Bulletin of the American College of Surgeons November/December 2023

The November-December issue of the ACS Bulletin includes a cover story on the evolving approaches to diverticulitis, as well as features on video-based technologies in the OR, the ACS state legislative highlights, the 2023 Ohio Oration from Dr. Michael Sarap, and the DEI Toolkit and Lexicon.

Executive Director’s Update

Celebrating a Year of Achievement at the ACS
Dr. Patricia Turner reflects on the standout 2023 activities and successes that helped improve healthcare and serve surgeons, including Clinical Congress, The Power of Quality campaign, and the personalized Surgeon’s Dashboard. “The ACS seeks to provide professional kinship every day, through programs that improve our work, events that connect surgeons worldwide, and personalized attention to each member,” she says.


Evolving Approaches to Diverticulitis Give Surgeons a Gut Check in Management Options
Despite the expansive occurrence of diverticulitis, standardized prevention and treatment continue to elude clinicians—although new recommendations for managing these patients are continually explored and debated. This article examines novel management treatment options for the disease, including the role of antibiotics.

Video-Based Technologies in the OR Have Potential to Transform Healthcare
Video-based feedback is an educational and informative learning approach that offers a unique method to assign qualitative and quantitative metrics for surgeons and their teams. Learn about 10 current methods for video-based assessment of surgical skills in the OR, as well as the benefits and challenges of this technology.

State Legislatures Help Advance Policies Favoring Surgical Patients 
State lawmakers have significant power in shaping policies and regulations directly affecting surgeons and their practice. In 2023, the ACS State Affairs team reviewed 5,823 bills, monitoring and tracking 877.

Ohio Oration Presents Powerful Message about the Value of Chapter Membership 
The ACS Ohio Chapter has an annual tradition, the Ohio Oration, which is part of its annual meeting. In May, Dr. Michael Sarap presented The Ohio Chapter: Surgical Collegiality in Ohio, with ACS Immediate Past-President Dr. Christopher Ellison in attendance.

ACS DEI Toolkit and Lexicon Provide Blueprint for Implementing Equitable Practices  
The ongoing development of the ACS Diversity, Equity, and Inclusion (DEI) Toolkit supports the College’s commitment to uphold the highest standards of inclusion and equity—and when completed—will feature 40+ chapters written by 87 surgeons from 25 aligned committees, workgroups, and stakeholder organizations.


Surgeons Can Champion Participation in ACS CoC Initiatives
Surgeons have a powerful voice in achieving buy-in and support from administrators and other leaders for accreditation and quality initiatives related to cancer care. This viewpoint article describes steps to take that may help initiate such conversations.

Special Section

Clinical Congress 2023 Highlights
More than 12,000 individuals participated in Clinical Congress, with nearly 11,000 traveling to Boston and more than 1,300 thousand engaging virtually and accessing the conference’s content on demand, marking a strong return to prepandemic attendance figures. This wrap-up features some of the meeting highlights and photos from the event.


  • New Sustainable Healthcare Certification Will Help Reduce Greenhouse Gas Emissions
  • Cancer QI Initiative Helps Increase Treatment Compliance
  • First World War Catalyzes Forward Surgical Care 


  • Full mCurriculum Course—Bridging Military and Civilian Trauma Surgery—Is Now Available
  • Report on ACSPA/ACS Activities, October 2023
  • Call for Nominations for ACS Officers-Elect and Board of Regents
  • Member News

Target Audience

All members of the ACS, including: 

  • Practicing surgeons 
  • Residents 
  • Medical students 
  • Retired surgeons 
  • Members of the surgical care team 

Learning Objectives

To provide readers with information they can apply as leaders of their institutions and in their daily practices, as well as timely updates on ACS activities and initiatives. 




Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Certificate of Completion
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all financial relationships with any commercial interest (termed by the ACCME as “ineligible companies”, defined below) held in the last 24 months (see below for definitions). Please note that first authors were required to collect and submit disclosure information on behalf all other authors/contributors, if applicable.

Ineligible company

The ACCME defines an “ineligible company” as any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients. Providers of clinical services directly to patients are NOT included in this definition.

Financial Relationships

Relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit.  Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.  ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of an ineligible company with which he/she has a financial relationship.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity.  Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during the educational activity, please report it on the evaluation. 

Editorial Committee Disclosures

Natalie Boden, MBA - Nothing to disclose
Director, Division of Integrated Communications

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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CME Credit Claiming Information

All learners must complete the course evaluation in order to claim a CME Certificate or a Certificate of Completion. Participants may only claim a maximum of 1.00 AMA PRA Category 1 Credits™ per month.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Certificate of Completion
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