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ACOG issues guidelines for robot-assisted gynecologic surgery
Medscape (free login required)
Robot-assisted surgery has grown more than 25 percent annually, but committee recommendations from the American College of Obstetricians and Gynecologist (ACOG) note there are no high-quality data on cost, patient outcomes, or safety to support its rapid adoption for gynecologic surgery. Well-designed randomized controlled trials (RCTs) or "comparably rigorous non-randomized prospective trials" are needed to establish the benefits and risks of robot-assisted gynecologic surgery, the Committee on Gynecologic Practice for the Society of Gynecologic Surgeons said in an opinion published in the March issue of Obstetrics & Gynecology. The American Urogynecologic Society also endorses the opinion.
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2015 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 1 – 4, 2015 at the Hilton Suites Chicago/Magnificent Mile, Chicago, Illinois, for our 15th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 15th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Suites Chicago in the heart of incredible Chicago.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!

Register now for the 2015 FCCS — Fundamental Critical Care Support
Management principles for the first 24 hours of critical care. Two-day course — 16 hours of CME and Certificate of Completion and card.
    Course Purpose
  • To better prepare the nonintensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged.
  • To assist the nonintensivist in dealing with sudden deterioration of the critically ill patient.
  • To prepare house staff for ICU coverage.
  • To prepare critical care practitioners to deal with acute deterioration in the critically ill patient.
Course will be held before the 15th Annual AASPA CME Meeting at the Hilton Suites Chicago/Magnificent Mile.

Register today!


PAs among highest paying in-demand jobs in America
Glassdoor compiled the list of the 25 high-paying jobs that are most in demand by combing through its database of salaries posted by its users. To qualify for the list, job titles had to have received at least 75 salary reports by U.S.-based employees over the past year. Of the job titles that met the salary criteria, PAs are in the top 15, with an impressive 43,700 jobs and average base salary of $110, 871 according to the data provided by Glassdoor.
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High surgeon variation with radical prostatectomy
Cancer Therapy Advisor
Considerable practice variation exists among surgeons at a high-volume academic center when selecting patients with prostate cancer to undergo radical prostatectomy, according to a study published in The Journal of Urology. Hiten D. Patel, M.D., M.P.H., from Johns Hopkins Medical Institutions in Baltimore, and colleagues examined practice variability among urologists practicing at a high-volume academic center. The authors examined the percent of patients at low risk treated with radical prostatectomy in a given year and assessed the proportion of variance due to surgeon and temporal effects.
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New mesh technique may avoid unwanted fixation in inguinal hernias
General Surgery News
Spanish surgeons have proposed a new technique for using self-gripping mesh in inguinal hernia repair that may reduce problems of accidental fixation to undesired structures during surgery. In a report published online in Hernia, J.L. Porrero, M.D., and colleagues at the Universitario Santa Cristina in Madrid described a technique in which they fold the upper third of the mesh over the center third, hiding the microgrips that make the mesh sticky.
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3 biotech solutions for knee repair
Scientific American
If you look very carefully at the C-curved squiggle taking shape on a 3-D printer at Columbia University Medical Center, you just might spot the future of knee repair. Layer by layer, the machine's tiny needle squirts out a bead of white polymer, matching a virtual blueprint of a meniscus — the semicircular band of tough, fibrous cartilage that serves as the knee's shock absorber. A bioprinter in the laboratory of Jeremy Mao can churn out three menisci in just under 16 minutes.
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Same-day bilateral cataract surgery gains ground, but obstacles remain
Performing immediately sequential bilateral cataract surgery, or ISBCS, as opposed to scheduling two separate surgery days, continues to gain popularity, due mostly to patient convenience and cost savings. However, the safety of same-day surgery is still a lingering concern to some, as are suboptimal visual outcomes. U.S. surgeons also point out unjust compensation: Treating the second eye on the same day is reimbursed at only 50 percent of the first eye.
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2 diagnostic tests can help identify children who require surgical treatment for appendicitis
Data from two standard diagnostic tests commonly obtained in children evaluated for abdominal pain — when combined — can improve the ability of emergency department physicians and pediatric surgeons to identify those patients who should be sent to the operating room for prompt removal of an inflamed appendix; those who may be admitted for observation; and those who may safely be discharged home, according to a new study published online as an "article in press" in the Journal of the American College of Surgeons (JACS).
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For diabetics, treatment with stem cells may avert amputation
PRNewswire via Ortho Spine News
According to data presented at the 73rd Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS), advances in stem cell therapy can significantly improve outcomes for patients with chronic diabetic foot ulcers. Use of stem cells to treat foot problems like diabetic ulcers may speed up the healing process, preventing infection and hospitalization during recovery. Stem cells are undifferentiated biological cells found in blood and bone marrow among many other tissues. Sometimes referred to as the “Swiss army knife of healing,” stem cells have the ability to develop into many different cell types in the body, including bone, cartilage and fat.
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Simple in-office surgical procedure to treat persistent sinusitis is safe and effective
HCP Live
In patients with normal physiology, clia propel mucous from various sinuses through the ostia to the nasopharynx, where it is swallowed. Recirculation — circular movement of the mucus blanket in a paranasal sinus due to the presence of an extra ostium — can cause persistent rhinosinusitis in either the pre- or post-surgical patients. About 4 percent of patients have an extra ostium, and most of these patients report trouble clearing sinus secretions and postnasal drip.
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Extreme sports or extremely stupid? Risk-takers place burden on medical system
By Mark Huber
Author Mark Huber writes: Is it an extreme sport or just extremely stupid? That's the question I had after a recent PR blurb from the Los Angeles County Sheriff caught my eye. Rescues performed by the department's volunteer search-and-rescue teams, often with the assistance of Air Rescue 5, increased 20 percent in 2014 from the previous year. The department attributed most of this increase to "social media and the posting of extreme videos, showing hikers performing high-risk outdoor adventures."
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Missed last week's issue? See which articles your colleagues read most.

    On the cutting edge: PAs excel in robotic surgery (PA Professional)
Finding a job in healthcare: Negotiations (By Catherine Iste)
9 out of 10 surgeons believe advanced surgical energy devices could revolutionize surgery in the future (News-Medical)
Survey: Patient engagement continues to face challenges (By Scott E. Rupp)
How to reduce anxiety and pain during surgery with small talk and stress balls (Medical Daily)

Don't be left behind. Click here to see what else you missed.


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Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 469.420.2661   
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