
Seigne, John
•A Pilot Project to Investigate the
Ability of Atomic Force Microscopy to
Identify Malignant Cells in the Urine
•CALGB 90203: Randomized Phase
III Study of Neo-Adjuvant Docetaxel
and Androgen Deprivation Prior
to Radical Prostatectomy Versus
Immediate Radical Prostatectomy in
Patients with High-Risk, Clinically
Localized Prostate Cancer
•CALGB 90401: A Randomized
Double-Blinded Placebo Controlled
Phase III Trial Comparing Docetaxel
and Prednisone with and without
Bevacizumab (IND # 7921<NSC
#704865) in Men with Hormone
Refractory Prostate Cancer
•CALGB 99904: Adjuvant Androgen
Deprivation Versus Mitoxantrone
Plus Prednisone Plus Androgen
Deprivation in Selected High Risk
Prostate Cancer Patients Following
Radical Prostatectomy, Phase III
•Creating a Critical Pathway to
Reduce Bladder Cancer Recurrence:
Can We Increase our Compliance
with the American Urologic
Association Guidelines?
•Creating a Tissue Microarray for
Renal Neoplasms
•Distress, Psychiatric Syndromes, and
Impairment of Function in Men with
Newly Diagnosed Prostate Cancer
and in Newly Diagnosed Breast
Cancer Patients
•ECOG E2805: ASSURE: Adjuvant
Sorafenib or Sunitinib for
Unfavorable Renal Carcinoma
•The Impact of Prostate Cancer
Education on Knowledge,
Attitudes, and Shared Decision
Making Among Newly Diagnosed
Prostate Cancer Patients.
Simmons, Nathan
•Corneal Reflex as a Predictor of
Outcome After Head Injury
•DuraSeal Exact Spine Sealant System
Post-Approval Study
•Single-Institution Experience with
Laparoscopic Median Arcuate
Ligament Release
Venkatraman, Giridhar
•Development and Implementation
of a Dartmouth Frailty Index in
Perioperative Services
•Development of Outpatient Surgical
Quality Metrics
•Predictive Value of Follow-Up
Imaging for Spinal Fusion or
Cerebral Contusion
Vidal, Dale Collins
•Comprehensive Breast Program
HQUEST Database
•Stereotactic Radiosurgery
after Surgical Resection of
Brain Metastases
•Comprehensive Breast Program Intake
Database
Simpkins, Christopher
•The Cost-Effectiveness of ABO
Blood Group Incompatible Kidney
Transplantation for ESRD
Smith, Kerrington
•DHMC Pancreas Cancer Database
•Effects of Neoadjuvant Therapy
on Resecability, Recurrences, and
Survival Rates in Patients with
Intraductal Papillary Mucinous
Neoplasms (IPMN)
•Pancreas Cancer Direct Xenograft
Program at Dartmouth-Hitchcock
Medical Center
Stone, David
•A potential Novel Risk Factor for
Peripheral Vascular Disease
•Atrium iCAST Iliac Stent Pivotal Study
Stotland, Mitchell
•Legibility and Intensity of Facial
Emotion Expression Following
Glabellar Muscle Paralysis
•Shared Decision Making in Pediatric
Craniofacial Surgery
Trus, Thadeus
•Outcomes of Laparoscopic Epigastric
Vessel Ligation for Delayed TRAM
•Post-Esophagectomy Laparoscopic
Hiatal Hernia Repair
•Short-Term Outcomes Associated
With Heller Esophageal Myotomy
•Contact Dermatitis After Exposure
To 2-Octylcyanoacrylate
•Continued Access Study of the
Mentor Contour Profile Gel Implant
•Different Post-Mastectomy Radiation
Treatment Plans and Their Implications
on Reconstructive Outcomes
•Digital Media to Improve Health
•Integrating Decision Support in Breast
Cancer Care
•Integrating Decision Support in
the Care of Women Facing
Adjuvant Treatment Choices for
Early Breast Cancer
•Quality of Life and Patient-Reported
Outcomes of Reconstruction in Breast
Cancer Survivors
•Project Nickname: Abdominal
Morbidity - BREAST-Q Study
•Study of the Safety and Effectiveness
of the Mentor Contour Profile Gel
Mammary Prosthesis in Subjects
who are Undergoing Primary Breast
Augmentation, Primary Breast
Reconstruction or Revision
•Contact Dermatitis After Exposure to
2-Octylcyanoacrylate
•Study of the Effectiveness of
the Mentor Contour Profile Gel
Mammary Prosthesis in Subjects
Who Are Undergoing Primary
Breast Augmentation, Primary Breast
Reconstruction or Revision
Von Recklinghausen, Friedrich
•Comparison of Urban and Rural Level
I/II Trauma Centers
•Trauma Database
60
Zegans, Michael
•Mycotic Ulcer Treatment Trial
•Ocular Surface Microbiome of
African Children With and Without
Ocular Chlamydia Infection in a
Trachoma-Endemic Area
•Standardization of Uveitis
Nomenclature (SUN)
•NCCC Comparative
Effectiveness Research
•UNH EPSCoR Space Eyes
Zug, Kathryn
•Cutaneous Lymphoma (CL) Registry
•Genetic Predisposition to Allergic
Contact Dermatitis
•One Year Follow-Up Study of Quality
of Life Measured by Skin-Dex 16 in
Patch Tested Patients Evaluated at a
Referral Center
PUBLICATIONS
CT Surgery
Brown JR, Landis RC, Chaisson K,
Ross CS, Dacey LJ, Boss RA,
Helm RE, Horton SR, Hofmaster P,
Jones C, Desaulniers H, Westbrook BM,
Duquette D, LeBlond K, Quinn RD,
Magnus PC, Malenka DJ,
DiScipio AW: for the Northern
New England Cardiovascular
Disease Study Group. Preoperative
White Blood Cell Count and Risk
of 30-Day Readmission after
Cardiac Surgery. Int J Inflam.
Volume 2013, Article ID 781024.
Ma T, Galimberti F, Erkmen CP,
Memoli V, Fadzai C, Sempere L,
Beumer J, Anyang BN, Nugent WC,
Johnstone DW, Tsongalis GJ, Kurie JM,
Li H, DiRenzo J, Guo Y, Freemantle SJ,
Dragnev KH, Dmitrovksy E. Comparing
Histone Deacetylase Inhibitor
Responses in Genetically Engineered
Mouse Lung Cancer Models and a
Window of Opportunity Trial in Lung
Cancer Patients. Mol Cancer Ther.
20132 Aug 12(8): 1545-1555. Epub
2013 May 16.
Erkmen CP, Hong J. Non-Small
Cell Lung Cancer Brain and Adrenal
Metastasis. Thoracic Oncology: A
Multi-Disciplinary Approach. Oxford:
Wiley-Blackwell. (in press).
Erkmen CP, Raman V, Gushe N,
Trus T. Laparoscopic Repair of Hiatal
Hernia after Esophagectomy. Journal of
Gastrointestinal Surg. 2013 Jun 25.
Yun JJ, Helm RH, Kramer RS, Leavitt BJ,
Surgenor SD, DiScipio AW,
Dacey LJ, Baribeau YR, Russo L,
Sardella GL, Charlesworth DC,
Clough RA, DeSimone JP, Ross CS,
Malenka DJ, Likosky DS: for the
Northern New England Cardiovascular
Disease Study Group. Limited Blood
Transfusion Does Not Impact Survival
in Octogenarians Undergoing Cardiac
Operations. Ann Thorac Surg 2012. 94:
2038-2045.
Dermatology
Ladzinski B, Carter J, Aaron DM.
Diagnosis of Herpes Simplex VirusInduced Erythema Multiforme
Confounded by Previous Infection
with Mycoplasma Pneumonia. J Drug
Dermatol. 2013:12(6): 707-709.
Aaron DM. Fungal Skin Infections: In:
Porter RS, Kaplan JL, eds. The Merck
Home Health Handbook. On-line
version. 2013.
Aaron DM. Noncancerous Skin
Growths. In: Porter Rs, Kaplan JL, eds.
The Merck Home Health Handbook.
On-line version. 2013.
Aaron DM. Benign Skin Tumor,
Growths, and Vascular Lesion. In:
Manual for Health Care Professionals.
Aaron DM. Fungal Skin Infections. In:
Manual for Health Care Professionals.
Contact Allergen of the Year. 2013:
Methylisothiazolinone. Dermatitis.
2013 Jan-Feb;24(1):2-6. doi: 10.1097/
DER.0b013e31827edc73. Review.
Allergic Contact Dermatitis. In:
Goldsmith LA, Katz SI, Gilchrest BA,
Paller AS, Leffell DJ, Wolff K, eds.
Fitzpatrick’s Dermatology in General
Medicine. 8th Ed. New York, NY:
McGraw-Hill 2012: 152-165.
Haitz KA, Chapman MS.
Intralymphatic Histiocytosis Assoicated
with an Orthopedic Metal Implant.
March 2013, Cutis. (accepted).
Pariser RJ, Paul J, Hirano S,
Torosky C, Smith M. A Double-Blind,
Randomized, Placebo-Controlled Trial
of Adalimumab in the Treatment of
Cutaneous Sarcoidosis. JAAD 2012:
68(5): 765-773. PMID: 23276549.
Paul J, Foss CE, Hirano SA,
Cunningham TD, Pariser DM. An OpenLabel Pilot Study of Apremilast for the
Treatment of Moderate to Severe Lichen
Planus. A Case Series. JAAD 2013;
68(2): 255-261. PMID: 22910104.
Paul J, Schaller J, Rohwedder A,
Carlson JA. Treated Whipple’s Disease
with Erythema Nodosum LeprosumLike Lesions: Cutaneous PAS Positive
Macrophages Slowly Decrease
with Time and are Associated with
Lymphangiectases: A Case Report. Am
J Dermatopathol. 2012; 34(2): 182-187.
PMID: 22123268.
Ravanfar P, Wallace JS, Pace NC.
Diaper Dermatitis: A Review and
Update. Curr Opin Pediatr 2012 Aug:
24(4): 472-479.
Limthongkul B, Samie F, Humphreys
TR. Assessment of Postoperative Pain
After Mohs Micrographic Surgery.
Dermatol Surg. 2013.
Mody K, Wallace JS, Stearns DM,
Bowers G, Lacy SR, Levy NB, Zug KA,
Lansigan F. CD30-Positive Cutaneous
T-Cell Lymphoma and Response to
Brentuximab Vedotin: 2 Illustrative
Cases. Clin Lymphoma Myeloma
Leuk. 2013 Jun;13(3): 319-323. doi:
10.1016/j.clml.2012.12.008. Epub
2013 Jan 10.
Fransway AF, Zug KA, Belsito DV,
Deleo VA, Fowler JF Jr, Maibach HI,
Marks JG, Mathias CG, Pratt MD,
Rietschel RL, Sasseville D, Storrs FJ,
Taylor JS, Warshaw EM, Dekoven J,
Zirwas M. North American Contact
Dermatitis Group Patch Test Results for
2007-2008. Dermatitis. 2013 Jan-Feb
24;(1): 10 -21.
Warshaw EM, Kwon GP, Mathias CG,
Maibach HI, Fowler JF Jr, Belsito DV,
Sasseville D, Zug KA, Taylor JS,
Fransway AF, Deleo VA, Marks JG Jr,
Pratt MD, Storrs FJ, Zirwas MJ,
Dekoven JG. Occupationally Related
Contact Dermatitis in North American
Food Service Workers Referred
for Patch Testing. 1994 to 2010.
Dermatitis. 2013 Jan-Feb;24 (1):22-28.
doi:10.1097/DER.0b013e1827b14el.
Warshaw EM, Belsito DV, Taylor JS,
Sasseville D, DeKoven JG, Zirwas MJ,
Fransway AF, Mathias CG, Zug KA,
DeLeo VA, Fowler JF Jr, Marks JG,
Pratt MD, Storrs FJ, Maibach HI.
Northern American Contact Dermatitis
Group Patch Test Results: 2009-2010.
Dermatitis. 2013 Mar-Apr;24(2):50-59.
doi: 10.1097/DER.0b013e3182819c51.
General Surgery
Sartorelli K, Forgione P, Widmann W,
Adrales GL, Hebert J. Spleen and
Lymph Nodes. In: Lawrence P, Bell R,
Dayton M, Hebert J (eds). Essentials
of General Surgery, 5th ed. Baltimore
MD: Lippincott Williams and Wilkins.
Laughney A, Krishnashwamy V,
Rizzo E, Schwab M, Barth R,
Pogue B, Paulsen K, Wells W.
Spectroscopic Imaging Distinguishes
Morphological Patterns that Inform
Pathology in Tissues Relevant to Surgical
Margin Assessment. Clinical Cancer
Research 2012, 18: 6315-6325.
Laughney A, Krishnaswamy V, Rizzo
E, Schwab M, Barth R, Cuccia D,
Tromberg B, Paulsen K, Pogue B,
Wells W. Spectral Discrimination of
Breast Pathologies in Situ Using Spatial
Frequency Domain Imaging. Breast
Cancer Research 2013; 15: R61.
Gardner T, Pipas J, Glass L, Barth R,
Smith K, Colacchio T, Zaki B,
Gordon S, Ripple G, Hourdequin K,
Suriawinata A. Pancreatic Cyst
Prevalence and the Risk of MucinProducing Adenocarcinoma in United
States Adults. Am J Gastroenterology.
2013. Oct; 108(10): 1546-1550.
Laughney A, Krishnashwamy V, Rice T,
Cuccia D, Barth R, Tromberg B, Paulsen K,
Pogue B, Wells W. System Analysis of
Spatial Frequency Domain Imaging for
Quantitative Mapping of Surgically Resected
Breast Tissues. J Biomed Optics. (in press).
Xue Y, Abou Tayoun A, Abo K, Pipas J,
Gordon S, Gardner T, Barth R,
Suriawinata A, Tsongalis G. MicroRNA’s
as Diagnostic Markers for Pancreatic
Ductal Adenocarcinoma and its Precursor,
Pancreatic Intraepithelial Neoplasm.
Cancer Genetics 2013 (in press).
McGowan MM, Eisenberg BL,
Lewis LD, Froehlich HM, Wells
WA, Eastman A, Kuemmerle NB,
Rosenkranz KM, Barth RJ,
Schwartz GN, Tosteson TD,
Beaulieu BB, Kinlaw WB. A Proof of
Principle Clinical Trial to Determine
Whether Conjugated Linoleic Acid
Modulates the Lipogenic Pathway in
Human Breast Cancer Tissue. Breast
Cancer Res Treat (in press) 2013.
Eisenberg BL. The SSG XVIII/AIO
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for Gastrointestinal Stromal Tumors. Am
J Clin Oncol 36(1):89-90, 2013.
Wang D, Zhang Q, Blanke CD,
Demetri GD, Heinrich MC, Watson JC,
Hoffman JP, Okuno S, Kane JM,
von Mehren M, Eisenberg BL. Phase
II Trial of Neoadjuvant/Adjuvant
Imatinib Mesylate for Advanced
Primary and Metastatic/Recurrent
Operable Gastrointestinal Stromal
Tumors (GIST): Long-term Follow-up
Results of RTOG 0132. Ann Surg Oncol
19(4):1704-1080, 2012.
Eisenberg BL, Pipas JM:
Gastrointestinal Stromal TumorBackground, Pathology, Treatment.
In: Hermatol Oncol Clin North Am
(26)6:1239-1259, 2012.
Goldberg JB, Moses RA, Holubar SD.
Colosplenic Fistula: A Highly Unusual
Colonic Fistula. J Gastrointest Surg.
2012 Dec;16(12):2338-40. doi:
10.1007/s11605-012-2033-0. Epub
2012 Sep 25. PMID: 23007282
[PubMed - indexed for MEDLINE].
Mehr CR, Gupta R, von Recklinghausen FM,
et al. Balancing Risk and Benefit:
Maintenance of a Thawed Group A
Plasma Inventory for Trauma Patients
Requiring Massive Transfusion. J Trauma
74(6);1425-1431, 2013.
Holubar SD, Pendlimari R, Loftus EV
Jr, Moriarty JP, Larson D, O’Byrne M,
Pemberton JH, Cima RR. Drivers of Cost
After Surgical and Medical Therapy for
Chronic Ulcerative Colitis: A Nested
Case-Cohort Study in Olmsted County,
Minnesota. Dis Colon Rectum. 2012
Dec;55(12):1258-65. doi: 10.1097/
DCR.0b013e31826e4f49.
Holubar SD, Rivadeneira D. PostHemorrhoidectomy Complications.
Complexities in Colon and Rectal
Surgery. Book chapter, (in press).
Moses R, Holubar SD. Guidelines
for Post-operative Stress Ulcer
Prophylaxis after Colon and Rectal
Surgery. Clinics in Colorectal Surgery
(in-press).
Reeves J, Ng D, Suriawinata A,
Gui J, Mills J, Barth R. Short Term
Preoperative Diet Modification
Decreases Steatosis and Steatohepatitis
in Patients Undergoing Hepatic
Resections. Surgery (in press).
Rosenkranz K, Tsui E, McCabe E,
Gui J, Underhill K, Barth R. Increased
Rates of Long Term Complications After
MammoSite Brachytherapy Compared
to Whole Breast Radiation Therapy. J
Am Coll Surg 2013; 217: 497-502.
Sorensen MJ, von Recklinghausen FM,
Fulton G, Burchard KW.
Secondary Overtriage: The Burden
of Unnecessary Interfacility Transfers
in a Rural Trauma System. JAMA
Surgery, (in press).
Spaniolas K, Rothstein RI, Trus TL.
Transgastric-assisted endoscopic
fundoplication. Case Rep Med.
2013;2013:280628. doi:
10.1155/2013/280628. Epub 2013
May 13.
Levenick JM, Sutton JE, Smith KD,
Gordon SR, Suriawinata A, Gardner TB.
Pancreaticoduodenectomy for Treatment
of Groove Pancreatitis. Dig Dis Sci.
2012;57(7): 1954-1958.
Ghushe ND, Dulai PS, Trus TL.
Laparoendoscopic Transgastric
Resection of a Submucosal Mass
at the Gastroesophageal Junction.
(Multimedia Article) J. Gastrointest
Surg, 16(12): 2321. 2012 Dec.
Neurosurgery
Bekelis K, Radwan T, Desai A, Moses
Z, Thadani VM, Jobst BC, Bujarski K,
Darcey TM, Roberts DW: Subdural
Interhemispheric Grid Electrodes for
Intracranial Epilepsy Monitoring:
Feasibility, Safety and Utility. J Neurosurg
2012 Dec. 117:1182-1188.
Bekelis K, Desai A, Kotlyar A,
Thadani VM, Jobst BC, Bujarski
KA, Darcey TM, Roberts DW:
Occipitotemporal Hippocampal Depth
Electrodes in Intracranial Epilepsy
Monitoring: Safety and Utility. J
Neurosurg 2013 Feb; 118(2): 345-352.
Bekelis K, Bakhoum S, Desai A,
Roberts DW: Outcome Prediction
in Intracranial Tumor Surgery: the
National Quality Improvement Program
(NSQIP) 2005-2010. J Neuro-onc 2013
May; 113(1): 57-64.
Desai A, Bekelis K, Zhao W,
Ball PA. Increased Density of
Neurosurgeons is Associated with
Decreased Risk of Death from Motor
Vehicle Crashes in the United States. J
Neurosurgery 2012 Sept 117(3): 599-603.
Desai A, Bekelis K, Zhao W,
Ball PA, Erkmen K. Association
of a Higher Density of Specialist
Neuroscience Providers with Fewer
Deaths from Stroke in the United States
Population. J Neurosurg 2013 Feb;
118(2): 431-436.
Desai A, Bekelis K, Ball PA,
Lurie J, Mirza SK, Tosteson TD, Zhao W,
Weinstein JN. Variation in Outcomes
Across Centers After Surgery for
Lumbar Stenosis and Degenerative
Spondylolisthesis in the Spine Patient
Outcomes Research Trial. Spine (Phila
PA 1976). 2013 Apr 15; 38(8):678-691.
Desai A, Ball PA, Bekelis K,
Lurie J, Mirza SK, Tosteson TD, Zhao
W, Weinstein JN. Surgery for Lumbar
Degenerative Spondylolisthesis in Spine
Patients Outcomes Research Trial: Does
Incidental Durotomy Affect Outcome?
Spine (Phila Pa 1976). 2012 Mar 1;
37(5):406-13.
Desai A, Bekelis K, Thadani VM,
Roberts DW, Jobst BC, Duhaime AC,
Gilbert K, Darcey T, Studholme C,
Siegel A: Interictal PET and Ictal
Subtraction SPECT: Sensitivity in the
Detection of Seizure Foci in Patients
with Medically Intractable Epilepsy.
Epilepsia 2013 Feb; 54(2): 341-350.
Weaver JB, Pattison AJ, McGarry MD,
Perreard IM, Swienckowski JG,
Eskey CJ, Lollis SS, Paulsen KD. Brain
Mechanical Property Measurement
Using MRE with Intrinsic Activation.
Phys Med Biol. 2012 Nov 21;57(22):
7275-7287. Epub 2012 Oct 18.
Roberts DW, Valdes PA, Harris BT,
Hartov A, Fan X, Ji S, Leblond F,
Tosteson TD, Wilson BC, Paulsen KD:
Glioblastoma Multiforme Treatment with
Clinical Trials for Surgical Resection
(Aminolevulinic Acid). Neurosurg Clin
N Am 23:371-377, Jul 2012. PMID
22758650.
Kahlenberg CA, Fadul CE, Roberts DW,
Thadani VM, Bujarski K, Scott RC,
Jobst BC: Seizure Prognosis of Patients
with Low-Grade Tumors. Seizure: Eur J
Epilepsy 21:540-545, 2012.
Lazow SP, Thadani VM, Gilbert KL,
Morse RP, Bujarski KA, Kulandaivel K,
Roth RM, Scott RC, Roberts DW, Jobst
BC: Outcome of Frontal Lobe Epilepsy
Surgery. Epilepsia 53(10):1746-17, 2012.
Kriegel MF, Roberts DW, Jobst BC:
Orbitofrontal and Insular Epilepsy. J
Clin Neurophys 29(5):385-391, 2012.
Bujarski K, Hirashima H, Roberts DW,
Jobst BC, Gilbert K, Roth RM, Flashman
LA, McDonald B, Saykin A, Scott RC,
Dinnerstein E, Preston J, Williamson PD,
Thadani VM: Long-Term Seizure,
Cognitive, and Psychiatric Outcome
Following Trans-Middle-Temporal Gyrus
Amygdalohippocampectomy and
Standard Temporal Lobectomy. J
Neurosurg 2013 Jul; 119(1): 16-23.
Ji S, Roberts DW, Hartov A,
Paulsen KD: Intraoperative Patient
Registration Using Volumetric True 3D
Ultrasound Without Fiducials. Med Phys
39(12):7540-7552, 2012.
Enoch SJ, Roberts DW. Predicting
Skin Sensitization Potency for Michael
Acceptors in the LLNA Using Quantum
Mechanics Calculations. Chem Res
Toxicol 2013 May 20; 26(5): 767-774.
Dworak JJ, Roberts DW, Calter MA,
Fields CA, Borak J. Is Diacetyl a
Respiratory Sensitizer? A Reconsideration
Using QSAR, QMM, and Competition
Experiments. Chem Res Toxicol. 2013
May 20; 26(5): 631-633.
Roberts DW, Roberts JF, Hodges G,
Gutsell S, Ward RS, Llewellyn C.
Aquatic Toxicity of Cationic Surfactants
to Daphnia Magna. SAR QSAR Environ
Res. 2013 May; 24(5): 683-693.
Valdes PA, Moses ZB, Kim A,
Belden CJ, Wilson BC, Paulsen KD,
Roberts DW, Harris BT: Gadolinium
and 5-Aminolevulinic Acid-Induced
Protoporphyrin IX Levels in Human Gliomas:
An Ex Vivo Quantitative Study to Correlate
Protoporphyrin IX Levels and Blood-Brain
Barrier Breakdown. J Neuropathol Exp
Neurol 71(9):806-813, 2012.
Valdes PA, Leblond F, Jacobs VL,
Wilson BC, Paulsen KD, Roberts DW:
Quantitative, Spectrally-Resolved
Intraoperative Fluorescence Imaging.
Sci Rep 2:798, 2012.
Ophthalmology
Prajna V, Krishnan T, Mascarenhas J,
Srinivasan M, Rajaraman R, Prajna L,
Raghavan A, Oldenburg CE, Ray K,
Zegans, ME, McLeod SD, Porco TC,
Acharya N, Lietman TM for the MUTT
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Goldberg JB, Goodney PP,
Cronenwett JL, Baker F. The Effect of Risk
and Race on Lower Extremity Amputations
Among Medicare Diabetic Patients. J Vasc
Surg 2012 Dec;56(6): 1663-1668.
Baril DT, Goodney PP, Robinson
WP, Nolan BW, Stone DH, Li Y,
Cronenwett JL, Schanzer A. Prior
Contralateral Amputation Predicts
Worse Outcomes for Lower Extremity
Bypasses Performed in the Intact Limb.
Vasc Surg 2012 Aug: 56(2) 353-360.
Brooke BS, Goodney PP, Powell RJ,
Fillinger MF, Travis LL, Goodman
DC, Cronenwett JL, Stone DH.
Early discharge does not increase
readmission or mortality risk after highrisk vascular surgery. J Vasc Surg. 2013
Mar;57(3):734-40.
Farber A, Tan TW, Rybin D, Kalish JA,
Hamburg NM, Doros G, Goodney PP,
Cronenwett JL. Vascular Study
Group of New England. Intraoperative
Use of Dextran is Associated with
Cardiac Complications After Carotid
Endarterectomy. J Vasc Surg. 2013
Mar; 57(3): 635- 641.
Goodney PP, Brooke BS, Wallaert
J, Travis L, Lucas FL, Goodman DC,
Cronenwett JL, Stone DH.
Thoracic Endovascular Aneurysm
Repair, Race, and Volume in Thoracic
Aneurysm Repair. J Vasc Surg. 2013
Jan;57(1):56-63.
Goodney PP, Woloshin S, Schwartz LM.
Fractional Flow Reserve-Guided PCI in
Stable Coronary Disease. N Engl J Med.
2012 Dec 13; 367(24): 2355-2356.
Goodney PP, Holman K, Henke PK,
Travis LL, Dimick JB, Stukel TA, Fisher ES,
Birkmeyer JD. Regional Intensity of
Vascular Care and Lower Extremity
Amputation Rates. J Vasc Surg. 2013
Jun; 57(6):1471-1479, 1480.
Goodney PP, Brooke BS,
De Martino RR, Goodman DC.
Relationship Between Regional
Spending on Vascular Care and
Amputation Rate. JAMA Surgery
2013 (in press).
McPhee JT, Goodney PP, Schanzer A,
Shaykevich S, Belkin M, Menard MT.
Distal Anastomotic Vein Adjunct Usage
in Infrainguinal Prosthetic Bypasses. J
Vasc Surg. 2013 Apr;57(4):982-989.
Patel RB, Beaulieu P, Homa K,
Goodney PP, Stanley AC,
Cronenwett JL, Stone DH, Bertges DJ;
Vascular Study Group of New England.
Shared quality data are associated with
increased protamine use and reduced
bleeding complications after carotid
endarterectomy in the Vascular Study
Group of New England. J Vasc Surg.
2013 Dec;58(6):1518-24.
Robinson WP, Schanzer A, Li Y,
Goodney PP, Nolan BW, Eslami MH,
Cronenwett JL, Messina LM. Derivation
and Validation of a Practical Risk Score
for Prediction of Mortality After Open
Repair of Ruptured Abdominal Aortic
Aneurysms in a US Regional Cohort and
Comparison to Existing Scoring Systems. J
Vasc Surg. 2013 Feb ; 57(2): 354-361.
Simons JP, Baril DT, Goodney PP,
Bertges DJ, Robinson WP,
Cronenwett JL, Messina LM,
Schanzer A; Vascular Study Group
of New England. The effect of
postoperative myocardial ischemia
on long-term survival after vascular
surgery. J Vasc Surg. 2013
Dec;58(6):1600-8.
Schermerhorn ML, Fokkema M,
Goodney P, Dillavou ED, Jim J,
Kenwood CT, Siami FS, White RA; SVS
Outcomes Committee. The Impact of
Centers for Medicare and Medicaid
Services High-Risk Criteria on Outcome
After Carotid Endarterectomy and
Carotid Artery Stenting in the SVS
Vascular Registry. J Vasc Surg. 2013
May;57(5):1318-1324.
Warner CJ, Goodney PP, Wallaert JB,
Nolan BW, Rzucidlo EM, Powell
RJ, Walsh DB, Stone DH. Functional
Outcomes Following Catheter-based
Iliac Vein Stent Placement. Vasc
Endovascular Surg 47:331-4, 2013.
Simons JP, Goodney PP, Baril DT,
Nolan BW, Hevelone ND,
Cronenwett JL, Messina LM,
Schanzer A. Vascular Study Group
of New England. The Effect of PostOperative Stroke and Myocardial
Infarction on Long-Term Survival after
Carotid Revascularization. J Vasc Surg.
2013 Jun; 57(6): 1581-1588.
Tan TW, Eslami MH, Kalish JA,
Eberhardt RT, Doros G, Goodney PP,
Cronenwett JL, Farber A; Vascular
Study Group of New England. The Need
for Treatment of Hemodynamic Instability
Following Carotid Endarterectomy is
Associated with Increased Perioperative
and 1-year Morbidity and Mortality.
J Vasc Surg. 2013 Aug 29. doi:pii:
S0741-5214(13)01337-2. 10.1016/j.
jvs.2013.07.025. [Epub ahead of print]
PubMed PMID: 23994095.
Tan TW, Farber A, Hamburg NM,
Eberhardt RT, Rybin D, Doros G,
Elderup-Jorgensen J, Goodney PP,
Cronenwett JL, Kalish JA. Blood
Transfusion for Lower Extremity Bypass
is Associated With Increased Wound
Infection and Graft Thrombosis. J
am Coll Surg. 2013 May; 216(5):
1005-1014.
Simone TA, Brooke BS, Goodney PP,
Walsh DB, Stone DH,
Powell RJ, Cronenwett JL,
Nolan BW. Clinical Effectiveness of
Secondary Interventions for Restenosis
after Renal Artery Stenting. J Vasc Surg
58:687-94, 2013.
68
Hoel AW, Nolan BW, Goodney PP,
Zhao Y, Schanzer A, Stanley AC,
Eldrup-Jorgensen J, Cronenwett JL.
Variation in Smoking Cessation After
Vascular Operation. J Vasc Surg. 2013
May: 57(5): 1338-1344.
Powell RJ, Marston WA, Berceli SA,
Guzman R, Henry TD, Longcore AT,
Stern TP, Watling S, Bartel RI.
Cellular Therapy with Ixmyelocel-T
to Treat Critical Limb Ischemia: The
Randomized, Double-Blind, PlaceboControlled RESTORE-CLI Trial. Mol Ther.
2012 Jun 20(6): 1280-1286.
Powell RJ. Update on Clinical
Trials Evaluating the Effect of Biologic
Therapy in Patients with Critical Limb
Ischemia. J Vasc Surg 2012 Jul 56(1):
264-266
Ding M, Rzucidlo EM, Davey JC, Xie Y,
Liu R, Jin Y, Stavola L, Martin KA.
Adiponectin in the Heart and Vascular
System. Vitam Horm. 2012; 90:289-319.
Arya S, Coleman DM, Osbourne NH,
Englesbe M, Rzucidlo EM, Henke
PK, Rectenwald JE, Gallagher KA.
Outcomes of Endovascular Interventions
for Salvage of Renal Transplant
Allografts. J Vasc Surg. 2013 Feb 11.
Gupta N, Spangler E. Adventitial
Cystic Disease of the Popliteral Artery:
Angioplasty Resulting in Thrombosis.
Vascular Disease Management 2012:
9(9): E155-E158.
Bogoch II, Andrews JR, Nagami EH,
Rivera AM, Gandhi RT, Stone D.
Clinical Predictors for the Aetiology of
Peripheral Lymphadenopathy in HIVInfected Adults. HIV Med 2013 Mar;
14(3): 182-186.
Scali ST, Feezor RJ, Chang CK, Stone DH,
Goodney PP, Nelson PR, Huber TS,
Beck AW. Safety of Elective
Management of Synchronous Aortic
Disease with Simultaneous Thoracic
and Aortic Stent Graft Placement. J Vas
Surg. 2012 Oct;56(4):957-964.e1.
Stone DH, Goodney PP, Kalish
J, Shanzer A, Indes J, Walsh DB,
Cronenwett JL, Nolan BW. Severity
of COPD is Associated with Both Short
and Long Term Adverse Outcomes
in Patients Undergoing Elective AAA
Repair. J Vasc Surg. 2013 Jun:57(6):
1531-1536.
Suckow BD, Kraiss LW, Stone DH,
Schanzer A, Bertges DJ, Baril DT,
Cronenwett JL, Goodney PP;
Comparison of graft patency, limb
salvage, and antithrombotic therapy
between prosthetic and autogenous
below-knee bypass for critical limb
ischemia. Ann Vasc Surg. 2013.
Nov;27(8):1134-45.
Wallaert JB, De Martino RR,
Finlayson SR, Walsh DB, Corriere
MA, Stone DH, Cronenwett JL,
Goodney PP. Carotid Endarterectomy
in Asymptomatic Patients with Limited
Life Expectancy. Stroke, July 2012;
43(7): 1781-1787.
Wallaert JB, Nolan BW, Adams J,
Stanley AC, Eldrup-Jorgensen J,
Cronenwett JL, Goodney PP. The
Impact of Diabetes on Perioperative
Outcomes Following Lower-Extremity
Bypass Surgery. J Vasc Surg. 2012
Nov; 56(5): 1317-1323.
Wallaert JB, Cronenwett JL,
Bertges DJ, Schanzer A, Nolan BW,
De Martino R, Eldrup-Jorgensen J,
Goodney PP; Vascular Study Group
of New England. Optimal selection
of asymptomatic patients for carotid
endarterectomy based on predicted
5-year survival. J Vasc Surg. 2013
Jul;58(1):112-9.
Warner CJ, Walsh DB, Horvath AJ,
Walsh TR, Herrick DP, Prentiss SJ,
Powell RJ. Lean principles optimize
on-time vascular surgery operating
room starts and decrease resident work
hours. Journal of Vascular Surgery
58:1417-1422, 2013.
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2013 Department of Surgery Annual Report

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