SHARE:  
surgeON-logo image

A NEWSLETTER FOR THE DEPARTMENT OF SURGERY

at McGovern Medical School at UTHealth Houston

May 2024

AWARDS

McNutt Named Chief Medical Officer for Memorial Hermann-Texas Medical Center

Michelle-McNutt image

Michelle McNutt, MD, FACS, professor in the Department of Surgery and holder of the Memorial Hermann Endowed Chair in Surgery at McGovern Medical School, has been appointed the Chief Medical Officer for Memorial Hermann-Texas Medical Center (TMC). This appointment is part of a new medical leadership team recently announced at Memorial Hermann-TMC and Children’s Memorial Hermann Hospital, aimed at enhancing inpatient services and academic initiatives within the Texas Medical Center.


McNutt will focus on leading strategic efforts to enhance patient care outcomes and drive continuous improvement initiatives at Memorial Hermann-TMC. She joins a distinguished group of faculty members dedicated to advancing the university's mission through collaborative healthcare strategies across adult and pediatric services. McNutt's expertise and leadership will be pivotal in fostering interdisciplinary programs and ensuring high-quality care delivery.


This appointment reflects McNutt's commitment to advancing healthcare excellence at Memorial Hermann-TMC, recognizing her significant contributions to surgery and patient outcomes in the Texas Medical Center.

Thosani & Wadhwa Named Among Top 1% of GI Surgeons Nationally

We are thrilled to announce that two of our distinguished surgeons, Nirav C. Thosani, MD, MHA, Atilla Ertan, MD, Endowed Chair in Gastroenterology and Professor in the Department of Surgery, along with Vaibhav Wadhwa, MD, Assistant Professor in the Department of Surgery, have been recognized among the top 1% of GI surgeons nationally. This prestigious accolade highlights their exceptional expertise and commitment to gastrointestinal surgery. Their inclusion on this list distinguishes them as leading specialists not only within our community but across the country. It's an honor to have such esteemed professionals on our Interventional Gastroenterology (iGUT) team, exemplifying our dedication to healthcare excellence.


This recognition places the iGUT Clinics prominently on the map, as only five GI surgeons from Houston were selected, and we are proud to have two representatives from our institution here at McGovern Medical School at UTHealth Houston.


You can find more details about this significant achievement and view the complete list of recognized surgeons on the Avant-Garde website. Join us in congratulating Thosani and Wadhwa for their outstanding contributions to the field and their unwavering dedication to improving patient outcomes.

Thosani image

Nirav C. Thosani, MD, MHA

VWadhwa image

Vaibhav Wadhwa, MD

Stewart Appointed Co-Medical Director of LBJ SICU

Stewart image

Exciting news at Harris Health Lyndon B. Johnson Hospital! Melissa K. Stewart, MD, FACS, Assistant Professor in the Department of Surgery, has assumed the role of Co-Medical Director of the Surgical Intensive Care Unit (SICU) effective May 1, 2024. We extend our heartfelt appreciation to David Kim, MD, FACS, for his exceptional leadership in this role over the years. Stewart completed her general surgery training at Vanderbilt University Medical Center and her surgical critical care fellowship at Washington University School of Medicine. She later joined UTHealth Houston in 2022 after serving on the faculty at Washington University. The SICU co-director is George Williams, MD, a Professor in the Department of Anesthesiology. Join us in warmly welcoming Stewart to her new position and anticipating her valuable contributions to this role!

EDUCATION

Surgeons Discuss the Future of Surgical Education

Sasha D. Adams, MD, FACS, Program Director, David H. Kim, MD, FACS, Associate Program Director, and Ms. Joann Laurent, Residency Coordinator of the General Surgery Residency Program at UTHealth Houston, attended Surgical Education Week in Orlando, Florida. Surgical Education Week combines the annual meetings of the Association for Surgical Education and the Association of Program Directors in Surgery. This year’s theme was: “The Future is Here and Now: Educational Technology and Surgery.”


Adams moderated a debate-style discussion on April 27th that tackled the pros and cons of the recent Supreme Court decision striking down the use of race as a consideration in admissions and recruitment in higher education. Debaters Ronald Timothy Cotton, MD, FACS from Baylor College of Medicine, and Jacob D Edwards, MD from the University of Tennessee at Knoxville, presented arguments on either side, but agreeing on the importance of holistic applicant reviews being vital to recruitment regardless of the law.

Innovations Shine at Annual Quality Symposium

The UTHealth and Memorial Hermann-TMC Annual Quality Symposium and Clinical Safety & Effectiveness (CSE) Graduation were held on May 3, 2024. Surgery was well represented. In the morning, new CSE graduate Michelle Scerbo, MD, MS, FACS, presented her CSE project on "Improving the Transfer of Patients with a Traumatic Injury to a Level III Trauma Facility". Lillian S. Kao, MD, FACS, Professor, Chief of Acute Care Surgery, and Jack H. Mayfield, MD, Chair in the Department of Surgery, gave the keynote address. She herself graduated from the CSE program in 2007. Her talk was entitled “Taking Quality Improvement to the Next Level” and discussed an action plan to become a learning health system and improve quality at a community and societal level.


The Department of Surgery was well represented at the Annual Quality Symposium. Gabrielle Hatton, MD, first-year Acute Care Surgery Fellow, received a second place Graham Award for Patient Safety and Quality Improvement for her multidisciplinary project with interventional radiology:


Leveling the Field: Decreasing Time to Angioembolization and Improving Outcomes After Hours with a STAT Interventional Radiology System for Severely Injured Trauma Patients

Gabrielle E Hatton, Anna K Mydlowska, Rodrick C. Zvavanjanja, Ahmed K. Abdel Aal, Anil K Pillai, Michelle K. McNutt, Lillian S. Kao, Laura J Moore


Dr. Anna Mydlowska, second-year Acute Care Surgery Fellow, received a learning healthcare award for her project:

Ten Thousand Repetitions: Getting VTE Prophylaxis Right

Anna K. Mydlowska, Gabrielle E. Hatton, Morgan P. Baker, Lauren C. Haley, Michelle K McNutt, Lillian S Kao, David H Kim, Laura J Moore


Other posters that were on display included:


Navigating Health Literacy: Comparison of Assessment Tools in a Surgical Safety-Net Population

Mokunfayo Fajemisin, Stephanie Martinez Ugarte, Gabrielle E Hatton, Jackson Burns, Lillian S. Kao, Krislynn Mueck


Activating Early, Activating Often, and Delivering Blood Quicker: The Impact of Massive Transfusion Activation Volumes on Time to Delivery of the First Cooler

Devi Bavishi, Carter Kaminski, Michael Van Gent, Thomas C. Clements, Lillian S. Kao, Robin Hobbs, Yu Bai, Bryan A. Cotton


Optimizing the Management of Patients Requiring Gastrostomy Tube: Overcoming Institutional Frustration Using Change Management, Lean, and Six Sigma

Rya Clark, Ahmed K. Abdel Aal, Kristen Abraham, Shahroz K. Aziz, Brooks D. Cash, Matthew Drews, Elizabeth G. Holt, David H. Kim, Madison Shcrimsher, Andreea S. Xavier, Michael W. Wandling


Congratulations to all who successfully completed their patient safety and quality improvement projects!

UTHealth Houston at SAGES Annual Meeting

The Society for American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting took place in Cleveland from April 17th - 20th. The theme of this year's meeting was Innovate and Collaborate for a Sustainable Future. As usual, the meeting was packed with presentations on emerging surgical technologies, incorporating new innovations into practice, and expert-led "how-I-do-it" video-based education. 


Erik Wilson, MD, FACS, professor and Lynn and Oscar Wyatt Chair in Metabolic Research and Director of the Division of Elective Surgery at McGovern Medical School, Co-Chaired a hands-on session on the Endo Sleeve procedure. The session's goal was to teach participants endoscopic suturing techniques from the experts and apply these skills to the endoscopic sleeve gastroplasty procedure. 



Many from UTHealth Houston were in attendance, including a large number of the MIST Faculty and Ricardo Collazo, PGY5, who touted it as a "fantastic learning experience".

HIGHLIGHTS

Real-world Utilization of Active Surveillance After GPS Testing for Localized Prostate Cancer

Steven E. Canfield, MD, professor and chief of the Division of Urology in the Department of Surgery, shares the results of his recent study looking at the real-world utilization of active surveillance among men with localized prostate cancer who were tested with the genomic prostate score assay.


Canfield presented his results at the 2024 European Association of Urology Congress.

Texas Surgical Society Spring 2024 Meeting Highlights

The Spring 2024 Texas Surgical Society Meeting convened this year in Waco, Texas, from April 5th to 7th. It was a remarkable event for our department, marked by noteworthy achievements and scholarly contributions.


Sasha D. Adams, MD, FACS, associate professor in the Department of Surgery and the program director and vice-chair of Surgical Education, showcased exceptional prowess by clinching the Texas Surgical Society Running Style Champion title.


Marianne Cusick, MD, FACS, associate professor and director of Colorectal Surgery, and Jeffrey L. Van Eps, MD, FACS, assistant professor, both presented insightful papers during the event, enriching the academic discourse.


Furthermore, the induction of Michael J. Snyder, MD, FACS, professor and program director of the Colon and Rectal Surgery Residency Training Program, as a new member of the Texas Surgical Society, emphasized our department's commitment to excellence and leadership.


These achievements highlight the dedication and expertise of our faculty, contributing to our department's standing as a center of innovation and academic excellence within the Texas Surgical Society.

Sutton Delivers Inspiring Grand Rounds

Dr. Beth Sutton, President-Elect of the American College of Surgeons (ACS), gave Grand Rounds for the Department of Surgery at UTHealth Houston on April 25, 2024. Dr. Sutton is in private practice general surgery in Wichita Falls, Texas. She has held multiple past leadership roles, including but not limited to being the Past President of the Association of Women Surgeons and the Past President of the Texas Surgical Society. With regards to the ACS, she is the past Chair of the Board of Regents and a past member of the Executive Committee of the Board of Governors. The department was extremely honored to have hosted her for Grand Rounds.



In honor of Dr. Sutton, UTHealth Houston co-sponsored an event with other local institutions- Houston Methodist Hospital, Baylor College of Medicine, MD Anderson Cancer Center, and the University of Texas Medical Branch - on the night preceding her talk. There was even a mariachi band! There was outstanding representation from all institutions for this special occasion.

On April 27, 2024, Casey B. Duncan, MD, MS, FACS, Assistant Professor of Surgical Oncology with the Department of Surgery, participated in the Texas MS150, an annual ride to support research and services for patients with Multiple Sclerosis. Duncan biked 75 miles across Texas and raised over $1,200. Thank you to all who donated! Fundraising is still ongoing to help end MS.

Publications of Note

Cotton BA. Facing futility in hemorrhagic shock: when to say 'when' in children and adults. Trauma Surg Acute Care Open. 2024;9(Suppl 2):e001448. doi:10.1136/tsaco-2024-001448. PMID: 38646027. PMC11029276.


Kao LS. Towards a learning trauma system: Aligning quality improvement and research strategies. Injury. May 2024;55(5):111515. doi:10.1016/j.injury.2024.111515. PMID: 38575395.


Kessler DA, Webber HE, de Dios C, Yoon JH, Schmitz JM, Lane SD, Harvin JA, Heads AM, Green CE, Kapoor S, Stotts AL, Motley KL, Suchting R. Opioid Risk Tool, in-hospital opioid exposure, and opioid demand predict pain outcomes following traumatic injury. J Health Psychol. Apr 19 2024:13591053241242543. doi:10.1177/13591053241242543. PMID: 38641873.


Lubkin DT, Mueck KM, Hatton GE, Brill JB, Sandoval M, Cardenas JC, Wade CE, Cotton BA. Does an early, balanced resuscitation strategy reduce the incidence of hypofibrinogenemia in hemorrhagic shock? Trauma Surg Acute Care Open. 2024;9(1):e001193. doi:10.1136/tsaco-2023-001193. PMID: 38596569. PMC11002398.


Maiga AW, Snyder RA, Kao LS, Raval MV, Patel MB, Blakely ML. Advancing Randomized Clinical Trials in Surgery: Role of Exception From Informed Consent, Central Institutional Review Board, and Bayesian Approaches. J Surg Res. 2024 Apr 25:S0022-4804(24)00167-7. doi: 10.1016/j.jss.2024.03.048. Epub ahead of print. PMID: 38670847.


Salim A, Cotton BA. Victory out of tragedy: organ donation. Trauma Surg Acute Care Open. 2024;9(Suppl 2):e001408. doi:10.1136/tsaco-2024-001408. PMID: 38646028. PMC11029243.


Van Gent JM, Clements TW, Lubkin DE, Kaminski CW, Bates JK, Sandoval M, Puzio TJ, Cotton BA. 'Door-to-prophylaxis' as a novel quality improvement metric in prevention of venous thromboembolism following traumatic injury. Trauma Surg Acute Care Open. 2024 Apr 22;9(1):e001297. doi: 10.1136/tsaco-2023-001297. PMID: 38666014; PMCID: PMC11043729.

GRAND ROUNDS

Date: May 9, 2024

Presentation Topic: Operative Liver Trauma: A History from Then to Now

Speaker: Matt Leatherman, DO


Date: May 16, 2024

Presentation Topic: I look like a surgeon…but does a surgeon look like me? Past, present, and the future?

Speaker: Anna Mydlowska, MD


Date: May 23, 2024

Presentation Topic: TBA

Speaker: Naila Dhanani, MD, Ashley Dawson, MD, and Nicholas Zhou, DO


Date: May 30, 2024

Presentation Topic: TBA

Speaker: Carter Kaminski, MD

IN THE NEWS

Deborah Horn, DO, MPH, was mentioned in a USA Today article about how semaglutide works for weight loss. The story was picked up by 23 other publications.


Deborah Horn, DO, MPH, talked to the Houston Chronicle about how semaglutide and tirzepatide work for people trying to lose weight. 


Deborah Horn, DO, MPH, was included in a USA Today article about how semaglutide works for weight loss. The story was picked up by AOL and 60 other publications.

SOCIAL MEDIA SPOTLIGHT

Thank you to visiting professor Dr. Shaun Mendenhall @pedshanddoc for leading a fantastic Upper and Lower Extremity Flaps Lab for our residents! @childrensphila

Annual field trip up to the #helipad in @memorialhermann 🚁


baby (x2) on board


mms-logo image

Editorial Team: Dr. Lillian S. Kao, Dr. Casey B. Duncan, Dr. Peter A. Walker, and Dr. Elias A. Chamely


For content submissions, email Sophia.M.Solis@uth.tmc.edu.