Bulletin of the American College of Surgeons October 2022

The October issue of the ACS Bulletin features a cover story on recognizing the signs of imposter syndrome, as well as features on intimate partner violence, trauma advocacy, a trailblazing plastic surgeon, and more.

In this issue:

Executive Director & CEO Update
Your Voice Can Be Nearly as Important as Your Hands
Surgeons are uniquely positioned to be a trusted voice for lawmakers making decisions about patient care. Dr. Patricia Turner provides examples of how surgeon advocacy has translated to recent legislative wins, outlines the work that still needs to be done, and describes why even young surgeons can make an impact. 

Feeling Like a Fraud? Recognize the Signs of Imposter Syndrome
If you have ever doubted your surgical skills or wondered if you possess the talent and experience necessary to be a leader, you are not alone. Three successful surgeons offer details about their personal battles with imposter syndrome and how they deal with feelings of self-doubt, anxiety, and a perceived inability to meet expectations. 

Understanding Intimate Partner Violence: How to Break the Cycle
In recognition of national Domestic Violence Awareness month, this article describes intimate partner violence behavior and issues a call to action for surgeon participation to help break the cycle of violence.

The Critical Role of Trauma Advocacy and Injury Prevention
The final installment of the COT at 100 series highlights major accomplishments in injury prevention and treatment, including state and federal legislation, game-changing educational courses, and current efforts to create a national trauma and emergency preparedness system. 

Dr. Kerri Woodberry: The Changing Face of Academic Plastic Surgery
The first Black woman to serve as chief of a division of academic plastic surgery in the US describes what it’s like to experience “firsts,” offers advice for those pursuing an academic surgical career, and explains why it’s important to seek out strong mentorship.

Dr. Amalia Stefanou: Profile in ACS Leadership 
As Chair of the Governing Council for the ACS Young Fellows Association, Dr. Stefanou explains how she fell in love with surgery, how ACS membership has enriched her career, and why it’s essential for all members to be involved with ACS activities.

Introduction of a New Quality Improvement Framework
Approach to Decreasing CT Utilization for Diagnosing Appendicitis
Genetic and Genomic Testing and Implications in Treatment for Pancreatic Adenocarcinoma
2023 Changes to Reporting Inpatient and Observation E/M Services
The Joint Commission Releases Speak Up™ to Help Patients Navigate Telehealth
Surgeons as Diversity, Equity, and Inclusion Change Agents: Yes, You Can

Dr. Ernestine Hambrick Recognized as Inspiring Surgeon
Surgeons Honored for Volunteerism and Humanitarian Efforts
Medical Summit on Firearm Injury Prevention Promotes Collaborative Approach to Address Firearm Violence
SESAP 18 Offers Opportunities for Personalized Learning
In Memoriam: Dr. W. Gerald Austen, Cardiac Surgery Pioneer
Apply for 2023–2025 ACS Clinical Scholar in Residence Positions by October 31


Target Audience

All members of the ACS, including:

  • Medical students
  • Residents
  • Practicing surgeons
  • 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.


  • For questions about the educational activity, please contact Natalie Boden at nboden@facs.org
  • For technical questions, please contact us at Learning@facs.org.
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.

American College of Surgeons and ACGME Logos

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
Please login or register to take this course.

You may enroll in the online learning course free of charge. 

You will be asked to register for the course and provide information to complete the registration process.

Once you have completed the registration process, an email will be sent to you with the confirmation and course login information.