Download Department of Surgery Annual Report 2011

DEPARTMENT OF SURGERY
ANNUAL REPORT
2 0 11
MISSION
We advance health through research,
education, clinical practice and community
partnerships, providing each person
the best care, in the right place, at the
right time, every 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
ADMINISTRATION
2
Department of Surgery Sections
Cardiothoracic Surgery
4
Dermatology
6
General Surgery
8
Richard Freeman, Jr, MD
William N. and Bessie Allyn Professor
and Chair
Department of Surgery
Samuel Finlayson, MD
Vice Chair, Academic Affairs & Faculty
Development
General Surgery Residency Program
Director
Associate Professor of Surgery,
Community & Family Medicine, and
The Dartmouth Institute
Neurosurgery
10
Ophthalmology
12
Otolaryngology and Audiology
14
Pediatric Surgery
16
Plastic Surgery
18
Transplantation Surgery
20
Urology
22
Vascular Surgery
24
Surgical Research Lab
26
Maxillofacial Surgery
28
Audrey Carr
Financial Manager
Medical Student Education Program
29
Jo-Ann Dugdale
Administrative Assistant
Dermatology Residency Training Program
30
Neurosurgery Residency Training Program
31
General Surgery Residency Training Program
32
Otolaryngology Residency Training Program
34
Plastic Surgery Residency Training Program
35
Urology Residency Training Program
36
Vascular Surgery Residency Training Program
37
Office of Surgical Education
Surgery Awards
38
Program Highlights
First Kidney Paired Donor Transplants
40
The Inaugural Department of Surgery Care Path Award
41
Transcutaneous Aortic Valve Replacement (TAVR)
42
Clinical Trials and Research
44
Publications
47
Kerry Ryan
Director
Administrative Associate in Surgery
Linda Barie
Administrative Manager
Brett Buzzatto
Web Content Producer
John Higgins
Data Center Manager
Donald Likosky, PhD
Department Epidemiologist
Assistant Professor of Surgery,
Community & Family Medicine, and
The Dartmouth Institute
Darrin Michalak, PA-C
Care Path Administrator
Terri Nicholson
Clerkship Program Coordinator
Laura Stancs
Assistant to the Chair
Christina Stark
Project Assistant III
DEPARTMENT OF SURGERY
PHYSICIAN ASSISTANTS
Torry Cobb, PA-C
Instructor in Surgery
Priscilla Marsicovetere, PA-C
Instructor in Surgery
A. Maya McSpadden, PA-C
Instructor in Surgery
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MESSAGE FROM THE CHAIR
2011 has been a highly productive and rewarding year for the Department of Surgery at
Dartmouth-Hitchcock Medical Center despite the significant challenges we all face in the
rapidly changing and uncertain world of health care today. As this report documents, we are
molding our Department with as much anticipation as possible for the changes to come. We
continue to emphasize improving our clinical efficiencies by maximizing surgeon productivity.
In addition, each of our sections continues to work on developing care paths that streamline
and standardize the delivery of care, while reducing costs, for the routine procedures we do
most frequently. On December 6th, we awarded the Department of Surgery’s “Care Path
Award” to the Section of Otolaryngology for developing the best care path this year. This
award will be an annual award to recognize the best efforts toward standardizing, measuring,
and integrating our surgical care in the most efficient and innovative ways.
We have numerous initiatives underway which have taken shape over this past year, three
of which we highlight here.
Richard B. Freeman, Jr, MD
William N. and Bessie Allyn
Professor and Chair
Department of Surgery
1) Transplant Program – David Axelrod, MD and the team gained national recognition
this year for performing the very first donor exchange through a new national exchange
program in cooperation with Washington University in St. Louis, MO.
2) The Care Path Award
3) TAVR Surgery – In 2011, DHMC was accepted into the second iteration of the largest
trial of Transcutaneous Aortic Valve Replacement (TAVR) which places DHMC among a
unique group of institutions that will have access to this therapy.
Other developments not highlighted here include our merging community surgery effort
where surgeons have clinical responsibilities at local community hospitals and spend 1 or 2
days a week at DHMC. We believe this program will bring the highly-skilled academic
surgeons to community practice sites. Not only will this be helpful for our community
hospital partners, this effort will improve access for patients to top quality surgical care as
well as offer new opportunities for teaching and research. Cardiothoracic Surgery, along
with our colleagues in Cardiology, are developing a comprehensive program to care for
patients with heart failure. Rajan Gupta and our Section of General Surgery have implemented
an acute care surgery program consistent with the movement across the country to provide
urgent or emergent care by surgeons specifically trained in this aspect of surgical care. This
program will provide in-house faculty level surgical coverage 24/7 365 days a year for
acutely ill patients. Along with this effort, we continue to develop more comprehensive
approaches to surgical care across the D-H system through our regional meetings.
Kerry Ryan
Director, Department of Surgery
Dartmouth-Hitchcock
is optimally positioned
to take on the challenges
we face in a changing
health care environment.
The Department
of Surgery remains
committed to delivering
high value surgical
care, teaching the
next generation, and
developing new and
better ways to serve our
patients.
William N. and Bessie Allyn Professor and Chair
Department of Surgery
2
Department of Surgery Total Gross Professional Revenue
Department of Surgery Total Cases
$200M
16K
$150M
12K
$100M
8K
$50M
4K
FY06
FY07
FY08
FY09
FY10
FY11
FY06
FY07
FY08
FY09
FY10
FY11
DEPARTMENT STATISTICS 2011
Section
Faculty
Associate
Residents
Providers
Audiology
Publications
OR Cases
9,519
7
Dermatology
7
General Surgery
21
Maxillofacial
1
Neurosurgery
5
4
Ophthalmology
9
2
Otolaryngology
8
2
Pediatric Surgery
6
2
Plastic Surgery
6
Transplantation
5
1
Urology
7
1
8
Vascular
10
1
5
Surgical Res. Lab
6
Dept. of Surgery
3
4
101
35
7
7
2,832
6
19
2
24,187
33
20
33
12,277
3,254
1
1,242
158
22
38
5,533
1,081
8
5
28,186
1,019
7
12
14,319
2,030
1
5
4,305
956
4
24
6,567
1,115
2
20
2,626
312
1
2
11,017
1,127
77
6,543
970
129,153
12,884
5
3
Outpatient
Appointments
10
CT Surgery
Total
Clinical Trials
and Research
7
5
3
67
7
32
4
15
102
272
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CARDIOTHORACIC SURGERY
Our continued involvement with the
General Surgical Training Program and
Dartmouth Medical School allows surgical
residents and medical students to experience
supervised training in a busy outpatient
clinic, inpatient consult and critical care
service, and operating room.
William C. Nugent, Jr., MD
Section Chief
Professor of Surgery, Community
& Family Medicine, and
The Dartmouth Institute
Kerry Ryan
Director, Department of Surgery
Introduction
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 chest and heart. With this
increased specialization of the
cardiothoracic surgical faculty,
the Section has witnessed an
increasingly complex caseload
with excellent outcomes while it
continues to lead the Institution
in inpatient, outpatient, and
referring physician satisfaction.
4
The Division of Cardiac Surgery
The Division of Cardiac Surgery continues
to offer a full range of surgical procedures
for patients with acquired adult cardiac
diseases. This includes off-pump coronary
revascularization, mitral valve repair, valve
sparing aortic valve surgery, and various
forms of left ventricular remodeling
procedures. 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 http://med.dartmouthhitchcock.org/
heart_vascular/report_ct.html.
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 and abdominal
aorta, many of the most sophisticated
surgical interventions performed today.
Patients with life-threatening 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.
The Division of General
Thoracic Surgery
The Division of General Thoracic Surgery
continues to be an integral part of
Dartmouth-Hitchcock Medical Center’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.
As the Dartmouth-Hitchcock Medical
Center embarks on the creation of an
integrated healthcare system throughout
New Hampshire and Vermont, the General
Thoracic Division now offers an outreach
clinic at the Veteran’s Hospital in White
River Junction,VT and in Manchester,
NH. This has allowed veterans and
patients from the southern regions of NH
to get evaluated and followed up close to
home and has allowed referring VA
physicians and physicians in Manchester
and Nashua increased direct access to our
surgical team.
Research within the Section of
Cardiothoracic Surgery
Research opportunities for faculty and
residents continue within the Section.
Under the direction of Joseph DeSimone,
MD, we will soon be enrolling patients
into the Partner’s 2 trial and thus DHMC
will enter the era of percutaneous aortic
valves. Dr. DeSimone also participates
in a large animal laboratory study
looking at the effects of pulsatile perfusion
on organ systems. Finally, outcomes
research remains through our collaboration
with The Northern New England
Cardiovascular Disease Study Group
(NNE) cardiac surgical 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 begun a 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.
Outcomes and the
Future of Healthcare
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 patient-friendly format
(http://med.dartmouthhitchcock.org
/heart_vascular/report_ct.html).
FA C U LT Y
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.
Jamie McCormack, PA
Instructor in Surgery
CARDIAC SURGERY
M. Adam Christopher, PA-C
Instructor in Surgery
Curtis Cote, PA
Instructor in Surgery
Lawrence Dacey, MD
Professor of Surgery and
Community & Family Medicine
Joseph DeSimone, MD
Assistant Professor of Surgery
Anthony DiScipio, MD
Assistant Professor of Surgery
James Yun, MD
Assistant Professor of Surgery
THORACIC SURGERY
Cherie Erkmen, MD
Assistant Professor of Surgery and
Medicine
Elizabeth Maislen, APRN
Instructor in Surgery
David Johnstone, MD
Associate Professor of Surgery
Anne McGowan, PA
Instructor in Surgery
William Nugent, Jr, MD
Professor of Surgery, Community &
Family Medicine, and The Dartmouth
Institute
Cardiothoracic Surgery Gross Professional Revenue
Cardiothoracic Surgery Cases
1,000
$16M
$14M
$12M
$10M
$8M
$6M
$4M
$2M
800
600
400
200
FY06
FY06
FY07
FY08
FY09
FY10
FY07
FY08
FY09
FY10
FY11
FY11
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DERMATOLOGY
M. Shane Chapman, MD
Section Chief
Associate Professor of Surgery
William Furness
Practice Manager
6
Introduction
This year our introduction to the
Section has many accomplishments to
share. First, our Residency Training
Program has successfully been accredited
by the RRC for the next three years,
which is the best outcome possible.
We have hired a new Mohs surgeon,
Faramarz Samie, MD, a new medical
dermatologist, Dorothea Torti, MD, and
our first dermatology physician assistant,
Kari Marley, PA. Nine months into the
new fiscal year, we are at 111% of 60th
percentile RVU benchmark. Plans to
move into the new medical office
building on Heater Road in Lebanon
continue, and the details of the space
are being worked out. We are still on
schedule to move in the fall of 2012.
stable six residents, which will be a
valuable asset to our educational and
patient care missions. Moving forward,
we are considering increasing our
residency group to nine (three-peryear), adding both Pediatric
Dermatology and Mohs Surgery
Fellowships.
Research
Our Section continues to participate in
multiple industry-sponsored clinical
trials. After going through a research
coordinator change, Carol Moriarty, RN
is now in place and ready to quickly
expand our volume of dermatology
studies, both industry-sponsored and
investigator-initiated research.
Patient Care
Dermatology outpatient care still has
the highest volume of any section at
DHMC, and we are continuing to find
ways to increase patient access and
improve our efficiency in the Clinic.
We have begun several new “spot
clinics” at DHMC as well as opened a
new monthly derm clinic at Kendal at
Hanover. The addition of Dr. Samie,
our new Mohs surgeon, will immediately
improve our access for skin care
patients. We are planning on doubling
this volume in one year and adding a
second Mohs surgeon during this time
(1,400 to 1,800 cases per year). We are
continuing all of our subspecialty clinics.
Our focus is not only to provide high
quality dermatology care, but also
efficient, high-value care for specific
patient care needs.
Faculty Highlights
Denise Aaron, MD is the Co-Course
Director of a very successful annual
Dartmouth Dermatology Conference
for Practitioners in Primary Care.
Richard Baughman, MD has begun his
51st year of service as a physician at
the Dartmouth-Hitchcock Clinic.
He is down to one-day a week, but is
still very productive, enthusiastic, and
motivated. M. Shane Chapman, MD
was named Section Chief of
Dermatology in June 2011. Marshall
Guill, MD continues to be our most
steady, productive medical dermatologist.
Nicole Pace, MD is our pediatric
dermatologist. Kathy Zug, MD is our
residency director. She has implemented
and continues to develop our most
specialized dermatology clinics in
cutaneous T-cell lymphoma (combined
with Hematology and Oncology) and
contact dermatitis.
Education
Our Dermatology Residency Training
Program is stable, newly accredited, and
moving upward. Kathyrn Zug, MD has
provided a clear expectation for our
residents and a renewed focus on
academia. Our goal this year is to have
a seventh resident, in addition to our
Looking to the Future
We have overcome several obstacles in
the past ten months and are now poised
to grow our staff, residency, and fellowship programs as we prepare to move
into our new medical office building.
Our short-term goals include
expanding our residency program
from six to a total of seven
residents, rapidly re-establishing
and expanding our Mohs Surgery
Program, adding a telemedicine/
teledermatology component to both
patient care and teaching at a
regional level, improving our
academic output, and continuing
to improve our clinical trials
program, both in volume and
quality of studies.
In addition to improving existing
programs and adding to our
educational and research productivity,
we are also committed to making
the Section of Dermatology a leader
in outpatient clinical efficiency in
both patient volume and efficient
use of resources, especially our
human resources. We are also
committed to maintaining patient
satisfaction and quality of care.
FACULTY
DERMATOLOGY
Denise Aaron, MD
Assistant Professor of Surgery
Richard Baughman, MD
Professor of Surgery
M. Shane Chapman, MD
Associate Professor of Surgery
Marshall Guill, MD
Assistant Professor of Surgery
Nicole Pace, MD
Assistant Professor of Surgery
Daniel Stewart, MD
Instructor in Surgery
Kathleen Zug, MD
Professor of Surgery
Dermatology Gross Professional Revenue
Cardiothoracic Surgery Cases
1,000
$16M
$14M
$12M
$10M
$8M
$6M
$4M
$2M
800
600
400
200
FY05
FY06
FY07
FY08
FY09
FY10
FY06
FY07
FY08
FY09
FY10
FY11
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GENERAL SURGERY
Richard J. Barth, Jr., MD
Section Chief
Associate Professor of Surgery
Catherine Garfield Legare
Senior Practice Manager
Introduction
The Section of General
Surgery, on a daily basis, strives
to accomplish DHMC’s
mission: to advance health
through 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.
8
Major Initiatives
The implementation phase of a long-range
plan which will transform the way we deliver
care for trauma patients and patients with acute
general surgery conditions has begun. We
envision having a total of nine acute care/trauma
surgical faculty, doubly boarded in critical care
and surgery, with 24/7 in-house availability to
provide optimal patient care. Our goal is to
have the resources to be a first-rate referral
center for acute surgical care for our region.
Two new acute care surgeons joined our faculty
this summer: Eric Martin, MD is a 2010
graduate of our surgical training program who
completed a fellowship at Maryland Shock
Trauma, and Andrew Crockett, MD who
completed his residency and critical care
fellowship at Ohio State.
We have initiated a new model for integrated
surgical care with our neighboring community
hospitals. Dartmouth general surgeons have
begun, for the first time, to evaluate and
operate on patients in the community hospital
setting. We hope to optimize patient care by
providing ambulatory “bread and butter”
surgical care in the community setting, while
fostering referrals to the academic center for
more complicated elective and acute surgical
conditions. Timothy Siegel, MD, who had
been practicing in a similar model at Mary
Imogene Bassett Hospital, joined our faculty
this summer to lead this effort.
Patient Care
General Surgery patients continue to be
very satisfied with the care they receive.
Eighty percent of all patients felt that their
provider’s clinical skills and personal manner
were excellent.
The Division of Minimally Invasive Surgery
has been performing laparoscopic bariatric
surgery for many years with extremely low
leak rates and excellent weight loss outcomes.
They have received well-deserved recognition
for their work by being designated by the
American College of Surgeons as a Center of
Excellence for bariatric surgery.
The Division of Surgical Oncology has greatly
enhanced its care of breast cancer patients by
establishing an interactive session with breast
radiologists immediately prior to our office
visits. We have collaborated with DHManchester to hire a full-time breast surgeon,
Roshini Patel, MD in Manchester. One year
after initiating a multidisciplinary clinic for
patients with pancreatic cancer, we observed
that the time from diagnosis to treatment was
markedly improved from one month to one
week. Kerrington Smith, MD, one year out of
his fellowship at MD Anderson, has established
himself as a technically excellent and compassionate provider for these challenging patients.
Education
Paul Kispert, MD and Kari Rosenkranz, MD,
having demonstrated their passionate commitment to resident education through years of
unheralded teaching, have been chosen to
succeed Samuel Finlayson, MD as Residency
Program Director and Associate Director,
respectively. Dr. Kispert enhances all of our
education by leading the Morbidity and
Mortality conference with insight and humor.
Horace Henriques, MD and Ken Burchard,
MD are implementing a new curriculum for
medical student teaching. William Laycock,
MD continues to direct a thriving fellowship
in laparoscopic surgery. Dr. Burchard is well
on his way towards obtaining approval for a
new Surgical Critical Care Fellowship. All four
graduating chief residents this year entered
fellowship training: in trauma surgery
(U. Penn), vascular surgery (Einstein), and
plastic surgery (Florida and Philadelphia).
Research
The Section continued to add new knowledge
to the surgical literature this past year with 31
peer-reviewed publications. Dr. Finlayson
served as an excellent mentor for surgical
residents interested in outcomes research,
publishing papers on the treatment of
appendicitis in rural vs urban settings, and on
lap vs open colectomies. Burton Eisenberg,
MD authored studies of neoadjuvant
chemoradiotherapy for treatment of sarcoma
and a review article on the management of
patients with GI stromal tumors. Richard
Barth, MD published a clinical trial utilizing a
dendritic cell vaccine to induce anti-tumor
immune responses in patients with colorectal
cancer, demonstrating that patients who developed an
immune response against their own tumor had a
greater recurrence free survival. Justin Reeves, MD, a
resident working with Dr. Barth, presented a clinical
study which demonstrated that a short-term pre-op
diet decreased steatosis in patients undergoing liver
surgery. Dr. Rosenkranz is the Principal Investigator
on a new breast cancer clinical trial which has been
activated by the National Oncology Trial Group
Alliance. Drs. Rosenkranz and Barth published results
on the use of breast conserving surgery for the
treatment of patients with multicentric breast cancer
and reported on the long-term complications seen
after Mammosite brachytherapy.
Faculty Highlights
Dr. Smith was honored as the inaugural recipient of
the Richard W. Dow Career Development Award in
Surgery. This award funds protected time for Dr.
Smith to develop a murine model which will allow
him to grow human pancreatic xenografts and test their
chemoresponsiveness. Dr. Rosenkranz and John
Murray, MD were chosen as the Top Surgeons in their
specialties by NH physicians, as reported in NH
Magazine. Gina Adrales, MD combined clinical care
and extra study to receive a master’s degree from The
Dartmouth Institute. 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;Thadeus Trus, MD is leading
the international laparoscopic training efforts of
SAGES; and Drs. Barth and Kispert have leadership
roles in the New England Surgical Society.
Looking Ahead
The Section looks forward to cooperation with
community hospitals in our area to regionalize acute
general surgical care.
GENERAL SURGERY
Paul Kispert, MD
Assistant Professor of Surgery
and Anesthesiology
Gina Adrales, MD
Associate Professor of Surgery
William Laycock, III, MD
Associate Professor of Surgery
Richard Barth, MD
Associate Professor of Surgery
Jean Liu, MD
Assistant Professor of Surgery
Kenneth Burchard, MD
Professor of Surgery and
Anesthesiology
Eric Martin, MD
Assistant Professor of Surgery
FACULTY
Elizabeth McCabe, APRN
Instructor in Surgery
Thomas Colacchio, MD
Professor of Surgery
Andrew Crockett, MD
Assistant Professor of Surgery
Ellen McKinnon, APRN
Instructor in Surgery
John Murray, MD
Associate Professor of Surgery
Burton Eisenberg, MD
Professor of Surgery
Samuel Finlayson, MD
Associate Professor of Surgery,
Community & Family Medicine,
and The Dartmouth Institute
Maureen Quigley, APRN
Instructor in Surgery
Kurt Rhynhart, MD
Assistant Professor of Surgery
Benjamin Forbush, MD
Assistant Professor of Surgery
Kari Rosenkranz, MD
Assistant Professor of Surgery
Rajan Gupta, MD
Associate Professor of Surgery
Timothy Siegel, MD
Assistant Professor of Surgery
Horace Henriques, III, MD
Associate Professor of Surgery
Kerrington Smith, MD
Assistant Professor of Surgery
Stefan Holubar, MD
Assistant Professor of Surgery
Thadeus Trus, MD
Associate Professor of Surgery
General Surgery Gross Professional Revenue
General Surgery Cases
$25M
3,500
3,000
2,500
2,000
1,500
1,000
500
$20M
$15M
$10M
$5M
FY06
FY07
FY08
FY09
FY10
FY11
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FY06
FY07
FY08
FY09
FY10
FY11
9
NEUROSURGERY
Introduction
The Section of Neurosurgery expanded
its clinical programs, diversified its
investigative activities, and earned a
number of resident awards in 2011. It
was a full, productive, and successful year.
David W. Roberts, MD
Section Chief
Professor of Surgery and Neurology
Alma Hass Milham Distinguished
Chair in Clinical Medicine, DMS
Kevin D. Williams
Director, Neurosciences
10
Patient Care
Clinical productivity again exceeded
budget for operative cases, wRVUs per
clinical provider, and contribution
margin. Multidisciplinary programs in
Neuro-oncology, Spine, Skullbase,
Pituitary, Epilepsy, Stroke, Peripheral
Nerve, Pain, and Radiosurgery
coordinated increasingly complex patient
management and surgery across the field.
New multidisciplinary clinical programs
in extracranial radiosurgery (with
Radiation Oncology) and Spine Tumor
(with Orthopedics) were initiated. Care
Paths in brain tumor and in acoustic
neuroma are far along in development.
Expansion of our clinical activity to the
Southern Region has been initiated, with
the establishment of regular outpatient
clinics in Manchester. In the departmental
initiative to achieve cost savings, the
Section, spearheaded by Nathan Simmons,
MD and together with the Department
of Orthopedics achieved a 15% reduction
in expenses through standardization of
spinal instrumentation hardware.
Education
Our fully accredited Neurosurgical
Residency Program once again had an
outstanding year in the national match,
with the arrival of Jennifer Hong, MD
from Stanford University School of
Medicine. Our graduating resident,Tarek
Radwan, MD gained a Spine Fellowship
at the University of Washington. Kimon
Bekelis, MD pursued and published studies
on intracranial seizure localization,
fluorescence assisted meningioma
resection, and extracranial carotid and
vertebral artery disease. Atman Desai, MD
received a CNS Resident Travel Award
for the 2010 Congress of Neurological
Surgeons Fall Annual Meeting for his
work on “outcomes after incidental
durotomy during surgery for spinal
stenosis,” receiving one of the highest
scoring abstracts submitted by a resident.
Student sub-intern rotations and our
elective for first and second year
DMS students were again popular, and
faculty participation in Dartmouth’s
Undergraduate Shadow Program kept
the hallways young. In the spring,
Rodrigo Moragues, MD, chief resident in
neurosurgery in Montevideo, spent a
month with the service, continuing our
long-standing relationship with
Uruguay’s growing epilepsy program.
Research
Kimon Bekelis, MD earned the prestigious
Congress of Neurological Surgeons
Dandy Fellowship to study inflammation
in cerebral aneurysms under the mentorship of Kadir Erkmen, MD. William
Spire, MD presented an analysis of
radiosurgery alone for the treatment of
intracranial metastatic disease, Dr. Desai
investigated dural leaks in spine surgery,
Wes Whitson, MD wrote on confocal
microscopy in fluorescent meningioma,
and George Kakoulides, MD presented
an analysis of evoked potential monitoring
in aneurysmal surgery. Jessica
Swienckowski, DMS II, received an
NREF Summer Fellowship Award from
the AANS to work with Scott Lollis,
MD on magnetic resonance elastography
in hydrocephalus. Ziev Moses, DMS IV,
who spent the year studying the
relationship between microvascular density
and 5-ALA-induced fluorescence in
gliomas, won Best Poster in the Tumor
Section at our national 2011 CNS
meeting. Not least, Pablo Valdes, DMS
MD/PhD candidate, who successfully
defended his PhD thesis this past year, is
currently spending a post-doc year in
Neurosurgery before rejoining his MD
classmates. He won Best Student Poster
Award at the Optical Society of America
Conference, and is developing multispectral imaging systems for the operating
microscope to see tumor fluorescence at
depth. Bringing together
colleagues at the Thayer School,
the Norris Cotton Cancer
Center,Neuropathology and
Neuroradiology, as well as
collaborators at the University of
Toronto and now Georgetown, our
NIH-sponsored fluorescence-guided
brain tumor resection project
extended the technology’s utility to
low-grade gliomas and other tumors
through development of quantitative
fluorescence. Independently, the
journal Stereotactic and Functional
Neurosurgery, edited out of
Dartmouth, saw further increase in
its volume of submitted manuscripts
and its Impact Factor.
Faculty Highlights
Our newest faculty member, Dr.
Lollis is taking time from his busier
than expected clinical practice and
his MR elastography research to
serve as a Major in the US Army
Reserve in Iraq. Stateside, Drs.
Simmons, Perry Ball, Kadir
Erkmen, and David Roberts all gave
invited talks at our CNS and AANS
national meetings. Dr. Ball was
elected President of the New
England Neurosurgical Society and
is serving on the Executive
Committee of the Neurosurgical
Society of America and on the
AANS Professional Liability
Committee. Dr. Erkmen was elected
Treasurer of the International
Meningioma Society and Memberat-Large of the Executive
Committee of the AANS/CNS
Cerebrovascular Section. Both Drs.
Simmons and Durham had strongly
competitive finishes in the Eastman
Splash, Mash, Dash Triathlon
and the Spartan Race-Vermont,
respectively. Dr. Roberts was elected
a Mosenthal Fellow by the 2011
graduating class of DMS and
vice-president of the Society of
Neurological Surgeons; he continues
his tenure on the American Board
of Neurological Surgery.
FACULTY
NEUROSURGERY
Perry Ball, MD
Associate Professor of Surgery
and Anesthesiology
Kadir Erkmen, MD
Assistant Professor of Surgery
and Neurology
S. Scott Lollis, MD
Assistant Professor of Surgery
Amber Merrill, APRN
Instructor in Surgery
Looking Ahead
Recruitment of an additional
pediatric neurosurgeon to
complement Susan Durham, MD
is eagerly anticipated and well
underway. The initiative to expand
our presence in the Manchester area
will soon have all faculty engaged
throughout the Southern region.
Lastly, Neurosurgery is enthusiastic
about the realization of the
Advanced Surgical Center, whose
intraoperative imaging and research
capabilities will enhance our longstanding commitment to clinical
excellence, superior training, and
cutting-edge investigation.
Neurosurgery Gross Professional Revenue
Sharon Morgan, APRN
Instructor in Surgery
David Roberts, MD
Professor of Surgery and
Neurology
David Sargent, PA
Instructor in Surgery
Nathan Simmons, MD
Assistant Professor of Surgery
Joellen Speaker, MSPA
Instructor in Surgery
Neurosurgery Cases
1,200
$20M
1,000
$15M
800
$10M
600
400
$5M
200
FY06
FY07
FY08
FY09
FY10
FY11
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11
OPHTHALMOLOGY
William J. Rosen, MD
Section Chief
Associate Professor of Surgery
Introduction
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-ofthe-art cataract and laser refractive
surgery. Our team includes two
optometrists offering complete primary
eye care, contact lens wear, and low
vision evaluations and treatment.
Patient Care/Faculty Highlights
Michael Zegans, MD provides surgical
care for patients with complex corneal
disorders and uveitis syndromes.
Donald Miller, MD provides onsite
laser refractive surgery (LASIK) for
farsighted and nearsighted patients and
has achieved superb visual outcomes.
The advent of toric intraocular lenses
now has a role in selected patients with
cataract and refractive disorders.
Michael R. Barrington
Practice Manager
David Campbell, MD serves as
Director of The Glaucoma Service.
This year he is joined by Ronald
Swendris, MD who was in a private
ophthalmic group practice in Missouri
prior to joining DHMC.
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, often
performing surgery on complex
cataract patients. For the past two
years, she has been the Chief of
Diversity at Dartmouth Medical
12
School and as of July, 2011, she has
been promoted to Associate Dean at
DMS.
Christopher Chapman, MD and
Rosalind Stevens, MD provide
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.
This past year, we were fortunate to
have Erin Salcone, MD join the
Section to provide comprehensive
pediatric ophthalmology care and
adult strabismus surgery. She was a
medical student at DMS 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.
Peter Lapre, OD and Cynthia
Lawrence, OD provide primary eye
care and optometric services at our
Court Street outreach office on the
green in Lebanon, NH.
Education
All providers in the Section of
Ophthalmology provide educational
opportunities onsite at DHMC as
well as regionally, nationally, and
internationally. Dr. Stevens finished
FACULTY
Ophthalmology
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.
Pepin 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
Dartmouth Medical School
students each year to competitive
ophthalmology residency
programs.
Clinical Trials and Research
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
David Campbell, MD
Professor of Surgery
conducts several clinical trials
including therapeutic studies
involving multiple sclerosis,
Alzheimer’s disease, and ischemic
optic neuropathy.
Christopher Chapman, MD
Assistant Professor of Surgery
and Pediatrics
Looking Ahead
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 costeffective manner possible. The
LASIK Program continues to
strive for increased demand. The
addition of Michael Barrington as
our Practice Manager is helping
us move forward. The principle
three-year goal of the Section is
starting a residency program.
All of the faculty view education
and teaching as part of their
mission and all desire a residency
training program.
Crystal Colby, PA
Instructor in Surgery
Cynthia Lawrence, OD
Instructor in Surgery
Donald Miller, MD
Assistant Professor of Surgery
Susan Pepin, MD
Associate Professor of Surgery
and Pediatrics
William Rosen, MD
Associate Professor of Surgery
Erin Salcone, MD
Assistant Professor of Surgery
Rosalind Stevens, MD
Professor of Surgery
Ronald Swendris, MD
Assistant Professor of Surgery
Michael Zegans, MD
Professor of Surgery and
Microbiology & Immunology
Ophthalmology Gross Professional Revenue
Ophthalmology Cases
1,400
1,200
1,000
800
600
400
200
$20M
$15M
$10M
$5M
FY06
FY07
FY08
FY09
FY10
FY11
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OTOLARYNGOLOGY AND AUDIOLOGY
Daniel H. Morrison, Jr., MD
Section Chief
Assistant Professor of Surgery
Annette M. Tietz
Practice Manager
14
Introduction
The Sections of Otolaryngology and
Audiology continues to grow and
improve to meet our patients’ needs
and to fulfill our important role as a
tertiary care provider of otolaryngology
and audiology services for northern
New England. Our residency in
otolaryngology, now fully populated,
has served as a catalyst for change
across many key academic and clinical
activities.
with enthusiasm and a great deal of
success. In December, we were quite
proud to be the recipients of the
Department of Surgery’s Care Path
Award. We believe that this focus on
continuous quality improvement
will serve us well as we make the
transition from fee-for-service medicine
to the capitated payment schemes of
accountable care organizations, allowing
us to continue to thrive and provide the
best care at the right time, every time.
Patient Care
The theme over the past year has been
comprehensive quality improvement.
Our main projects include two
Clinical Microsystem Improvement
Projects, done in conjunction with the
Microsystem group at The Dartmouth
Institute, focused on ambulatory care for
the rhinology and otology practices as
well as a Clinical Care Pathway Project
for the head and neck cancer patients.
In addition, the Microsystem Projects
have been augmented by our recent
involvement with DHMC’s Value
Institute. The overall goal is to provide
every member of the Section with the
tools that they need to either lead or
participate in quality improvement
projects. This initiative has been met
We welcomed a critical new component
of the Section’s leadership structure this
year with the addition of Annette Tietz
as our practice manager. Annette joins
us with a wealth of specialty-specific
leadership experience and has very
quickly made a positive impact on
the day-to-day operations within the
Section.
Education
Our educational efforts are directed
primarily toward the residency
program. We now dedicate a total of 5
hours per week to didactic instruction
for our residents. This is in addition
to the countless hours of instruction
that we provide during the course of
clinical care. We continue to host the
FACULTY
Otolaryngology Interest Group from
the medical school and also are
involved in medical student education
during the pediatric and family
medicine clerkship blocks as well as
the head and neck portion of the
gross anatomy class.
Research
The Section continues to be well
represented at our national meetings
with multiple faculty members
involved with presentation of scientific
papers and serving on important
committees. Notable achievements
include Eunice Chen, MD’s continued
success and development of basic
science laboratory investigation, and
James Saunders, MD’s involvement
with research, policy making, and
international outreach in the area
of hearing loss. Dr. Chen was the
recipient of the Dow-Crichlow
Award this year which will support
her research endeavors for the next
two years.
OTOLARYNGOLOGY
AUDIOLOGY
Sharon Bry, APRN
Instructor in Surgery
Kerry Gudlewski, AUD
Instructor in Surgery
Eunice Chen, MD
Assistant Professor of Surgery
and Pediatrics
Julie Johnson, AUD
Instructor in Surgery
Louise Davies, MD
Assistant Professor of Surgery and
The Dartmouth Institute
Peter Dixon, PA
Instructor in Surgery
Maria Stella McHugh, MS
Instructor in Surgery
Katelyn Monaghan, MA
Instructor in Surgery
Leah Mosenthal, MEd
Instructor in Surgery
JJ Benoit Gosselin, MD
Associate Professor of Surgery
Michael Norris, AUD
Instructor in Surgery
Daniel Morrison, Jr, MD
Assistant Professor of Surgery
Cynthia Nulton, MA
Instructor in Surgery
Joseph Paydarfar, MD
Associate Professor of Surgery
Ashley Perez, AUD
Instructor in Surgery
James Saunders, MD
Associate Professor of Surgery
Erin Pospychala, CCC-A, SM
Instructor in Surgery
Mark Smith, MD
Assistant Professor of Surgery
and Pediatrics
Catherine Rieke, AUD
Instructor in Surgery
Giridhar Venkatraman, MD
Assistant Professor of Surgery
Otolaryngology Cases
Otolaryngology and Audiology
Gross Professional Revenue
2,000
1,800
1,600
1,400
1,200
1,000
800
600
400
200
$20M
$15M
$10M
$5M
FY06
FY07
FY08
FY09
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FY11
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15
PEDIATRIC SURGERY
Laurie A. Latchaw, MD
Section Chief
Associate Professor of Surgery
and Pediatrics
Patient Care
Striving to provide outstanding surgical
health care to the children we serve
remains the primary mission of the
Pediatric Surgical Specialties. We
continue to offer outreach clinics in
Manchester, Dover, and Nashua. Same
Day Surgery is offered in the Main OR
and the OSC in Lebanon and the
Manchester Ambulatory Surgery Center.
Implementation of the new electronic
medical record will enable us to provide
specific outcomes data in the near future.
Pediatric Trauma Program - In January,
2009, the American College of Surgeons
verified the Pediatric Trauma Program at
the Children’s Hospital at Dartmouth
as a Level 1 Pediatric Trauma Center.
This is the only ACS designated Level 1
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. The Pediatric
Trauma Program has cared for more
than 673 injured children since the ACS
verification.
Ann C. Kitson
Practice Manager
Introduction
The Section of Pediatric
Surgery, which includes
Pediatric General and Thoracic
Surgery, Pediatric Neurosurgery,
and Pediatric Urology, has been
serving the infants and children
of New Hampshire and eastern
Vermont for over a decade with
uninterrupted 24/7 care.
16
The Chest Wall Deformity Program This Program, offered both in Lebanon
and Manchester by Daniel Croitoru,
MD, has evaluated 247 patients with
Pectus Excavatum and 103 patients
with Pectus Carinatum. Of these, 105
excavatum patients have had minimally
invasive repair of their deformities. This
service is offered to young adults as well
as children and teenagers. Dr. Croitoru
also participates in the newly-formed
Marfan’s Clinic.
Minimally Invasive Surgery - Minimally
invasive surgery continued to expand this
past year and includes laparoscopic
splenectomies, fundoplications, repair
of malrotation, small bowel and colon
resections, and appendicocecostomies
for motility problems in children with
anorectal malformations. The surgical
correction of Hirschsprung’s Disease can
now often be accomplished without any
abdominal incision via a transanal
approach.
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 Neuro-oncology
was instituted two years ago and
continues to coordinate the surgical and
medical care and follow-up of infants
and children with brain and spinal cord
tumors.
Spina Bifida Clinic - This clinic is one
of the longest running multidisciplinary
clinics at CHaD and includes the
expertise of Dr. Durham and Scott
Lannon, MSN, APRN, from neurosurgery as well as the pediatric urology
team of Daniel Herz, MD, Leslie
McQuiston, MD, Lynn Brenfleck, RN,
urology nurse coordinator, and Bridget
Logan, PhD, APRN, pediatric urology
nurse practitioner.
Pediatric Genitourinary Robotic Surgery
Program - Dr. Herz has expanded his use
of the robot to include pyeloplasty,
ureteral reimplants, orchidopexy, urachal
cyst excision, and appendicocecostomy.
This is the only pediatric robotic
program in northern New England.
Education
Medical education of our patients and
families as well as present and future
health care providers continues to be
FACULTY
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. All three Divisions
participate actively in residency
training programs. Members of the
Section gave various Grand Rounds
five times and were invited national
and international speakers three
times this past year. Bridget Logan,
PhD, APRN has been working on
establishing a Nurse Practitioner
Residence Program at DHMC and
is on the clinical faculty of
Northeastern University’s Nurse
Practitioner Program.
Faculty Highlights
Dr. Herz received a Department of
Surgery scholarship to attend the
Master’s Degree Program at The
Dartmouth Institute for Health
Policy and Clinical Practice
beginning in July, 2010. Bridget
Logan, PhD, APRN earned her PhD
degree and published her dissertation
in January, 2010. Scott Lannon,
MSN, APRN joined the Section in
November, 2010, as the Pediatric
Neurosurgery Nurse Practitioner
assisting Dr. Durham. Lynn Brenfleck,
RN became a member of the
Society of Pediatric Urology Nurse
Specialists.
Research
The Division of Pediatric
Neurosurgery had three publications
during 2010-11. The clinical
research projects of the Division of
Pediatric Urology resulted in five
published papers and several meeting
presentations. Ongoing clinical
research projects in VUR disease and
occult tethered cord continue to
accrue patients. Pediatric General
Surgery was involved with an
interesting case and literature review
accepted for publication in the
Journal of Pediatric Surgery.
Looking Ahead
The Pediatric Surgical Specialties is
actively recruiting a second pediatric
neurosurgeon at this time and hopes
to fill that position in the next few
months. We also will be preparing
for the re-verification of the Level 1
Pediatric Trauma Program slated for
November, 2011. Next year will be
spent developing “best practices” for
the surgical care of children using
evidence-based data which can be
used to set the standard of pediatric
surgical care in New Hampshire and
beyond.
PEDIATRIC GENERAL AND
THORACIC SURGERY
Daniel Croitoru, MD
Associate Professor of Surgery
and Pediatrics
Scott Lannon, MSN
Instructor in Surgery and
Pediatrics
Laurie Latchaw, MD
Associate Professor of Surgery
and Pediatrics
PEDIATRIC NEUROSURGERY
Susan Durham, MD
Associate Professor of Surgery
and Pediatrics
PEDIATRIC UROLOGY
Daniel Herz, MD
Associate Professor of Surgery
and Pediatrics
Bridget Logan, NP-C
Instructor in Surgery and
Pediatrics
Leslie McQuiston, MD
Assistant Professor of Surgery
and Pediatrics
Paul Merguerian, MD
Professor of Surgery and
Pediatrics
Pediatric Surgery Gross Professional Revenue
Pediatric Surgery Cases
$12M
1,200
$10M
1,000
$8M
800
$6M
600
$4M
400
$2M
200
FY06
FY07
FY08
FY09
FY10
FY11
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17
PLASTIC SURGERY
Dale C. Vidal, MD
Section Chief
Professor of Surgery, Community
& Family Medicine, and
The Dartmouth Institute
Barbara E. Rieseberg
Introduction
Members in the Section of Plastic
Surgery are committed to not only doing
their jobs, but improving them for
patients, our team, and themselves. Their
willingness to do so has led to many
successes being recognized by others who
invite us to present our work on patient
access, shared medical appointments,
shared decision making, staffing redesign,
and resource utilization (% booked in the
clinic and OR).
Patient Care
We continue our work on creating a
culture of patient and staff safety and
satisfaction. With the implementation of
our new electronic medical record and
our need to measure meaningful use,
we diligently worked through new
patient and staff flow and care. It was
challenging, yet the most rewarding work
for us this year. As a result of this work,
we saw continued improvement in patient
access, clinical, OR, and OSC utilization,
as well as bettering our patient mix. We
have fine-tuned processes needed to
measure and monitor these work efforts
to be sure we can sustain the gains. We
have enjoyed the camaraderie of sharing
and learning across sections in 2011 and
look forward to more of this in the year
to come.
Senior Practice Manager
We were pleased when our contract
provider, Emily Ridgway, MD, accepted
our offer to become our newest faculty
member in December of 2011. She is
assisting us with strategic planning to
develop a presence in the southern region
with an initial focus on breast and Mohs
surgery to meet the needs of patients
there. We were also pleased to learn John
Nigriny, MD accepted our offer to start
full-time with us in January of 2012.
Education
Our ACGME accredited residency
program graduated Gary Freed, MD this
year, who we are thrilled to say accepted
18
a full-time faculty position with us here
in the Section of Plastic Surgery.
Michael Van Vliet, MD is now our
Senior Resident. He continues with
research interested in using comparative
effectiveness outcome research to
determine the cost effectiveness of plastic
surgery cases. He is also interested in the
use of outcome-based questionnaires in
predicting diagnosis and treatment of
common hand ailments, along with
interests in critical care medicine in the
area of burns.
New to our residency program this year
was Tomasz Kosowski, MD whose
research interests include constructing and
implementing patient reported outcome
measures in aesthetic and reconstructive
facial and breast surgery. In addition,
Abhishek Chatterjee, MD joined our
residency program in July of 2011, having
strong interest in Microsystems learnings,
integrating cost savings for supplies in the
inpatient arena in our practice.
Research
Carolyn L. Kerrigan, MD is collaborating
with researchers from Memorial SloanKettering 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. In addition, Dr. Kerrigan
spent much of the year championing
the transition of the electronic
medical record to eD-H for both
perioperative documentation and patient
reported health history and outcomes
questionnaires. Mitchell Stotland, MD is
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). Dr. Rosen teaches two
courses at the Thayer School.
Dale Vidal, MD is the PI on a
multimillion dollar grant from the
Foundation for Informed Medical
Decision Making to integrate
shared decision making in the
breast, cardiology, and spine patient
populations. She is an oversight
committee member for the Clinical
Translational Research Science
Award (CTSA) currently under
review. For this proposal, she is the
co-PI on the section entitled,
“Development of Novel Clinical
and Translational Methodologies.”
She also supports several junior
faculty members as mentor on
sponsored research developmental
awards.
Faculty Highlights
Dr. Kerrigan is a trustee of the
American Association of Plastic
Surgeons and the trustee of the
American Society of Plastic
Surgeons. She is currently enrolled
in the inaugural class of the Masters
in Health Care Delivery Science
program at Dartmouth College.
Dr. Rosen was named Chief
Medical Officer of AFIRM in
2011. Dr. Stotland was named
Chair of CHaD Development
Committee and was an Oral Board
examiner for the American Board
of Plastic Surgery this year. As
Chief of the Section of Plastic
Surgery, Professor of Surgery at
DMS, 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 translational science. As a
leader in Health Care Transparency
and Shared Decision Making,
she was selected as the current
curriculum committee chair for
the new Masters of Health Care
Delivery Science Program at
Dartmouth. This role allows her
the ability to effectively shepherd
new advances in health care delivery
and oversee quality improvement
efforts in the use of health
information technology systems
and development of novel clinical
and translational methodologies.
FACULTY
PLASTIC SURGERY
Alison Evans, APRN
Instructor in Surgery
Gary Freed, MD
Assistant Professor of Surgery
Carolyn Kerrigan, MDCM, MSc
Professor of Surgery and The
Dartmouth Institute
Emily Ridgway, MD
Assistant Professor of Surgery
Joseph Rosen, MD
Professor of Surgery and
Radiology
Mitchell Stotland, MD, CM
Associate Professor of Surgery
and Pediatrics
Dale Vidal, MD
Professor of Surgery, Community
& Family Medicine, and The
Dartmouth Institute
Plastic Surgery Gross Professional Revenue
Plastic Surgery Cases
$12M
1,400
1,200
1,000
800
600
400
200
$10M
$8M
$6M
$4M
$2M
FY06
FY07
FY08
FY09
FY10
FY11
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FY09
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19
TRANSPLANTATION SURGERY: KIDNEY AND PANCREAS TRANSPLANT
David A. Axelrod, MD
Section Chief
Associate Professor of Surgery,
Community & Family Medicine,
and The Dartmouth Institute
Koren L. Fay
Transplant Administrator
Introduction
The Section of Solid Organ
Transplantation provides comprehensive
care to patients in northern New
England with end-stage organ failure.
In the past five years, the Section has
experienced significant growth in the
number of transplants we perform. In
addition, we have been able to expand
our 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.
Patient Care
Kidney Transplant: Our Program has
continued to expand transplant services
to patients living in northern New
England. We have expanded services in
the DH-Manchester clinic to better serve
patients living in the southern part of
the region. Patients can now complete
their entire pre-transplant evaluation
at DH-Manchester as well as have
comprehensive follow-up care.
The DHMC Transplantation Program
continues to grow with an emphasis on
excellence of outcomes and improved
patient quality of life. Through the
appropriate use of living donor
exchanges, and, most recently, the use
of novel therapies to decrease antibody
levels to permit selected cross match
positive transplants, we are bringing stateof-the-art transplant care to northern
New England. This last effort is led by
Christopher Simpkins, MD, MPH who
joined the Section from Johns Hopkins
University as a transplant surgeon.
Through his work at Hopkins, Dr.
Simpkins brings unique expertise in
‘desensitization’ protocols and ABO
blood group incompatible transplants.
Pancreas Transplant: DHMC has the
largest pancreas transplant program in
New England. As in our kidney
20
program, pancreas patients are
managed without corticosteroids.
Immunosuppression is limited to two
medications (tacrolimus and mycophenolate mofetil) and is well tolerated by our
patients. We are pleased that our first
pancreas recipient is over five years out
and feeling very well. We are expanding
our Program to include access to autoislet
transplant for patients undergoing a total
pancreatectomy for chronic pancreatitis.
In cooperation with the Massachusetts
General Hospital (MGH), we will isolate
their islets, reinfuse them in the liver, and
reduce the incidence of post-operative
diabetes.
Liver Transplantation and Hepatobiliary
Surgery: At DHMC, we offer state-ofthe-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 postoperative care of liver transplant patients
in cooperation with the Lahey Clinic and
MGH. This integrated program allows
for seamless continuity between the
northern evaluation team and the liver
transplant programs. Led by the members
of the Transplantation Section, the
Program has seen and evaluated over 300
liver patients.
Education
The Transplantation Section remains
committed to the education of students,
residents, fellows, patients, and the
community. Currently, fourth-year
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. Section
faculty are again participating in the
Dartmouth Medical School community.
Research:
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.
Faculty Highlights
Members of the DHMC faculty are
active in the national transplant
community. Dr. Axelrod serves as the
Chairman of the National Pancreas
Transplant Committee of the United
Network for Organ Sharing (UNOS)
and has been appointed as Chairman
of the Business Practice Development
Committee of the American Society
of Transplant Surgeons. Richard
Freeman, MD, Chair of the
Department of Surgery and member
of the Transplantation Section, was
recently elected as 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 serves as member of the
UNOS Board of Directors setting
national transplant policy. Dr.
Chobanian recently completed his
term as a member of the National
Pediatric Transplant Committee of
UNOS.
FACULTY
TRANSPLANTATION SURGERY
David Axelrod, MD
Associate Professor of Surgery,
Community & Family Medicine, and
The Dartmouth Institute
Michael Chobanian, MD
Associate Professor of Surgery
and Pediatrics
Richard Freeman, Jr, MD
Professor of Surgery
Khalid Khwaja, MD
Instructor in Surgery
Sarah Parmelee, FNP
Instructor in Surgery
Christopher Simpkins, MD
Assistant Professor of Surgery
Looking Forward:
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 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.
Transplantation Surgery Cases
Transplantation Surgery
Gross Professional Revenue
350
300
$4M
250
200
$3M
150
$2M
100
$1M
50
FY06
FY07
FY08
FY09
FY10
FY11
FY06
FY07
FY08
Pancreas
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FY11
Other
21
UROLOGY
BPH, upper urinary tract malignancies,
and stone disorders is an example of the
Section’s ability to adopt state-of-theart technology in the delivery of urologic surgical care.
William Bihrle, III, MD
Section Chief
Associate Professor of Surgery
Michael R. Barrington
Practice Manager
Introduction
The Section of Urology
continues to expand its role as
a regional referral service in
oncology, lower urinary tract
reconstruction, incontinence,
and complex stone disease.
Growth in surgical volumes and
discharges reflect the Section’s
commitment to patient access
and referral services. The
minimally invasive approach to
the treatment of prostate cancer,
22
Patient Care
The growth in the volume of renal
surgeries and cystectomies performed at
DHMC suggests that the comprehensive
genitourinary oncological initiative
is resonating with our patients and
referring physicians. Our high risk
bladder cancer quality improvement
study demonstrates that the Section
can provide timely consultation and
treatment to a population of patients
whose prognosis is dependent on
speedy intervention.
With three experienced laparoscopic
surgeons, 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
laparoscopic and robotic-assisted
techniques. The PSA/prostate biopsy
clinic and the metabolic stone clinic are
examples of interdisciplinary endeavors
providing “one stop consultative and
diagnostic shopping” for men with
elevated PSAs and abnormal digital
rectal examinations and individuals
with complex stone disease. The
Section has recently inaugurated a
dedicated hematuria clinic, streamlining
the diagnostic approach to a common
urologic complaint. The Minimally
Invasive Ablative Therapy Program
for solid renal masses, operated in
conjunction with the Section of
Interventional Radiology, offers
radiofrequency and cryoablative energy
programs for the treatment of renal
lesions.
In an effort to deliver patient-focused
ambulatory service, we have developed
a provider/nursing team model which
personalizes and coordinates care while
maintaining patient through-put.
Education
The year 2011 marks the first year of
the transition to a five-year urologic
residency, one which emphasizes the
clinical strengths of the Dartmouth
program and allows us to build an
educational program based on a core
urological syllabus and a variety of
clinical and research electives. In the
new block, 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 DHMC. Three of our last five
graduating residents have pursued
fellowship training with two pursuing
academic careers.
Faculty
Section members remain active in
regional and national organized urology.
Ann Gormley, MD is the Chair of the
Urinary Incontinence Network, an
investigative arm of the NIH. She is a
senior consultant and examiner of the
ABU Examination Committee and the
chairperson of the AUA Guidelines
Panel on Overactive Bladder. As the
Secretary of the New England Section
of the AUA, Dr. Gormley coordinates
the scientific program for its annual
meeting. 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. Vernon Pais, MD has
recently been named the Urological
and Chairman of the Department
of Urology at the Mayo Clinic, to
the DHMC clinical faculty.
Dr. Pais is taking the lead role in
coordinating our various clinical
relationships with the Medical
School, serving as our clerkship
advisor and liaison with the surgical
education committee.
Research
The Section of Urology is
aligned with the Thayer School
of Engineering in the development
of new technologies designed to
more accurately image malignant
changes in the prostate. John
Heaney, MD is collaborating with
Ryan Halter, PhD on Alex
Hartoffís NIH funded grant
investigating the use of electrical
impedance technology in the
accurate diagnosis and staging of
prostate cancer. Drs. Seigne and
Halter are engaged in an NIHfunded Challenge Grant to develop
a prostate biopsy needle capable
of receiving electrical impedance
images at the time of prostate
biopsy. Dr. Pais has completed a
number of stone related projects
FACULTY
including studies on the use of
ultrasonography in the management
of ureteral calculi and the role of
24-hour urinary risk factors in
stone disease. He recently received
external funding to evaluate the
role of endogenous urinary
thiosulfate in stone formation in
pregnancy. Dr. Seigne is developing
a care pathway to insure that
patients with superficial bladder
cancer receive post-resection
intravesical chemotherapy. The
Section of Urology, in collaboration
with our DHMC pediatric
colleagues, has seven presentations
at this yearís New England
Urologic Meeting and four accepted
manuscripts by major journals.
UROLOGY
David Barrett, MD
Adjunct Professor and Instructor
in Surgery
William Bihrle, MD
Associate Professor of Surgery
E. Ann Gormley, MD
Professor of Surgery
Kelley Hamill Lemay, APRN
Instructor in Surgery
John Heaney, MB, BCh
Professor of Surgery
Vernon Pais, MD
Assistant Professor of Surgery
Looking Ahead
The Section is exploring clinical
affiliations with urologists at local
medical centers, working to provide
tertiary and support services to
colleagues in a rural environment.
We look forward to initiating a
dedicated menís health clinic
focusing on the urological problems
of a maturing population.
Urology Gross Professional Revenue
John Seigne, MB, BCh
Associate Professor of Surgery
Rodney Taylor, MD
Assistant Professor of Surgery
Urology Cases
1,400
1,200
1,000
800
600
400
200
$15M
$10M
$5M
FY06
FY07
FY08
FY09
FY10
FY11
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23
VASCULAR SURGERY
Richard J. Powell, MD
Section Chief
Professor of Surgery and Radiology
Alexander J. Horvath
Practice Manager
Patient Care
Our core focus remains the
care of patients with vascular
disease. Annual outpatient visits
continue to increase. As the
primary referral center for a
geographically large and rural
area, we continue to implement
various programs to better
serve our patients. To do this,
we have developed outreach
clinics at Cheshire Medical
Center in Keene, NH and
Central Vermont Medical
Center in Montpelier,VT.
24
This endeavor is a component in the
development of a multidisciplinary Heart
and Vascular Center at DartmouthHitchcock Medical Center. We have
placed a focused approach to developing
clinical care paths. These care paths have
been developed with our colleagues from
nursing, cardiology, and vascular surgery,
along with The Dartmouth Institute, to
develop comprehensive cardiovascular care
that is evidence-based and cost effective.
Our open surgical case volume remains
steady while our endovascular volume has
grown over the last year by six percent.
The Branched and Fenestrated Stent Graft
Program, for the repair of thoracoabdominal
aortic aneurysms, which is lead by Mark
Fillinger, MD, is one of only a handful of
centers in the United States capable of
performing this procedure.
Education
Our Vascular Residency Training Program,
led by Program Director Dr. Fillinger,
continues to maintain its reputation as one
of the best in the nation. The fellowship
program continues to attract high quality
applicants. Matt Sweet, MD, our 24th
vascular fellow, completed his fellowship
and has taken an academic surgery position
at the University of Washington in Seattle,
WA. Replacing Dr. Sweet is Benjamin
Brook, MD who completed his general
surgery residency at the Johns Hopkins.
Our Vascular Surgery Residency Program,
the first in the nation, is now in its fifth
year. The newest addition to the Program
is Kali Walker, MD from the University of
South Florida Medical School.
A quarterly CME meeting in the southern
region for providers such as vascular nurses,
vascular surgeons, and cardiologists interested
in the care of patients with vascular disease
has been completed. This series covered
lower leg ischemia, aneurysmal disease,
carotid occlusive disease, and renal and
mesenteric disease. In April of 2011, the
Section, in conjunction with the
Dartmouth CME Office, held a CME
accredited course on the care of the vascular
patient in Manchester, NH. This program
was targeted at primary care providers. The
course had over 100 attendees and was well
received. Due to this initial success, plans
are underway to make this into an annual
event.
Section faculty delivered over 45 international, national, and regional education
presentations this year of which 30 were
for vascular surgical society meetings.
Research activity resulted in 23 peer
reviewed articles and five book chapters
published by faculty this year.
Vascular Surgery conferences are held each
Monday morning when faculty and trainees
have protected time to attend. These
include multidisciplinary biweekly clinical
case conferences, a biweekly morbidity and
mortality conference, a monthly vascular
laboratory conference, clinical and basic science research conference, and journal club.
Research
Ongoing basic science bench research is
led by Eva Rzucidlo, MD to study the
regulation of smooth muscle cell phenotype.
Dr. Rzucidlo has received a Hitchcock
Foundation Grant to investigate the role
of connective tissue growth factor in the
regulation of vascular smooth muscle cell
phenotype. She is currently pursuing
RO-I Funding with preliminary data based
off of this proposal.
Section members remain heavily involved
in industry sponsored clinical trials. Dr.
Fillinger is the national principal investigator
for the Pythagoras endoprosthesis trial for
abdominal aortic aneurysms and is the
local principal investigator for several
endoprosthesis trials for abdominal aortic
aneurysms, thoracic aortic aneurysms, aortic
dissection, and traumatic aortic injury.
Richard Powell, MD is the national principal
investigator for stem cell therapy and plasmid
gene therapy trials for the treatment of
critical limb ischemia. Dr. Powell is the
local principal investigator for multiple
carotid stent trials, including the recently
completed NIH sponsored CREST
Trial. David Stone, MD is the local
principal investigator for the Atrium iliac
stent graft trial. Philip Goodney, MD
served as the local principal investigator
for the Hercules trial. Dr. Rzucidlo leads
a clinical trial comparing cryoplasty and
stenting to stenting alone for treatment
of superficial femoral artery lesions.
Outcomes research is led by Brian
Nolan, MD and Dr. Goodney who have
worked closely with researchers from
The Dartmouth Institute for Health
Policy and Clinical Practice (TDI). Dr.
Nolan has received multiple sources of
funding to compare the outcomes of
various treatment modalities in patients
with critical limb ischemia. Of particular
note, Dr. Nolan is in his second year of a
K-23 Career Development Award from
the National Institutes of Health for
research in quality of life of patients with
abdominal aortic aneurysms and has
applied for a matching grant from the
American Vascular Association for this
project. Steven Wolsohin, MD, from
TDI, will serve as his primary mentor.
This is an outstanding accomplishment.
Dr. Goodney has received the highest
possible score of 1.0 on his recent K-08
proposal to study variations in treatment
of critical limb ischemia. Funding for his
five-year proposal began October 2010.
Jack Cronenwett, MD continues to lead
the Vascular Study Group of New
England. This multi-institutional group
now has more than 12,000 vascular
surgery operations analyzed to provide
hospital-specific feedback for improving
outcomes. Lastly, Drs. Goodney and
Stone together have received the Harmes
Scholar Award to study outcomes
of endovascular repair of thoracic
aneurysms compared to open surgical
repair using Medicare Care claims data.
Faculty Highlights
Dr. Cronenwett is the Editor of the
textbook Rutherfords Vascular Surgery.
Robert Zwolak, MD is President of the
Society for Vascular Surgery and has been
appointed Vice-Chair of AMA/Specialty
Society Relative Value Committee
Five-Year Review Workgroup. Dr.
Zwolak has also been elected Chair of
the American College of Surgeons
Socioeconomic Issues Committee.
Lastly, Dr. Zwolak has been appointed
to the Executive Board of the newly
established Patient Centered Outcomes
Research Institute (PCORI). He is the
only surgeon on the Board and this is
a tremendous accomplishment. Dr.
Fillinger was elected Recorder of the
New England Society for Vascular
Surgery. Dr. Powell has been elected to
serve on the NIH/NHLBI Data Safety
Monitoring Board for the CLEVER
Trial and has been elected to membership
on the Surgery and Bioengineering
Study Section of the NIH.
Overall, the members of the Section
continue to perform at an outstanding
level in their commitment to the care of
patients with vascular disease and to the
educational and research missions of the
Section.
FACULTY
VASCULAR SURGERY
Jack Cronenwett, MD
Professor of Surgery, Community &
Family Medicine, and The
Dartmouth Institute
Mark Fillinger, MD
Professor of Surgery
Philip Goodney, MD
Assistant Professor of Surgery and
The Dartmouth Institute
Brian Nolan, MD
Associate Professor of Surgery and
The Dartmouth Institute
Richard Powell, MD
Professor of Surgery and Radiology
Eva Rzucidlo, MD
Associate Professor of Surgery
and Pediatrics
Carey Stillman, APRN
Instructor in Surgery
David Stone, MD
Assistant Professor of Surgery
Daniel Walsh, MD
Professor of Surgery
Robert Zwolak, MD, PhD
Professor of Surgery
VASCULAR RESEARCH LAB
Mary Jo Mulligan-Kehoe, PhD
Associate Professor of Surgery
Vascular Surgery Gross Professional Revenue
Vascular Surgery Cases
$30M
1,100
$25M
1,050
$20M
1,000
$15M
950
$10M
900
$5M
850
FY06
FY07
FY08
FY09
FY10
FY11
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FY07
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FY10
FY11
25
SURGICAL RESEARCH LABORATORY
P. Jack Hoopes, DVM, PhD
Director
Professor of Surgery
and Medicine, Dartmouth Medical
School
Adjunct Professor of Biomedical
Engineering, Dartmouth College
Thayer School of Engineering,
Dartmouth College
The Surgical Research Laboratory
(SRL) is a 10,000 sq. ft. bench
research laboratory and experimental animal OR research facility
operated under the direction of
the Department of Surgery
(DOS). The SRL is directed by
DOS staff member P. Jack Hoopes,
DVM, PhD. The SRL receives
administrative input and oversight
from the Dartmouth Medical
School, Dartmouth College’s
Animal Care and Use Program,
and the Institutional Animal Care
and Use Committee (IACUC).
The full-time SRL support staff
includes two veterinarians, two
veterinary technicians, two
research associates, three laboratory/OR managers, and a part-time
financial manager. An SRL resident faculty and staff of more than
25 currently support the research
of 15 graduate students and post
doctoral fellows and more than 30
undergraduates annually.
26
The basic science component of the
SRL includes a complete array of
molecular biology instrumentation and
techniques including: cell culture, DNA
microarray, proteomics array, northern,
western, and southern blots, ELISA,
TUNNEL assay, RT-PCR, autoradiography, etc. The SRL has dedicated expertise in histologic preparation and staining/labeling techniques including histochemistry, immunohistochemistry, in
situ-hybridization as well as fluorescent
microscopy, and automated/computerbased microscopic image analysis/
quantification.
The experimental animal operating suite
routinely studies species ranging from
rodents and hamsters to all commonly
used large research models including
spontaneous canine tumors (pet dogs)
treated with curative intent on an
NIH/NCI grant protocol in preparation
for an upcoming nanotechnology-based
breast cancer clinical being directed by
NCCC Deputy Director and DOS
attending Burton Eisenberg, MD and
Professor Jack Hoopes.
SRL surgical and imaging techniques
include state-of-the-art animal anesthesia
delivery and monitoring, dedicated clinical fluoroscopy/angiography, ultrasound
and a laser, and ionizing radiation laboratory. The facility contains five permanent and two mobile operating microscopes, suitable for conventional and
microsurgery applications. NCCC
Director, Mark Israel, MD, SRL
Director, Professor Jack Hoopes, and
research colleagues recently acquired an
NIH-NCI shared resource grant to construct and further develop a small animal
imaging resource at NCCC/DHMC.
This shared resource, which is currently
under construction, will house rodent
dedicated MRI, CT PET, ultrasound,
fluoroscopy/angiography and bioluminescence, and fluorescence imaging
instrumentation. The same instrumentation is currently available for large animal
imaging. Expertise and instrumentation
for endoscopy, laparoscopy and radiation
therapy/treatment planning are also
available. Taken together, research animal-based imaging and surgery technology and instrumentation is at the forefront of the national research effort in
this area. The NIH-DHMC supported
Advanced Surgical Center (ASC) which
was funded in 2010 is now under
construction (slated for completion in
March, 2013). This facility, one of fifteen
in the USA, is a two room OR facility
for clinical patients and selected research
animal subjects, which included built-in
intraoperative MRI, CT, and bi-planar
fluroscopic/angiography technology.
The Dartmouth facility is the only one
in the USA and Canada to be dual-fitted
for animal-based surgical research and
clinical patients.
SRL Resident and Non-Resident
Faculty
Currently, the SRL provides dedicated
research space for 20 Dartmouth Medical
School faculty members. Fourteen of
the SRL faculty are practicing DHMC
clinicians. An additional nine DHMC
clinicians have ongoing research projects
that utilize the SRL facility. Four SRL
faculty have primary or adjunct appointments at the Thayer School of
Engineering. Twelve Thayer School of
Engineering faculty and nine non-DOS
DMS faculty, three Department of
Medicine, four Department of
Radiology, one Department of
Orthopedics, and one Department of
OBGYN, conduct research in the SRL.
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 and
foundation award);
• Neonatal cardiorespiratory
monitoring and care (industry
funding);
• Natural Oriface Transluminal
Endoscopic Surgery (NOTES)
(CIMIT/NIH award);
• Assessment of novel surgical mesh
material (industry and NHIRC
awards);
• 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, Dow-Crichlow award);
• Radiation innovation and development
research (NIH P30 award);
• Retinal implant technology for
restoration of retinal blindness
(industry award);
• Cornea reshaping technology (Euclid
Corp);
• Novel esophageal stent technology
(industry award);
• Assessment of novel electrocautery
technology (Salient Corp);
• 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);
• Protein engineering for diagnosis and
therapy of cancer and developmental
disease (NIH U54, P20 and NSF);
• Development and assessment of
absorbable surgical staples (Artisent
Corp);
• Novel treatment of spinal cord injury
(AmelioMed Corp and IRS award);
• Use of pre-transplant MRI and novel
preservation methods to improve
transplant organ health (Somah Corp).
Educational/training activities:
• 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).
2009-10 Grant and Contract
Funding and Publications
The resident SRL faculty was associated
with approximately 54 funded research
grants in 2010-2011 (35 as Principal
Investigator/PI). The majority of these
grants were/are supported by peer
reviewed funding. In September, 2010,
Dartmouth was awarded a five year,
$12.8 million dollar grant to
establish an NCI Center of Cancer
Nanotechnology Excellence (CCNE).
Total funding associated with this award
is now over $3.5 M annually. Ten
CCNE faculty and staff and 8 graduate
students, representing more than 50% of
the total CCNE award, are associated
with the SRL. Resident SRL faculty
accounted for 200 published manuscripts (107) and full-length peer
reviewed proceeding papers in 2010-11.
FACULTY
SURGICAL RESEARCH LABORATORY
Ryan Halter, PhD
Adjunct Assistant Professor of Surgery
P. Jack Hoops, DVM, PhD
Professor of Surgery and Medicine
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
Dr. Hoopes has been asked to join the
editorial board of the Journal of
Nanomedicine: Nanotechnology,
Biology, and Medicine as well as the
Board of the Society of Thermal
Medicine (as Councilor of Medicine).
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MAXILLOFACIAL SURGERY
Introduction
Oral and Maxillofacial Surgery provides a
diverse spectrum of care ranging from
primary to tertiary levels. Increasing
numbers of complex cases involving
pathological and structural deformities of
the maxillofacial region are referred to
DHMC from the tri-state area.
Patient Care
Dr.Addante participates in a number of
DHMC 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
consequence of bisphosphonate use are
also included in the mix of patients with
significant co-morbidities.
Rocco R. Addante, DMD, MD
Section Chief
Professor of Surgery
and Anesthesiology
Education
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.
Barbara Rieseberg
Senior Practice Manager
Maxillofacial Surgery Gross Professional Revenue
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. Although there is no residency
program in Oral and Maxillofacial Surgery
at DHMC, Dr.Addante maintains close
affiliations with the Sections of Plastic
Surgery and Otolaryngology and is an
active contributor to the training programs
in each of these specialties.
In May of this year, Dr.Addante was again
involved with the Maxillofacial Surgery
Faculty and Resident Staff at the University
of Rome, La Sapienza (Umberto
Primo Polyclinic) with lectures on topics
of orthognathic surgery, mandibular
reconstruction, salivary gland pathology,
and issues concerning the treatment of
bisphosphonate associated osteonecrosis of
the jaws.
Maxillofacial Surgery Cases
250
$2M
200
$1.5M
150
$1M
100
$.5M
50
FY06
28
Locally, Dr.Addante hosts monthly meetings
for our hospital dental staff, and he regularly
presents lectures to members of the dental
community on topics of mutual interest.
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. He also lectures to
the Operating Room Technicians Program
group at DHMC.
FY07
FY08
FY09
FY10
FY11
FY06
FY07
FY08
FY09
FY10
FY11
MEDICAL STUDENT EDUCATION
Kenneth W. Burchard, MD
Surgery Clerkship Co-Director, Critical
Care/Trauma Faculty Learning
Leader
Professor of Surgery and
Anesthesiology
Horace F. Henriques, MD
Surgery Clerkship Co-Director,
General Surgery Faculty Learning
Leader
Associate Professor of Surgery
Terri J. Nicholson
Clerkship Coordinator
Melissa A. Hoyt, MD
Concord Clerkship Program
Director
Assistant Professor of Surgery
The Liaison Committee on Medical
Education (LCME) will be here next
year so we are in our documentation
year. This re-accreditation process is
extremely important to the Dartmouth
Medical School (DMS) and our mission
as educators. Behind this LCME effort
is also a new Dean of the DMS and new
goals for medical education. It is likely
the traditional 2x2 model of classroom
and clinical experience will give way to
a more integrated concept of clinical
experiences mixed in with classroom,
a Master’s program, and a more
formal exploratory clinical experience
before applying for residencies. Time
constraints on the residents challenge
their efforts to be educators and
integrated into the medical school
curriculum. All members of the faculty
are feeling the tension between RVU
productivity and the non-reimbursable
time that quality education needs. Our
challenge is to mesh resident education
with students who have clinical skills
and have mentoring faculty.
The good news regarding our current
milieu is that we; faculty, residents, and
students, are more clearly collaborating
in the responsibility of being concurrently
a teacher, learner, and facilitator. It is a
more dynamic and less hierarchical
learning environment. The Surgery
Clerkship’s educational focus remains on
surgical concepts, surgical decisions, and
acute care delivery.
The multi-media sophistication of
our students has allowed us to use a
variety of educational formats, and
this redundancy allows students to
individually choose their own way
to acquire factual knowledge. In the
shortened curriculum, all students do
well by one measure of knowledge, the
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NBME shelf exam. Our oral exam now
includes a student-prepared presentation
to judge a student’s insight into the
patient he or she has cared for.
The Class of 2011 graduated with 24%
of the students entering a surgical field.
The 2011 Arthur Naitove Surgical
Scholar, awarded by the Department
of Surgery and based on: an honors
evaluation on the wards, a 95 percentile
or greater NBME exam, and evidence
of participation in efforts to “better the
greater good,” is Claudia Berrondo,
who is taking her training at the
University of Rochester, and plans a
urologic career.
Sonny Chatterjee, MD, who moved
into Plastic Surgery after three years in
general surgery, received the Thomas P.
Almy Housestaff Teaching Award. The
Almy honor is awarded to a resident by
the graduating DMS class.
Clerkship Advisory Board
The Clerkship Advisory Board meets
monthly and works to advance the
educational climate. The committee
conducts ongoing reviews of the
curriculum, examination process, and
student progress. Our new Chair,
Richard Freeman, MD, is an active, eager
participant, and continues the active
chair advocacy of quality education.
The group makes revisions to maintain
a current curriculum. It is the forum
by which the Department of Surgery
formally interacts with the Dean’s office
and our affiliated hospitals in student
and curriculum issues.
29
DERMATOLOGY RESIDENCY TRAINING PROGRAM
Our new section chief is Shane Chapman,
MD. Kathryn Zug, MD has been program
director since November, 2010. Both are
graduates of our program. We have two new
faculty: Faramarz Samie, MD, who is director
of Mohs surgery and procedural dermatology,
and Dorothea Torti, MD, a 2011 graduate of
our program, joined the faculty and will enter
a dermatopathology fellowship in July 2012 at
our institution.
Kathyrn A. Zug, MD
Dermatology Residency Program
Director
Professor of Surgery, Dermatology
DERMATOLOGY
Residency
Established: 1950
Prerequisite Training: 4 years
medical school and one year
preliminary training
Program Description: 3-year
program, training in all
divisions
Residents per year: 2
During 2010-2011 year, 2
residents, Katherine Gehrig,
MD and Dorothea Torti, MD
graduated from the Program.
In May 2011, we had our
ACGME accreditation site
review. Our residency
program received excellent
news in September, with a
letter detailing a three-year
accreditation approval.
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 joint
fellowship in Dermatopathology (with the
Department of Pathology) graduated a fellow
last year.
Our residents receive their training through
the Mary Hitchcock Memorial Hospital and
the Veterans Affairs Medical Center 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 DHMC and the VA.
The Dermatology Residency 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
• Cutaneous Lymphoma Clinic
(interdisciplinary with hematology/
oncology)
• Dermatology-Rheumatology Clinic
(interdisciplinary with rheumatology)
• Pediatric Dermatology Clinic
• Mohs and General Dermatologic Surgery
Clinic
• Laser and Cosmetic Dermatology Clinic
• Vulvar Dermatology Clinic
(interdisciplinary with GYN)
Residents quickly flourish in their clinical
decision making skills because of their
30
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: 1) patient care, 2) medical
knowledge, 3) practice-based learning and
improvement, 4) systems-based practice, 5)
interpersonal and communications skills, and
6) professionalism. Curriculum is based on
these competancies, and residents are taught
and evaluated with respect to these core
competencies.
The educational conference schedule within
the Dermatology 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. New for academic year 2011 is a
monthly interdisciplinary Cutaneous
Lymphoma Tumor Board.
The Dermatology 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.
In the last ten years, our program has
produced eight (out of 24 graduates)
academic dermatologists who remain in
academia, and an additional five residents
(out of 22) who have successfully pursued a
specialty fellowship within dermatology.
Hence, over 50% of our recent graduates
have gone on to a career in academic
dermatology or fellowship training.
NEUROSURGERY RESIDENCY TRAINING PROGRAM
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.
David W. Roberts, MD
Neurosurgery Residency Program
Director
Professor of Surgery and Section
Chief, Neurosurgery
Alma Hass Milham Distinguished
Chair in Clinical Medicine, DMS
Melissa D. Robb
Administrative Supervisor &
Residency Program Coordinator
NEUROSURGERY
Residency
Established: 1947
Prerequisite Training: 4 years
of medical school
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
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
The residency program in Neurosurgery
trains seven residents, one at each level of
training. The six-plus-one year curriculum
begins with an integrated PGY-1 year,
which includes general surgery, neurology,
critical care, and neurosurgery rotations.
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 twelve-month 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
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Rounds, Clinical Case Conference,
Morbidity and Mortality, Neuro-Oncology
Tumor Board, Neuropathology,
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 AFIP. Each resident, during their training, attends the Woods Hole
RUNN course. Residents actively present
and publish their research and clinical
investigative work. During 2010-2011, the
program was responsible for 57 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, multiple NIH awards, and the
Retzius Neuroanatomy competition.
State-of-the-art facilities at DartmouthHitchcock Medical Center, 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
(under construction) the Advanced Surgical
Center, comprised of two operating rooms
with intraoperative MRI, CT, and angiographic capabiity. The Dartmouth Institute
for Health Policy and Clinical Practice, the
Norris Cotton Cancer Center, and the
Biomedical Engineering Program at
Dartmouth’s Thayer School of Engineering
provide educational and investigational
opportunities for residents in our program.
31
GENERAL SURGERY RESIDENCY TRAINING PROGRAM
Samuel R. G. Finlayson, MD
Paul H. Kispert, MD
Kari M. Rosenkranz, MD
(January – September, 2011)
General Surgery Residency
Program Director
Vice Chair for Academic Affairs and
Faculty Development, Department
of Surgery
Associate Professor of Surgery,
Community & Family Medicine,
and The Dartmouth Institute
(September, 2011 – Current)
General Surgery Residency Program
Director
Assistant Professor of Surgery and
Anesthesiology
(September, 2011 – Current)
General Surgery Associate
Residency Program Director
Assistant Professor of Surgery
Concord General Surgery
Residency Program Directors
Joseph P. Meyer, MD
Adjunct Associate Professor
of Surgery
Richard K. Murphy, MD
Adjunct Assistant Professor
of Surgery
Concord General Surgery
Residency Program Faculty
Sharon I. Gunsher, MD
Adjunct Assistant Professor
of Surgery
Richard K. Murphy, MD
Adjunct Assistant Professor
of Surgery
Nick P. Perencevich, MD
Adjunct Associate Professor
of Surgery
Joseph R. Snow, MD
Adjunct Assistant Professor
of Surgery
Russell A. Strong, MD
Adjunct Assistant Professor
of Surgery
Christian P. Wilke, MD
Adjunct Assistant Professor
of Surgery
32
Karen G. Lee
Residency Program Coordinator
GENERAL SURGERY
Residency
Established: 1946
Prerequisite Training: 4 years of
medical school
Program Description: 5-year program,
training in all division.
Residents per year: 4
Fellowship
Minimally Invasive Surgery Fellowship:
1
The residency program in General
Surgery trains twenty categorical
general surgery residents, including
four residents at each of the five levels
of residency training. In addition,
fourteen 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 Mary Hitchcock
Memorial Hospital 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.
The Program draws on the strengths of
a committed departmental faculty and
a growing array of resources. Gina
Adrales, MD serves as Director of
Surgical Simulation in Dartmouth’s
Patient Safety Training Center. Dr.
Adrales’s responsibilities include
oversight and coordination of the
laparoscopic and trauma simulations as
well as training in basic surgical skills.
Ted Trus, MD oversees the Surgical
Endoscopy Training Program in the
third post-graduate year. In addition,
the Program includes a weekly
“academic half-day.” This half day of
didactics also incorporates a basic
GENERAL SURGERY RESIDENCY TRAINING (Continued)
science curriculum directed by Ken Burchard, MD and a
broad-based simulation training curriculum directed by Dr.
Adrales. These sessions provide the surgical residents didactic,
interactive, case-based learning in clinical and basic surgical
sciences. This is based on the American College of Surgeons
SCORE Curriculum and is divided into junior and senior
sections.
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. Specific
complications are identified, collated, and sorted into defined
categories. 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. In 2011, the Department began
participating 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.
The Program continues to provide a popular rotation
at Concord Hospital for second- and third-year
surgical residents. This rotation allows us to take further
advantage of the robust clinical volumes and increasing case
complexity occurring in southern New Hampshire.
The teaching conference schedule within the Program
remains robust. Conferences are available on a weekly basis
on various services. These 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 hosted
twelve visiting professors who presented Grand Rounds and
interacted with residents and faculty.
The Program is an academic program and continues to
encourage and support resident research and teaching.
Over the last few years, residents in the Program have
produced numerous scientific presentations at national
and regional meetings,
several peer-reviewed
publications, and
even garnered mention
in regional and national
media. Resident
teaching has also
maintained its outstanding
tradition.
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33
OTOLARYNGOLOGY RESIDENCY TRAINING PROGRAM
The Residency Program in
Otolaryngology-Head and Neck Surgery
at Dartmouth-Hitchcock Medical Center
(DHMC) is designed to provide residents
with education in the comprehensive
medical and surgical care of patients with
diseases and disorders that affect the ears,
the upper respiratory and upper alimentary
systems and related structures, and the
head and neck.
Mark C. Smith, MD, FAAP
Otolaryngology Residency Program
Director
Assistant Professor of Surgery,
Pediatric Otolaryngology
Christina Trottier
Residency Program Coordinator
Otolaryngology
Residency
Established: 2008
Prerequisite Training: 4 years
of medical school
Program Description: 5-year
program with 6 months of
general surgery rotations to
include trauma, surgical
oncology, plastic surgery, and
cardiothoracic surgery.
Residents per year: 1
34
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 pathology and
audiologic and speech rehabilitation; and
the chemical senses and allergy,
endocrinology, and neurology as they
relate to the head and neck area.
The Program also includes the clinical
aspects of diagnosis and the medical
and/or surgical therapy for 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; head and neck oncology; and
facial plastic and reconstructive surgery.
Following completion of the Program,
residents should 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 will
graduate our first chief resident,Tate
Maddox, MD, in June 2012. A Residency
Review Committee site visit last year
granted us full approval with a 4-year
cycle length.
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
Carolyn L. Kerrigan, MD
Plastic Surgery Residency Program
Director
Professor of Surgery, Plastic Surgery
Christina Trottier
Residency Program Coordinator
PLASTIC SURGERY
Residency
Established: 1990
Prerequisite Training for
combined program: medical
school
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 2012)
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
The residency program in Plastic
Surgery trains three residents, one per
academic year in a three-year program.
MHMH 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 follow-up 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
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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 lecture series
which are based on the core curriculum
established by the American Board of
Plastic Surgery.
The program supplements the
experience at MHMH with a dedicated
burn rotation at LAC/USC Hospital in
a burn unit within the plastic surgery
division. Additionally, exposure to
private practice setting 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 with Oscar Ho, MD going to
Stanford for a microsurgery fellowship,
and Christopher Jensen, MD going to
NYU for a hand surgery fellowship.
35
UROLOGY RESIDENCY TRAINING PROGRAM
E. Ann Gormley, MD
Urology Residency Program Director
Professor of Surgery, Urology
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. Historically, our
residents have completed two years of
general surgery training prior to entering
the urology residency. Starting in July
2012, our residents will only do one year
of general surgery training, which will
align us with most of the other urology
programs in the Country.
Amanda L. Charbono
Residency Program Coordinator
Concord Urology Residency
Program Faculty
Scott J. Fabozzi, MD
Adjunct Assistant Professor of Surgery
David F. Green, MD
Adjunct Associate Professor of Surgery
William F. Santis, MD
Adjunct Assistant Professor of Surgery
Paul M. Snyder, MD
Adjunct Assistant Professor of Surgery
Ronald L. Yap, MD
Adjunct Assistant Professor of Surgery
Veronica Triaca, MD
Adjunct Assistant Professor of Surgery
UROLOGY
Residency
Established: 1949
Prerequisite Training: 4 years of
medical school and 1 year of
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
36
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.
Eight 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 threeor 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, 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. Our
residents routinely present at regional and
national meetings. Residents also have an
opportunity to attend nationally organized
courses and workshops.
At the completion of our residency
program, our residents are well prepared
for academic or private practice. Our
residents are able to compete for
competitive fellowships in all urologic
subspecialties; whereas, other residents
have their pick of private practice
opportunities. We have maintained a very
high pass rate for Part I and Part II of the
American Board of Urology Exams.
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.
Mark F. Fillinger, MD
Vascular Surgery Residency Program
Director
Professor of Surgery, Vascular Surgery
Christina M. Trottier
Residency Program Coordinator
VASCULAR SURGERY
Residency
Established: 2007
Prerequisite Training: 4 years
of medical school
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 nonaccredited 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).
Residents per year: 1
Fellowship
Established: 1988
Prerequisite Training: 4 years
of medical school, completion
of an accredited General
Surgery Residency
Program Description: 2-year
program, includes 16 months of
vascular surgery and 8 months
of interventional/endovascular
surgery.
Fellows per year: 1
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 sixth year. Our
program had its first site visit in 2009 and
achieved full five-year reaccreditation by
the ACGME. Our most recent resident
joining the Program is Karen “Kalei”
Walker MD, PGY1, who comes to DHMC
from the University of Florida. Randall
De Martino, MD is the first resident to
begin the Program, and is now in his
fourth clinical year, having completed his
research year in the TDI Master’s program.
He was elected as the resident representative
to the Executive Council of the Association
of Program Directors in Vascular Surgery.
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 outcomes-related
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
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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 thirty 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, dissections, and traumatic injury,
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.
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.
The Vascular Programs at MHMH have
been successful academically in many
regards. 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.
37
2 011 AWARDS
The Arthur Naitove
Distinguished
Teaching Award
Kerrington Smith, MD
Assistant Professor of Surgery,
General Surgery
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 2010 recipient of the Arthur
Naitove Distinguished Teaching
Award is Robert M. Zwolak, MD, PhD
38
The Harmes Surgical
Scholar Award
Christopher Simpkins, MD
Assistant Professor of Surgery,
Transplantation Surgery
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 2010 was awarded to
Kerrington Smith, MD, PhD.
The Surgical Chair’s Award
Donald Miller, MD
Assistant Professor of Surgery,
Ophthalmology
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 2010 Surgical Chair’s
Award recipient is Paul H. Kispert, MD.
2 011 AWARDS
The Richard W. Dow Career
Development Award in Surgery
and The Robert W. Crichlow Career
Development Award in Surgery
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 Richard W. Dow Award
The Robert W. Crichlow Award
Eva Rzucidlo, MD
Associate Professor of Surgery,
Vascular Surgery
Eunice Chen, MD
Assistant Professor of Surgery,
Otolaryngology
Department of Surgery Care Path Award
Section of Otolaryngology
Awarded to the Section of Otolaryngology for their Head and Neck Surgical
Oncology Care Pathway: A Patient-Centered,Value Stream, Integrated Care Path
for Head and Neck Cancer Surgery at Dartmouth-Hitchcock Medical Center.
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39
FIRST KIDNEY PAIRED DONOR TRANSPLANTS
Dartmouth-Hitchcock Medical Center has continued to be an
active participant in living donor exchange programs. We have
benefited from several Good Samaritan donors who have offered
their kidney to any patient that needs it. Working with the
United Network for Organ Sharing (UNOS), these courageous
individuals have initiated donor chains leading to four to five
transplants across multiple states. We also performed the very
first donor exchange in a new national exchange program in
cooperation with Washington University in St. Louis, MO.
“Paired donation is helping the transplant community help
people who otherwise could not get a living donor transplant.
We’re proud to be able to coordinate these for the first time
using a national network for potential matches among 77
participating transplant programs,” said OPTN/UNOS
President Charles Alexander, RN, MSN, MBA. United Network
for Organ Sharing (UNOS) operates the Organ Procurement
and Transplant Network
(OPTN) under federal contract.
Cathy Richard of Henniker,
NH, had planned to donate
to her sister-in-law, Ms.
Niedzwiecki, and Rebecca
Burkes of St. Louis, MO, had
intended to be a living donor
for her fiancé, Mr. Crowder –
only to find that both were
medically incompatible with
their intended recipient. But
in the first paired donation
arranged through a national pilot program of the OPTN, Ms.
Burkes was able to donate to Ms. Niedzwiecki and Ms.
Richard became a donor for Mr. Crowder.
The donor recovery and transplant operations all took place
Monday, December 6, 2011. Ms. Niedzwiecki was transplanted
at Dartmouth-Hitchcock Medical Center, and Mr. Crowder
received a transplant at Barnes-Jewish Medical Center in St.
Louis. Ms. Richard underwent surgery at DartmouthHitchcock, and Ms. Burkes donated her kidney at BarnesJewish. The kidneys were preserved for transportation by the
New England Organ Bank and Mid-America Transplant
Services; Angel Flight, Inc. also provided air transportation to
and from Dartmouth-Hitchcock.
David A. Axelrod, MD, Section Chief of Transplantation
Surgery at Dartmouth-Hitchcock, performed both the donor
and transplant operations at his center. “We all realize that the
shortage of donors is only getting worse,” he commented.
“One solution is to expand the accessibility to live donor
transplants. The innovation here is an increasing pool of
potential donor-recipient pairs. Expanding the database of
willing and able live donors, at the local, regional, and national
level through programs like this pilot, enables us to maximize
access to this precious resource.”
40
Drs. Surendra Shenoy and Jason Wellen performed the donor
and recipient surgeries at Barnes-Jewish. “Paired kidney
exchange programs have allowed for a significant increase in
the number of patients that receive a living kidney transplant,
therefore freeing up additional cadaveric kidneys for the
80,000 plus people on the national wait list,” said Dr.Wellen,
Surgical Director of the Washington University/Barnes-Jewish
kidney and kidney/pancreas transplant program. “A nationally
run paired exchange program will allow for many new donor/
recipient matches to take place that would otherwise not have
been available through smaller-run paired exchange programs.”
The donors and recipients were paired according to the
first computerized match run conducted by the OPTN in
October 2010. Each transplant program participating in the
pilot program submits detailed medical information on
potential living donors and
candidates to an affiliated
coordinating center, which
works directly with UNOS
on administrative issues
such as enrolling donor/
recipient pairs, making
logistical arrangements and
entering data. The New
England Program for Kidney
Exchange (NEPKE) was
the coordinating center for
Ms. Richard and Ms.
Niedzwiecki; Johns Hopkins
Hospital served as the coordinating center for Mr. Crowder
and Ms. Burkes.
“We are extraordinarily grateful for the work of the
coordinating centers, each of which also arranges kidney paired
donations within its own network of transplant programs,” said
Mr. Alexander of the OPTN and UNOS. “The goal of the
pilot project is to see whether combining the data of multiple
centers and networks will generate successful matches that may
not be found through one individual organization. The fact
that these transplants occurred from the first match run
suggests this will be true.”
Future match runs will be conducted every four to five weeks
with information on potential living donors and candidates
supplied by pilot participants. Each transplant program will
make individual medical decisions about accepting living
donors or candidates and whether they qualify for matching
through the pilot program. In addition, each program must
document that potential living donors have undergone a
rigorous medical screening and have provided detailed
informed consent for donation and for potential participation
in a national match run.
The Inaugural Department of Surgery Care Path Award
In a ceremony attended by members of the Department of
Surgery and James Weinstein, MD, CEO, the Department of
Surgery’s Otolaryngology Section was presented with a $25,000
check as the winners of the inaugural Department of Surgery
Care Path Award for their Head and Neck Surgical Oncology
Care Pathway: A Patient-Centered,Value Stream, Integrated
Care Path for Head and Neck Cancer Surgery at DartmouthHitchcock Medical Center.
A year ago, Department of Surgery Chair, Richard Freeman,
MD, challenged the Sections to develop and submit evidencedbased “care paths” for improvement of patient care. “We really
need to map out what our processes are, bring in all the pieces
who are involved, which are not just surgeons, and think about
how we’re going to
standardize our care,” said
Dr. Freeman. According to
Care Path Administrator,
Darrin Michalak, PA-C, a
“care path” defines the steps
of care delivered to a patient
as they progress through a
treatment using the best
evidence available to
support the steps taken.
Each step is backed up by
evidence, either from topicspecific literature, or by
expert clinician
agreement. For any particular diagnosis or procedure,
the care path process outlines the ideal method of care, and the
order and timing in which care should be given. “Throughout
the process decisions are made through collaboration with
clinicians, nurses, case managers, and other health care
professionals,” noted Mr. Michalak. An important part of the
process is that it takes into account the patient’s wishes and
makes sure that high-quality care is delivered consistently each
time for every patient. “By making sure that care is consistent,
cost can also be minimized, both to the patient and to the
hospital,” he said.
In all, six sections care paths were developed from Oral and
Maxillofacial Surgery, General Surgery - Breast Program,
General Surgery - Bariatric Program,Vascular Surgery, the
Acoustic Neuroma Clinic, and Otolaryngology. “I think this
is exceptionally important work,” said Dr.Weinstein,“and there
are no losers because everything that was developed here will
be implemented in the organization.” At the ceremony, representatives of the Otolaryngology Care Path Award team included,Annette Tietz, Benoit Gosselin, MD, Shelia Keating, RN, and
Daniel Morrison, MD.
To judge the submissions Dr. Freeman asked Gene Nelson, PhD,
Director of Population Health Measurement for The Dartmouth
Institute for Health Policy & Clinical Practice (TDI), to form a
panel of experts in process improvement. Dr. Nelson explained
that the care paths were evaluated on five criteria areas including:
the evidence-based guidelines; policies and/or evidence reviews;
the number of patients that would benefit; the potential for
better health outcomes; the ability to implement; and whether
it could lower cost of care. Dr. Freeman wanted the panel’s
input on which submission best met the established criteria. It
was very difficult to choose a winner. However, as Dr. Nelson
explained,“What distinguished the recipient was the high degree
of patient-centered design, education, and support of the patient
as part of the process.” Dr. Morrison and his team developed
Otolaryngology’s care path
with the aim to “enhance
the quality of care delivered
to our head and neck
cancer patients, improve the
efficiency of their journey
through the medical care
system, and reduce cost over
a continuum of care.”
“Our care path has about
five different elements
that ran the gambit from
informed choice to actual
care decisions to arranging
for follow-up,” Morrison
explained and “we want to
make sure that everything is automatized. If we systematize
everything, it takes a lot of variation out, and we’re able to focus
on the care instead of making sure that we didn’t miss something.”
Morrison plans to invest the money in a way that will assure
that the Head and Neck Cancer Care Path and other quality
improvement initiatives within their Section continue to develop
and improve. Working with the Clinical Microsystems group at
TDI, he hopes to identify a paid consultant to work with them
part-time to oversee the project and to help write a grant to
secure future funding.
This will be an annual award in the Department of Surgery with
the addition next year of a data integration and measurement
criteria. “Now that we have eD-H, next year we’re going to
think about how we measure these standardized pathways
and, hopefully, improve the quality and the cost,” Dr. Freeman
said.
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41
TRANSCUTANEOUS AORTIC VALVE REPLACEMENT (TAVR)
Joseph P. DeSimone, MD
Assistant Professor of Surgery
Cardiothoracic Surgery - Cardiac
The evolution of aortic valve
replacement at Dartmouth-Hitchcock
Medical Center (DHMC) is on
the precipice of the next major
advancement in structural cardiac
technologies. During 2011, DHMC
was accepted into the second iteration
of the largest trial of Transcutaneous
Aortic Valve Replacement (TAVR).
The participation in this trial places
DHMC among a unique group
of institutions that will have access
to this therapy. Moreover, the trial
will allow DHMC to treat the
broadest population of patients with
severe aortic stenosis in northern
New England.
The treatment of aortic stenosis has
been refined over decades, including
here at DHMC. Traditional valve
replacement has resulted in outcomes
that are consistently superior to
national benchmarks. The upper
limits of age with aortic valve
replacement have been investigated
and our publications, through
the Northern New England
Cardiovascular Disease Study Group
(NNE), document the optimistic
results. However, there remain
patients with severe symptomatic
aortic stenosis that cannot be treated
with conventional techniques.
There is data that suggests there is an
under-treatment of patients with
42
severe aortic stenosis. Some of these
patients are individuals that are too ill
to undergo aortic valve replacement
for any reason. In addition, the
extremely high risk patients will
now have a potential alternative to
traditional aortic valve replacement.
TAVR will be offered to both
types of patients as 2012 moves
forward. The approach to these
patients will involve collaboration
with cardiology, vascular surgery, and
anesthesiology. Each patient will
undergo a rigorous screening process
and then, depending on their anatomy, will be offered a valve that could
either be placed using catheters that
enter the groin or through a minor
incision on the side of their chest.
With the addition of TAVR to
the many therapies that we offer
patients with cardiac and vascular
disease, the Heart and Vascular Center
at Dartmouth-Hitchcock continues
to expand its footprint. It will
continue to become increasingly
important that the ties among all
subspecialties that focus on the body’s
circulation will work together with
primary providers to improve the lives
of our population.
CLINICAL TRIALS AND RESEARCH
David A. Axelrod
• Geographic Disparity
Perry Ball
• Coregistered Fluorescence-Enhanced
Resection of Brain Tumor
Richard J. Barth, Jr.
• A study to evaluate the use of supine MRI
images in breast conserving surgery
• A prospective study of partial breast
adjuvant radiation therapy after resection of
borderline and malignant phyllodes tumors
• A randomized phase II study of the effect of
a low calorie diet on patients undergoing
liver resection
• Ultrasound evaluation of sentinel lymph
nodes in melanoma patients
• A phase III multicenter randomized trial of
sentinel lymphadenectomy and complete
node dissection vs. sentinel
lymphadenectomy alone in melanoma
patients
• A study of the prognostic importance of
local T cell immune reactivity in colorectal
cancer metastases
• Increased rates of long term complications
after mammosite brachytherapy compared
to whole breast radiation therapy
• Z10 and Z11
• Delayed Complications of Mammosite
Partial Breast Irradiation
Kimon Bekelis
• Cerebral aneurysm inflammation:
prospective correlation of the preoperative
use of 18F-FDG PET/CT and ultra-small
superparamagnetic iron oxide particles
(USPIOs) assisted MRI with postoperative
histologic results in human subjects
Kenneth Burchard
• Secondary Over-triage in a Rural Trauma
System
• Salivary Cortisol in Critical Illness
• Hematuria in Blunt Abdominal Trauma
• Overtriage of Interfaciltiy Transfer for Trauma
M. Shane Chapman
• A 10-year, Post-marketing, Observationals,
Registry to Assess Long Term Safety of
• HUMIRA (Adalimumab) in Adult Patients with
Plaque Psoriasis
• A Novel Dermatology Triage Tool
• Raptiva® Epidemiologic Study of Psoriasis
Outcomes and Safety Events (RESPONSE) in
• Patients with Chronic Moderate to Severe
Plaque Psoriasis
• Observational Post-Marketing Safety
Surveillance Registry of Enbrel®
(etanercept) for the Treatment of Psoriasis
(OBSERVE-5™)
44
• A Multicenter, Open-label Study to Assess
the Efficacy and Safety of Infliximab
(REMICADE®) Therapy in Patients With
Plaque Psoriasis Who Had an Inadequate
Response to Etanercept (ENBREL®)
• Efficacy and Safety of Alitretinoin in the
Treatment of Severe Chronic Hand Eczema
Refractory to Topical Therapy
• A Dose-Ranging and Efficacy Study of
LY2439821 (an Anti-IL-17 Antibody) in
Patients with Moderate-to-Severe Psoriasis
• A Multicenter, Open Registry of Patients with
Plaque Psoriasis Who Are Candidates for
Systemic Therapy Including Biologics
• A Randomized, Placebo-Controlled, DoubleBlind, Parallel Group, Multi-Center Phase IIb
Dose Finding Study of M518101 in Plaque
Psoriasis Patients
• 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 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
Eunice Chen
• Modulation of hypoxia to enhance
nanoparticle uptake and tumor pO2 guided
radiotherapy with magnetic hyperthermia
• Theranostics for head and neck cancer
using hypoxia-targeted, fluorescent
antibody-labeled nanoparticles
• Tissue Oxygenation
Jack Cronenwett
• Vascular Study Group of New England
• Aortic Aneurysm
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft system US clinical
study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
Susan Durham
• Natural History of Asymptomatic Chiari 1
Malformation In The Pediatric Population
Burton Eisenberg
• Phase II 5 years of Adjuvant Gleevec for
high risk GIST
• Lipid Metabolism in a Liposarcoma Model
• Phase II trial of IMRT for extremity/trunk soft
tissue sarcoma
Cherie Erkmen
• An Analysis of the Management and
Microbiology of Thoracic Empyemas
• Fluorescence Imaging of Lung Tumors
• Non-invasive ventilation following
esophagectomy
• Molecular Markers from EBUS samples
• EBUS to determine significance of
mediastinal adenopathy in patients with
previous malignancy
• EUBS as the only invasive staging modality
• 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
Kadir Erkmen
• Coregistered Fluorescence-Enhanced
Resection of Brain Tumor
• Cerebral aneurysm inflammation:
prospective correlation of the preoperative
use of 18F-FDG PET/CT and ultra-small
superparamagnetic iron oxide particles
(USPIOs) assisted MRI with postoperative
histologic results in human subjects
Mark Fillinger
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Endologix
• TAG-08-03
• Infrarenal Abdominal Aortic Aneurysms (AAA)
• Valor
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Gore TAG-08-01
• Prospective, multicenter, single-arm study
TAG 08-02
• Unite
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study Preserve
• Low Profile TAA
• Pythagorus
• Pevar
• Endorefix, Lombard
• Endurant Stent Graft system US clinical
study
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• ENGAGE PAS
• Ventana Pivotal Trial
• Atrium I Cast Iliac Stent Pivotal Study
Richard Freeman
• Surgical Outcomes Assessment Program
Database Version 2
CLINICAL TRIALS AND RESEARCH
Phillip Goodney
• Understanding Variation in Treatment
Intensity with Lower Extremity PAD
• Society for Vascular Surgery Lifeline Award
Supplemental Funding Award
• Regional Variation in Treatment Intensity
with Lower Extremity PAD
• Understanding Regional Variation in
Treatment Intensity with PAD
• Development of a disease-specific quality of
life measure for patients with critical limb
ischemia
• Development of a Glucose Management
Service for Vascular Surgery Patients
• Vascular Outcomes Research Using Regional
Registries
• Effectiveness of Thoracic Endovascular
Aneurysm Repair (TEVAR) in Medicare
Patients
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft system US clinical
study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Atrium I Cast Iliac Stent Pivotal Study
E. Ann Gormley
• Vascular Study Group of New England
P. Jack Hoopes
• CCNE
• IMI Retinal Implant
• Spinal Cord Cooling
• Euclid Eye Study
• Evaluation of Healing
• Endoluminal Pyloric
Carolyn Kerrigan
• 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
• An Evaluation of Dupuytren's Contracture
Treatment Outcomes
S. Scott Lollis
• Magnetic Resonance Elastography in
Hydrocephalus
Donald Likosky
• Redesigning Cardiac Surgery to Reduce
Neurologic Injury
• Bubble Study
• Surgical Outcomes Assessment Program
Database Version 2
Mary Jo Mulligan-Kehoe
• Mechanisms of PAI-1 Induced AntiAngiogenesis
Brian Nolan
• Effect of watchful-waiting for AAA on quality
of life
• Critical limb ischemia and tibial occlusive
disease Study to assess outcomes of
patients with critical limb ischemia over two
years
• Quality of Life in People with Abdominal
Aortic Aneurysms Multicenter study to
develop disease specific measures of
quality of life in patients undergoing
surveillance for AAA, validate and test
nationally in a diverse population of
patients
• Developing Quality of Life Measures for
Patients with an Abdominal Aortic
Aneurysm
• Study to develop disease specific measures
of quality of life in patients undergoing
surveillance for AAA
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Atrium I Cast Iliac Stent Pivotal Study
Nicole C. Pace
• 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 Randomized, Placebo-Controlled, DoubleBlind, Parallel Group, Multi-Center Phase IIb
Dose Finding Study of M518101 in Plaque
Psoriasis Patients
Susan Pepin
• PDE5 Inhibitor Exposure
• Identifying Current Treatment Options and
Outcomes for Patients with Idiopathic
Intracranial Hypertension (IIH)
Richard Powell
• Crest
• Sapphire
• Vascular Graft
• Aastrom, Protocol ABI-55-0610-1 Rev. 03 –
Group study to evaluate the efficacy, safety,
and tolerability of ixmyelocel-T in subjects
with critical limb ischemia and no options
for revascularization
• The Gore FREEDOM Study FRS 09-05
• Carotid Angioplasty and Stenting versus
Endarterectomy in Asymptomatic Subjects
Who Are at Standard Risk for Carotid
Endarterectomy with Significant Extracranial
Carotid Stenotic Disease (ACT I)
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• Hemostatic Patch
• SUPERNOVA
• REVIVE
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft system US clinical
study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Atrium I Cast Iliac Stent Pivotal Study
Friedrich von Recklinghausen
• Compare Vacuum Spine Boards and Rigid
Spine Boards
David Roberts
• Coregistered Fluorescence-Enhanced
Resection of Brain Tumor
• Electrical Impedance-based Imaging of Brain
Compliance in an Animal Model
• Preoperative Image Updating for Guidance
during Brain Tumor Resection
• Magnetic Resonance Elastography in
Hydrocephalus
• Microelectrodes in Epilepsy
• Mechanisms of Cognitive Impairment
Following Early Life Seizures
• Advanced Surgical Center for Translational
Research at Dartmouth
• RNS System Long Term Treatment Clinical
Investigation
• Responsive Neurostimulator (RNS) System
Pivotal Clinical Investigation
• Frameless Robotic Stereotactic Brain Biopsy:
Feasibility, Diagnostic Yield and Safety
• Do Occipitotemporal Hippocampal Depth
Electrodes Have A Role In Intracranial
Epilepsy Monitoring?
• Subdural interhemispheric grid electrodes
for intracranial epilepsy monitoring:
feasibility, safety and utility
• Coregistered Fluorescence-Enhanced
Resection of Malignant Glioma/Imaging
Correlates of Tumor Specific Molecular
Changes
• Modeling of Brain Deformation during
Intracranial Surgery
Kari Rosenkranz
• Delayed Complications of Mammosite
Partial Breast Irradiation
45
CLINICAL TRIALS AND RESEARCH
Eva Rzucidlo
• Harvest
• Randomized Controlled Study Comparing
Treatment of Femoropopliteal Disease with
Primary Stenting and Post Angioplasty vs.
Primary Stenting and Post Cryoplasty
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft system US clinical
study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Atrium I Cast Iliac Stent Pivotal Study
James Saunders
• Automated System for Digital
Measurements of Ear Canal Geometry
Mark Savellano
• New Strategies for
Photoimmunodetection/therapy
Nathan Simmons
• Coregistered Fluorescence-Enhanced
Resection of Brain Tumor
• Implantable Resonator
46
Kerrington Smith
• DHMC Pancreas Cancer Database
• Pancreas Surgery Drain VS No Drain
Randomized Prospective Multicenter Trial
• Pancreas cancer tumor xenograft program
Endovascular Graft Post-Market Approval
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Atrium I Cast Iliac Stent Pivotal Study
David Stone
• Atrium I Cast Iliac Stent Pivotal Study
• A potential Novel Risk Factor for Peripheral
Vascular Disease
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft System US Clinical
Study
• Zenith TX2 Thoracic Aortic Aneurysm
Endovascular Graft Post-Market Approval
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
Michael Zegans
• Steroid Ulcer Treatment Trial (SCUT)
• Myocotic Ulcer Treatment Trial (MUTT)
• Pre-existing Blindness in Patients Presenting
with Bacterial Corneal Ulcers
• Standardization of Uveitis Nomenclature
(SUN) Study
• Inhibition of Pseudomonas Aeruginosa
Bbiofilms by Polysorbate 80
Dale Collins Vidal
• Mastectomy Reconstruction Outcomes
Consortium (MROC) Study
• Abdominal Morbidity - BREAST-Q Study
Daniel Walsh
• Zenith Fenestrated AAA Endovascular Graft
Clinical Study
• Endurant Stent Graft System US Clinical
Study
• Zenith TX2 Thoracic Aortic Aneurysm
Robert Zwolak
• Endurant Stent Graft System US Clinical
Study
• Staple 2-The Pivotal Study of the Aptus
Endovascular AAA Repair System
• Atrium I Cast Iliac Stent Pivotal Study
Kathryn A. Zug
• Genetic Predisposition to Allergic Contact
Dermatitis
PUBLICATIONS
Department of Surgery
Donald S. Likosky
Goodney PP, Eldrup-Jorgensen J, Nolan BW,
Bertges DJ, Likosky DS, Cronenwett JL: for
the Vascular Study Group of New England. A
Regional Quality Improvement Effort to
Increase Beta Blocker Administration before
Vascular Surgery. Journal of Vascular Surgery,
2011 May; 53(5):1316-1328.
Likosky DS, Fitzgerald DC, Groom RC, Jones
DK, Baker RA, Shann KG, Mazer CD, Spiess BD,
Body SC. Effect of the Perioperative Blood
Transfusion and Blood Conservation in
Cardiac Surgery Clinical Practice Guidelines of
the Society of Thoracic Surgeons and the
Society of Cardiovascular Anesthesiologists
upon Clinical Practices. Anesth Analg 2010;
112:316-323.
Robert AM, Kramer RS, Dacey LJ, Charlesworth
DC, Leavitt BJ, Helm RE, Hernandez F, Sardella
GL, Frumiento C, Likosky DS, Brown JR.
Cardiac Surgery-Associated Acute Kidney
Injury: A Comparison of Two Consensus
Criteria. Ann Thorac Surg 2010; 90(6):1939-1943.
Dacey LJ, Braxton JH Jr, Kramer RS,
Schmoker JD, Charlesworth DC, Helm RE,
Frumiento C, Sardella GL, Clough RA, Jones
SR, Malenka DJ, Olmstead EM, Ross CS,
O’Connor GT, Likosky DS; for the Northern
New England Cardiovascular Disease Study
Group. Long Term Outcomes of Endoscopic
Vein Harvesting after Coronary Bypass
Grafting. Circulation 2011 Jan; 123(2):147-153.
Warren CS, DeFoe GR, Groom RC, Pieroni JW,
Groski CS, Morse CB, Connors EM, Lataille PJ,
Ross CS, Likosky DS. Variation in Arterial
In-Flow Temperature – A Regional Quality
Improvement Project. The Journal of
Extracorporeal Technology (in press).
Likosky DS, Surgenor SD, Kramer RS, Russo
L, Leavitt BJ, Sorensen MJ, Helm RE, Sardella
GL, DiPerro FV, Baribeau YR, Malenka DJ,
MacKenzie TA, Brown JR, Ross CS. Effect of
Prior Cardiac Surgery on Survival After
Conornary Artery Bypass Grafting. Ann Thorac
Surg (in press).
Landis RC, Murkin JM, Stump DA, Baer RA,
Arrowsmith JE, De Somer F, Dain SL,
Dobkowski WB, Ellis J, Falter F, Fisher G,
Hammon J, Jonas RA, Kramer R, Likosky DS,
Milsom FP, Poullis M, Verrier ED, Westaby S.
Concensus Statement: Minimal Criteria for
Reporting the Systemic Inflammatory
Response to Cardiopulmonary Bypass. The
Heart Surgery Forum 2010; 13(2): E116-E123.
Poullis M, Baker RA, Likosky DS, De Somer F,
Johnson I, Ranucci M. Perfusion Data in
Scientific Journals: Perfusion Standards of
Reporting Trials (PERFSORT). The Journal of
Extracorporeal Technology 2010; 42:101-102.
Likosky DS, Fitzgerald DC, Groom RC, Jones
DK, Baker RA, Shann KG, Mazer CD, Spiess BD,
Body SC. Effect of the Perioperative Blood
Transfusion and Blood Conservation in
Cardiac Surgery Clinical Practice Guidelines of
the Society of Thoracic Surgeons and the
Society of Cardiovascular Anesthesiologists
upon Clinical Practices. The Journal of
Extracorporeal Technology 2010; 42:114-121.
Term Outcomes of Endoscopic Vein
Harvesting after Coronary Bypass Grafting.
Circulation 2011 Jan; 123(2):147-153.
Ferrais VA, Saha SP, Waters J, Shander A,
Goodnough LT, Shore-Lesserson LJ, Shann KG,
Despotis GJ, Brown JR, Hammon JW, Mazer CD,
Baker RA, Likosky DS, Fitzgerald DJ,
Dickinson TA, Song HK, Reece TB, StaffordSmith M, Clough ER. 2011 Update to the
Society of Thoracic Surgeons and the Society
of Cardiovascular Anesthesiologists Blood
Conservation Practice Guidelines. Ann Thorac
Surg 2011; 91:944-982.
Likosky DS, Dacey LJ. To Use or Not to Use: A
Focus on Endoscopic Vein Harvesting. Future
Cardiol 2011; 7(3):277-280.
Goldberg JB, Goodney PP, Kumbhani SR, Roth
RM, Powell RJ, Likosky DS. Neurologic Injury
Associated with Carotid Revascularization:
Outcomes, Mechanisms, and Opportunities for
Improvement. Ann Vasc Surg 2011; 25:270-286.
Likosky DS, Dacey LJ. To Use or Not to Use: A
Focus on Endoscopic Vein Harvesting. Future
Cardiol 2011; 7(3):277-280.
Venkatraman G, Likosky DS, Morrison D,
Zhou WP, Finlayson SRG, Goodman DG. Small
Area Variation in Endoscopic Sinus Surgery
Rates in the Medicare Population. Arch
Otolaryngol Head Neck Surg (accepted, in
press).
Goodney PP, Nolan BW, Eldrup-Jorgensen J,
Likosky DS, Cronenwett JL; Vascular Study
Group of Northern New England. Restenosis
After Carotid Endarterectomy in a Multicenter
Regional Registry. J Vasc Surg. 2010 Jul 9.
Bertges DJ, Goodney PP, Zhao Y, Schanzer A,
Nolan BW, Likosky DS, Eldrup-Jorgensen J,
Cronenwett JL; Vascular Study Group of New
England. The Vascular Study Group of New
England Cardiac Risk Index (VSG-CRI) Predicts
Cardiac Complications more Accurately than
the Revised Cardiac Risk Index in Vascular
Surgery Patients. J Vasc Surg. 2010 Jun 4.
Cotoni DA, Palac RT, Dacey LJ, O’Rourke DJ.
Defining Patient-Prosthesis Mismatch and Its
Effect on Survival in Patients with Impaired
Ejection Fraction. Ann Thor Surg 2011; 91:692699.
Cherie P. Erkmen
Erkmen CP, Fadul C, Dalmau J, Erkmen K.
Thymoma-Associated Paraneoplastic
Enceophalopathy. Journal of Thoracic and
Cardiovascular Surgery. 2011 Feb; 141(2):17-20.
Dragnev KH, Ma T, Cyrus J, Galimberti F,
Memoli V, Busch AM, Tsongalis GJ, Seltzer M,
Johnstone D, Erkmen CP, Nugent W, Rigas JR,
Liu X, Freemantle SJ, Kurie JM, Waxman S,
Dmitrovsky E. Bexarotene Plus Erlotinib
Suppress Lung Carcinogenesis Independent of
KRAS Mutations in Two Clinical Trials and
Transgenic Models. Cancer Prev Res (Phila).
2011 Jun; 4(6):818-828.
William C. Nugent Jr.
Dragnev KH, Ma T, Cyrus J, Galimberti F,
Memoli V, Busch AM, Tsongalis GJ, Seltzer M,
Johnstone D, Erkmen CP, Nugent W, Rigas JR,
Liu X, Freemantle SJ, Kurie JM, Waxman S,
Dmitrovsky E. Bexarotene Plus Erlotinib
Suppress Lung Carcinogenesis Independent of
KRAS Mutations in Two Clinical Trials and
Transgenic Models. Cancer Prev Res (Phila).
2011 Jun; 4(6):818-828.
Dermatology
CT Surgery
Kathryn A. Zug
Warshaw EM, Raju SI, Fowler JF Jr., Maibach
HI, Belsito DV, Zug KA, Rietschel RL, Taylor JS,
Mathias CG, Fransway AF, Deleo VA, Marks JG
Jr., Storrs FJ, Pratt MD, Sasseville D. Postive
Patch Test Reactions in Older Individuals:
Retrospective Analysis from the North
American Contact Dermatitis Group, 19942008. J Am Acad Dermatol. 2011 May 17. PMID
21596455.
Lawrence J. Dacey
Robert AM, Kramer RS, Dacey LJ,
Charlesworth DC, Leavitt BJ, Helm RE,
Hernandez F, Sardella GL, Frumiento C, Likosky
DS, Brown JR; Northern New England
Cardiovascular Disease Study Group. Cardiac
Surgery Associated Acute Kidney Injury: A
Comparison of Two Consensus Criteria. Ann
Thorac Surg 2010 Dec; 90(6): 1939-1943.
Warshaw EM, Boralessa Ratnayake D, Maibach
HI, Sasseville D, Belsito DV, Zug KA, Fowler JF
J.,Taylor JS, Toby Mathias CG, Fransway AF,
Deleo VA, Marks JG Jr, Storrs FJ, Pratt MD,
Rietschel RL. Postive Patch-Test Reactions to
Iodopropynyl Butylcarbamate: Retrospective
Analysis of North American Contact
Dermatitis Group Data from 1998- 2008.
Dermatitis 2010 Dec; 21(6): 303-310. PMID
21144341.
Dacey LJ, Braxton JH Jr, Kramer RS, Schmoker
JD, Charlesworth DC, Helm RE, Frumiento C,
Sardella GL, Clough RA, Jones SR, Malenka DJ,
Olmstead EM, Ross CS, O’Connor GT, Likosky
DS; for the Northern New England
Cardiovascular Disease Study Group. Long
D A RT M O U T H - H I T C H C O C K M E D I C A L C E N T E R D E PA RT M E N T O F S U R G E RY A N N UA L R E P O RT 2 0 1 1
47
PUBLICATIONS
General Surgery
Richard J. Barth Jr.
Bauman L, Barth R, Rosenkranz K. Breast
Conservation in Women with Multifocal Multicentric Breast Cancer: Is It Feasible? Ann
Surg Onc 2010, 17: S325-S329.
Barth R, Fischer D, Wallace P, Channon J,
Noelle R, Gui J, Ernstoff M. A Randomized Trial
of Ex Vivo CD40L Activation of a Dendritic Cell
Vaccine in Colorectal Cancer Patients: TumorSpecific Immune Responses are Associated
with Improved Survival. Clin Cancer Res 2010,
16:5548-5556.
Gardner T, Barth R, Zaki B, Boulay B,
McGowan M, Sutton J, Ripple G, Colacchio T,
Smith K, Byock I, Call M, Suriawinata A,
Tsapakos M, Mills J, Srivistava A, Stannard M,
Gordon S, Pipas J. The Effect of Initiating a
Multidisciplinary Care Clinic on Access and
Time to Treatment in Patients with Pancreatic
Adenocarcinoma. J Onc Practice 2010, 6:288292.
Kenneth W. Burchard
Mancini DJ, Burchard KW, Pekala JS. Optimal
Thoracic and Lumbar Spine Imaging for
Trauma: Are Thoracic and Lumbar Spine
Reformats Always Indicated? J. Trauma 2010:
69:119.
Burton L. Eisenberg
Eisenberg B, Smith K, Kuboski T. Adjuvant and
Neoadjuvant Therapy for Primary GIST. Cancer
Chemother Pharmacol 67(Suppl 1):S3-S8 2011.
Kuemmerle N, Rysman E, Lombardo P,
Flanagan A, Lipe B, Wells W, Pettus J, Memoli V,
Morganelli P, Swinnen J, Timmerman L, Chaychi
L, Eisenberg B, Coleman W, Kinlaw W.
Lipoprotein Lipase Links Dietary Fat to Solid
Tumor Cell Proliferation. Mol Cancer Ther
10(3): 427-436, 2011.
Eisenberg B, Trent J. Adjuvant and
Neoadjuvant Imatinib Therapy: Current Role in
Management of GIST. Int J Cancer (in press)
2011.
Samuel S. R.G. Finlayson
Holubar SD (invited), Chatterjee A, Finlayson
SR. Cost-Based Comparative-Effectiveness
Research in Colon and Rectal Surgery.
Seminars in Colon & Rectal Surgery. (in press).
Etzioni DA, Finlayson SRG, Ricketts TC, Lynge
DC, Dimick JB. Getting the Science Right on the
Surgeon Workforce Issue. Arch Surg
2011;146(4):381-384.
Venkatraman G, Likosky DS, Morrison D, Zhou
WP, Finlayson SRG, Goodman DG. Small Area
Variation in Endoscopic Sinus Surgery Rates in
the Medicare Population. Arch Otolaryngol
Head Neck Surg (accepted, in press).
48
Siegel CA, Finlayson SRG, Sands BE,
Tosteson ANA. Rare Adverse Events do not
Outweigh Benefits of Combination Therapy for
Crohn’s Disease: a Decision Analytic Model.
Clin Gastroenterology and Hepatolgy. (in press).
Pendlimari R, Holubar SD, Pattan-arun J,
Larson DW, Dozois EJ, Pemberton JH, Cima RR.
Hand-Assisted Laparoscopic Surgery for
Colorectal Cancer. Surgery 2010
Aug;148(2):378-385.
Stefan D. Holubar
Holubar SD (invited), Chatterjee A, Finlayson
SR. Cost-Based Comparative-Effectiveness
Research in Colon and Rectal Surgery.
Seminars in Colon & Rectal Surgery. (in press).
Holubar SD, Privitera A, Dozois EJ,
Pemberton JH, Cima RR, Larson DW. Minimally
Invasive Colectomy for Crohn Colitis: A Single
Institution Experience. Inflamm Bowel Dis.
2010 Nov;16(11): 1940-1946.
Holubar SD (invited), Kane S. Prevention and
Treatment of Post-Proctectomy Infertility.
Seminars in Colon & Rectal Surgery (in press).
Holubar SD, Cima RR, Pardi DS, Sandborn WJ.
Treatment and Prevention of Pouchitis After
Ileal Pouch-Anal Anastomosis for Chronic
Ulcerative Colitis: A Meta-Analysis of
Randomized Trials. Cochrane Database Syst
Rev. 2010 Jun 16;6:CD001176. Review.
Cima RR, Pendlimari R, Holubar SD,
Pattana-arun J, Larson DW, Dozois EJ, Wolff BG,
Pemberton JH. Utility and Short-Term
Outcomes of Hand-Assisted Laparoscopic
Colorectal Surgery: A Single-Institution
Experience in 1103 Patients. Dis Col Rectum
(in press).
Luglio G, Pendlimari R, Holubar SD, Wolff BG,
Pemberton JH, Nelson H, Cima RR. Loop
Ileostomy Reversal after Colon and Rectal
Surgery: Optimal Technique, Optimal
Outcomes. Archives of Surgery (in press).
Pendlimari R, Holubar SD, Hassinger JP, Cima
RR. Assessment of Colon Cancer Literacy in
Screening Colonoscopy Patients: A Validation
Study. Journal of Surgical Research. 2011 May 18.
Feagins LA, Holubar SD, Kane SV, Spechler SJ.
Current Strategies in the Management of
Intra-Abdominal Abscesses in Crohn’s Disease.
Clinical Gastroenterology and Hepatology 2011
May 5.
Wang JK, Holubar SD, Wolff BG, Follested B,
O’Byrne MM, Qin R. Risk Factors for Splenic
Injury During Colectomy: A Matched CaseControl Study. World Journal of Surgery. 2011
Feb 16.
Dozois EJ, Privitera A, Holubar SD, Sim FH,
Cima RR, Larson DW. High Sacrectomy for
Locally Recurrent Rectal Cancer: Can LongTerm Survival Be Achieved? Journal of Surgical
Oncology. J Surg Oncol. 2011 Feb:103(2):
105-109.
Maxson PM, Dozois EJ, Holubar SD, Klipfel
JM, Wrobleski DM, Arnold JJ, Overman-Dube
JA, Luna BS. Enhancing Nurse and Physician
Collaboration in Clinical Decision Making
Through High-Fidelity Interdisciplinary
Simulation Training. Mayo Clinic Proceedings.
2011 Jan;86(1): 31-36.
Holubar SD, Dozois EJ, Loftus EV, Teh SH,
Benavente LA, Harmsen WS, Wolff BG, Cima
RR, Larson DW. Primary Intestinal Lymphoma
in Inflammatory Bowel Disease. Inflamm Bowel
Dis. 2010 Nov 4.
Hassinger JP, Holubar SD, Pendlimari R,
Kehoe M, Dozois EJ, Larson DW, Cima RR.
Effectiveness of a Mulitmedia-Based
Educational Intervention for Improving Colon
Cancer Literacy in Screening Colonoscopy
Patients. Dis Col Rectum 2010 Sept;
53(9):1301-1307.
Kari M. Rosenkranz
Bauman L, Barth R, Rosenkranz K. Breast
Conservation for Multicentric and Multifocal
Breast Cancer: Is It Feasible? Annals of
Surgical Oncology. Accepted.
van Leeuwen BL, Rosenkranz KM, Lei Feng
L, Bedrosian I, Hartmann K, Hunt KK, Kuerer
HM, Ross M, Singletary SE, Babiera GV. The
Effect of Undertreatment of Breast Cancer in
Women 80 Years of Age and Older. Critical
Reviews in Oncology/Hematology. 2010.
Yeager MP, Rosenkranz KM. Cancer
Recurrence After Surgery: A Role for Regional
Anesthesia? Reg Anesth Pain Med. 2010
Nov;35(6): 483-484.
Kerrington Smith
Eisenberg B, Smith K, Kuboski T. Adjuvant and
Neoadjuvant Therapy for Primary GIST. Cancer
Chemother Pharmacol 67(Suppl 1):S3-S8 2011.
Lahat G, Zhang P, Zhu QS, Torres K, Ghadimi M,
Smith KD, Wang WL, Lazar AJ, Lev D.
Molecular Subclassification of Unclassified
Pleomorphic Sarcoma (UPS/MFH)
Histopathology. In press.
Lahat G, Dhuka AR, Hallevi H, Xiao L, Zou C,
Smith KD, Phung TL, Pollock RE, Benjamin R,
Hunt KK, Lazar AJ, Lev D. Angiosarcoma:
Clinical and Molecular Insights. Ann Surg
2010;251(6):1098 – 1106.
Smith KD, Das P, Kattepogu K, Chang GJ, Feig
BW, Skibber JM, Eng C, Tan D, Crane CH,
Rodriguez-Bigas M. Clinical Significance of
Acellular Mucin in Rectal Adenocarcinoma
Patients with a Pathologic Complete Response
to Preoperative Chemoradiation. Ann Surg
2010; 251(2):261-264.
PUBLICATIONS
Gardner T, Barth R, Zaki B, Boulay B, McGowan
M, Sutton J, Ripple G, Colacchio T, Smith K,
Byock I, Call M, Suriawinata A, Tsapakos M, Mills
J, Srivistava A, Stannard M, Gordon S, Pipas J.
The Effect of Initiating a Multidisciplinary Care
Clinic on Access and Time to Treatment in
Patients with Pancreatic Adenocarcinoma. J
Onc Practice 2010, 6:288-292.
Maxillofacial
Bekelis K, Meiklejohn DA, Missios S, Harris B,
Saunders JE, Erkmen K. Ganglioneuroma of
the Cerebellopontine Angle Presenting as
Internal Auditory Canal Vestibular
Schwannoma. Skull Base Reports. (in press).
Bekelis K, Missios S, Blike G, Erkmen K.
Ensuring Patient Safety in Surgery-First do no
Harm. In Operative Neurosurgical Techniques:
Indications, Methods and Results, 6th Edition.
Editors: Schmidek H, Quinones-Hinjosa A.
Saunders Philadelphia PA, 2010.
Whitson WJ, Valdés PA, Harris BT, Paulsen KD,
Roberts DW. Confocal Microscopy for the
Histologic Fluorescence Pattern of a Recurrent
Atypical Meningioma: A Case Report.
Neurosurg 68(6):E1768-E1772, 2011.
Wheeler M, De Herdt V, Vonck K, Gilbert K,
Manem S, Mackenzie T, Jobst B, Roberts D,
Williamson P, Van Roost D, Boon P, Thadani V.
Efficacy of Vagus Nerve Stimulation for
Refractory Epilepsy Among Patient Subgroups:
A Re-Analysis Using the Engel Classification.
Siezure: Eur J Epilepsy (in press, 2011).
Rocco R. Addante
Ravi V, Belden CJ, Gosselin BJ, Paydarfar JA,
Addante RR, Black CC, Pastel DA. Oral Cavity
Cancer: A Review of Patterns of Spread.
Neurographics. 01: 56-64. June, 2011.
Erkmen K, Bekelis K, Al-Mefty O. Primary
Extramedullary Tumors of the Craniovertebral
Junction. In: Surgery of the Craniovertebral
Junction, 2nd Edition. Editors: Dickman C,
Spetzler R, Sonntag V, Bambakidis N. Thieme,
New York 2011.
Neurosurgery
Roberts DW, Valdés PA, Leblond F, Kim A, Harris
BT, Wilson BC, Fan X, Tosteson TD, Hartov A, Ji
S, Erkmen K, Simmons NE, Paulsen
KD.Response J Neurosurg 115:10, 2011 (in
response to Ikeda D, Chiocca EA: Measuring
Verus Seeing, J Neurosurg 115:9-10, 2011).
Hadjipanayis CG, Jiang H, Roberts DW, Yang L.
Current and Future Clinical Applications for
Optical Imaging of Cancer: from Intraoperative
Surgical Guidance to Cancer Screening.
Seminars in Oncology 38(1):109-118, 2011.
PMCID: PMC3061227.
Bekelis K, Eskey C, Erkmen K, Labropoulos N,
Burdette T, Stotland M, Durham S.
Scalp Arteriovenous Malformation Draining into
the Superior Sagittal Sinus Associated with a
Sinus Pericranii. International Angiology. 2011,
October 30(5):448-492.
Bekelis K, Valdés PA, Erkmen K, Leblond F,
Kim A, Wilson BC, Harris BT, Paulsen KD,
Roberts DW. Quantitative and Qualitative 5Aminolevulinic Acid-Induced Protoporphyrin IX
Fluorescence in Skull Base Meningiomas.
Neurosurg Focus 30(5):E8-E12, 2011.
S. Scott Lollis
Lollis SS, Mamourian AC, Vaccaro TJ, Duhaime
AC: Programmable CSF Shunt Valves:
Radiographic Identification and Interpretation.
American Journal of Neuroradiology 31 (7),
2010: 1343-1346.
Lee KH, Roberts DW, Leiter JC, et al: High
Frequency Stimulation Abolishes Thalamic
Network Oscillations: an Electrophysiological
and Computational Analysis. Journal of Neural
Engineering (in press) 2011.
Ball, Perry A.
Desai A, Ball PA, Bekelis K, Lurie J, Mirza SK,
Tosteson TD, Weinstein JN: SPORT: Does
Incidental Durotomy Affect Long-Term
Outcome in Cases of Spinal Stenosis?
Neurosurgery 69:38-44, 2011.
Scarrow AM, Zusman E, Ball PA, Wehby M:
Review of Closed Claim Malpractice Litigation
in Neurosurgery. AANS Neurosurgeon 20:28-33,
2011.
Desai A, Ball PA, Bekelis K, Lurie JD, Mirza SK,
Tosteson TD, Weinstein JN: Outcomes after
Incidental Durotomy During First-Time Lumbar
Discectomy. J Neurosurg Spine 14:647-653,
2011.
Kadir Erkmen
Erkmen CP, Fadul CE, Dalmau J, Erkmen K.
Thymoma-Associated Paraneoplastic
Encephalitis (TAPE): Diagnosis and Treatment of
a Potentially Fatal Condition. Journal of
Thoracic and Cardiovascular Surgery Feb
2011;141:2: 17-20.
Valdés PA, Leblond F, Kim A, Harris BT, Wilson
BC, Fan X, Tosteson TD, Hartov A, Ji S,
Erkmen K, Simmons NE, Paulsen KD, Roberts
DW: Quantitative Fluorescence in Intracranial
Tumor: Implications for ALA-Induced PpIX as an
Intraoperative Biomarker. J Neurosurg 115:
11-17. 2011.
Taha AN, Erkmen K, Dunn IF, Pravdenkova S,
Al-Mefty O. Meningiomas Involving the Optic
Canal: Pattern of Involvement and Implications
for Surgical Technique. Neurosurgical Focus.
May 2011.
Bekelis K, Valdés PA, Erkmen K, Leblond F,
Kim A, Wilson BC, Harris BT, Paulsen KD,
Roberts DW: Quantitative and Qualitative 5Aminolevulinic Acid-Induced Protoporphyrin IX
Fluorescence in Skull Base Meningiomas.
Neurosurg Focus 30(5):E8-E12, 2011.
Roberts DW, Valdés PA, Harris BT, Fontaine KM,
Hartov A, Fan X, Ji S, Lollis SS, Pogue BW,
Leblond F, Tosteson TD, Wilson BC, Paulsen KD:
Co-Registered Fluorescense-Enhanced Tumor
Resection of Malignant Glioma: Relationships
Between ALA-Induced PpIX Fluorescence, MRI
Enhancement and Neuropathological
Parameters: Clinical Article. J Neurosurg 114(3):
595-603, 2011. PMCID: PMC2921008.
Pattison AJ, Lollis SS, Perrinez PR, Perreard IM,
McGarry MD, Weaver JB, Paulsen KD: TimeHarmonic Magnetic Resonance Elastography of
the Normal Feline Brain. J Biomech 43, 2010:
2747 – 2752.
David W. Roberts
Desai A, Jobst BC, Thadani VM, Bujarski KA,
Gilbert K, Darcey TM, Roberts DW.
Sterotactic Depth Electrode Investigation of the
Insula in the Evaluation of Medically Intractable
Epilepsy. J Neurosurg 2010 Oct 15.
Valdés PA, Leblond F, Kim A, Harris BT, Wilson
BC, Fan X, Tosteson TD, Hartov A, Ji S, Erkmen
K, Simmons NE, Paulsen KD, Roberts DW.
Quantitative Fluorescence in Intracranial
Tumor: Implications for ALA-Induced PpIX as an
Intraoperative Biomarker. J Neurosurg 115: 1117, 2011.
D A RT M O U T H - H I T C H C O C K M E D I C A L C E N T E R D E PA RT M E N T O F S U R G E RY A N N UA L R E P O RT 2 0 1 1
Ji S, Roberts DW, Hartov A, Paulsen KD. RealTime Interpolation for True 3-Dimensional
Ultrasound Image Volumes. J Ultrasound Med
30:243-252, 2011.
Valdés PA, Kim A, Brantsch M, Niu C, Moses ZB,
Tosteson TD, Wilson BC, Paulsen KD, Roberts
DW, Harris BT. 5-Aminolevulinic Acid-Induced
Protoporphyrin IX Concentration Correlates
with Histopathological Markers of Malignancy
in Human Gliomas: the Need for Quantitative
Fluorescence-Guided Resection to Identify
Regions of Increasing Malignancy. NeuroOncology (in press) 2011.
Valdés PA, Leblond F, Kim A, Harris BT, Wilson
BC, Paulsen KD, Roberts DW. ALA-Induced
PpIX Spectroscopy for Brain Tumor ImageGuided Surgery. Proceedings of SPIE-BIOS,
2011. Published Feb 17, 2011.
Kleen JK, Valdés PA, Harris BT, Holmes GL,
Paulsen KD, Roberts DW. ALA-Induced PpIX
Fluorescence in Epileptogenic Tissue.
Proceedings of SPIE-BIOS, 2011 Published Feb
17, 2011.
Roberts DW. Tailored Resections for Epilepsy.
In Winn HR (ed): Youmans Neurological Surgery,
6th Ed. Philadelphia PA: Sanders/Elsevier Inc.,
2011, pp 780-784.
49
PUBLICATIONS
Roberts DW, Valdés PA, Harris BT, Fontaine
KM, Hartov A, Fan X, Ji S, Lollis SS, Pogue BW,
Leblond F, Tosteson TD, Wilson BC, Paulsen KD:
Co-Registered Fluorescense-Enhanced Tumor
Resection of Malignant Glioma: Relationships
Between ALA-Induced PpIX Fluorescence, MRI
Enhancement and Neuropathological
Parameters: Clinical Article. J Neurosurg 114(3):
595-603, 2011. PMCID: PMC2921008.
Roberts DW: Comment/Perspectives: Is There
Still a Role for Language-Wada Testing? on Fuji
M, Miyachi S, Matsubara N, Kinkori T,
Takebayashi S, Ozumi T, Ohshima T, Tsurumi A,
Hososhima O, Wakabayashi T, Yoshida J:
Selective Propofol Injection into the M1
Segment of the Middle Cerebral Artery (MCA
Wada Test) Reduces Adverse Effects and
Enhances the Reliability of the Wada Test for
Determining Speech Dominance. World
Neurosurgery 75:503-508, 2011. World
Neurosurgery 75(3/4):425-427, 2011.
Roberts DW: Comment/Perspectives:
Seizure-Localizing Value and Functional
Implications of Diffusion-Based Imaging in
Epilepsy (on Kim CK, Chung, CK, Koo BB, Lee
JM, Kim JS, Lee SK: Changes in Language
Pathways in Patients with Temporal Lobe
Epilepsy: Diffusion Tensor Imaging Analysis of
the Uncinate and Arcuate Fasciculi. World
Neurosurgery 75:509-516, 2011). World
Neurosurgery 75(3/4):434-435, 2011.
Roberts DW, Valdés PA, Leblond F, Kim A,
Harris BT, Wilson BC, Fan X, Tosteson TD,
Hartov A, Ji S, Erkmen K, Simmons NE, Paulsen
KD. Response J Neurosurg 115:10, 2011(in
response to Ikeda D, Chiocca EA: Measuring
Verus Seeing, J Neurosurg 115:9-10, 2011).
Nathan E. Simmons
Bekelis K, Missios S, Duhaime AC, Simmons
NE. Placement of Occipital Condyle Screws for
Occipitocervical Fixation in a Pediatric Patient
with Occipitocervical Instability Secondary to
Posterior Fossa Decompression for Chiari I
Malformation. J Neurosurg Ped 6 #2:171-176,
2010.
Fuld AD, Speck M, Harris BT, Simmons NE,
Corless CL, Pastel D, Lallana EC, Hartford AC,
Ernstoff MS. Primary Malignant Melanoma of
the Spinal Cord: A Case Report, Molecular
Footprint and Review of the Literature. JCO (in
press).
Valdés PA, Leblond F, Kim A, Harris BT, Wilson
BC, Fan X, Tosteson TD, Hartov A, Ji S, Erkmen
K, Simmons NE, Paulsen KD, Roberts DW.
Quantitative Fluorescence in Intracranial
Tumor: Implications for ALA-Induced PpIX as
an Intraoperative Biomarker. J Neurosurg 115:
11-17, 2011.
Roberts DW, Valdés PA, Leblond F, Kim A, Harris
BT, Wilson BC, Fan X, Tosteson TD, Hartov A, Ji
S, Erkmen K, Simmons NE, Paulsen KD.
Response J Neurosurg 115:10, 2011 (In
response to Ikeda D, Chiocca EA: Measuring
Verus Seeing, J Neurosurg 115:9-10, 2011).
50
Simmons NE. “Transsphenoidal Surgery:
Complications and Management,” in
Transsphenoidal Surgery. Laws ER Jr. and
Lanzino G, eds. Saunders Elsevier, 2010, pp
181-191.
Simmons NE: “Principles of Spine Trauma
Care,” in Rockwood and Green’s Fractures in
Adults. Bucholz and Heckman, eds. Lippincott,
Williams and Wilkins 7th ed, 2010, pp 12791311.
Simmons NE: “Thoracic Disc Herniations and
Surgical Management,” in Operative
Neurosurgical Techniques. Alfredo Quin?onesHinojosa, M.D.,ed. W.B. Saunders Co. 6th Ed,
2010.
Ophthalmology
Michael E. Zegans
Cady KC, White AS, Hammond JH, Abendroth
MD, Karhikeyan SG, Prajna L, Zegans ME,
O’Toole GA. Prevalence, Conservation and
Functional Analysis of Yersinia and Escherichia
CRISP R Regions in Clinical Pseudomonas
Aeruginosa Isolates. Microbiology, 2011 Feb
157(Pt 2):430-7.
Oldenburg CE, Prajna NV, Lalitha P, Krishnan T,
Mascarenhas J, Taitilingam CM, Srinivasan M,
See CW, Cevallos V, Zegans ME, Acharya NR,
Lietmen TM. Clinical Signs in Dematiaceous
and Hyaline Fungal Keratitis. Br J Ophthalmol.
2011;95:750-751.
Oldenburg CE, Sy A, Srinivasan M, Toutain-Kidd
C, Mascarenhas J, Ravindran M, Rajaraman R,
Esterberg EJ, Chidabaram JD, Achary NR,
Lietman TM, Zegans ME. Pre-existing
Blindness in a Cohort of Patients with Bacterial
Keratitis. Br J Ophthalmol. (2011). doi:
10.1136/bjophthalmol-2011-300270.
Oldenburg CE, Acharya NR, Tu EY, Zegans ME,
Mannis MJ, Gaynor BD, Whitcher JP, Lietman
TM, Keenan JD. Practice Patterns and Opinions
in the Treatment of Acanthamoeba Keratitis.
Cornea. December 2011, 30(12):1363-1368.
Srinivasan M, Mascarenhas J, Rajaraman R,
Ravindran M, Lalitha P, Glidden DV, Ray KJ,
Hong KC, Oldenburg CE, Lee SM, Zegans ME,
McLeod SD, Lietman TM, Acharya: for the
Steroids for Corneal Ulcers Trial Group.
Corticosteroids for Bacterial Keratitis: The
Steroids for Corneal Ulcers Trial (SCUT) Arch
Ophthalmol. Published online October
10,2011. doi:10.1001/archophthalmol.2011.315.
Otolaryngology
Eunice Y. Chen
Chen EY, Lim J, Boss EF, Inglis AF Jr, Ou H, Sie
KC, Manning SC, Perkins JA. Transoral
Approach for Direct and Complete Excision of
Vallecular Cysts in Children. Int J Pediatr
Otorhinolaryngol. 2011 July 11.
Cushing SL, Kirsh AL, Chen EY, Schwartz SM,
Perkins JA. Tertiary Lymphoid Organs in
Lymphatic Malformation. Lymphatic Research
Biol. 9:85-92, 2011.
Parhizkar N, Manning SC, Inglis AF, Finn LS,
Chen EY, Perkins JA. How Airway
Venous Malformations Differ from Airway
Infantile Hemangiomas. Arch Otolaryngol Head
Neck Surg. 137:352-357, 2011.
Beniot J. Gosselin
Ravi V, Belden CJ, Gosselin BJ, Paydarfar JA,
Addante RR, Black CC, Pastel DA. Oral Cavity
Cancer: A Review of Patterns of Spread.
Neurographics 2011; 1(1): 59-64.
Joseph A. Paydarfar
Maddox PT, Davies L, Paydarfar JA. A 17 Year
Institutional Experience at a Rural Academic
Medical Center. Accepted by Annals of
Otolaryngology.
Ravi V, Belden CJ, Gosselin BJ, Paydarfar JA,
Addante RR, Black CC, Pastel DA. Oral Cavity
Cancer: A Review of Patterns of Spread.
Neurographics 2011; 1(1): 59-64.
Paydarfar, JA and Patel U. Submental Flap
Versus Radial Forearm Flap for Oral
Reconstruction: Comparison of Outcomes.
Arch Otolaryngol Head Neck Surg. 2011;
137(1): 1-6.
James E. Saunders
Groom K, Ramsey M, Saunders JE. Telehealth
and Humanitarian Assistance in Otolaryngology.
Otolaryngology Clinics of North America.
Accepted 2011.
Saunders JE, Barrs D. Cochlear Implantation
in Developing Countries as Humanitarian
Service: Physician Attitudes and
Recommendations for Best Practice.
Otolarygol HNS 145(1):74-79.
Eustaquio ME, Berryhill W, Wolfe JA, Saunders
JE. Balance in Children with Bilateral Cochlear
Implants. Otol Neurotol. 2011 Feb 25.
Saunders JE, Raju RP, Boone JL, Hales NW,
Berryhill WE. Antibiotic Resistance and
Otomycosis in the Draining Ear: Culture Results
by Diagnosis. Am J Otolaryngol. 2010 Oct 30.
Bekelis K, Meiklejohn DA, Missios S, Harris B,
Saunders JE, Erkmen K. Ganglioneuroma of
the Cerebellopontine Angle Presenting as
Internal Auditory Canal Vestibular
Schwannoma. Skull Base Reports. (in press).
Pediatric Surgery
Daniel B. Herz
Herz D, Merguerian P, McQuiston L, Danielson
C, Gheen M, Brenfleck L. 5-year Prospective
Results of Dimercapto-Succinic Acid Imaging in
Children with Febrile Urinary Tract Infections:
Proof that the Top-Down Approach Works. J
Urol 184 (4 suppl): 1703-1709. 2010.
PUBLICATIONS
McQuiston L, Macneily A, Liu D, Mickelson, J
Yerkes E, Chaviano A, Roth D, Stoltz, R S, Herz
DB, Maizels M. Computer Enhanced Visual
Learning Method to Train Urology Residents in
Pediatric Orchiopexy Provided a Consistent
Learning Experience in a Multi-Institutional Trial.
J Urol 184 (4suppl):1748 – 1753, 2010.
Leslie McQuiston
Herz D, Merguerian P, McQuiston L, Danielson
C, Gheen M, Brenfleck L. 5-year Prospective
Results of Dimercapto-Succinic Acid Imaging in
Children with Febrile Urinary Tract Infections:
Proof that the Top-Down Approach Works. J
Urol 184 (4 suppl): 1703-1709. 2010.
McQuiston L, Macneily A, Liu D, Mickelson, J
Yerkes E, Chaviano A, Roth D, Stoltz, RS, Herz
DB, Maizels M. Computer Enhanced Visual
Learning Method to Train Urology Residents in
Pediatric Orchiopexy Provided a Consistent
Learning Experience in a Multi-Institutional Trial.
J Urol 184 (4suppl):1748 – 1753, 2010.
Paul Merguerian
Herz D, Merguerian P, McQuiston L, Danielson
C, Gheen M, Brenfleck L. 5-year Prospective
Results of Dimercapto-Succinic Acid Imaging in
Children with Febrile Urinary Tract Infections:
Proof that the Top-Down Approach Works. J
Urol 184 (4 suppl): 1703-1709. 2010.
Plastic Surgery
Carolyn L. Kerrigan
Kerrigan CL, Collins D, Pusic A, Alderman A.
Evidence Based Medicine & Health Services
Research for Plastic Surgery. Plastic Surgery 3rd
Edition, Neligan P. (Editors) W.B. Sanders
Publishing Company, New York NY, 2010.
Emily B. Ridgway
Pomahoc B, Lengele B, Ridgway EB et al.
Vascular Considerations in Composite Midfacial
Allotransplantation. Plas Reconst Surg. 2010;
125: 517-522.
Ridgway EB, Cowan JB, Donelan MB, Driscoll
DN. Pediatric Burn-Related Scalp Alopecia
Treated with Tissue Expansion and the
Incidence of Associated Facial Burn Injuries. J
Burn Care Res. 2010; 31: 409-413.
Ropper AE, Rogers GF, Ridgway EB, Proctor
MR. Repair of a Large Congential Frontal Bone
Defect with Autologous Exchange Cranioplasty.
J Neurosurg Pediatr. 2010; 6: 464-467.
Ridgway EB, Ropper AE, Mulliken JB, Padwa
BL, Goumnerova LC. Meningoencephalocele: A
Late Complication of Le Fort III Midfacial
Advancement in a Patient with Crouzon
Syndrome. J Neurosurg Pediatr. 2010; 6- 368-371.
Ridgway EB, Kutz RH, Cooper JS, Guo L. New
Insight into an Old Paradigm: Wrapping and
Dangling with Lower Extremity Free Flaps. J
Reconstr Micosurg. 2010; 26: 559-566.
Ridgway EB, Pribaz JJ. The Reconstruction of
Male Hair-Bearing Facial Regions. Plast
Reconstr Surg. 2011; 127: 131-141.
Ridgway EB, Robson C, Padwa BL,
Goumnerova L, Mulliken JB.
Meningoencephalocele and Other Dural
Disruptions: Complications of Le Fort III
Midfacial Osteotomies and Distraction. Jnl
Craniofac Surg 2011; 22, 182-186.
Ridgway EB, Wu JK, Sullivan SS, Vasudavan S,
Padwa BL, Rogers GF, Mulliken JB. Craniofacial
Growth in Patients with FGFR3Pro250Arg
Mutation after Fronto-Orbital Advancement in
Infancy. Jnl Craniofac Surg. 2011; 22, 455-461.
Rogers GF, Greene AK, Mulliken JB, Proctor MR,
Ridgway EB. Exchange Cranioplasty Using
Autologous Calvarial Particulate Bone Graft
Effectively Repairs Large Cranial Defects. Plast
Reconstr Surg. 2011; 127, 1631-1642.
Ridgway EB, Andrews BT, LaBrie A, Padwa BL,
Mulliken JB. Positioning the Caudal Septum at
time of Primary Lip Repair. Accepted Jnl
Craniofac Surg.
FL: CRC Press, (Taylor and Francis Group). In
press.
Geiling J, Porpoatich R, Lauria M, Mosher RE,
Rosen JM. Disaster Response: Potential
Improvements with Medical Informatics. In: The
Biomedical Engineering Handbook, 4th edition.
M. Slaughter, (ed), L. Kun, (section ed), Boca
Raton FL: CRC Press, (Taylor and Francis
Group). In press.
Mitchell A. Stotland
Stotland MA and Do NK.”Pediatric Orbital
Fractures – A Comprehensive Review”. J
Craniofac Surg. In press.
Bekelis K, Eskey C, Erkmen K, Labropoulos N,
Burdette T, Stotland M, Durham S.
Scalp Arteriovenous Malformation Draining into
the Superior Sagittal Sinus Associated with a
Sinus Pericranii. A Case Report. International
Angiology, in press.
Ridgway EB, Berry-Candelario J, Grondin RT,
Rogers GF, Proctor MR. The Management of
Sagittal Synostosis with Endoscopic
Craniectomy and Post-Operative Helmet
Molding Therapy. Accepted J Neurosurg Pediatr.
Dale Collins Vidal
Kerrigan CL, Collins D, Pusic A, Alderman A.
Evidence Based Medicine & Health Services
Research in Plastic Surgery. Plastic Surgery 3rd
Edition, Neligan P. (Editors) W.B. Sanders
Publishing Company, New York NY, 2010.
Ridgway EB, Grondin RT, Berry-Candelario J,
Rogers, GF, Proctor MR. Endoscope-Assisted
Strip Craniectomy and Post-Operative Helmet
Therapy for Treatment of Craniosynostosis.
Accepted Neurosurgical Focus.
Freed G, Andrews A, Collins D. Patient
Centered Health Communication in Plastic
Surgery. Plastic Surgery, 3rd Edition, Neligan P.
(Editors) W.B. Sanders Publishing Company,
New York NY, 2010.
Ridgway EB, Estroff J, Mulliken JB. Thickness
of Orbicularis Oris Muscle in Unilateral Cleft Lip:
Before and After Labial Adhesion. Accepted Jnl
Craniofac Surg.
Joseph M. Rosen
Macedonia CR, Rosen JM, Dean WK. Virtual
Valley Forge: A Revolutionary Hospital Concept.
Military Medicine 2011 Apr;176(4):357-358.
Rosen JM and Koop CE. Developing a New
Paradigm for Biodefense in the 21st Century:
Adapting our Healthcare Response to the
Biodisaster Threat. In: Global Biosecurity,
P.Katona, MD. Intriligator, J.P. Sullivan (eds).
London: Taylor and Francis, 2010.
Santos Jr., E, Rosen J, Kim KJ, Yu F, Li D, Jacob
E, Katona L. Promoting Team Performance in
the Operating Room by Analyzing Gaps Among
Surgical Care Members. In: Modeling and
Simulation in the Medical and Health Sciences,
Sokolowski JA, and Banks CM, eds. Wiley Inc.,
2010.
Rosen JM, Katona L, Long S, Mosher RE,
Burdette TB. Robotics, Simulation and
Telemedicine in Plastic Surgery. In: Plastic
Surgery, 3rd Edition, Vol. 1: Principles, Chapter
36, G.C. Gurtner (ed), London: Elsevier. In press.
Geiling J, Katona L, Rosen JM. Disaster
Response: Roles of Responders and Lessons
Learned since 9/11. In: The Biomedical
Engineering Handbook, 4th edition. M.
Slaughter, (ed), L. Kun, (section ed), Boca Raton.
D A RT M O U T H - H I T C H C O C K M E D I C A L C E N T E R D E PA RT M E N T O F S U R G E RY A N N UA L R E P O RT 2 0 1 1
Surgical Research Lab
P. Jack Hoopes
Isabelle M, Klubben W, He T, Laughney AM,
Glaser A, Krishnaswamy V, Hoopes PJ, Hasan
T, Pogue BW. Assessment of Biophysical Tumor
Reponse to PDT in Pancreatic Cancer Using
Localized Reflectance Spectroscopy. Proc. SPIE
7886,78860S. 2011.
Samkoe KS, Gibbs-Strauss SL, Yang HH,
Hekmatyar SK, Hoopes PJ, O’Hara JA,
Kauppinen RA, Pogue BW. Image Contrast in
Fluorescence and Magnetic Resonance Images
of Glioblastoma Detection. Proc. SPIE
7892,78920O. 2011.
Zhou T, Meaney PM, Hoopes PJ, Geimer SD,
Paulsen KD. Microwave Thermal Imaging of
Scanned Focused Ultrasound Heating: Animal
Experiments. Proc. SPIE 7901,79010N. 2011.
Pearce JA, Cook JR, Hoopes PJ, Giustini AJ.
FEM Numerical Model Study of Heating in
Magnetic Nanoparticles. Proc. SPIE Vol.
7901,79010B. Feb 22, 2011.
Giustini AJ, Petryk AA, Hoopes PJ. Comparison
of Microwave and Magnetic Nanoparticle
Hyperthermia Radiosensitization in Murine
Breast Tumors. Proc. SPIE Vol. 7901,79010E. Feb
22, 2011.
51
PUBLICATIONS
Giustini AJ, Gottesman RE, Petryk AA,
Rauwerdink AM, Hoopes PJ. Kinetics and
Pathogenesis of Intracellular Magnetic
Nanoparticle Cytotoxicity. Proc. SPIE Vol 7901,
790118. Feb 22, 2011.
Petryk AA, Stigliano RV, Giustini AJ, Gottesman
RE, Trembly BS, Kaufman PA, Hoopes PJ.
Comparison of Iron Oxide Nanoparticle and
Microwave Hyperthermia Alone or Combines
with Cisplatinum in Murine Breast Tumors.
Proc. SPIE Vol 7901, 790119. Feb 23, 2011.
Cassism SM, Giustini AJ, Baker I, Hoopes PJ.
Development of Novel Magnetic Nanoparticles
for Hyperthermia Cancer Therapy. Proc. SPIE
Vol 7901, 790115. Feb 23, 2011.
Hoopes PJ, Bischoff JC, Pearce JC, Giustini AJ,
Petryk AA, Strawbridge RR, Ryan T et al.
Nanoparticle Based Cancer Treatment: Can
Delivered Dose be and Biological Dose be
Reliably Modeled and Quantified. Proc. SPIE
7901, 79010A. Feb 23, 2011.
Tate JA, Petryk AA, Giustini AJ, Hoopes PJ. In
Vivo Biodistribution of Iron Oxide Nanoparticle:
An Overview. Proc. SPIE Vol 7901, 790117. Feb
23, 2011.
Giustini AJ, Ivkov R, Hoopes PJ. Magnetic
Nanoparticle Biodistribution Following
Intratumoral Administration. Nanotechnology
(2011) vol. 22(34) pp. 345101.
Samkoe KS, Sexton K, Tichauer KM, Hextrum
SK, Pardesi O, Davis SC, O’Hara JA, Hoopes PJ,
Hasan T, Pogue BW. High Vascular Delivery of
EGF, but Low Receptor Binding Rate is
Observed in AsPC-1 Tumors as Compared to
Normal Pancreas. Molecular Imaging and
Biology. In Press (2011).
Mary Jo Mulligan-Kehoe
Zagorchev L and Mulligan-Kehoe MJ.
Advances in Imaging Angiogenesis and
Inflammation in Atherosclerosis. Thrombosis
and Haemostasis, 105:820-827, 2011.
Mollmark J, Ravi S, Sun B, Shipman S, Buitendijk
M, Simons M, Mulligan-Kehoe MJ. The AntiAngiogenic Activity of rPAI-123 Stimulates
Vessel Regression in Atherogenic Mice
Through a Plasmin-Dependent Mechanism.
Circ Res, 108:1419-1428, 2011.
Kahaleh Bashar and Mulligan-Kehoe MJ. The
Vascular Disease in Scleroderma. In: Varga J,
Denton C, Wigley F, eds. Scleroderma from
Pathogenesis to Comprehensive Management,
Springer Science, 2011.
Brian W. Pogue
Axelsson J, Davis SC, Gladstone DJ, Pogue
BW. Cerenkov Emission by External Beam
Stimulates Molecular Fluorescence. Medical
Physics 38(7) 4127. (2011).
52
Mastanduno MA, Jiang S, Diflorio-Alexander R,
Pogue BW, Paulsen KD. Remote Positioning
Optical Breast Magnetic Resonance Coil for
Slice-Section During Image-Guided NearInfrared Spectroscopy of Breast Cancer. J
Biomed Opt 2011 June;16(6):066001 PMID:
21721802.
Krishnaswamy V, Laughney AM, Paulsen KD,
Pogue BW. Dark-Field Scanning in Situ
Spectroscopy Platform for Broadband Imaging
of Resected Tissue. Opt Lett. 2011 May
15;36(10):1911-1913. PMID: 21593932.
Lee S, Isabelle ME, Gabally-Kinney KL, Pogue
BW, Davis SJ. Dual-Channel Imaging System
for Singlet Oxygen and Photosensitizer for PDT.
Bio Opt Express. 2011 Apr 15;2(5):1233-1242.
PMID: 21559134.
Roberts DW, Valdes PA, Harris BT, Fontaine KM,
Hartov A, Fan X, Ji S, Lollis SS, Pogue BW,
Leblond F, Tosteson TD, Wilson BC, Paulsen KD:
Coregistered Fluorescense-Enhanced Tumor
Resection of Malignant Glioma: Relationships
Between ALA-Induced PpIX Fluorescence, MRI
Enhancement and Neuropathological
Parameters: Clinical Article. J Neurosurg 114(3):
595-603, 2011.
Pakalniskis MG, Wells WA, Schwab MC,
Froehlich HM, Jiang S, Li Z, Tosteson TD,
Poplack SP, Kaufman PA, Pogue BW, Paulsen
KD. Tumor Angiogenesis Change Estimated by
Using Diffuse Optical Spectroscopic
Tomography: Demonstrated Correlation in
Women Undergoing Neoadjuvant
Chemotherapy for Invasive Breast Cancer?
Radiology. 2011 Mar 15. PMID: 21406632.
Carpenter CM, Pogue BW, Jiang S, Wang J,
Hargreaves BA, Rakow-Penner R, Daniel BL,
Paulsen KD. MR Water Quantitative Priors
Improves the Accuracy of Optical Breast
Imaging. IEEE Trans Med Imaging. 2011
Jan;30(1):159-168. PMID: 20813635.
Leblond F, Tichauer KM, Pogue BW. Singular
Value Decomposition Metrics Show Limitations
of Detector Design in Diffuse Fluorescence
Tomography. Biomed Opt Express. 2010 Nov
29; 1(5):1514-1531 PMID: 21258566.
Warren CB, Lohser S, Wene LC , Pogue BW,
Bailin PL, Maytin EV. Noninvasive Fluorescence
Monitoring of Protoporphyrin IX Production
and Clinical Outcomes in Actinic Keratoses
Following Short-Contract Application of 5Aminolevulinate. J Biomed Opt. 2010 Sep –
Oct; 15(5):051607 PMID: 21054081.
Laughney AM, Krishnaswamy V, Garcia-Allende
PB, Conde OM, Wells WA, Paulsen KD, Pogue
BW. Automated Classification of Breast
Pathology Using Local Measures of Broadband
Reflectance. J Biomed Opt. 2010 Nov-Dec;
15(6):066019. PMID: 21198193.
Srinivasan S, Ghadyani HR, Pogue BW,
Paulsen KD. A Coupled Finite ElementBoundary Element Method for Modeling
Diffusion Equation in 3D Multi-Modality Optical
Imaging. Biomed Opt Express 2010 Jan
1;1(2):398-413. PMID: 21152113.
Li Z, Krishnaswamy V, Jiang S, Davis SC,
Srinivasan S, Paulsen KD, Pogue BW. Rapid
Magnetic Resonance-Guided Near Infrared
Mapping to Image Pulsatile Hemoglobin in the
Breast. Opt Lett 2010 Dec 1;35(23):3964-3966.
PMID 21124580.
Rizvi I, Celli JP, Evans CL, Abu-Yousif AO,
Muzikansky A, Pogue BW, Finkelstein D,
Hasan T. Synergistic Enhancement of
Carboplatin Efficacy with Photodynamic
Therapy in a Three-Dimensional Model for
Micrometastatic Ovarian Cancer. Cancer Res.
2010 Nov 15; 70(22):9319-9328. Epub 2010 Nov
9. PMID: 21062986.
Pogue BW, Wagnieres GA, Lilge LD. Pioneers
in Biomedical Optics: Special Section Honoring
Professor Tayyaba Hasan. J Biomed Opt. 2010
Sep-Oct; 15(5):051601. PMID: 21054075.
Ghadyani HR, Srinivasan S, Pogue BW,
Paulsen KD. Characterizing Accuracy of Total
Hemoglobin Recovery Using Contrast-Detail
Analysis in 3D Image-Guided Near Infrared
Spectroscopy with the Boundary Element
Method. Opt Express. 2010 Jul 19;
18(15):15917-15935. doi:
10.1364/OE.18.015917. PMID: 20720975.
Pogue BW, Leblond F, Krishnaswamy V,
Paulsen KD. Radiologic and NearInfrared/Optical Spectroscopic Imaging: Where
is the Synergy? AJR Am J Roentgenol. 2010
Aug; 195(2):321-332. PMID: 20651186.
Isabelle M, Klubben W, He T, Laughney AM,
Glaser A, Krishnaswamy V, Hoopes PJ, Pogue
BW. Assessment of Biophysical Tumor
Reponse to PDT in Pancreatic Cancer Using
Localized Reflectance Spectroscopy. Proc. SPIE
7886,78860S. 2011.
Samkoe KS, Gibbs-Strauss SL, Yang HH,
Hekmatyar SK, Hoopes PJ, O’Hara JA,
Kauppinen RA, Pogue BW. Image Contrast in
Fluorescence and Magnetic Resonance
Images of Glioblastoma Detection. Proc. SPIE
7892,78920O. 2011.
Samkoe KS, Sexton K, Tichauer KM, Hextrum
SK, Pardesi O, Davis SC, O’Hara JA, Hoopes PJ,
Hasan T, Pogue BW. High Vascular Delivery of
EGF, but Low Receptor Binding Rate is
Observed in AsPC-1 Tumors as Compared to
Normal Pancreas. Molecular Imaging and
Biology. In Press (2011).
Mark D. Savellano
Savellano MD, Owusu-Brackett N, Son J,
Callier T, Savellano DH. Development of an
ErbB-Overexpressing A-431 Optical Reporting
Tumor Xenograft Model to Assess Targeted
Photodynamic Therapy Regimens. Photochem.
Photobiol, 2010; 86(6): 1379-1389.
PUBLICATIONS
Transplantation Surgery
David A. Axelrod
Schnitzler MA, Johnston K, Axelrod D,
Gheorghian A, Lentine KL. Associations of
Renal Function at 1-Year After Kidney
Transplantation with Subsequent Return to
Dialysis, Mortality, and Healthcare Costs.
Transplantation. 2011; 91:1347-1356.
Lentine KL, Schnitzler MA, Xiao H, Davis CL,
Axelrod D, Abbott KC, Salvalaggio PR,
Burroughs TE, Saab G, Brennan DC.
Associations of Recipient Illness History with
Hypertension and Diabetes After Living Kidney
Donation. Transplantation 2011; 91(11): 12271232.
Axelrod DA, Gheorghian A, Schnitzler MA,
Dzebisashvili N, Salvalaggio PS, Tuttle-Newhall
J, Segev DL, Gentry S, Hohmann S, Pomfret EA,
Merion RM, Lentine LK.Economic Implications
of Broad Organ Sharing. Am J Transplant
2011;11:798-807.
Salvalaggio PR, Dzebisashvili N, Macleod KE,
Lentine KL, Gheorghian A, Schnitzler MA,
Hohmann S, Segev DL, Gentry SE, Axelrod
DA. The Interaction Among Donor
Characteristics, Severity of Liver Disease, and
the Cost of Liver Transplantation. Liver Transpl.
2011;17(3):233-242.
Segev DL, Veale JL, Berger JC, Hiller JM, Hanto
RL, Leeser DB, Geffner SR, Shenoy S, Bry WI,
Katznelson S, Melcher ML, Rees MA, Samara
EN, Israni AK, Cooper M, Montgomery RJ,
Malinzak L, Whiting J, Baran D, Tchervenkov JI,
Roberts JP, Rogers J, Axelrod DA, Simpkins
CE, Montgomery RA. Transporting Live Donor
Kidneys for Kidney Paired Donation: Initial
National Results. Am J Transplant 2011
Feb;11(2):356-360.
Axelrod DA, Dzebisashvili N, Schnitzler MA,
Salvalaggio PS, Segev DL, Gentry S, TuttleNewhall JE, Lentine KL. The Interplay of
Socioeconomic Status, Distance to Center, and
Inter-Donor Service Area Travel on Kidney
Transplant Access and Outcomes. Clin J Amer
Soc Neph 2010;5:2276-2288.
Lentine KL, Schnitzler MA, Xioa H, Saab G,
Salvalaggio PR, Axelrod DA, Davis CL, Abbott
KC, Brennan DC. Racial Variation in Medical
Outcomes Among Living Kidney Donors. N Engl
J Med. 2010;363:724-732.
Zlotnick DM, Axelrod DA, Chobanian MC,
Friedman S, Brown J, Catherwood E, Costa SP.
Non-Invasive Detection of Pulmonary
Hypertension Prior to Renal Transplantation is
a Predictor of Increased Risk for Early Graft
Dysfunction. Nephrol Dial Transplant. 2010,
25:3090-3096.
Axelrod DA, McCullough KP, Brewer ED,
Becker BN, Segev DL, Rao PS. Kidney and
Pancreas Transplantation in the United States,
1999-2008: The Changing Face of Living
Donation. Am J Transplant. 2010;10(4 Pt 2):9871002.
Lentine KL, Axelrod D, Abbott KC. Interpreting
Body Composition in Kidney Transplantation:
Weighing Candidate Selection, Prognostication,
and Interventional Strategies to Optimize Health.
Clin J Am Soc Nephrol. 2011;6(6):1238-1240.
Axelrod DA, Millman D, Abecassis MM. U.S.
Health Care Reform and Transplantation: Part
II: Impact on the Public Sector and Novel
Healthcare Delivery Systems. American Journal
of Transplantation. 2010; 10:2197-2202.
Axelrod DA, Millman D. U.S. Health Care
Reform and Transplantation: Part I: Overview
and Impact on Access and Reimbursement in
the Private Sector. American Journal of
Transplantation. 2010 Oct;10(10): 2203-2207.
Michael C. Chobanian
Zlotnick DM, Axelrod DA, Chobanian MC,
Friedman S, Brown J, Catherwood E, Costa SP.
Non-Invasive Detection of Pulmonary
Hypertension Prior to Renal Transplantation is
a Predictor of Increased Risk for Early Graft
Dysfunction. Nephrol Dialysis Transplant.
25:3090-3096, 2010.
Prasad KR, Young RS, Burra P, Zheng SS,
Mazzaferro V, Moon D, Freeman RB.
Summary of Candidate Selection and
Expanded Criteria for Liver Transplantation for
HCC: A Review and Consensus Statement
from the 2010 International Consensus
Conference on Liver Transplantation for
Hepatocellular Carcinoma. Liver Transpl. 2011.
Rhee JY, Alroy J, Freeman RB.
Characterization of the Withdrawl Phase in a
Porcine Donation after the Cardiac Death
Model. Am J Transplant. 2011;11(6):1169-1175.
Urology
Elizabeth A. Gormley
Sirls LT, Tennestedt, Albo M, Chai T, Kenton K,
Huang L, Stoddard A, Arisco A, Gormley EA.
Factors Associated With Quality of Life in
Women Undergoing Surgery for Stress Urinary
Incontinence. J Urol, 184(6): 2411-2415. 2010.
John A. Heaney
Dietrich K, Demidenko E, Schned A, Zens MS,
Heaney J, Karagas MR. Parity, Early Menopause
and the Incidence of Bladder Cancer in
Women: A Case-Control Study and MetaAnalysis. Ero J Cancer 47(4):592-599, 2011.
Vascular Surgery
Friedman SE, Palac RT, Zlotnick DM,
Chobanian MC, Costa SP. A Call to Action:
Variability in Guidelines for Cardiac Evaluation
before Renal Transplantation. Clin J Am Soc
Nephrol 6(5):1185-1191, 2011.
Richard B. Freeman
Pomfret EA, Washburn K, Wald C, Nalesnik MA,
Douglas D, Russo M, Roberts J, Reich DJ,
Schwartz ME, Mieles L, Lee FT, Florman S, Yao
F, Harper A, Edwards E, Freeman R. Lake J
Report of a National Conference on Liver
Allocation in Patients with Hepatocellular
Carcinoma in the United States. Liver Transpl.
2010 Mar; 16(3):262-278.
Bandara M, Gordon FD, Sarwar A, Knauft ME,
Pomfret ED, Freeman RB, Wirth JA.
Successful Outcomes Following Living Donor
Liver Transplantation for Portopulmonary
Hypertension. Liver Tranpl. 2010 Aug; 16(8):983989.
Canter RJ, Patel SA, Kennedy T, D’Angelica MI,
Jarnagin WR, Fong Y, Blumgart LH, Freeman
RB, DeMatteo RP, Abt PL. Comparative Analysis
of Outcome in Patients with Hepatocellular
Carcinoma Exceeding the Milan Treated with
Liver Tranplantation Versus Partial
Hepatectomy. Am J Clin Oncol. 2010 Oct 8.
Jack L. Cronenwett
Goodney PP, Eldrup-Jorgensen J, Nolan BW,
Bertges DJ, Likosky DS, Cronenwett JL; for
the Vascular Study Group of New England. A
Regional Quality Improvement Effort to
Increase Beta Blocker Administration before
Vascular Surgery. J Vasc Surg 2011 May;
53(5):1316-1328.
Goodney PP, Schanzer A, De Martion RR, Nolan
BW, Hevelone ND, Conte MS, Powell RJ,
Cronenwett JL; for the Vascular Study Group
of New England. Validation of the Society for
Vascular Surgery’s Objective Performance
Goals for Critical Limb Ischemia in Everyday
Vascular Surgery Practice. J Vasc. 2011 Feb 17.
Wallaert JB, Goodney PP, Vignati JJ, Stone DH,
Nolan BW, Bertges DJ, Walsh DB, Cronenwett
JL. Completion Imaging Following Carotid
Endarterectomy in the Vascular Study Group of
New England. J Vasc Surg. 2011 Mar 30.
Stone DH, Goodney PP, Schanzer A, Nolan BW,
Adams JE, Powell RJ, Walsh DB, Cronenwett
JL; Vascular Study Group of New England.
Clopidogrel is not Associated with Major
Bleeding Complications during Peripheral
Arterial Surgery. J Vasc Surg. 2011 May 13.
Rhee JY, Ruthazer R, O’Connor K, Delmonico
FL, Luskin RS, Freeman RB. The Impact of
Variation in Donation After Cardiac Death
Polices Among Donor Hospitals: A Regional
Analysis. Am J Transplant. 2011 Aug;11(8):
1719-1726.-
D A RT M O U T H - H I T C H C O C K M E D I C A L C E N T E R D E PA RT M E N T O F S U R G E RY A N N UA L R E P O RT 2 0 1 1
53
PUBLICATIONS
Nolan BW, De Martino RR, Stone DH, Schanzer
A, Goodney PP, Daniel WW, Cronenwett JL;
Vascular Study Group of New England. Prior
Failed Ipsilateral Percutaneous Endovascular
Intervention in Patients with Critical Limb
Ischemia Predicts Poor Outcome after Lower
Extremity Bypass. J Vasc Surg. 2011 Jul 28.
Goodney PP, Schanzer A, De Martino RM,
Nolan BW, Conte MS, Cronenwett JL, Powell
RJ. Do Objective Performance Goals (OPGs) for
Critical Limb Ischemia (CLI) Apply to Everyday
Vascular Surgery Practice? J Vasc Surg 2011 Jul
54(1):100-108.
Goodney PP, Nolan BW, Eldrup-Jorgensen J,
Likosky DS, Cronenwett JL; Vascular Study
Group of Northern New England. Restenosis
After Carotid Endarterectomy in a Multicenter
Regional Registry. J Vasc Surg. 2010 Jul 9.
Bertges DJ, Goodney PP, Zhao Y, Schanzer A,
Nolan BW, Likosky DS, Eldrup-Jorgensen J,
Cronenwett JL; Vascular Study Group of New
England. The Vascular Study Group of New
England Cardiac Risk Index (VSG-CRI) Predicts
Cardiac Complications more Accurately than
the Revised Cardiac Risk Index in Vascular
Surgery Patients. J Vasc Surg. 2010 Jun 4.
Philip P. Goodney
Jain AK, Velazquez-Ramirez G, Goodney PP,
Edwards MS, Corriere MA. Gender-Based
Analysis of Perioperative Outcomes
Associated with Lower Extremity Bypass. The
American Surgeon 2011 (in press).
Scali ST, Rzucidlo EM, Bjerke AA, Stone DH,
Walsh DB, Goodney PP, Chang CK, Powell RJ.
Long Term Result of Open and Endovascular
Revascularization of Superficial Femoral Artery
Occlusive Disease. J Vasc 2011 May 25.
Stone DH, Goodney PP, Schanzer A, Nolan
BW, Adams JE, Powell RJ, Walsh DB,
Cronenwett JL. Clopidogrel is not Associated
with Major Bleeding Complications during
Peripheral Arterial Surgery. J Vasc Surg. 2011
May 23.
Goodney PP. Invited Commentary. Ann
Thoracic Surgery, 2011 Jul. 92(1) 277.
Nolan BW, De Martino RR, Stone DH, Schanzer
A, Goodney PP, Daniel WW, Cronenwett JL;
Vascular Study Group of New England. Prior
Failed Ipsilateral Percutaneous Endovascular
Intervention in Patients with Critical Limb
Ischemia Predicts Poor Outcome after Lower
Extremity Bypass. J Vasc Surg. 2011 Jul 28.
Newton WB III, Shukla M, Andrews JS, Hansen
KJ, Corriere MA, Goodney PP, Edwards MS.
Outcomes of Acute Intraoperative Surgical
Conversion During Endovascular Aortic
Aneurysm Repair. J Vasc Surg. 2011 Aug 4.
54
Edwards MS, Andrews JS, Edwards AF,
Ghanami RJ, Corriere MA, Goodney PP,
Godshall CJ, Hansen KJ. Results of
Endovascular Aortic Aneurysm Repair with
General, Regional and Local/Monitored
Anesthesia Care in the American College of
Surgeons National Surgical Quality
Improvement Program Database. J Vasc Surg
2011 June 29.
Scali ST, Goodney PP, Walsh DB, Travis LL,
Nolan BW, Powell RJ, Goodman DC, Lucas L,
Stone DH. National Trends and Regional
Variation of Open and Endovascular Repair of
Thoracic and Thoracoabdominal Aneurysms in
Contemporary Practice. J Vasc Surg 2011 Jun;
53(6):1499-1505.
Wallaert JB, Goodney PP, Bertges DJ, Zhao YY,
Vignati JJ, Stone DH, Nolan BW, Jorgensen JE,
Schanzer A, Cambria RA, Walsh DB,
Cronenwett JL. Completion Imaging Following
Carotid Endarterectomy in New England. J
Vasc Surg. 2010 Aug; 54(2) 376-385, e3.
Goodney PP, Schanzer A, De Martino RM,
Nolan BW, Conte MS, Cronenwett JL, Powell RJ.
Do Objective Performance Goals (OPGs) for
Critical Limb Ischemia (CLI) Apply to Everyday
Vascular Surgery Practice? J Vasc Surg 2011 Jul
54(1):100-108.
Goodney PP, Eldrup-Jorgensen J, Nolan BW,
Bertges DJ, Likosky DS, Cronenwett JL; for the
Vascular Study Group of New England. A
Regional Quality Improvement Effort to
Increase Beta Blocker Administration before
Vascular Surgery. J Vasc Surg 2011 May;
53(5):1316-1328.
Powell RJ, Goodney PP, Mendelsohn FO,
Moen EK, Annex BH;HGF-0205 Trial
Investigators. Safety and Efficacy of Patient
Specific Intramuscular Injection of HGF
Plasmid Gene Therapy on Limb Perfusion and
Would Healing in Patients with Ischemic Lower
Extremity Ulceration: Results of the HGF-0205
Trial. J Vasc Surg. 2010 Dec; 52(6):1525-1530.
Goldberg JB, Goodney PP, Kumbhani SR, Roth
RM, Powell RJ, Likosky DS. Brain Injury
Following Carotid Revascularization: Outcomes,
Mechanisms, and Opportunities for
Improvement. Ann Vasc Surg 2010 Feb 25
(2):270-286.
Stone DH, Scali ST, Bjerk AA, Rzucidlo EM,
Chang CK, Goodney PP, Nolan BW, Walsh DB.
Aggressive Treatment of Idiopathic AxilloSubclavian Vein Thrombosis Provides Excellent
Long Term Function. J Vasc Surg. 2010 Jul;51(1):
127-131.
Goodney PP, Schanzer A, De Martino RR,
Nolan BW, Hevelone ND, Conte MS, Powell RJ,
Cronenwett JL. Validation of the Society for
Vascular Surgeryís Objective Performance
Goals for Critical Limb Ischemia in Everyday
Vascular Surgery Practice. J Vasc Surg. 2011
Jul;54(1): 100-108.e4. Epub 2011 Feb 18.
Scali ST, Walsh DB, Travis LL, Nolan BW, Powell
RJ, Goodman DC, Lee L, Goodney PP, Stone
DH. National Trends and Regional Variation of
Open and Endovascular Repair of Thoracic and
Thoracoabdominal Aortic Aneurysms in
Contemporary Practice. J Am Col Surg 211,
S143, September 2010.
Goodney PP, Nolan BW, Eldrup-Jorgensen J,
Likosky DS, Cronenwett JL; Vascular Study
Group of Northern New England. Restenosis
After Carotid Endarterectomy in a Multicenter
Regional Registry. J Vasc Surg. 2010 Jul 9.
Bertges DJ, Goodney PP, Zhao Y, Schanzer A,
Nolan BW, Likosky DS, Eldrup-Jorgensen J,
Cronenwett JL; Vascular Study Group of New
England. The Vascular Study Group of New
England Cardiac Risk Index (VSG-CRI) Predicts
Cardiac Complications more Accurately than
the Revised Cardiac Risk Index in Vascular
Surgery Patients. J Vasc Surg. 2010 Jun 4.
Brian W. Nolan
Scali ST, Beck AW, Nolan BW, Stone DH, De
Martino RR, Chang CK, Rzucidlo EM, Walsh DB.
Completion Duplex Ultrasound Predicts Early
Graft Thrombosis After Crural Bypass in
Patients with Critical Limb Ischemia. J Vasc
Surg. 2011, Aug 4.
Nolan BW, De Martino RR, Stone DH,
Schanzer A, Goodney PP, Walsh DB,
Cronenwett JL; Vascular Study Group of New
England. Prior Failed Ipsilateral Percutaneous
Endovascular Intervention in Patients with
Critical Limb Ischemia Predicts Poor Outcome
after Lower Extremity Bypass. J Vasc Surg.
2011 Sept; 54(3):730-736.
Scali ST, Goodney PP, Walsh DB, Travis LL,
Nolan BW, Powell RJ, Goodman DC, Lucas FL,
Stone DH. National Trends and Regional
Variation of Open and Endovascular Repair of
Thoracic and Thoracoabdominal Aneurysms in
Contemporary Practice. J Vasc Surg. 2011 Jun;
53(6): 1499-1505.
Stone DH, Goodney PP, Schanzer A, Nolan
BW, Adams JE, Powell, Walsh DB, Cronenwett
JL; Vascular Study Group of New England.
Clopidogrel is not Associated with Major
Bleeding Complications During Peripheral
Arterial Surgery. J Vasc Surg. Sept; 54(3):779-784.
Wallaert JB, Goodney PP, Vignati JJ, Stone DH,
Nolan BW, Bertges DJ, Walsh DB, Cronenwett
JL. Completion Imaging After Carotid
Endarterectomy in the Vascular Study Group of
New England. J Vasc Surg. 2011 Aug; 54(2):376385.
Goodney PP, Schanzer A, De Martino RR,
Nolan BW, Hevelone ND, Conte MS, Powell RJ,
Cronenwett JL; Vascular Study Group of New
England. Validation of the Society for Vascular
Surgeryís Objective Performance Goals for
Critical Limb Ischemia in Everyday Vascular
Surgery Practice. J Vasc Surg. 2011 Jul;
54(1):100-108.e4. Epub 2011 Feb 18.
PUBLICATIONS
Goodney PP, Eldrup-Jorgensen J, Nolan BW,
Bertges DJ, Likosky DS, Cronenwett JL; Vascular
Study Group of New England. A Regional
Quality Improvement Effort to Increase Beta
Blocker Administration before Vascular
Surgery. J Vasc. 2011 May; 53(5):1316-1328.
Goldberg JB, Goodney PP, Kumbhani SR, Roth
RM, Powell RJ, Likosky DS. Brain Injury
Following Carotid Revascularization:
Outcomes, Mechanisms, and Opportunities for
Improvement. Ann Vasc Surg 2010 Feb 25
(2):270-286.
Goodney PP, Nolan BW, Eldrup-Jorgensen J,
Likosky DS, Cronenwett JL; Vascular Study
Group of Northern New England. Restenosis
After Carotid Endarterectomy in a Multicenter
Regional Registry. J Vasc Surg. 2010 Jul 9.
Scali ST, Goodney PP, Walsh DB, Travis LL, Nolan
BW, Powell RJ, Goodman DC, Lucas L, Stone
DH. National Trends and Regional Variation of
Open and Endovascular Repair of Thoracic
and Thoracoabdominal Aneurysms in
Contemporary Practice. J Vasc Surg 2011 Jun;
53(6):1499-1505.
Bertges DJ, Goodney PP, Zhao Y, Schanzer A,
Nolan BW, Likosky DS, Eldrup-Jorgensen J,
Cronenwett JL; Vascular Study Group of New
England. The Vascular Study Group of New
England Cardiac Risk Index (VSG-CRI) Predicts
Cardiac Complications more Accurately than
the Revised Cardiac Risk Index in Vascular
Surgery Patients. J Vasc Surg. 2010 Jun 4.
Goodney PP, Schanzer A, De Martino RM,
Nolan BW, Conte MS, Cronenwett JL, Powell
RJ. Do Objective Performance Goals (OPGs) for
Critical Limb Ischemia (CLI) Apply to Everyday
Vascular Surgery Practice? J Vasc Surg 2011 Jul
54(1):100-108.
Stone DH, Scali ST, Bjerk AA, Rzucidlo EM,
Chang CK, Goodney PP, Nolan BW, Walsh DB.
Aggressive Treatment of Idiopathic AxilloSubclavian Vein Thrombosis Provides Excellent
Long Term Function. J Vasc Surg. 2010 Jul;51(1):
127-131.
Scali ST, Walsh DB, Travis LL, Nolan BW, Powell
RJ, Goodman DC, Lee L, Goodney PP, Stone DH.
National Trends and Regional Variation of Open
and Endovascular Repair of Thoracic and
Thoracoabdominal Aortic Aneurysms in
Contemporary Practice. J Am Col Surg 211,
S143, September 2010.
Richard J. Powell
Stone DH, Goodney PP, Schanzer A, Nolan BW,
Adams JE, Powell RJ, Walsh DB, Cronenwett
JL. Clopidogrel is not Associated with Major
Bleeding Complications during Peripheral
Arterial Surgery. J Vasc Surg. 2011 Sep;54(3):
779-784. Epub 2011 May 14.
Scali ST, Rzucidlo EM, Bjerke A, Stone DH,
Chang C, Goodney P, Walsh D, Powell R. Long
Terms Result of Open and Endovascular
Revascularization of Superficial Femoral Artery
Disease. J Vasc 2011, May 25.
Powell RJ, Goodney PP, Mendelsohn FO,
Moen EK, Annex BH;HGF-0205 Trial
Investigators. Safety and Efficacy of Patient
Specific Intramuscular Injection of HGF
Plasmid Gene Therapy on Limb Perfusion and
Would Healing in Patients with Ischemic Lower
Extremity Ulceration: Results of the HGF-0205
Trial. J Vasc Surg. 2010 Dec;52(6):1525-1530.
Min D, Wagner R, Liu L, Guzman A, Powell RJ,
Hwa J, Witters L, Rzucidlo EM, Martin KA.
Adiponectin Induces Vascular Smooth Muscle
Cell Differentiation. Arterioscler Thromb Vasc
Bio. 2011;31(6): 1403-1410.
Brown KR, Rzucidlo EM. Acute and Chronic
Radiation Injury. JVS 2011 53(1suppl); 15s-21s.
Scali ST, Rzucidlo EM, Bjerke A, Stone DH,
Chang C, Goodney P, Walsh D, Powell R. Long
Term Results of Open and Endovascular
Revascularization of Superficial Femoral Artery
Disease. J Vasc 2011, May 25.
Goodney PP, Schanzer A, De Martino RM,
Nolan BW, Conte MS, Cronenwett JL, Powell
RJ. Do Objective Performance Goals (OPGs) for
Critical Limb Ischemia (CLI) Apply to Everyday
Vascular Surgery Practice? J Vasc Surg 2011 Jul
54(1):100-108.
Scali ST, Beck AW, Nolan BW, Stone DH, De
Martino RR, Chang CK, Rzucidlo EM, Walsh
DB. Completion Duplex Ultrasound Predicts
Early Graft Thrombosis after Crural Bypass in
Patients with Critical Limb Ischemia. JVS 2011:
Aug 4.
Scali ST, Walsh DB, Travis LL, Nolan BW, Powell
RJ, Goodman DC, Lee L, Goodney PP, Stone
DH. National Trends and Regional Variation of
Open and Endovascular Repair of Thoracic and
Thoracoabdominal Aortic Aneurysms in
Contemporary Practice. J Am Col Surg 211,
S143, September 2010.
David H. Stone
Scali ST, Beck AW, Nolan BW, Stone DH, De
Martino RR, Chang CK, Rzucidlo EM, Walsh DB.
Completion Duplex Ultrasound Predicts Early
Graft Thrombosis after Crural Bypass in
Patients with Critical Limb Ischemia. JVS 2011:
Accepted, Journal of Vascular Surgery.
Min D, Wagner R, Liu L, Guzman A, Powell RJ,
Hwa J, Witters L, Rzucidlo EM, Martin KA.
Adiponectin Induces Vascular Smooth Muscle
Cell Differentiation. Arterioscler Thromb Vasc
Bio. 2011;31(6): 1403-1410.
Nolan BW, De Martino RR, Stone DH,
Schanzer A, Goodney PP, Daniel WW,
Cronenwett JL; Vascular Study Group of New
England. Prior Failed Ipsilateral Percutaneous
Endovascular Intervention in Patients with
Critical Limb Ischemia Predicts Poor Outcome
after Lower Extremity Bypass. Accepted,
Journal of Vascular Surgery.
Wagner R, Martin KA, Powell RJ, Rzucidlo EM.
“Lovastation Induces VSMC Differentiation
Through Inhibition of Reheb and mTOR. Am J
Physiol Cell Physiol. 2010 Jul: 299(1): 119-127.
Goodney PP, Schanzer A, De Martino RR, Nolan
BW, Hevelone ND, Conte MS, Powell RJ,
Cronenwett JL. Validation of the Society for
Vascular Surgeryís Objective Performance
Goals for Critical Limb Ischemia in Everyday
Vascular Surgery Practice. J Vasc Surg. 2011
Jul;54(1): 100-108.e4. Epub 2011 Feb 18.
Eva M. Rzucidlo
Reed AB, Brown K, Bush R, Halpern V, Kibbe M,
Killewich L, Mureebe L, Ozsvath K, Rzucidlo
EM, Starr J. Regarding “Predicted Shortage of
Vascular Surgeons in the United States:
Population and Workload Analysis.” JVS. 2010 ;
51 (4): 1076-1077.
Wagner R, Martin KA, Powell RJ, Rzucidlo EM.
“Lovastation Induces VSMC Differentiation
Through Inhibition of Reheb and mTOR. Am J
Physiol Cell Physiol. 2010 Jul: 299(1): 119-127.
Stone DH, Scali ST, Bjerk AA, Rzucidlo EM,
Chang CK, Goodney PP, Nolan BW, Walsh DB.
Aggressive Treatment of Idiopathic AxilloSubclavian Vein Thrombosis Provides Excellent
Long Term Function. J Vasc Surg. 2010 Jul;
51(1):127-131.
D A RT M O U T H - H I T C H C O C K M E D I C A L C E N T E R D E PA RT M E N T O F S U R G E RY A N N UA L R E P O RT 2 0 1 1
Scali ST, Rzucidlo EM, Bjerke AA, Stone DH,
Walsh DB, Goodney PP, Chang CK, Powell RJ.
Long-Term Result of Open and Endovascular
Revascularization of Superficial Femoral Artery
Occlusive Disease. Accepted, Journal of
Vascular Surgery.
Stone DH, Goodney PP, Schanzer A, Nolan
BW, Adams JE, Powell RJ, Walsh DB,
Cronenwett JL. Clopidogrel is not Associated
with Major Bleeding Complications during
Peripheral Arterial Surgery. Accepted, Journal
of Vascular Surgery.
Scali ST, Goodney PP, Walsh DB, Travis LL, Nolan
BW, Powell RJ, Goodman DC, Lucas L, Stone
DH. National Trends and Regional Variation of
Open and Endovascular Repair of Thoracic and
Thoracoabdominal Aneurysms in
Contemporary Practice. J Vasc Surg 2011 Jun;
53(6):1499-1505.
Wallaert JB, Goodney PP, Vignati JJ, Stone DH,
Nolan BW, Bertges DJ,Walsh DB, Cronenwett JL.
Completion Imaging Following Carotid
Endarterectomy in the Vascular Study Group of
New England. Accepted, Journal of Vascular
Surgery.
55
PUBLICATIONS
Stone DH, Scali ST, Bjerk AA, Rzucidlo EM,
Chang CK, Goodney PP, Nolan BW, Walsh DB.
Aggressive Treatment of Idiopathic AxilloSubclavian Vein Thrombosis Provides Excellent
Long Term Function. J Vasc Surg. 2010
Jul;51(1): 127-131.
Wallaert JB, Goodney PP, Bertges DJ, Zhao YY,
Vignati JJ, Stone DH, Nolan BW, Jorgensen JE,
Schanzer A, Cambria RA, Walsh DB,
Cronenwett JL. Completion Imaging Following
Carotid Endarterectomy in New England. J
Vasc Surg. 2010.
Scali ST, Walsh DB, Travis LL, Nolan BW, Powell
RJ, Goodman DC, Lee L, Goodney PP, Stone
DH. National Trends and Regional Variation of
Open and Endovascular Repair of Thoracic and
Thoracoabdominal Aortic Aneurysms in
Contemporary Practice. J Am Col Surg 211,
S143, September 2010.
Stone DH, Scali ST, Bjerk AA, Rzucidlo EM,
Chang CK, Goodney PP, Nolan BW, Walsh DB.
Aggressive Treatment of Idiopathic AxilloSubclavian Vein Thrombosis Provides Excellent
Long Term Function. J Vasc Surg. 2010
Jul;51(1): 127-131.
Stone DH, Walsh DB. Graft Thrombosis:
Interrogation, Etiology, and Management. In
Cronenwett JL (ed): Vascular Surgery, 7th
Edition. W.B. Saunders Company., Philadelphia,
PA 2010.
Daniel B. Walsh
Scali ST, Walsh DB, Travis LL, Nolan BW,
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Scali ST, Rzucidlo EM, Bjerke A, Stone DH,
Chang C, Goodney P, Walsh D, Powell R. Long
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Revascularization of Superficial Femoral Artery
Disease. J Vasc 2011, May 25.
Stone DH, Goodney PP, Schanzer A, Nolan BW,
Adams JE, Powell RJ, Walsh DB, Cronenwett
JL. Clopidogrel is not Associated with Major
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For Position Only
This 2011 Annual Report was produced by the Department of Surgery
with contributions from numerous faculty and staff members.
A special thank you to Laura Stancs and to Bob Hagen of The Hagen Group,
Hanover, NH for all their efforts in coordinating this annual report.
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©2011 Dartmouth-Hitchcock Medical Center