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THE SOCIETY OF CLINICAL SURGERY November 4 - 6, 2004 161st Meeting and 100th Anniversary University of Pennsylvania, Department of Surgery Philadelphia, Pennsylvania Scientific Program - Faculty Speakers N. Scott Adzick, MD Hansell H. Stedman, MD Joseph H. Gorman, III, MD Omaida C. Velazquez, MD James F. Markmann, MD, PhD Y. Joseph Woo, MD Ronald M. Fairman, MD Kim M. Olthoff, MD Joseph B. Shrager, MD Joseph E. Bavaria, MD FACULTY PROFILE N. Scott Adzick, MD Dr. Adzick was raised in St. Louis and graduated from Harvard College and Harvard Medical School. His general surgery training was at the Massachusetts General Hospital, and his pediatric surgery fellowship was at the Boston Children's Hospital with Dr. W. Hardy Hendren. During surgical residency, he did a research fellowship with Dr. Michael Harrison at the University of California, San Francisco, and he later joined the faculty at UCSF from 1988-95. He was awarded the Resident Scholarship, Schering Award and Faculty Research Fellowship from the American College of Surgeons. He has had NIH grant support for fifteen years, and has authored over 350 peer-reviewed publications. Dr. Adzick serves as the Surgeon-in-Chief at The Children's Hospital of Philadelphia and the C. Everett Koop Professor of Pediatric Surgery at the University of Pennsylvania School of Medicine. He also directs The Center for Fetal Diagnosis and Treatment. Dr. Adzick is certified by the ABS in General Surgery, Pediatric Surgery, and Surgical Critical Care. He is on the Editorial Boards of the Journal of Pediatric Surgery, Annals of Surgery, Wound Repair and Regeneration, Fetal Diagnosis and Treatment, Surgeon in Chief and Current Problems in Surgery. He was elected to the Institute of Medicine of Children’s Hospital the National Academy of Science in 1998. His research interests focus on aspects of of Philadelphia prenatal diagnosis and treatment. C. Everett Koop Scott and Sandy Adzick have one son. Professor of Surgery Phone: 215-590-2727 [email protected] www.uphs.upenn.edu/sur gery/fac/nsa.html 1 THE SOCIETY OF CLINICAL SURGERY Joseph E. Bavaria, MD Dr. Joseph Bavaria is the Vice-Chief, Division of Cardiothoracic Surgery and a Professor of Surgery at the Hospital of the University of Pennsylvania. He is the Director of the Complex Aortic Surgery Program at PENN which is a multidisciplinary program encompassing all aspects of aortic disease including thoracic aortic reconstruction. His primary interests include thoracic aortic surgery and more broadly, cardio-aortic surgery. This includes aortic dissection, aortic root, and ascending aortic reconstruction, aortic arch surgery and the circulation management necessary for successful aortic arch clinical outcomes. Additionally, Dr. Bavaria's clinical interests include thoracoabdominal aortic aneurysm surgery and thoracic aortic stent grafting. Dr. Bavaria's thoracic aortic surgery program at the University of Pennsylvania presently performs over 250 reconstructive procedures a year and manages over 1,000 patients a year in the Aortic Surgery Clinic. Basic research is presently ongoing in the microbiology and pathology of the aortic wall in bicuspid valve disease as well as neuro-cerebral metabolism and protection during cardio-aortic surgery. Vice-Chair Dr. Bavaria's other clinical interests include valvular heart surgery and lung Cardiothoracic Surgery transplantation and has been the Director of the Penn Program since 1993. Over 300 Professor lung transplants have been performed. He leads an active clinical research group and has been the institutional primary investigator in over 15 industry sponsored, FDA Phone: 215-662-2017 IDE Phase I, II, and III trials. joseph.bavaria@ Dr. Bavaria graduated with honors in chemical engineering at Tulane University uphs.upenn.edu where he also received his medical degree. He was awarded the "gold scalpel", the www.uphs.upenn.edu/ highest surgical honor for a graduating Tulane medical student. He completed his surgery/fac/jeb.html general surgery and cardiothoracic training at the University of Pennsylvania Medical Center and Children's Hospital of Philadelphia. 10 FACULTY PROFILE Chief, Thoracic Surgery Joseph B. Shrager, MD Hansell H. Stedman, MD Dr. Shrager is a summa cum lauda graduate of Amherst College and Harvard Medical School where he won the Cabot graduation prize. At Amherst, he captained a highly ranked squash team. He obtained his General Surgery training at the Hospital of the University of Pennsylvania and his Thoracic Surgery training at the Massachusetts General Hospital. He then came back to Philadelphia where he joined the staff at PENN in 1998, rising to his current position as Associate Professor and Chief of General Thoracic Surgery. He also serves as associate program director for the Thoracic Surgery Residency at Penn. Hansell H. Stedman, M.D. was promoted to Associate Professor in the Tenure Track in the Department of Surgery at the University of Pennsylvania on July 1, 2003. Prior to that he served as the Director of Muscular Dystrophy Research within the Institute for Human Gene Therapy as well as an Assistant Professor in the Department of Surgery. Dr. Shrager sits on the Editorial Board of the Annals of Thoracic Surgery and gained membership to the field's most prestigious association, the American Association for Thoracic Surgery, as one of its youngest ever inductees. He maintains a busy clinical practice in all aspects of General Thoracic Surgery, but special interests include lung cancer and surgery for emphysema. His clinical abilities have landed him at some point on all of the regional Philadelphia "Top Docs" lists. Dr. Shrager's well-published basic research program has focused on adaptation of the Associate Professor diaphragm and other respiratory muscles to emphysema, lung volume reduction Phone: 215-662-4767 surgery, and other conditions. This work has been supported by the American Association for Thoracic Surgery's Churchill Research Scholarship as well as joseph.shrager@ receiving continuous support from the VA Merit Review system. uphs.upenn.edu www.uphs.upenn.edu/ surgery/fac/jbs.html 9 THE SOCIETY OF CLINICAL SURGERY Dr. Stedman was the principal investigator on the world's first human trial investigating gene therapy as a treatment for Muscular Dystrophy. Much of the scientific rationale for this clinical investigation was detailed in landmark papers in Nature and Nature Medicine from his laboratory, including the development of the first surgical method to achieve limb-wide gene transfer in an animal model for muscular dystrophy. His laboratory has continued this focus with a program that is currently expanding in scope to address the most common and devastating childhood-onset form of this disease, Duchenne Muscular Dystrophy. A major goal of this work, in the tradition of Jonathan Rhoads' development of TPN, is the demonstration of an effective treatment in a naturally occurring canine model for the disease. Gastrointestinal Surgery A fascinating recent spin-off from this research was his laboratory's finding that all humans have a mutant version of the gene for a critical muscle contractile protein. This Associate Professor work was featured on the cover of Nature, and received world-wide press coverage because of its implications for human evolution. He attributes the rare insight culminating Phone: 215-898-1432 in this and other high-impact publications to his having had the privilege to combine forhstedman@ mal training in such disparate fields as general surgery and molecular genetics. mail.med.upenn.edu After earning undergraduate degrees in Biology and Chemistry from M.I.T. and his M.D. www.uphs.upenn.edu/ from Harvard in 1984, Dr. Stedman trained in General Surgery and Human Genetics at the surgery/fac/hhs.html University of Pennsylvania. In 1988, he was awarded the prestigious Robert Sampson award for postdoctoral research on the genetics and pathobiology of Muscular Dystrophy. He has been the principal investigator on numerous NIH grants and has offered a critical component to the research portfolios of both the Department of Surgery and the School of Medicine. He has served for over a decade as attending surgeon at HUP and the Philadelphia VA hospital, and is one of the few members of the department clinically active in both General and Vascular Surgery. 2 FACULTY PROFILE THE SOCIETY OF CLINICAL SURGERY Joseph H. Gorman, III, MD Kim M. Olthoff, MD Joseph H. Gorman, III is an assistant professor of surgery at the University of Pennsylvania. After graduating from Robert Wood Johnson Medical School in the spring of 1991 he completed both his General and Thoracic surgical residences at the University of Pennsylvania. During that time he spent two years as a post doctoral research fellow in the laboratory of L. H. Edmunds, Jr., M.D. Kim M. Olthoff, MD, is Associate Professor of Surgery in the Division of Transplantatin at the University of Pennsylvania. She joined the surgical faculty at the University of Pennsylvania in 1995 and is currently Director of the Liver Transplant Program at the PENN Transplant Center and at the Children's Hospital of Philadelphia. Dr. Olthoff received her medical degree from the University of Chicago in 1986, and completed a residency in general surgery at UCLA followed by a fellowship in transplantation and hepatobiliary surgery at the Dumont - UCLA Transplant Center. From there, she was recruited to help build the liver transplant programs at Penn and CHOP. The Liver Transplant Program at Penn is currently one of the busiest clinical programs in the country, transplanting over 120 patients per year. It was recently named as the Top Performer for Transplant Benchmarking 2003 by the University HealthSystem Consortium for patient outcomes, operative statistics, resource utilization, and initiation of system pathways. Dr. Gorman's Laboratory effort is funded by several NIH grants and several industrial contracts. His research interests include: 1. Pathophysiology of heart failure 2. Novel pharmacologic and gene therapy for treating heart failure 3. Effect of left ventricular assist devices on ventricular remodeling and HF 4. Scientific evaluation of surgical procedures/devices in the treatment of heart failure 5. Cardiac Imaging: MRI & real time 3D echocardiography Cardiothoracic Surgery 6. Mitral valve physiology Assistant Professor 7. Design of novel annuloplasty rings Phone: 215-615-0977 8. Percutaneous valve repair/replacement 9. Anorexigen induced valve disease gormanj@ uphs.upenn.edu 10. Effect of selective ventricular pacing on heart failure www.uphs.upenn.edu/ 11. Development of material/processes to limit prosthetic heart valve calcification surgery/fac/jhg.html 3 Transplant Surgery Associate Professor Phone: 215-662-6136 kim.olthoff@ uphs.upenn.edu www.uphs.upenn.edu/ surgery/fac/kmo.html Dr. Olthoff is active in numerous national surgical societies, having served as an officer or councilor for several, such as the AAS and SUS. She also participates in many national and international transplant organizations. Dr. Olthoff is currently the regional councilor to United Network for Organ Sharing (UNOS) for Region 2, Chair of the Awards committee for the American Society of Transplant Surgery, and Councilor for the International Pediatric Transplantation Association. She recently chaired the Liver and Intestinal Committee of the American Society of Transplantation, and co-chaired the Membership and Professional Standards Committee for UNOS. She was recently honored as the Thomas E. Starzl Invited Lecturer at the American Association for the Study of Liver Diseases. Dr. Olthoff has an active research laboratory in both basic and translational research and is a recipient of NIH funding for studies in liver regeneration, living donor transplantation, and immunologic monitoring studies in transplant recipients. She has authored or coauthored over 100 original papers and book chapters, serves on the editorial boards for Liver Transplantation, Pediatric Transplantation, and the Journal of Surgical Research, and is an editor of Pediatric Solid Organ Transplantation, 2nd ed (2005). 8 FACULTY PROFILE Ronald M. Fairman, MD Ronald M. Fairman, M.D. is Associate Professor of Surgery and Radiology and serves as Chief of the Division of Vascular Surgery at the Hospital of the University of Pennsylvania. For the past several years his academic interests have centered on the development and advancement of endovascular therapies for diseases of the thoracic and abdominal aorta. He was a Principal Investigator (PI) for the Phase II FDA sponsored EVT and Talent Trials in 1996 and with that began a large collaborative aortic endovascular program at Penn. Since then he has been National PI for a number of aortic endovascular stent graft Trials and his Division now has one of the largest experiences internationally totaling well over 700 implants. In 2001, his endovascular interests expanded to include cerebrovascular angioplasty and stenting, and he has served as PI for multiple industry-sponsored carotid stent with cerebral protection trials culminating in the first FDA approved device this year. He has been actively involved with training other vascular surgeons regionally to acquire these new endovascular skills. After earning his M.D. from Jefferson Medical College in 1977, Dr. Fairman took his Chief, Vascular Surgery intership and residency in general surgery at Penn. He served as Chief Resident in General Surgery from 1982-83. He completed his training at Penn as the Vascular Associate Professor Surgery Fellow in 1984. Following his training he worked as an Attending on the vasPhone: 215-614-0308 cular surgical service at the Philadelphia VA Hospital and developed a busy vascular surgery private practice at Jeanes Hospital which was an integrated hospital in the surron.fairman@ gical training program at Penn. He served as Chief of Surgery at Jeanes Hospital for uphs.upenn.edu several years before he returned to Penn full-time in 1996. www.uphs.upenn.edu/ Dr. Fairman serves on the editorial boards of a number of professional journals includsurgery/fac/rmf.html ing The Journal of Endovascular Therapy and Vascular. He publishes frequently in the Journal of Vascular Surgery. He has been an invited lecturer throughout the United States as well as internationally. He has not only been a featured speaker at vascular surgical societal events, but over the past couple of years has delivered lectures to interventional radiologists and invasive cardiologists at their forums. He has authored or co-authored more than 100 original papers. THE SOCIETY OF CLINICAL SURGERY Omaida C. Velázquez, MD Omaida C. Velazquez (B.S., Stevens Institute of Technology, 1987; M.D., University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Valedictorian, 1991) underwent her post-graduate training in General Surgery and subsequently in Vascular Surgery at the University of Pennsylvania where she then joined the Faculty, board certified in both General and Vascular Surgery. In addition to her clinical training she pursued additional years in research studies and was the recipient of the Jonathan E. Rhoads Research Award (1997). Dr. Velazquez is the Principal Investigator of an NIH-funded basic science laboratory that investigates endothelial cell biology, angiogenesis, and vasculogenesis. She received the von Liebig Foundation Award for Excellence in Vascular Surgical Research (2001), the University of Pennsylvania Center of Excellence Faculty Scholar Award (2002), and the Joel J. Roslyn Faculty Research Award (2003). Her current research focuses on further understanding and advancing new treatments in lower extremity arterial occlusive disease and wound healing. In addition, Dr. Velazquez leads a very active clinical practice that focuses on endovascular and other minimally invasive approaches in the surgical treatment of vascular disease and has been listed in Who's Who in Medicine and Vascular Surgery Healthcare, 2004. She has been a co-investigator in multiple clinical trials that study Assistant Professor endovascular approaches for aortic aneurysms and carotid stenosis. Phone: 215-662-6451 Among other important professional societies, Dr. Velazquez is a fellow of the American College of Surgeons, the American Society of Angiology and member of omaida.velazquez@ Alpha Omega Alpha Honor Medical Society, the American Association for Vascular uphs.upenn.edu Surgery, the Association for Academic Surgery, the American Association for the www.uphs.upenn.edu/ Advancement of Science, the International Society for Vascular Surgery, the New York surgery/fac/ocv.html Academy of Science, Sigma Xi Scientific Research Society, the Society for Clinical Vascular Surgery, and the Society of University Surgeons. He is a member of numerous professional organizations including the Society for Vascular Surgery, American Association for Vascular Surgery, the Society for Clinical Vascular Surgery, Eastern Vascular Society, and the American College of Surgeons. 7 4 FACULTY PROFILE James F. Markmann, MD, PhD Y. Joseph Woo, MD James Markmann, MD, PhD is an Associated Professor of Surgery and multi organ transplant surgeon with a focus on liver transplantation. He currently serves as Director of the Pancreas Transplant program at the Hospital of the University of Pennsylvania and is the director of the human islet isolation facility. Joseph Woo, M.D. received an undergraduate degree from the Massachusetts Institute of Technology in 1988. While there he conducted molecular biology research and his senior thesis with Salvador E. Luria M.D. In 1992, Dr. Woo earned his M.D. from the University of Pennsylvania where he was a member of the Alpha Omega Alpha Honor Society and was awarded the I.S. Ravdin prize in Surgery. Dr. Woo then performed his surgical residency training at the University of Pennsylvania which he completed in 1999. During this time, Dr. Woo completed a two year post-doctoral basic science research fellowship with H. Lee Sweeny, PhD. studying cardiac gene transfer and developing novel strategies of attenuating myocardial ischemia. For his research, Dr. Woo was awarded the American Heart Association, Vivien Thomas, Young Investigator Award in 1997. During his general surgery training, Dr. Woo also won several teaching awards. Dr. Woo then began his residency training in cardiothoracic surgery at the University of Pennsylvania with Timothy J. Gardner, M.D. and Larry R. Kaiser, M.D. Dr. Markmann's academic pursuits include both basic research and translational clinical research. In the laboratory, two areas in which he has NIH funded research in transplant immunobiology include: gene based strategies to improve graft survival and strategies to induce transplantation tolerance induction. First we have constructed viral vectors encoding immunosuppressive or immunomodulatory molecules to impact the host response to islet allografts. Second, we have focused on characterization of a particular population of immunoregulatory T cells that are know to be critical for self-tolerance as a means to induce tolerance to an allograft. In addition to basic research, Dr. Markmann has been integral to the development and success of the human islet transplant program at Penn. The Penn clinical islet trial that is funded by the NIH and JDRF began 3 years ago and has become one of the most active and most Transplant Surgery successful in the nation. Associate Professor After earning his M.D. and PhD from the University of Pennsylvania School of Medicine in 1989, Dr. Markmann completed his internship and residency in general Phone: 215-662-7367 surgery at HUP. He served as Chief Resident in Surgery from 1995-96. In 1998, Dr. james.markmann@ Markmann completed a fellowship in multi-organ Transplant Surgery at Dumontuphs.upenn.edu UCLA Transplant Center. Dr. Markmann then returned to join the faculty at the University of Pennsylvania as Assistant Professor of Surgery, rising early to Associate www.uphs.upenn.edu/ Professor with tenure in 2003. surgery/fac/jfm.html Dr. Markmann has authored or co-authored more than 150 original papers and chapters including manuscripts in to science journals such as Nature, Science, Diabetes Journal of Immunology, Journal of Virology and Gene Therapy. He co-authored several Chapters in major books such as, Handbook of Organ Transplantation, Sabiston Textbook of Surgery and Retransplantation. He performs editorial services for a number of professional journals, including Transplantation, Diabetes, Journal of Immunology, Human Gene Therapy and American Journal of Transplantation. He was recently selected to serve on the Juvenile Diabetes Research Foundation Science Review Committee, the Immune Tolerance Network Strategic Planning Committee, and the ASTS Joint Planning committee for the American Transplant Congress. He has also served on a number of NIH grant review committees. 5 THE SOCIETY OF CLINICAL SURGERY He is a member of numerous professional organizations including the American Association for the Advancement of Science, American College of Surgeons, American Society of Transplant Surgeons, Association for Academic Surgery, International Society of Pancreas and Islet Transplantation, Society of University Surgeons, International Transplantation Society, Cell Transplant Society, and the Surgical Biology Club II. He also currently is on numerous national professional committees including, AST Patient Affairs Committee and the ASTS Cell Transplant Committee. In 2002, Dr. Woo joined the faculty at the University of Pennsylvania and was appointCardiothoracic Surgery ed Assistant Professor of Surgery and Director of the Minimally Invasive and Robotic Cardiac Surgery Program. Dr. Woo performed the first robotic cardiac surgical proceAssistant Professor dure in the Delaware Valley as well as the world's first robotic aortic valve procedure. Phone: 215-662-2956 He was the principal investigator of a clinical trial investigating totally endoscopic coronary artery bypass grafting with the daVinci robotic system. He currently actively [email protected] utilizes the robotic system to perform mitral valve reconstruction, atrial septal defect www.uphs.upenn.edu/ repair, as an adjunct to coronary artery bypass grafting, and several other cardiac prosurgery/fac/yjw.html cedures. Dr. Woo is also currently the principal investigator for a randomized clinical trial investigating off-pump repair of the mitral valve. Dr. Woo currently heads a basic science research laboratory funded by the National Institutes of Health, Thoracic Surgery Foundation for Research and Education, and the American Heart Association studying angiogenic, somatotrophic, and myocardial regeneration strategies for the treatment of heart failure. His laboratory has published several papers describing novel treatment strategies for myocardial ischemia and heart failure. Dr. Woo has served as reviewer for professional journals such as Circulation, The Journal of Thoracic and Cardiovascular Surgery, The Annals of Thoracic Surgery, and The Journal of Molecular Histology. Dr. Woo has co-authored textbook chapters on myocardial re-vascularization and thoracic aortic disease. He is a member of several professional organizations including the Society of Thoracic Surgeons, The American College of Surgeons, The International Society for Minimally Invasive Cardiac Surgery, The American College of Cardiology and The International Society for Heart Research. Dr. Woo serves as a member of the leadership committee for the Council on Cardiovascular Surgery and Anesthesia of the American Heart Association. 6