Panel: Case Presentations
Rick Bell, MD, FACS, Moderator

• Identify new strategies for determining which patients need sentinel node identification and biopsy.
• Identify specific criteria to determine appropriate margins for local excision of melanoma.
• Apply criteria to determine the appropriate application of sentinel lymph node biopsy for breast cancer.
• Identify a specific strategy to improve sentinel lymph node identification.
• Identify appropriate management options for Ductal Carcinoma in situ.
• Apply specific criteria to determine which women are appropriate candidates for breast conservation surgery.
• Determine the elements of E/M coding for application to billing procedures.
• Select specific strategies for compliance with Pay-for-Performance guidelines.
• Identify appropriate candidates with colorectal carcinoma for surgical resection of liver metastases.
• Select appropriate patients for liver tumor ablation and other liver-directed therapies.
• Identify the unique characteristics in the presentation and diagnostic work-up of patients with islet cell tumors.
• Recognize the appropriate surgical approach for patients with these tumors.
• Select appropriate patients for a new surgical approach to primary hyperparathyroidism.
• Apply a new diagnostic approach for patients with a solitary thyroid nodule.
• Identify patients who would benefit from newer solitary thyroid nodule diagnostic maneuvers.
• Identify the impact of new technology as it is introduced into clinical practice.
• Identify strategies that permit the safe implementation of new technology in one's clinical practice.
• Identify three tumors that have SST-2 receptors.
• Discuss the clinical significance of SST-2 receptors in patient management.
• Apply the concept of targeted tumor therapy with radiolabeled peptides to induce tumor destruction.
• Identify three risk factors associated with a patient filing a malpractice claim.
• Apply strategies to reduce and minimize the impact of medical-legal risk.
• Discuss the two aspects of "Closed Claims Analysis" and two strategies that may be employed in clinical practice.
• Identify the characteristics that separate bariatric procedures into categories and how this may be used to identify appropriate weight loss procedures for individual patients.
• Identify patients at risk for the enterohepatic syndrome associated with bariatric
  surgery.
• Employ strategies that are useful for prevention and management of enterohepatic syndrome associated with bariatric surgery.
• Recognize the areas of general surgery where the acute shortage of surgeons has had the greatest impact.
• Discuss how the demographics of surgical training will impact the delivery of surgical care in your practice.
• Apply the current demographics of surgical training to finding local solutions to surgical manpower shortages.
• Discuss the concept of the "rural surgeon" and why this may or may not solve many of the surgical manpower issues in the underserved areas of the United States.
• Identify patients who are candidates for palliative procedures for pancreatic cancer.
• Apply new techniques for pancreatic resection for malignancy.
• Discuss the surgical maneuvers that can result in common bile duct injury and the strategies to prevent this complication.
• Apply surgical techniques to repair injures to the bile ducts.
• Identify suitable patients for a surgical approach to management of their acute pancreatitis.
• Utilize endoscopic and surgical interventions for complications of acute pancreatitis.
• Identify patients who may be candidates for referral to regional centers for complex operations.
• Apply the volume/outcome relationship for various surgical procedures to current surgical practice and referral.
• Apply the pathophysiology of chest injuries to clinical management.
• Identify the appropriate diagnostic and treatment options for blunt and penetrating thoracic injures.
• Define the current crisis faced by the health care system with respect to surgical care.
• Discuss potential strategies that can be employed to avert disaster related to the current health care crisis in surgical care.
• Identify the key components of the proposed Acute Care Surgery Curriculum.
• Discuss the potential impact the Acute Care Surgery Curriculum will have on surgical management of emergencies and injury.
• Discuss the impact of the evolution of management of traumatic aortic disruption on current practice.
• Implement an effective treatment algorithm for patients with wide mediastinum into the practice of a non-trauma surgeon.
• Employ new techniques for the exposure of vascular injuries of the neck, torso and extremities to improve surgical outcome.
• Employ the important decision-making steps and the surgical tricks that maximize outcomes in vascular injuries of neck, torso and extremities.