Four years ago we created and implemented an intense business plan for theDepartment of Surgery for the period of FY2004-2008. The plan included an aggres-sive recruitment schedule based on projected growth of surgical cases, additionaloperating rooms and PACU beds, revised operating room utilization measures andstrategic opportunities within the Department to form a more integrated structure,enhance patient safety, grow the endowment, and consolidate educational trainingprograms. Four years later, it is with great pride that I share with you -- we havecompleted the plan and in many cases ahead of schedule.

Across the board, Penn Surgery has surpassed expectations on all four of our primarygoals:

1. To build a surgical clinical enterprise throughout the Penn Health System that is recognized as the best in the Delaware Valley and among the top five Academic Medical Centers nationally.

2. Rank among the top five Departments of Surgery nationally in terms of extra-mural funding by establishing an environment that is conducive to high quality basic research and by strengthening the infrastructure for clinical investigation.

3. Enhance the Department's educational excellence to maintain its leadership position intramurally, regionally and nationally. Through training with world class surgeons, exposure to complex clinical cases, and an infrastructurethat supports advanced research, UPHS will continue to train future leaders.

4. Develop a sound financial and organizational framework, based on individual and divisional accountability and responsibility, which allows faculty to achieve personal and Departmental objectives.

The business plan for FY2007-2010 is in its final stages of development. On October5th, I will be sharing with all of you the "State of the Department Address". I hopeyou will make every effort to join us at the event as we recognize the unprecedentedaccomplishments of the year and preview our plan for the years ahead.

Editors: Lori PrayDirector, Surgery Education Administration215-662-6156lori.pray@uphs.upenn.edu

Angela WursterSenior Administrative Director215-349-8516wurstera@uphs.upenn.edu

Michael BarnesOffice Assistant

Graphic Design: Robin NoelWeb Administrator & Graphic Artistnoelr@uphs.upenn.edu

Advisory Board:Larry R. Kaiser, M.D. Chairman & Surgeon-in-ChiefDaniel J. Cooper Chief Operating OfficerDouglas L. Fraker, M.D. Vice-Chairman, Clinical AffairsJames L. Mullen, M.D. Associate Executive Director Jeffrey A. Drebin, M.D., Ph.D. Vice-Chairman, Research

Website: www.uphs.upenn.edu/surgery/pss.html

Leadership Message from the Chairman

To refer a patient: PENNline, a toll free physician to physician line, provides direct access to Penn physicians. Call 1-800-635-7780.

For patient appointments call PENNHealth at 1-800-789-PENN

Larry R. Kaiser, M.D.

Department of Surgery3400 Spruce Street4 SilversteinPhiladelphia, PA 19104

11

Faculty, Residents, Alumni of Penn Surgery email your news to Lori Pray - lori.pray@uphs.upenn.edu

♦ Larry R. Kaiser, M.D. has been appointed Surgeon-in-Chief of the University of Pennsylvania Health System.This new position is in addition to his ongoing responsibilities as Chairman of the Department of Surgery.

♦ Howard M. Ross, M.D. was awarded a 2006 Penn Pearl by the medical students.

♦ Jo Buyske, M.D. has been appointed associate professor of clinical surgery, was elected a director of the AmericanBoard of Surgery, and is the Elizabeth Kirk Rose Women in Medicine keynote speaker this year for the second time,having also received this honor in 2000.

♦ Drs. Joel Cooper, Joseph Serletti & David Lee are the newest Penn Surgical Society members.

♦ Alan J. Wein, M.D. is editor in chief of the "gold standard" urology textbook, Campbell-Walsh Urology,a four-volume resource consulted by physicians worldwide. In addition, Dr. Wein has also been named an honoraryDoctor of Philosophy by the University of Patras in Greece.

♦ Abraham Shaked, M.D., Ph.D. has been named the Eldridge L. Eliason Professor in Surgery.

♦ Jeffrey A. Drebin, M.D., Ph.D. has been named the William Maul Measey Professor of Surgical Research.

♦ Joseph E. Bavaria, M.D. has been named the Brooke Roberts/William Maul Measey Professor of Surgery.

2006 Penn Medicine Awards of Excellence♦ Luigi Mastroianni Clinical Innovator Award - Joseph E. Bavaria, M.D.

♦ Alfred Stengel Health System Champion Award - C. William Schwab, M.D.

♦ Penn Center of Surgical Excellence Award 2006 - Michael E. Friscia, M.D.

♦ William Inouye Resident Award 2006 - Giorgos C. Karakousis, M.D.

♦ William Inouye Faculty Award 2006 - Ernest F. Rosato, M.D.

♦ Leonard D. Miller Award 2006 - Lee J. Goldstein, M.D.

♦ Resident’s Faculty Teaching Award 2006 - John L. Rombeau, M.D.

♦ Leonard J. Perloff Chief Resident Award 2006 - Benjamin M. Jackson, M.D.

♦ Jonathan E. Rhoads Research Award 2006 - Mark F. Berry, M.D.

♦ Gordon P. Buzby Surgical Leadership Award 2006 - Pavan Atluri, M.D.

♦ Keith Reemtsma Surgical Resident of the Year 2006 - Robert E. Roses, M.D.

The Hospital of the University ofPennsylvania ushered in the NewYear with style by proudly celebrat-ing the grand opening of The PatientFacilitated Services Pavilion. A natu-ral outgrowth of the success the PFSProgram has achieved since its incep-tion in 2003, The Pavilion comple-ments the University ofPennsylvania's nationally recognizedpatient care with a level of personal-ized service and comfort unique toany other hospital in the region. Opento any patient with stable vital signsand not in need of intensive care, ThePavilion's rooms or larger suites,which have overnight accommoda-tions for visitors, cost patients $350and $450 respectively.

The Pavilion itself was designedfor patients desiring comforts previ-ously found only at deluxe hotels andthe world class accommodations andservices provided are already receiv-ing rave reviews. The impressive listof amenities found at The Pavilionincludes a concierge service availableto patients around the clock as well asa fully equipped Business Centerwhich enables both patients and theirvisitors to take care of business whilewe take care of them. Beautiful art-work on loan from the PhiladelphiaMuseum of Art graces The Pavilion'swalls and guests enjoy meals pre-pared by a Chef recruited from the

The Patient Facilitated Services Pavilionhighly acclaimed Lacroix at TheRittenhouse. In fact, The Pavilion'sfirst guest remarked how he wouldwant to get a takeout order from theunit if he wasn't a patient and manywho have followed in his footstepshave echoed his praise for ThePavilion's excellent cuisine.

Dr. Larry R. Kaiser, who is co-director of The Pavilion, highlightedin a recent article for thePhiladelphia Business Journal howthe medical care and nurse-patientratios on The Pavilion are exactly thesame level as you would find any-where else in the hospital. Whatmakes the Pavilion unique is theservice. Dr. Kaiser also discussedhow "The Pavilion is more than just

about the rooms. A room at the Ritz-Carlton isn't all that different from aroom at the Four Seasons. What weare proud of here is the level of serv-ice we offer in addition to outstand-ing care." To this end, everyoneworking in The Pavilion, includingDr. Kaiser and co-director Dr. DavidW. Kennedy, have gone throughRitz-Carlton's customer servicetraining program.

The newly completed Pavilion,an interim facility located on theRhoads building's third floor, willprovide our inpatients immediateaccess to luxury accommodationsand services while fundraising and

construction for the permanent facil-ity, slated to open in 2008-09, contin-ues. A number of naming opportuni-ties are still available on ThePavilion, although they are goingquickly. Upon conception, the PFSProgram was intended to be a cata-lyst for building philanthropic sup-port and enabling system wideimprovements that would benefit allof the hospital's patients.

As Dr. Kaiser acknowledgedduring his remarks at the grand open-ing celebration this January, perhapsone of the most exciting facets ofThe Pavilion is that it "demonstrateswhat can be achieved with a trulycollaborative effort -- a comingtogether of physicians, administra-tors, nurses, pharmacy, food servic-es, environmental services and oth-ers -- all working together for serviceexcellence."

Gordon P. Buzby SurgicalLeadership Award

310

On October 20, 2005, PENNMedicine celebrated the groundbreak-ing for The Raymond and RuthPerelman Center for AdvancedMedicine, with more than 500 donors,friends, and faculty in attendance tohelp celebrate this landmark occasion.This premier ambulatory care centerwill enhance the clinical mission ofPENN Medicine and become a vitaladdition for our research and educationprograms. Scheduled to open in thespring of 2008, the new building willhouse a number of outpatient clinicaldepartments and centers, including theAbramson Cancer Center of theUniversity of Pennsylvania, theDepartment of Radiation Oncology, theCenter for Cardiovascular Medicine,and outpatient services for theDepartment of Surgery. Within the out-

The Raymond & Ruth PerelmanCenter for Advanced Medicine

patient surgical pavilion, we will haveaccess to eight new state-of-the-artoperating rooms that are 60 percentlarger than those at HUP, a spaciouswaiting area and business center, pre-and post-op suites, patient consultationrooms, and a dedicated surgical phar-macy.

Penn has held a preeminent positionin medical history since the first schoolof medicine in the country was estab-lished here morethan 240 yearsago. Dr. ArthurRubenstein, Deanof the School ofMedicine, hasnoted that thePerelman Centerfor AdvancedMedicine will

allow us to "build on Penn's legacy ofgreatness and pave the way for thefuture."

We are dedicated to creating theabsolute best environment for greatmedicine, enhancing access to patientcare, and improving the health careexperience of our patients -- thePerelman Center for AdvancedMedicine will play a pivotal role inmeeting these goals. As UniversityPresident Dr. Amy Gutmann noted atthe Groundbreaking event, "this busyconstruction site today will become amagnificent source of healing and com-fort tomorrow."

Department of Surgery Intern Class for 2006-2007General Surgery Program

Myron Allukian, IIIBrown Medical School

Major Kenneth Lee, IVUniversity of PennsylvaniaSchool of Medicine

Derek Phillip NathanUniversity of PennsylvaniaSchool of Medicine

Robert Ray Redfield, IIIUniversity of MarylandSchool of Medicine

Plastic Surgery Program Urology Program

Alexander Jacob GougoutasUniversity of PennsylvaniaSchool of Medicine

Theresa Yeu Hui WangJohns Hopkins School of Medicine

Arturo BalandraUniversity of PennsylvaniaSchool of Medicine

Matthew Jason ResnickUniversity of PennsylvaniaSchool of Medicine

Shawn Edwin WhiteTemple University School of Medicine

The Department of Surgery is also pleased to announce the followingPreliminary Residents will join the Categorical General Surgery Program in 2007

Arminder Jassar (CY1)Postdoctoral ResearchFellow, Drs. Kaiser andAlbelda Laboratory

Hooman Noorchashm (CY3)University of PennsylvaniaSchool of Medicine

David Stitleman (CY3)University of PennsylvaniaSchool of Medicine

Nina Michelle BowensCornell UniversityMedical College

Niamey Pender WilsonColumbia UniversityCollege of Physicians& Surgeons

94

The University of PennsylvaniaHealth System is currently one ofonly a handful of hospitals across thecountry offering minimally invasive,high-tech treatment of prostate can-cer. At the forefront of our cuttingedge program is David I.Lee, M.D., a national expertin robotic surgery. Dr. Leewas recruited to Penn in Julyof 2005 and named Chief ofthe Division of Urology atPenn Presbyterian MedicalCenter. Prior to his arrival inWest Philadelphia, Dr. Leewas the Director ofLaparoscopic and RoboticSurgery with one of thelargest urology private prac-tice groups in the country,Urology Associates of NorthTexas. Dr. Lee is one of theworld's most experiencedrobotic prostatectomy sur-geons having performedover 500 such procedures todate.

Pioneering Robotic SurgeryPenn Surgeons Treating Prostate Cancerwith Robotic Prostatectomy

A member of the Alpha OmegaAlpha Honor Society and the onlyurologist in the Philadelphia regionwho is fellowship-trained in mini-mally invasive procedures, Dr. Lee'sexcellence and expertise are certainly

not limited to the operating room. Asis true of all Penn Surgeons, Dr. Lee'slist of accolades and accomplish-ments is broad and impressive.Highlights include over 100 peer-reviewed publications, editorial posi-tions with The Journal ofEndourology, Urology and EuropeanUrology, as well as being the recentrecipient of both Pfizer's Scholar inUrology Award and First Prize inthe 2002 World Congress of

Endourology Essay Contest. It is safeto say Dr. Lee's distinction in boththe clinical and research realms,when coupled with his role as one ofAmerica's premier instructors inrobotic prostatectomy, epitomizeacademic medicine's 'triple threat'.

Penn first began using fullyrobotic surgery for cardiac patientsmore than three years ago and is cur-rently studying its use for head andneck cancer procedures. With thenumber of robotic proceduresexpected to nearly double once againthis year, Penn and Dr. Lee arepoised to continue their leadershiprole in the promising and excitingfield of robotic surgery.

Leading Thoracic Surgeon Joins Penn SurgeryDr. Joel Cooper recently joined the

Penn Surgery Faculty from WashingtonUniversity School of Medicine andBarnes-Jewish Hospital in St. Louis. Dr.Cooper, whose research has been con-tinuously supported by the NIH for thepast 15 years, joins us as Chief of theDivision of Thoracic Surgery at UPHS.While perhaps best known for hisgroundbreaking work in lung transplan-tation, Dr. Cooper has pioneered tech-niques and progress in the treatment oflung disease throughout his career. AtPenn, Dr. Cooper will continue to refinehis work in Lung Volume ReductionSurgery (LVRS) and is working ongaining approval to begin a clinical trialinvestigating the cutting edge "airwaybypass" or "lung stenting" procedurewhich holds promise for late-stageemphysema sufferers who are not trans-plant or LVRS candidates.

"Penn has a tremendously distin-guished history and is a very exciting

place academically," said Dr. Cooperabout coming to Philadelphia. "I'mexcited to be located on the East Coastso that these special procedures andtreatments will provide a unique serviceto a large population center." In joiningthe Penn Surgery family, Dr. Cooperhas also realized his ambition to helptrain the next generation of thoracic sur-geons at a major training program.

We are indeed pleased to have beenable to attract Dr. Cooper to Penn andthere can be no doubt his arrival willbenefit both Penn and its surroundingcommunity. Perhaps Dr. Kaiser put itbest when he said, "Dr. Cooper bringsso much more to Penn than just hisnational and international reputation.He is a spectacularly talented surgeonwho has tremendous experience with allmanner of complex chest operations.He is a tremendous addition to thePhiladelphia and entire Mid-Atlanticregion medical community."

Penn SurgicalSociety Website

www.uphs.upenn.edu/surgery/pss.html

♦ Current and past issues ofPenn Surgical Society News

♦ Department of SurgeryAnnual Report

♦ Update your contactinformation

♦ Sign-up to have this newsletter sent via email

♦ The latest news fromPenn Surgery

Save the DatePenn Surgical Society Reception

at the 91st AnnualClinical Congress of the

American College of Surgeons

Tuesday, October 10, 20066:00 p.m. to 8:00 p.m.

The Hilton Chicago720 South Michigan Avenue

5

On February 12, 2006 Dr. John P.Pryor took a leave of absence from hisposition at the Hospital of theUniversity of Pennsylvania as AssistantProfessor in the Traumatology andSurgical Critical Care Division to reportfor active duty with the United StatesArmy. After an initial and yet final weekof training at FortBliss in Texas, Dr.Pryor joined the344th CombatSupport Hospital inBaghdad as a staffsurgeon. This wasDr. Pryor's first tourof duty.

Dr. Pryor firstarrived at Penn in 1999 as a Fellow inTrauma and Surgical Critical Care. Dr.Pryor joined the United States ArmyReserve in October of 2004 as a Captainin the Medical Corp. While on duty inIraq, Dr. Pryor has maintained a blogwith Philadelphia's Action News. These

A Surgeon at Warperiodic entries allow Dr. Pryor to relatehis ruminations and experiences inBaghdad across the Atlantic to interest-ed individuals back home. Below are afew excerpts out of a posting fromBaghdad:

The patients began to flood inaround five in the afternoon. I have

dealt with many'mascals' in mycareer in trauma,and one here inIraq. This wasunlike anything Ihave ever seenbefore. Eachpatient was critical-ly injured with gap-

ing wounds themselves also unlike any-thing I have ever dealt with. Everyonewas bleeding to death at the same time.Some had pulseless limbs that neededvascular repairs. Triage was in one waysimple. Everyone was critical, everyoneneeded emergent surgery. The problem

remained, I am theonly general sur-geon, and alongwith the orthopedicsurgeon, and twooperating rooms,we can only do twocases at a time. Theonly thing worsethan making animpossible decision,is not making animpossible decision.In my third round ofoperations, I cared

for a patient with an ischemic leg. Ishunted the artery as quickly as I could,and spent several more hours doing thevein graft to re-establish flow. We fin-ished all of the surgery, with mostpatients returning twice, after thirty-onegrueling hours. No one died, and no oneyet has lost a limb.

~ Dr. John PryorDr. Pryor's comment to Dr. Kaiser

upon hearing he was going to be calledinto active duty, "I am sure that I.S.Ravdin would be proud of how, onceagain, the Department of Surgery is ris-ing to the challenge of caring for theyoung soldiers of this country duringthe time of war."

Dr. Pryor returned safely from histour of duty in June.

For More InformationAll of the entries in Dr. Pryor's blog canbe found in entirety at www.6abc.com

Accreditation StatementThe University of PennsylvaniaSchool of Medicine is accreditedby the Accreditation Council forcontinuing Medical Educationto provide continuing medical

education to physicians.

Each of these activitieshas been approved for

AMA PRA Category 1 Credit TM

For more information and to register,please call 215-898-8005

or go online to:

www.med.upenn.edu/apps/cme_events

Continuing Medical Education 2006-2007

…The only thing worse

than making an impossible

decision, is not making

an impossible decision…

FY07 CME CoursesOctober 27, 2006

Noel N. Williams, MDComprehensive Treatment

of the Obese Patient

Sept. 7, 2006, Nov. 16, 2006and March 26, 2007

Joseph M. Serletti, MDPenn Plastic SurgeryGuest Lecture Series

April 5, 2007Joel D. Cooper, MD andJoseph B. Shrager, MDCurrent Multidisciplinary

Management of Resectable Lungand Pleural Malignancies

May 10 - 11, 2007Jeffrey A. Drebin, MD, PhDand Douglas L. Fraker, MDPenn General Surgery Update

May 18, 2007Howard M. Ross, MDLaparoscopic Intestinal

Surgery Workshop

FY07 CEU CoursesSeptember 22, 2006

Barbara A. Todd, MSN, CRNPClinical Practice Update 2006

Department of Surgery FY07 Grand Rounds ScheduleSeptember 28, 2006 Michael Useem, PhDGordon Buzby Surgery William and Jacalyn Egan Professor of ManagementLeadership Lectureship Director, Center for Leadership and Change Management

Wharton School, University of Pennsylvania

October 3, 2006 Larry R. Kaiser, MD5:00 pm The John Rhea Barton Professor and ChairmanBRB II/III Auditorium Department of Surgery, Surgeon-in-Chief

University of Pennsylvania“State of the Department”

October 5, 2006 Bruce G. Wolff, MDProfessor of SurgeryDepartment of Colon and Rectal SurgeryMayo Clinic College of Medicine

November 2, 2006 Transplant Surgery Division Selected Speaker

December 14, 2006 Troy A. Brennan, MD, MPHMedical Alumni Hall Senior Vice President and Chief Medical Officer

Aetna, Inc

January 4, 2007 Eric A. Rose, MDJulian Johnson Morris and Rose Milstein,Lectureship Johnson and Johnson Professor and Chair of Surgery

Columbia University College of Physicians and Surgeons

January 18, 2007 Anthony Atala, MDW. Boyce Professor and Chair of UrologyDirector, Wake Forest Institute for Regenerative MedicineWake Forest University School of Medicine

February 8, 2007 Thoracic Surgery Division Selected Speaker

March 1, 2007 Vascular Surgery Division Selected Speaker

March 22, 2007 Richard Reznick, MDAgnew Surgical R. S. McLaughlin Professor and ChairSociety Lectureship University of Toronto

April 5, 2007 Robert Ravdin Lectureship

May 17, 2007 Plastic Surgery Division Selected Speaker

June 7, 2007 Julius Mackie Lectureship

June 21, 2007 Trauma & Surgical Critical Care Division Selected Speaker

Unless otherwise indicated, Grand Rounds takes placefrom 7 am to 8 am in the Flyers/76ers Surgery Theatre - Ground White

US News & World ReportIn the 2006 U.S. News and World Report national rankings, the University of Pennsylvania

School of Medicine moved up to #3 in research, having been tied for fourth with bothDuke and Washington University in St. Louis last year.

PENN SURGERY

7

The estimated costs to establish The Transplant House are inthe $1.5-$2M range. In what has truly become a team effort,

The Penn Transplant Center and Transplant House Committeehave collaborated with HUP administration as well as PENNMedicine Development and Alumni Relations and are now

fully engaged in the future success of this project.

To help in the construction of the Penn Transplant Houseplease make contributions to:

The Trustees of the University of PennsylvaniaPenn Medicine Development Office, Suite 750

3535 Market StreetPhiladelphia, Pa 19104

Please list “Transplant House” in the memo

Or contact Roger Reina: 215-746-3004rreina@ben.dev.upenn.edu

On February 10, 1966, Dr. ClydeF. Barker performed the Hospital ofthe University of Pennsylvania's firsttransplant for which HowardMehl was the recipient. Sincethat monumental day, ThePenn Transplant Center hasbecome widely recognized asa leader in the field, as well asthe largest multi-organ trans-plant center in the region.Recently, Penn honored thefortieth anniversary of thisevent with a celebratory din-ner where plans for the newTransplant House at Pennwere also introduced.

In 1965, then 20 year-oldHoward learned he was suffer-ing from end-stage kidney failure atMethodist Hospital. As he began tochart his course of treatment, a physi-cian at HUP surprised him by sug-gesting kidney transplant as an

Penn Transplant HousePlans for Transplant House announced during celebration of HUP's first transplant

option he might consider. Given a50/50 chance of survival and themandate that his donor be a family

member, Howard's brother Joe, oneof six siblings, was found to be a per-fect organ donor match. At the timeof his operation, Howard's healthwas deteriorating rapidly, as he

recalls vividly, "I was so sick I justwanted to get the surgery done, or Ijust wanted to die. My eyesight was

gone, I was 248 pounds, totalwaste matter in my body, andI had extreme migraineheadaches, constantly. At thatpoint I didn't really care. If Idied, I died."

Along with their familiesand donors, patients in situa-tions similar to Howard's willsoon be able to find essentialsupport at Penn's TransplantHouse. This facility will bethe first of its kind to beoffered by a transplant centerin the region and further posi-

tions Penn to be the premiertransplant center in a competitivemarket. Similar to the first RonaldMcDonald House established 25years ago by The Children's Hospitalof Philadelphia, Penn's Transplant

HUP Transplant 'Firsts'

House will provide an affordable alter-native to the high costs of hotels anddining in Philadelphia. The facility willoffer patients, their family and donorsprivacy and rest during a stressful timewhile also fostering a community whichwill enable the sharing of knowledge,meals and support during the most acuteperiod of care.

In 2005, 437 patients underwenttransplantation at Penn and approxi-mately 1,500 patients were evaluated aspotential transplant candidates. Theseimpressive numbers reflect invaluableexperience, which began in 1965 whenDr. Barker, at the age of 34, researchedHoward Mehl's procedure by reviewingthe literature, and visiting some of thefew existing transplant centers. "I was-n't nervous about being able to do theoperation," said Barker, "but I was nerv-ous about the outcome because in theearly days the outcomes frequentlywere not good." Today, forty years laterand healthy at the age of 62, Howard isthe longest surviving kidney transplantrecipient in Pennsylvania. It is easy tobecome engrossed in Howard's ownremarkable health, but his donor and

Clyde F. BarkerKidney Transplant

1966

1972

Joe and Howard Mehl

Clyde F. BarkerLiver Transplant

Leonard J. PerloffClyde F. BarkerPancreas Transplant

1984 1987

L. Henry EdmundsHeart Transplant

1991

Larry R. KaiserLung Transplant

1996

Bruce RosengardHeart/Lung Transplant

2001

Ali NajiIslet Transplant

2006Transplant

House

brother Joe most succinctly captured thebroader accomplishments of Dr. Barkerand each Penn transplant surgeon thathas and will follow in his footsteps. "It's

not just about saving one life. It's aboutcreating life. After the transplant,Howard got married and had three sons.That's the real miracle…"

5

On February 12, 2006 Dr. John P.Pryor took a leave of absence from hisposition at the Hospital of theUniversity of Pennsylvania as AssistantProfessor in the Traumatology andSurgical Critical Care Division to reportfor active duty with the United StatesArmy. After an initial and yet final weekof training at FortBliss in Texas, Dr.Pryor joined the344th CombatSupport Hospital inBaghdad as a staffsurgeon. This wasDr. Pryor's first tourof duty.

Dr. Pryor firstarrived at Penn in 1999 as a Fellow inTrauma and Surgical Critical Care. Dr.Pryor joined the United States ArmyReserve in October of 2004 as a Captainin the Medical Corp. While on duty inIraq, Dr. Pryor has maintained a blogwith Philadelphia's Action News. These

A Surgeon at Warperiodic entries allow Dr. Pryor to relatehis ruminations and experiences inBaghdad across the Atlantic to interest-ed individuals back home. Below are afew excerpts out of a posting fromBaghdad:

The patients began to flood inaround five in the afternoon. I have

dealt with many'mascals' in mycareer in trauma,and one here inIraq. This wasunlike anything Ihave ever seenbefore. Eachpatient was critical-ly injured with gap-

ing wounds themselves also unlike any-thing I have ever dealt with. Everyonewas bleeding to death at the same time.Some had pulseless limbs that neededvascular repairs. Triage was in one waysimple. Everyone was critical, everyoneneeded emergent surgery. The problem

remained, I am theonly general sur-geon, and alongwith the orthopedicsurgeon, and twooperating rooms,we can only do twocases at a time. Theonly thing worsethan making animpossible decision,is not making animpossible decision.In my third round ofoperations, I cared

for a patient with an ischemic leg. Ishunted the artery as quickly as I could,and spent several more hours doing thevein graft to re-establish flow. We fin-ished all of the surgery, with mostpatients returning twice, after thirty-onegrueling hours. No one died, and no oneyet has lost a limb.

~ Dr. John PryorDr. Pryor's comment to Dr. Kaiser

upon hearing he was going to be calledinto active duty, "I am sure that I.S.Ravdin would be proud of how, onceagain, the Department of Surgery is ris-ing to the challenge of caring for theyoung soldiers of this country duringthe time of war."

Dr. Pryor returned safely from histour of duty in June.

For More InformationAll of the entries in Dr. Pryor's blog canbe found in entirety at www.6abc.com

Accreditation StatementThe University of PennsylvaniaSchool of Medicine is accreditedby the Accreditation Council forcontinuing Medical Educationto provide continuing medical

education to physicians.

Each of these activitieshas been approved for

AMA PRA Category 1 Credit TM

For more information and to register,please call 215-898-8005

or go online to:

www.med.upenn.edu/apps/cme_events

Continuing Medical Education 2006-2007

…The only thing worse

than making an impossible

decision, is not making

an impossible decision…

FY07 CME CoursesOctober 27, 2006

Noel N. Williams, MDComprehensive Treatment

of the Obese Patient

Sept. 7, 2006, Nov. 16, 2006and March 26, 2007

Joseph M. Serletti, MDPenn Plastic SurgeryGuest Lecture Series

April 5, 2007Joel D. Cooper, MD andJoseph B. Shrager, MDCurrent Multidisciplinary

Management of Resectable Lungand Pleural Malignancies

May 10 - 11, 2007Jeffrey A. Drebin, MD, PhDand Douglas L. Fraker, MDPenn General Surgery Update

May 18, 2007Howard M. Ross, MDLaparoscopic Intestinal

Surgery Workshop

FY07 CEU CoursesSeptember 22, 2006

Barbara A. Todd, MSN, CRNPClinical Practice Update 2006

Department of Surgery FY07 Grand Rounds ScheduleSeptember 28, 2006 Michael Useem, PhDGordon Buzby Surgery William and Jacalyn Egan Professor of ManagementLeadership Lectureship Director, Center for Leadership and Change Management

Wharton School, University of Pennsylvania

October 3, 2006 Larry R. Kaiser, MD5:00 pm The John Rhea Barton Professor and ChairmanBRB II/III Auditorium Department of Surgery, Surgeon-in-Chief

University of Pennsylvania“State of the Department”

October 5, 2006 Bruce G. Wolff, MDProfessor of SurgeryDepartment of Colon and Rectal SurgeryMayo Clinic College of Medicine

November 2, 2006 Transplant Surgery Division Selected Speaker

December 14, 2006 Troy A. Brennan, MD, MPHMedical Alumni Hall Senior Vice President and Chief Medical Officer

Aetna, Inc

January 4, 2007 Eric A. Rose, MDJulian Johnson Morris and Rose Milstein,Lectureship Johnson and Johnson Professor and Chair of Surgery

Columbia University College of Physicians and Surgeons

January 18, 2007 Anthony Atala, MDW. Boyce Professor and Chair of UrologyDirector, Wake Forest Institute for Regenerative MedicineWake Forest University School of Medicine

February 8, 2007 Thoracic Surgery Division Selected Speaker

March 1, 2007 Vascular Surgery Division Selected Speaker

March 22, 2007 Richard Reznick, MDAgnew Surgical R. S. McLaughlin Professor and ChairSociety Lectureship University of Toronto

April 5, 2007 Robert Ravdin Lectureship

May 17, 2007 Plastic Surgery Division Selected Speaker

June 7, 2007 Julius Mackie Lectureship

June 21, 2007 Trauma & Surgical Critical Care Division Selected Speaker

Unless otherwise indicated, Grand Rounds takes placefrom 7 am to 8 am in the Flyers/76ers Surgery Theatre - Ground White

US News & World ReportIn the 2006 U.S. News and World Report national rankings, the University of Pennsylvania

School of Medicine moved up to #3 in research, having been tied for fourth with bothDuke and Washington University in St. Louis last year.

94

The University of PennsylvaniaHealth System is currently one ofonly a handful of hospitals across thecountry offering minimally invasive,high-tech treatment of prostate can-cer. At the forefront of our cuttingedge program is David I.Lee, M.D., a national expertin robotic surgery. Dr. Leewas recruited to Penn in Julyof 2005 and named Chief ofthe Division of Urology atPenn Presbyterian MedicalCenter. Prior to his arrival inWest Philadelphia, Dr. Leewas the Director ofLaparoscopic and RoboticSurgery with one of thelargest urology private prac-tice groups in the country,Urology Associates of NorthTexas. Dr. Lee is one of theworld's most experiencedrobotic prostatectomy sur-geons having performedover 500 such procedures todate.

Pioneering Robotic SurgeryPenn Surgeons Treating Prostate Cancerwith Robotic Prostatectomy

A member of the Alpha OmegaAlpha Honor Society and the onlyurologist in the Philadelphia regionwho is fellowship-trained in mini-mally invasive procedures, Dr. Lee'sexcellence and expertise are certainly

not limited to the operating room. Asis true of all Penn Surgeons, Dr. Lee'slist of accolades and accomplish-ments is broad and impressive.Highlights include over 100 peer-reviewed publications, editorial posi-tions with The Journal ofEndourology, Urology and EuropeanUrology, as well as being the recentrecipient of both Pfizer's Scholar inUrology Award and First Prize inthe 2002 World Congress of

Endourology Essay Contest. It is safeto say Dr. Lee's distinction in boththe clinical and research realms,when coupled with his role as one ofAmerica's premier instructors inrobotic prostatectomy, epitomizeacademic medicine's 'triple threat'.

Penn first began using fullyrobotic surgery for cardiac patientsmore than three years ago and is cur-rently studying its use for head andneck cancer procedures. With thenumber of robotic proceduresexpected to nearly double once againthis year, Penn and Dr. Lee arepoised to continue their leadershiprole in the promising and excitingfield of robotic surgery.

Leading Thoracic Surgeon Joins Penn SurgeryDr. Joel Cooper recently joined the

Penn Surgery Faculty from WashingtonUniversity School of Medicine andBarnes-Jewish Hospital in St. Louis. Dr.Cooper, whose research has been con-tinuously supported by the NIH for thepast 15 years, joins us as Chief of theDivision of Thoracic Surgery at UPHS.While perhaps best known for hisgroundbreaking work in lung transplan-tation, Dr. Cooper has pioneered tech-niques and progress in the treatment oflung disease throughout his career. AtPenn, Dr. Cooper will continue to refinehis work in Lung Volume ReductionSurgery (LVRS) and is working ongaining approval to begin a clinical trialinvestigating the cutting edge "airwaybypass" or "lung stenting" procedurewhich holds promise for late-stageemphysema sufferers who are not trans-plant or LVRS candidates.

"Penn has a tremendously distin-guished history and is a very exciting

place academically," said Dr. Cooperabout coming to Philadelphia. "I'mexcited to be located on the East Coastso that these special procedures andtreatments will provide a unique serviceto a large population center." In joiningthe Penn Surgery family, Dr. Cooperhas also realized his ambition to helptrain the next generation of thoracic sur-geons at a major training program.

We are indeed pleased to have beenable to attract Dr. Cooper to Penn andthere can be no doubt his arrival willbenefit both Penn and its surroundingcommunity. Perhaps Dr. Kaiser put itbest when he said, "Dr. Cooper bringsso much more to Penn than just hisnational and international reputation.He is a spectacularly talented surgeonwho has tremendous experience with allmanner of complex chest operations.He is a tremendous addition to thePhiladelphia and entire Mid-Atlanticregion medical community."

Penn SurgicalSociety Website

www.uphs.upenn.edu/surgery/pss.html

♦ Current and past issues ofPenn Surgical Society News

♦ Department of SurgeryAnnual Report

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♦ The latest news fromPenn Surgery

Save the DatePenn Surgical Society Reception

at the 91st AnnualClinical Congress of the

American College of Surgeons

Tuesday, October 10, 20066:00 p.m. to 8:00 p.m.

The Hilton Chicago720 South Michigan Avenue

310

On October 20, 2005, PENNMedicine celebrated the groundbreak-ing for The Raymond and RuthPerelman Center for AdvancedMedicine, with more than 500 donors,friends, and faculty in attendance tohelp celebrate this landmark occasion.This premier ambulatory care centerwill enhance the clinical mission ofPENN Medicine and become a vitaladdition for our research and educationprograms. Scheduled to open in thespring of 2008, the new building willhouse a number of outpatient clinicaldepartments and centers, including theAbramson Cancer Center of theUniversity of Pennsylvania, theDepartment of Radiation Oncology, theCenter for Cardiovascular Medicine,and outpatient services for theDepartment of Surgery. Within the out-

The Raymond & Ruth PerelmanCenter for Advanced Medicine

patient surgical pavilion, we will haveaccess to eight new state-of-the-artoperating rooms that are 60 percentlarger than those at HUP, a spaciouswaiting area and business center, pre-and post-op suites, patient consultationrooms, and a dedicated surgical phar-macy.

Penn has held a preeminent positionin medical history since the first schoolof medicine in the country was estab-lished here morethan 240 yearsago. Dr. ArthurRubenstein, Deanof the School ofMedicine, hasnoted that thePerelman Centerfor AdvancedMedicine will

allow us to "build on Penn's legacy ofgreatness and pave the way for thefuture."

We are dedicated to creating theabsolute best environment for greatmedicine, enhancing access to patientcare, and improving the health careexperience of our patients -- thePerelman Center for AdvancedMedicine will play a pivotal role inmeeting these goals. As UniversityPresident Dr. Amy Gutmann noted atthe Groundbreaking event, "this busyconstruction site today will become amagnificent source of healing and com-fort tomorrow."

Department of Surgery Intern Class for 2006-2007General Surgery Program

Myron Allukian, IIIBrown Medical School

Major Kenneth Lee, IVUniversity of PennsylvaniaSchool of Medicine

Derek Phillip NathanUniversity of PennsylvaniaSchool of Medicine

Robert Ray Redfield, IIIUniversity of MarylandSchool of Medicine

Plastic Surgery Program Urology Program

Alexander Jacob GougoutasUniversity of PennsylvaniaSchool of Medicine

Theresa Yeu Hui WangJohns Hopkins School of Medicine

Arturo BalandraUniversity of PennsylvaniaSchool of Medicine

Matthew Jason ResnickUniversity of PennsylvaniaSchool of Medicine

Shawn Edwin WhiteTemple University School of Medicine

The Department of Surgery is also pleased to announce the followingPreliminary Residents will join the Categorical General Surgery Program in 2007

Arminder Jassar (CY1)Postdoctoral ResearchFellow, Drs. Kaiser andAlbelda Laboratory

Hooman Noorchashm (CY3)University of PennsylvaniaSchool of Medicine

David Stitleman (CY3)University of PennsylvaniaSchool of Medicine

Nina Michelle BowensCornell UniversityMedical College

Niamey Pender WilsonColumbia UniversityCollege of Physicians& Surgeons

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Faculty, Residents, Alumni of Penn Surgery email your news to Lori Pray - lori.pray@uphs.upenn.edu

♦ Larry R. Kaiser, M.D. has been appointed Surgeon-in-Chief of the University of Pennsylvania Health System.This new position is in addition to his ongoing responsibilities as Chairman of the Department of Surgery.

♦ Howard M. Ross, M.D. was awarded a 2006 Penn Pearl by the medical students.

♦ Jo Buyske, M.D. has been appointed associate professor of clinical surgery, was elected a director of the AmericanBoard of Surgery, and is the Elizabeth Kirk Rose Women in Medicine keynote speaker this year for the second time,having also received this honor in 2000.

♦ Drs. Joel Cooper, Joseph Serletti & David Lee are the newest Penn Surgical Society members.

♦ Alan J. Wein, M.D. is editor in chief of the "gold standard" urology textbook, Campbell-Walsh Urology,a four-volume resource consulted by physicians worldwide. In addition, Dr. Wein has also been named an honoraryDoctor of Philosophy by the University of Patras in Greece.

♦ Abraham Shaked, M.D., Ph.D. has been named the Eldridge L. Eliason Professor in Surgery.

♦ Jeffrey A. Drebin, M.D., Ph.D. has been named the William Maul Measey Professor of Surgical Research.

♦ Joseph E. Bavaria, M.D. has been named the Brooke Roberts/William Maul Measey Professor of Surgery.

2006 Penn Medicine Awards of Excellence♦ Luigi Mastroianni Clinical Innovator Award - Joseph E. Bavaria, M.D.

♦ Alfred Stengel Health System Champion Award - C. William Schwab, M.D.

♦ Penn Center of Surgical Excellence Award 2006 - Michael E. Friscia, M.D.

♦ William Inouye Resident Award 2006 - Giorgos C. Karakousis, M.D.

♦ William Inouye Faculty Award 2006 - Ernest F. Rosato, M.D.

♦ Leonard D. Miller Award 2006 - Lee J. Goldstein, M.D.

♦ Resident’s Faculty Teaching Award 2006 - John L. Rombeau, M.D.

♦ Leonard J. Perloff Chief Resident Award 2006 - Benjamin M. Jackson, M.D.

♦ Jonathan E. Rhoads Research Award 2006 - Mark F. Berry, M.D.

♦ Gordon P. Buzby Surgical Leadership Award 2006 - Pavan Atluri, M.D.

♦ Keith Reemtsma Surgical Resident of the Year 2006 - Robert E. Roses, M.D.

The Hospital of the University ofPennsylvania ushered in the NewYear with style by proudly celebrat-ing the grand opening of The PatientFacilitated Services Pavilion. A natu-ral outgrowth of the success the PFSProgram has achieved since its incep-tion in 2003, The Pavilion comple-ments the University ofPennsylvania's nationally recognizedpatient care with a level of personal-ized service and comfort unique toany other hospital in the region. Opento any patient with stable vital signsand not in need of intensive care, ThePavilion's rooms or larger suites,which have overnight accommoda-tions for visitors, cost patients $350and $450 respectively.

The Pavilion itself was designedfor patients desiring comforts previ-ously found only at deluxe hotels andthe world class accommodations andservices provided are already receiv-ing rave reviews. The impressive listof amenities found at The Pavilionincludes a concierge service availableto patients around the clock as well asa fully equipped Business Centerwhich enables both patients and theirvisitors to take care of business whilewe take care of them. Beautiful art-work on loan from the PhiladelphiaMuseum of Art graces The Pavilion'swalls and guests enjoy meals pre-pared by a Chef recruited from the

The Patient Facilitated Services Pavilionhighly acclaimed Lacroix at TheRittenhouse. In fact, The Pavilion'sfirst guest remarked how he wouldwant to get a takeout order from theunit if he wasn't a patient and manywho have followed in his footstepshave echoed his praise for ThePavilion's excellent cuisine.

Dr. Larry R. Kaiser, who is co-director of The Pavilion, highlightedin a recent article for thePhiladelphia Business Journal howthe medical care and nurse-patientratios on The Pavilion are exactly thesame level as you would find any-where else in the hospital. Whatmakes the Pavilion unique is theservice. Dr. Kaiser also discussedhow "The Pavilion is more than just

about the rooms. A room at the Ritz-Carlton isn't all that different from aroom at the Four Seasons. What weare proud of here is the level of serv-ice we offer in addition to outstand-ing care." To this end, everyoneworking in The Pavilion, includingDr. Kaiser and co-director Dr. DavidW. Kennedy, have gone throughRitz-Carlton's customer servicetraining program.

The newly completed Pavilion,an interim facility located on theRhoads building's third floor, willprovide our inpatients immediateaccess to luxury accommodationsand services while fundraising and

construction for the permanent facil-ity, slated to open in 2008-09, contin-ues. A number of naming opportuni-ties are still available on ThePavilion, although they are goingquickly. Upon conception, the PFSProgram was intended to be a cata-lyst for building philanthropic sup-port and enabling system wideimprovements that would benefit allof the hospital's patients.

As Dr. Kaiser acknowledgedduring his remarks at the grand open-ing celebration this January, perhapsone of the most exciting facets ofThe Pavilion is that it "demonstrateswhat can be achieved with a trulycollaborative effort -- a comingtogether of physicians, administra-tors, nurses, pharmacy, food servic-es, environmental services and oth-ers -- all working together for serviceexcellence."

Gordon P. Buzby SurgicalLeadership Award

Four years ago we created and implemented an intense business plan for theDepartment of Surgery for the period of FY2004-2008. The plan included an aggres-sive recruitment schedule based on projected growth of surgical cases, additionaloperating rooms and PACU beds, revised operating room utilization measures andstrategic opportunities within the Department to form a more integrated structure,enhance patient safety, grow the endowment, and consolidate educational trainingprograms. Four years later, it is with great pride that I share with you -- we havecompleted the plan and in many cases ahead of schedule.

Across the board, Penn Surgery has surpassed expectations on all four of our primarygoals:

1. To build a surgical clinical enterprise throughout the Penn Health System that is recognized as the best in the Delaware Valley and among the top five Academic Medical Centers nationally.

2. Rank among the top five Departments of Surgery nationally in terms of extra-mural funding by establishing an environment that is conducive to high quality basic research and by strengthening the infrastructure for clinical investigation.

3. Enhance the Department's educational excellence to maintain its leadership position intramurally, regionally and nationally. Through training with world class surgeons, exposure to complex clinical cases, and an infrastructurethat supports advanced research, UPHS will continue to train future leaders.

4. Develop a sound financial and organizational framework, based on individual and divisional accountability and responsibility, which allows faculty to achieve personal and Departmental objectives.

The business plan for FY2007-2010 is in its final stages of development. On October5th, I will be sharing with all of you the "State of the Department Address". I hopeyou will make every effort to join us at the event as we recognize the unprecedentedaccomplishments of the year and preview our plan for the years ahead.

Editors: Lori PrayDirector, Surgery Education Administration215-662-6156lori.pray@uphs.upenn.edu

Angela WursterSenior Administrative Director215-349-8516wurstera@uphs.upenn.edu

Michael BarnesOffice Assistant

Graphic Design: Robin NoelWeb Administrator & Graphic Artistnoelr@uphs.upenn.edu

Advisory Board:Larry R. Kaiser, M.D. Chairman & Surgeon-in-ChiefDaniel J. Cooper Chief Operating OfficerDouglas L. Fraker, M.D. Vice-Chairman, Clinical AffairsJames L. Mullen, M.D. Associate Executive Director Jeffrey A. Drebin, M.D., Ph.D. Vice-Chairman, Research

Website: www.uphs.upenn.edu/surgery/pss.html

Leadership Message from the Chairman

To refer a patient: PENNline, a toll free physician to physician line, provides direct access to Penn physicians. Call 1-800-635-7780.

For patient appointments call PENNHealth at 1-800-789-PENN

Larry R. Kaiser, M.D.

Department of Surgery3400 Spruce Street4 SilversteinPhiladelphia, PA 19104