Bulletin of the American College of Surgeons October 2023

The October issue of the ACS Bulletin includes a cover story on the Surgical Metrics Project and Surgical Ergonomics Clinic at Clinical Congress 2023, as well as features on obesity and surgical complications, daily ethical challenges for surgeons, major awards presented at Clinical Congress, and breast cancer patients and smoking cessation.


Executive Director’s Update

Celebrating a 28-Century-Long Tradition in Surgery

Dr. Patricia Turner discusses the partnership of the ACS and US Department of Defense Military Health System that was launched in 2014 to improve surgical quality via organizational collaboration. She also details the new life that has been breathed into the Excelsior Surgical Society—a group for surgeons interested in the overlaps of military and civilian surgery. 



Simulations in Ergonomics and Intraoperative Decision-Making May Help Change Culture of Surgery 

The Surgical Metrics Project and Surgical Ergonomics Clinic present intriguing opportunities to anyone at Clinical Congress interested in knowing more about how to operate safely, optimize effectiveness, and sustain a productive career.


Study Clarifies Link between Obesity and Surgical Complications 

The largest multicenter retrospective analysis to date linking obesity and surgical outcomes is shedding new light on complications and the opportunities for preoperative patient management. Researchers used the ACS National Surgical Quality Improvement Program® database to examine outcomes in obese populations that were largely underpowered in prior studies.


Ethics Challenges Shape Patient Care and Surgeon Well-Being 

Surgeons face clear challenges in contemporary healthcare, including growing administrative and economic burdens, workforce issues, and the continuing necessity of improving quality and safety. But some of surgeons’ most persistent dilemmas are often less described, less discussed, and more nebulous—the ethical challenges faced in daily practice.



It’s Never Too Late for Breast Cancer Patients to Quit Smoking 

Smoking impacts surgical care across all specialties, with breast cancer being the most common cancer among women globally. “Surgeons can harness the teachable moment of an upcoming breast cancer operation to emphasize that preoperative smoking cessation can increase the success of the upcoming operation and enhance overall long-term cancer survival,” Dr. Monica Khattak and her coauthors wrote.



Handoff Strategies Should Feature Implementation Science, Contextual Factors



Special Section: Major Awards at Clinical Congress 2023

  • Dr. Ronald Stewart Will Receive Distinguished Service Award
  • Wangensteen Awardee Brings Impressive Ambition, Personal Insight to Cancer Care
  • Dr. Sujana Chandrasekhar Will Be Honored with Inspiring Women in Surgery Award
  • Seven Surgeons Are Honored for Volunteerism and Humanitarian Efforts


New SESAP 18 Advanced Offers In-Depth Content

Outpatient Vascular Standards Are Released

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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