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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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Lung disease treatment without major surgery
The Wall Street Journal
Hospitals are testing new procedures to help patients with a devastating lung disease breathe easier without major surgery. More than 15 million people have been diagnosed with chronic obstructive pulmonary disease, or COPD, according to the Centers for Disease Control and Prevention. Millions more may be unaware they have it. The disease is the third leading cause of death in the U.S., after heart disease and cancer. COPD costs nearly $30 billion in direct healthcare expenditures.
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  Uncompromising Performance. Proven Outcomes.

To learn more about the latest news, events, and best practices in EVH, visit:

Study: Age a big factor in colon surgery complications
HealthDay News via U.S. News & World Report
Patients older than 65 are more likely to die and have more complications after colon cancer surgery than younger patients, a new study finds. Researchers led by Dr. Mehraneh Jafari of the University of California, Irvine, School of Medicine examined data on more than 1 million patients, aged 45 and older, in the United States who had undergone colon cancer surgery between 2001 and 2010. Nearly 64 percent of the patients were 65 and older and more than 22 percent were 80 and older, the researchers noted.
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Less invasive technique possible for vulvar cancer
Oncology Nurse Advisor
Sentinel lymph node dissection in women with vulvar malignancies allowed gynecologic oncology surgeons to identify and remove just the sentinel nodes and follow the patients for complications and recurrence, according to new research. Using radioactive dye and blue dye, gynecologic oncology surgeons are able to identify and remove just the sentinel nodes, which is the first place the cancer will go. "The object of this study was to examine the sentinel lymph node alone in women with squamous cell carcinoma of the vulva and evaluate their recurrence in the groin and any complication rates," explained Richard G. Moore, M.D., of Women and Infants Hospital. "We discovered that removing just the sentinel node had decreased complication while maintaining a low rate of further occurrence of malignancy.
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Overcoming communication challenges of EHRs
By Jessica Taylor
The transition to electronic health records can bring some concerns for healthcare providers, including workflow, training, privacy and security. But one of the most important issues is communication, and many clinicians are concerned that using a computer with a patient will hinder communication. To overcome these challenges and make sure your patient has your undivided attention, the U.S. Department of Health and Human Services has provided five communication behaviors for the integration of EHRs into your practice.
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HHS report: Cut prices for low-risk hospital outpatient surgeries
Modern Healthcare
Medicare should pay hospitals less for low-risk outpatient surgeries, the program's fiscal watchdog suggests in a report. Bringing prices in line with those charged at cheaper ambulatory surgical centers could save the government as much as $15 billion over six years and save Medicare patients $4 billion in copayments, the report projects. HHS' Office of the Inspector General recommends that the CMS seek Congress' permission to pay hospital outpatient-surgery departments the same rates for Medicare surgeries as those received by stand-alone ambulatory surgery centers. ASCs are typically paid 30 percent to 50 percent less than hospital outpatient-surgery departments. The change would only apply to patients at low risk for complications.
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Experimental treatment repairs abdominal aortic aneurysms
The Spokesman-Review
On-again, off-again stomach pain had bothered home remodeler Jerome Holiday for more than a year, but in January, it worsened to the point of slowing him down. “If I was up on a ladder, I would have to come down,” the 59-year-old Pittsburgh resident said. “If I was doing something strenuous, I would have to stop.” Holiday had a potentially fatal abdominal aortic aneurysm, which doctors at Allegheny General Hospital repaired with an experimental procedure that could prove more effective and patient-friendly than the one that’s standard now.

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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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3-D printing and its impact on the medical implant industry
By Hannah Whiteoak
3-D printing is the process of manufacturing objects by building them up layer by layer. As this new technology develops, it is finding an ever-greater range of applications in a variety of fields. One area where 3-D printing could truly change lives is in the manufacturing of medical implants. From artificial bone and joint replacements to prosthetic body parts and life-saving pacemakers, medical implants restore quality of life to people who have been affected by injury or illness.
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5 things to know about morcellation
The Wall Street Journal (opinion)
More than 20 years ago, gynecologists had a problem. Doctors in other fields were quickly introducing minimally invasive surgery — “laparoscopic” procedures done through tiny incisions — to remove organs like gallbladders and kidneys. But a uterus filled with fibroids, common benign growths that affect a high percentage of women, can be far too cumbersome for this method. While there have long been ways to do laparoscopic hysterectomies, gynecologists say difficulty combined with lack of training slowed them down. That’s where power morcellators came in.
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FDA discourages procedure for uterine fibroids
The Boston Globe
In a major safety advisory released, the Food and Drug Administration discouraged surgeons from using a powered cutting tool to remove uterine fibroids, leading two Boston hospitals to immediately suspend the common procedure. Dr. William Maisel, deputy director for science and chief scientist at the Center for Devices and Radiological Health, said new data show the procedure can dangerously spread undetected cancers more often than previously thought, significantly worsening a woman’s chances for long-term survival.
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Referrals tapering off? This may be why
Medscape (free subscription)
If you are an independent, self-employed physician and your referrals are drying up, it could be part of the growing trend of hospitals hiring their own doctors. Hospital-employed physicians are often asked to refer patients to in-house physicians, disrupting referral patterns that independent physicians have counted on for years.
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Study may help heart failure through the Parachute Ventricular Partitioning Device
Medical Xpress
If you're jumping out of a plane, a parachute is a life-saving device. It turns out the same may be true if your heart is failing. Zachary Gertz, M.D., of Virginia Commonwealth University's Pauley Heart Center is leading a new study at VCU to monitor the effects of the Parachute Ventricular Partitioning Device, which may help in the treatment of heart failure. The trial will evaluate the Parachute device versus optimal medical therapy in approximately 500 patients at up to 65 medical centers, including VCU.
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Missed last week's issue? See which articles your colleagues read most.

    Bariatric surgery and the obesity battle (Health Leaders Media)
Most surgeons skip routine pre-op psychological screenings (Healthcare Professionals Network)
High-tech techniques in the operating room (The Boston Globe)
Complications common for adults after tonsillectomy (Reuters)

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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