INSIDE THIS

ISSUE:

2012 CSF APP

CAGS AGM Notice

2

Presidents’ Gala

3

CSF Invited Speakers

4, 15

CSRF Highlights

CAGS Exam Challenge

Breakfast w/Professor

7

PG Courses 8, 9,

10, 11

FLS Testing

Resident Night Resident Awards Suturing Competition

13

CAGS Update:

CSF 2012 S U M M E R 2 0 1 2

Canadian Association of General Surgeons 421 Gilmour St. Ottawa, ON K2P 0R5 Phone: 613-882-6510

The CAGS 2012 Canadian Surgery Forum Update Welcome to this special edition newsletter that focuses on the 2012 Canadian Surgery Forum that will be held this year in Calgary, Alber-ta from September 13th to September 16th. Inside you will find ex-citing highlights about the 2012 CSF Programming as well as important invitations and deadlines. Registration for this year’s CSF is already at an all-time high, as are the number of abstract submissions and speakers! Don’t miss this outstanding program and opportunity to both network and gain MOCOMP Section 1 credits. Hope to see you in Calgary!

- CSF Steering Committee

2012

Canadian Surgery Forum

Calgary, Alberta

September 13 - 16, 2012

This year, CSF attendees will be able to download the 2012 CSF App for free. This App will be availa-ble for download the first week of September, and will have the following functionality: Customizable CSF agenda Easy-to-read program in the

palm of your hand Electronic session evaluations MOCOMP credit tracking List of invited speakers List of abstracts Schedule of events

Saturday September 15th, 2012

Pursuant to the CAGS Bylaws, notice is hereby given that the Annual Meeting of Members of CAGS will be held in Calgary,

Alberta on Saturday, September 15th, 2012 1630-1730 (Exhibition Hall E, Upper Level, North Building,

Calgary TELUS Convention Centre). Please try to attend this important meeting – your presence is valued and appreciated. The

Agenda and other materials will be available at the meeting.

Notice of CAGS Annual General Meeting

The 2012 CSF App.

2012 CSF Presidents’ Gala

Come and Join Colleagues and Friends at the 2012 Presidents’ Gala

Saturday September 15th, 2012 at 7:00 PM

This year, the 2012 Presidents’ Gala will be held at one of the newest and most unique venues in Calgary. The TELUS Spark Science Centre is Canada’s first new science centre in 25 years. It is designed as a place to stimulate the creative and inquisitive spark in all of us. It is eco-friendly using captured rain water for waste management, radiant heating panels in the floors and ceilings and lighting control panels sensitive to occupancy. It features a high definition digital dome theater, and permanent interactive exhibits on the human body, the environment and energy and innovation. On Saturday September 15 at 7:00 PM, guests will be welcomed to a spectacular eco-friendly environment where they will enjoy a cocktail reception with fine food. Join the Presidents of the CSF participating societies, special guest lecturers and colleagues at this event to celebrate the closing night of the 2012 conference. Ensure your place at this exclusive evening by ordering your tickets now using the registration form. Space is limited and we expect tickets to sell out well in advance of the Forum. This is the year to purchase additional tickets and invite your residents to join you for the 2012 CSF closing event. Tickets: $150. Tickets are limited, so book today!

2012 CSF Invited Speakers

1) Dr. Kenneth A. Harris, Royal College, Ottawa Charles Tator Annual Lecture – Competence by design; Sept. 13, 1400-1700

2) Dr. Kelly K. Hunt, The University of Texas MD Anderson Cancer Center, Houston, TX

CSF Breakfast with the Professor: Management of the axilla in invasive breast cancer; Sept. 15, 0700-0750 CSSO Symposium: Current management of the axilla in breast cancer; Sept. 15, 1000-1130

CSSO Henry Shibata Lecture: Prognostic and predictive markers in breast cancer treatment; Sept. 15, 1130-1215

3) Dr. William R. Jarnagin, Memorial Sloan-Kettering Cancer Center, New York, NY

CSF Breakfast with the Professor: Approach to colorectal liver metastases; Sept. 15, 0700-0750 CHPBA Symposium: HPB surgery – Past, present and future; Sept. 15, 1530-1630

4) Dr. Paul Kortan, St. Michael's Hospital, Toronto

CAGS Symposium: Endoscopy – Innovation and intervention; Sept. 15, 1000-1130 5) Dr. Lorraine LeGrand Westfall, CMPA, Ottawa

CAGS Symposium: Service requirement of the late career surgeon – Who owes whom; Sept. 14, 1330-1450

CAGS Symposium: Professionalism and the surgeon – Some timely issues facing us as surgeons; Sept. 14 1500-1620

6) Dr. James Luketich, University of Pittsburgh School of Medicine, Pittsburgh, PA

CATS Symposium: Controversies in thoracic surgery; Sept. 14, 1430-1630

CATS F.G. Pearson Lecture: The evolution of MIS esophagectomy; Sept. 15, 1100-1200

CATS Symposium: Esophageal cancer; Sept. 15, 1415-1615 7) Dr. Robert D. Madoff, University of Minnesota, Minneapolis, MN

CSCRS Postgraduate Course; Sept. 13, 0800-1600

Part 1 – Update on the management of colorectal cancer Part 2 – Anastomotic failure and perioperative complications

CSF Breakfast with the Professor: Management of rectal cancer; Sept. 15, 0700-0750 CSCRS Philip H. Gordon Lecture: Seeking truth in the surgical literature – The education of a medical editor;

Sept. 15, 1130-1215

CSCRS Symposium: Controversies in colon cancer; Sept. 15, 1330-1530

8) Dr. Dean J. Mikami, Ohio State University, Columbus, OH

CAGS Postgraduate Course: A bariatric primer for general surgeons; Sept. 13, 0755-1200

CAGS Minimally Invasive Surgery Postgraduate Course: Hernias and abdominal wall reconstruction – What’s new in 2012; Sept. 13, 1300-1700

CABPS/CAGS Bariatric Working Group Symposium: New frontiers in bariatric surgery; Sept. 14, 1330-1450

CSF Breakfast with the Professor: Complications of bariatric surgery; Sept. 15, 0700-0750 9) Dr. Raj Padwal, University of Alberta, Edmonton

CAGS Postgraduate Course: A bariatric primer for general surgeons; Sept. 13, 0755-1200

Continued on Page 15 Page 4

Registering for the CSF has never been easier, thanks to the new on-line registration system. Please visit the CAGS Homepage that has a quick-link at www.cags-accg.ca

CAGS Exam Challenge - Join CAGS President, Dr. Ralph George as he challenges the CAGS in-training exam at this year’s Canadian Surgery Forum in September. Dr.

George can be followed on Twitter and Facebook beginning in March as he pre-pares for the exam. The exam preparation process is estimated to be worth 60 -70

MOCOMP credits, so join him and live the CAGS exam challenge! The CAGS Exam will be given at the 2012 CSF on

Sunday, Sept. 16th at 9:30 AM.

The Canadian Surgical Research Fund (CSRF) is a small charity run by CAGS that awards CAGS Resident Members annual research awards. This year, some of the past CSRF award winners will present their research projects. Come and listen to these outstanding initiatives on Friday, September 14th at 1330-1450 in Glen 201-202, Upper Level, South Building, Calgary TELUS Convention Centre. The session will be Chaired by L.E. Ferri, Montréal. Presentations are as follows: 1335 Neutrophil extracellular traps sequester circulating tumour cells and promote the development of me-tastasis: J. Cools-Lartigue, McGill University, Montréal 1350 Incisional hernia after midline versus transverse extraction incision in laparoscopic colectomy – A ran-domised trial: L. Lee, McGill University, Montréal 1405 The metabolomic signature of pancreatic cancer in urine: V. Davis, University of Alberta, Edmonton 1420 Optimizing practice schedules for learning basic skills on a computer-based laparoscopic simulator: J. Park, University of Manitoba, Winnipeg

Register now for the CSF Breakfast with the Professor on Saturday, September 15th 2012 and see the following speakers and their topics.

• Abdominal wall reconstruction with component separation: M. Rosen, Case Western Reserve University, Cleveland, OH • Approach to colorectal liver metastases: W. R. Jarnagin, Memorial Sloan-Kettering Cancer Center, New York, NY

• Assessment of soft tissue mass: A. McFadden, University of British Columbia, Vancouver • Complicated diverticulitis: J. Heine, University of Calgary, Calgary • Complications of bariatric surgery: D.J. Mikami, Ohio State University, Columbus, OH • Management of rectal cancer: R.D. Madoff, University of Minnesota, Minneapolis, MN • Management of the axilla in invasive breast cancer: K.K. Hunt, The University of Texas MD Anderson Cancer

Center, Houston, TX • Pediatric emergencies: D. Sigalet, University of Calgary, Calgary • Preparing for the exam and time management strategies: S.W. Bloom, Staten Island University, New York, NY

• Rectal prolapse: M.J. Burnstein, University of Toronto, Toronto • Rib fracture fixation: J.R. Bond, University of British Columbia, Vancouver • Surgery and global health: How to get involved: R. Taylor, University of British Columbia, Vancouver • Techniques in MIS colon resection: R.P. Boushey, The Ottawa Hospital, Ottawa • Thoracic surgery: G. Gelfand, University of Calgary, Calgary

Don’t forget to register for the CSF Breakfast with the Professor!

Highlights from the Canadian Surgical Research Fund

P A G E 8 2012 Canadian Surgery Forum Program Highlights

2012 CSF Postgraduate Courses

Thursday, September 13th , 2012

CATS Postgraduate Course: How to be a better educator in and out of the OR 0800 - 1230

Description: The half-day course is designed for thoracic surgeons who wish to improve their practical knowledge and skills in medical education. The interactive course on medical educa-tion will offer practical tips to thoracic surgeons for teaching procedural skills and providing effective feedback to learners. The use of simulators and digital technology tools in improving teaching effectiveness will also be explored. The course will also characterize the four genera-tional cohorts and generational differences that can influence learning and working. Finally, the concept of a competency-based thoracic surgery training model will be discussed.

Learning objectives: • Apply a model for teaching procedural skills; • Understand the pros and cons of competency-based medical education; • Summarize the rationale for simulation in medical education and how simulators can be used in thoracic surgery training; • Comprehend the forces that shape generational worldviews and identify generational differences that

affect teaching, learning, and working relationships; • Use strategies that help surgeons to benefit from generational diversity in the

workplace;

Describe tools for effectively teaching with digital technology; Recognize the key elements for providing effective feedback and be aware of effective feedback models.

CAGS Minimally Invasive Surgery Postgraduate Course 1300 - 1700

Hernias and abdominal wall reconstruction – What’s new in 2012

Description: The half-day course is designed for practising surgeons, residents, and other health care professionals who manage patients with hernias and other complex abdominal wall problems. The format for this interactive course will include presentations with case-based scenarios, interactive touchpads, videos, and panel discussions. The focus will be on recent advances in the treatment of hernias and abdominal wall reconstruction including op-erative strategies, tips and tricks, and how to avoid and manage complications.

Learning objectives:

Define the role of laparoscopy in the management of inguinal hernias;

Summarize recent advances in mesh used for hernia repair;

Describe the open and laparoscopic component separation technique for abdominal wall recon-struction;

Explain strategies for managing the open abdomen;

Identify strategies for managing hernias in the acute setting.

Did you know that you can register for two 1/2 day PG Courses for the same price as one full day course?

P A G E 9

C A G S C S F

2 0 1 2

Welcome to Calgary,

Alberta

2012 Canadian Surgery Forum Program Highlights

2012 CSF Postgraduate Courses (Sept. 13th, 2012 )

CAGS Postgraduate Course: General Surgery Review 0745 - 1630 Description: The one-day course is designed for practising surgeons looking for a broad-based up-to-date CME experience. Each year on the occasion of the Canadian Surgery Forum (CSF), a one-day review will take place on a regular basis to update practicing General Surgeons in the current management of frequent problems seen in daily practice. It will be a cycle of topics that will repeat every four years in order to cover the very extensive scope of general surgery. The format for this interactive course will include presentations from expert faculty with case-based scenarios and open discussion. Participants are encouraged to bring cases to be discussed.

Learning objectives: • Review the current evidence based management of common general surgical diseases; • Consolidate your knowledge across a spectrum of selected topics in general surgery.

CSCRS Postgraduate Course 0800 - 1600

Part 1 Update on the Management of Colorectal Cancer Part 2 Anastomotic Failure and Perioperative Complications

Description: The one-day course is designed for practicing surgeons, residents and other health care professionals involved in the treatment of colorectal disease. The two morning sessions will review the management of the malignant polyp followed by a review of the principles of rectal can-cer surgery. The afternoon sessions will review the principles of managing anastomotic failure and the principles of managing intra-operative complications. Each interactive session includes a panel of recognized experts. Using a case orientated approach, the panel will highlight specific decision points in surgical management through an interactive discussion and active audience participation. In addition to a discussion on the management of each case, short talks will be given by each panel-ist reviewing the current literature on specific management issues. Learning Objectives:

Manage malignant rectal polyps;

Understand the principles of operative surgery for rectal cancer;

Order and interpret appropriate staging investigations for rectal cancers;

Select the appropriate use of neoadjuvant and adjuvant therapy;

Understand the sequencing of treatment for stage IV colorectal cancer;

Understand risk factors for and the management of anastomotic failure;

Manage intraoperative complications .

Covidien is a proud supporter of the advancement of clinical education in Canada. We are very pleased to co-develop the CSCRS PG Course at this year’s Canadian Surgery Forum.

This marks the first time a non-physician organization co-develops an educational session which is accredited by the Roy-al College guidelines and standards at the Canadian Surgery Forum. Its content was developed entirely by CSCRS faculty

and is free from any commercial bias. The 2012 CSCRS PG course was co-developed with the Canadian Association of General Surgeons and Covidien and was planned to achieve scientific integrity, objectivity and balance.

We hope you will join us at the 2012 CSCRS PG Course

which will be exceptionally interactive and a highlight of the 2012 CSF.

P A G E 1 0

Ultraso

und PG Course

Sold Out!

Thursday, September 13th

2012 CSF Postgraduate Courses (continued)

CAGS/CSSO Postgraduate Course: Ultrasound for the General Surgeon 0800 - 1600 Description: The one-day course is designed for general surgeons and surgical trainees. The use of ultrasound by surgeons to aid in the diagnosis of surgical conditions has had limited uptake in Canada. Using Canadian faculty, we will offer the American College of Surgeons (ACS) ULTRA-SOUND FOR RESIDENTS course as an introduction to the use of this important diagnostic tool. As per the ACS curriculum, the course will include didactic sessions on the technology, diagnostic techniques and clinical applications of current ultrasound machines. The sessions will be accom-panied by practical stations to demonstrate and provide hands-on exposure to ultrasound of the neck, breast, chest, abdomen and an introduction to interventional procedures. Each participant will receive a SKILLS COMPANION CD prior to the course. We would like to thank the American College of Surgeons for allowing us to provide this course. Learning objectives: • Describe fundamental ultrasound technology; • Discuss how it might be used to aid in the diagnosis of surgical conditions; • Acquire sufficient exposure to this technological aid to decide if, and how it might be integrated in their

practices and whether they would wish to pursue more focused training in the use of ultrasound by the surgeon.

CAGS Minimally Invasive Surgery Postgraduate Course: A Bariatric Primer for General Surgeons 0800 - 1200

Description: Bariatric surgical procedures are increasingly being performed across Canada. The half day course is designed for practising surgeons, residents, and other health care profession-als who are interested in learning more about the common surgical procedures used to treat obesity. The format for this interactive course will include presentations with case-based scenarios, interactive touchpads, videos, panel discussions, and debates. The focus will be on who should be considered for surgery, the basic surgical procedures commonly offered, and the complications encountered by surgeons post-operatively and how to manage them.

Learning objectives: • List the indications for bariatric surgery; • Describe the most common bariatric surgical procedures; • Identify the most common early and late postoperative complications following bariatric surgery; • Explain the advantages of certain procedures in the treatment of type 2 diabetes.

The “Bariatric Primer for General Surgeons” is an educational session which is accredited by the Royal College guidelines and standards at the Canadian Surgery Forum. Its content was developed entirely by CAGS faculty and is free from any commercial bias. The 2012 CAGS Bariatric PG course was co-developed with the

Canadian Association of General Surgeons and Ethicon Endo-Surgery and was planned to achieve scientific integrity, objectivity and balance.

Ethicon Endo-Surgery is a proud supporter of the 2012 Canadian Surgery Forum

2012 Canadian Surgery Forum Program Highlights

Saturday, September 15th, 2012

0800-0930 (Exhibition Hall E, Upper Level, North Building, Calgary TELUS Convention Centre)

Description: The laparoscopic approach has been applied to increasingly complex situations, especially in the field of colorectal surgery. Transfer of experience of surgeons from high-volume advanced laparoscopic practices can assist in the training in the technical aspects of these complex cases. The session will highlight various laparoscopic dissection approaches and strategies to improve surgeons’ understanding of laparoscopic colorectal procedures, using a combina-tion of video demonstration and discussion.

Learning objectives: The session is designed for all practising surgeons and surgical trainees. At the end of the session, participants will have increased their understanding of various laparoscopic approaches to mobilization of the right and left colon, including hepatic and splenic flexure; be able to explain various and safe approaches of intra-corporeal liga-tion of major vascular pedicles involved in laparoscopic colorectal surgery; gained insight on how to safely transect the intraperitoneal or extra-peritoneal rectum; increased their understanding on how to improve the intraoperative out-

come of laparoscopic colorectal procedures in the obese patient or in a previously operated abdomen with adhesions.

Co-chaired by: A. Bouchard, Laval and R. Boushey, Ottawa Laparoscopic right colon surgery

0800 Medial to lateral approach: A.R. MacLean, Calgary 0804 Intra-corporeal ileocolic pedicle ligation (energy devices, stapler, and clips): C.J. Brown, Vancouver 0808 Mobilization of the difficult hepatic flexure: D.W. Birch, Edmonton 0812 Intra-corporeal ligation of the middle colic vessels: C.M. Schlachta, London 0816 Intra and extracorporeal anastomosis: J. Hagen, Toronto 0820 Panel discussion Laparoscopic sigmoid colon and rectal surgery 0830 Medial to lateral approaches: S. Drôlet, Québec 0834 High ligation of the IMA/IMV (energy devices, sta-

plers, and clips): L. Williams, Halifax 0838 Mobilization of the splenic flexure: D.J. Hochman, Winnipeg 0842 Tips and tricks involved with the transection of the intra peritoneal and extraperitoneal rectum: H. Moloo, Ottawa. 0846 Tips and tricks involved with the distal transection of the extraperitoneal rectum: H.M. MacRae, Toronto 0850 Panel discussion Challenging scenarios 0900 Combined laparoscopic and endoscopic resection of

colorectal tumours: I. Yang, Ottawa 0904 Tips and tricks in the obese patient: L. Klein, Toronto 0908 Tips and tricks following previous abdominal sur gery: R.C. Grégoire, Quebec 0912 Use of the hand port in laparoscopic colectomy: O.N.M. Panton, Vancouver 0916 Panel discussion

CAGS Video Session: Laparoscopic colorectal surgery – Nuts and bolts

For the first time, FLS Testing will be available at the 2012 CSF on September 14 & 15, 2012 in Calgary! The CSF FLS Testing schedule is up and available for test takers to start scheduling their exam in Webassessor. For registration information go to http://www.flsprogram.org/wp-content/uploads/2010/08/Sagesonlinetesting-testtakerselfregistration-ON-WEBSITE.pdf Please use the following information when scheduling your exam: The Test Center name is CAGS Cana-dian Surgery Forum (CSF 2012) Calgary TELUS Convention Center in the Chinook Room 2 - 3, Main Level South Building., 120 Ninth Avenue SE, Calgary, AB Canada T2G 0P3.

Testing is available all day Friday, September 14, 2012 – Saturday, September 15, 2012. Please allow at least 2 hours to complete the full FLS exam or 90 minutes for the FLS cognitive retake exam only. Be sure to bring your ID, the Webassessor authorization code that was emailed to you when you scheduled the exam, and your FLS Test voucher with you, as you will not be able to take the exam without these. We will update the exam location once a room number has been assigned and email all registered test takers 1 week prior to the start of the meeting. If you have any questions please feel free to email Inga Brissman at: inga@flsprogram.org.

Join your fellow colleagues for Resident Night at the James Joyce Pub, 114 8 Avenue SW, Calgary (just 1km from the Hyatt) on Friday Septem-ber 14th 9pm-12pm. There will be drinks and something to nibble on for all residents at the 2012 Canadian Surgery Forum. For more infor-mation, please e-mail chloe.mcalister@utoronto.ca See you there!

Page 13

Resident Night in Calgary

FLS Testing at the CSF!!

2012 Resident Awards On September 14th, 2012 at 6:30 PM, come and see the top General Surgery Residents receive awards for Teaching Excellence (chosen by the Program Director of each General Surgery Program in Canada), and the Stevens Norvell awards, which are given to the first and second highest ranked exam scores of each year of residency. The awards will be given out right before Surgical Jeopardy in MacLeod Hall A, Lower Level of the South Building in the Calgary TELUS Convention Center.

Come to the 2012 CSCRS PG Course (with visiting speaker Dr. R.D. Madoff, University of Minnesota, Minneapolis, MN)

The course will consist of: Part 1: Update on the Management of Colorectal Cancer Part 2: Anastomotic Failure and Perioperative Complications

Covidien is a proud supporter of the advancement of clinical education in Canada.

We are very pleased to co-develop the CSCRS PG Course at this year’s Canadian Surgery Forum.

This marks the first time a non-physician organization co-develops an educational session which is accredited by the Royal College guidelines and standards at the Canadian Surgery Forum. Its con-

tent was developed entirely by CSCRS faculty and is free from any commercial bias. The 2012 CSCRS PG course was co-developed with the Canadian Association of General Surgeons and Covidien

and was planned to achieve scientific integrity, objectivity and balance.

We hope you will join us at the 2012 CSCRS PG Course which will be exceptionally interactive and a highlight of the 2012 CSF.

10) Dr. Richard K. Reznick, Queen's University, Kingston

CAGS Langer Lecture: Fourteen years to specialization – Can we do it better and faster?; Sept. 14, 1000-1040

11) Dr. Michael Rosen, Case Western Reserve University, Cleveland, OH CAGS Minimally Invasive Surgery Postgraduate Course: Hernias and abdominal wall re-

construction – What’s new in 2012; Sept. 13, 1300-1700 CAGS Instructional Video Session: Hernia repair – Open/lap, anterior/posterior, tissue/

mesh ... Tips for all approaches; Sept. 14, 1700-1830 CSF Breakfast with the Professor: Abdominal wall reconstruction with component sepa-

ration; Sept. 15, 0700-0750 12) Dr. Walley J. Temple, University of Calgary, Calgary

CAGS H. Thomas G. Williams Lecture: Measure today, change tomorrow – An exciting new dimension for surgical practice; Sept. 14, 1620-1700

13) Dr. Charles Tator, University of Health Network, Toronto

Royal College Gallie Lecture: Generation of the surgeon scientist; Sept. 14, 1040-1120 14) Tien Phan & Marc Webster, Tom Baker Cancer Centre, Calgary

C A N A D I A N S O C I E T Y O F

C O L O N A N D R E C T A L S U R G E O N S

2012 CSF Invited Speakers (Continued from Page 4)

2012 Suturing Competition

On September 13th at 7:00 PM, watch the 2012 Suturing Competition with the following competitors: J. Bailey, Dalhousie University, Halifax; T. Kittmer, McMas-ter University, Hamilton; D. Ko, University of Alberta, Edmonton; C. Li, McGill Uni-versity, Montréal; A. Menezes, University of Ottawa, Ottawa; M. Ogaic, University of Saskatchewan, Saskatoon; C. Robertson-More, University of Calgary, Calgary; M. Strickland, University of Toronto, Toronto; M. Tee, University of British Colum-bia, Vancouver; D. Terterov, Memorial University, St. John's; J. Villamere, Queen's University, Kingston; A. Zhuruk, University of Western Ontario, London. The 2012 Suturing Competition will be Chaired by: S. Bergman, Montréal, and Co-ordinated by: P. Kaneva,