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2014 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 23-26, 2014 at the Hilton Union Square in San Francisco, CA, for our 14th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 14th 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 Union Square in the heart of incredible San Francisco, CA.

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!

Click here to REGISTER NOW for best pricing!
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Register now for the 2014 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 non-intensivist 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 non-intensivist 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 14th Annual AASPA CME Meeting at the Hilton Union Square, San Francisco, CA
Register today!
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High-tech techniques in the operating room
The Boston Globe
Robot-assisted prostate cancer surgery is not new, but still some patients think of sci-fi automatons at work, said Dr. Stefanie Seixas-Mikelus. But the procedure is better typified as smart tools operated by competent clinicians. Seixas-Mikelus is one of a handful of fellowship-trained, female urologists who apply robotic surgery techniques to operate inside the body. “Instead of large incisions needed to allow a surgeon’s hands access to organs, a surgeon controls robotic-type hands in real time, precisely manipulating small scopes and instruments — without the possible hand tremors or fatigue that a surgeon can experience,” said Dr. Seixas-Mikelus.
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Most surgeons skip routine pre-op psychological screenings
Healthcare Professionals Network
Since 2002, the United States Preventive Services Task Force (USPSTF) has recommended preoperative psychological screening (PPS) for patients undergoing back surgery. The PPS starts with a 20- to 25-minute patient questionnaire and promotes follow-up with a longer assessment by a trained psychologist as needed. To determine how many surgeons actually comply with this recommendation, researchers at Johns Hopkins University conducted a survey, the results of which appeared in the April 2014 issue of the Journal of Spinal Disorders & Techniques.
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Bariatric surgery and the obesity battle
Health Leaders Media
Mounting concern over obesity in America has put the spotlight on bariatric surgery. Interest in this approach to weight-loss spiked between 2000 and 2004. The number of inpatient surgeries then began to decline from a high of 130,158 in 2004, according to the Agency for Health Quality Research. Still, many hospitals and health systems find it important to offer the service for patients who cannot lose weight through diet and lifestyle changes.
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Complications common for adults after tonsillectomy
Adults have a high rate of complications after getting their tonsils removed, so plan for adequate recuperation after the surgery, researchers say. "Most of these are not life threatening problems, but people may not be back to work in a hurry," said Dr. David Rosen, a specialist in Otolaryngology and Head and Neck Surgery at Thomas Jefferson University Hospital in Philadelphia. "Just go into it realistically," said Rosen, who was not involved in the new study. "Most people will feel pretty good in a week, but it may really be more uncomfortable than you think."
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Is your operating room leaking money?
MedCity News
Organic growth of total joint replacement volume is growing at 3-4% per year as the number of physicians entering orthopedic residency programs is in decline. Cuts in Medicare reimbursement for total joints is forecast every year, producing stressors for the surgeon to perform more surgery just to tread water financially.

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Transplant drugs may help wipe out persistent HIV infections
Infection Control Today
New research suggests that drugs commonly used to prevent organ rejection after transplantation may also be helpful for combating HIV. The findings, which are published in the American Journal of Transplantation, suggest a new strategy in the fight against HIV and AIDS. Despite the effectiveness of antiviral therapies at suppressing HIV, the virus still persists indefinitely at low levels in infected patients who are diligent about taking their medications.

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Cosmetic surgeries top 15 million
Newsmagazine Network
More than 15 million cosmetic surgeries were performed in the U.S. last year, making 2013 the fourth consecutive year of growth for the plastic surgery industry. According to the American Society of Plastic Surgeons (ASPS), minimally invasive and surgical cosmetic procedures increased 3 percent from 2012 to 2013.

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New approaches to treating liver problems in children
New York Daily News
One positive development over the past few years has helped more children get the transplant they need. “In the past, both children and adults used to die on the waiting list for a liver,” says Dr. Ronen Arnon. “But recently, we have increased the number of potential grafts in two ways: by using a living related donor, and by pursuing different surgeries that can take one liver and give part to an adult and the smaller part to a child.”
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Lab-grown cartilage used to perform nose reconstruction surgery
Researchers from Switzerland's University of Basel have performed the first successful nose reconstruction surgery using engineered cartilage grown in the laboratory. The cartilage was spawned form the patient's own cells in an approach that could circumvent the need for more invasive surgeries. The team applied the treatment to a group of five patients aged 76-88. The patients had previously received surgery to remove non-melanoma skin cancers, leaving them with severe defects in the cartilage of their noses.
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In surprise move, CMS announces Medicare Advantage pay increase
By Pamela Lewis Dolan
After proposing in February a 1.9 percent cut in reimbursement to insurers in the Medicare Advantage program, Medicare made a surprise announcement and said there would, instead, be a 0.4 percent increase. This is the second year Medicare has reversed proposed cuts despite a provision in the Affordable Care Act to bring pay parity between traditional Medicare and Medicare Advantage. The decision came as a surprise, especially to insurance industry leaders who were pushing for rates to remain unchanged.
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Doctors push for more access to minimally invasive hysterectomies
A group of Canadian doctors are on a mission to train their colleagues so that more women can access a minimally invasive type of hysterectomy that has fewer complications than the traditional way of performing the surgery. Hysterectomies are the second most-common type of surgery performed on women in North America. Each year, Canadian doctors perform about 50,000 hysterectomies, with 60 to 65 percent performed as open surgeries.
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Missed last week's issue? See which articles your colleagues read most.

    3-D printed livers guide transplant surgeons' hands (Healthline News)
Pennsylvania surgeons remove chain saw blade from tree trimmer's neck (TribLive)
Hernia repair recovery often longer than expected (HealthDay News)
British surgeons fix man's face after he shatters every bone in fall (New York Daily News)

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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