8:00 AM to 9:30 MINISEMINARS
AM
8:00 AM to 9:20 AM LACC Room 515B •
Miniseminar: Minimizing Complications in Endoscopic Sinus Surgery: What the Surgeon Needs to Know
Joseph P Mirante, MD (moderator); Michael Setzen, MD; Peter J Catalano, MD; Donald C Lanza, MD, MS; James A Stankiewicz, MD; Donald A Leopold, MD; Dewey A Christmas, Jr, MD Ormond Beach FL; Manhasset NY; Burlington MA; Saint Petersburg FL; Maywood IL; Omaha NE; Daytona Beach FL Since the introduction of endoscopic sinus surgery to the USA in 1985, a myriad of complications ranging from brain injury to nasal synechia have been reported. Despite advances in technology, such as the endoscope itself, which provides excellent illumination and improved visualization, powered instrumentation, with true cutting blades and real-time suction, and
8:00 AM to 9:20 AM LACC Room 503 •
Miniseminar: Negotiating Physician Employment Contracts: What You Need to Know Now and for the Future
Lauren S Zaretsky, MD (moderator); Rebecca N Gaughan, MD; Margaret A Kenna, MD; Marvin P Fried, MD; Jennifer Rubin-Grandis, MD; Robert A Glazer, MPA; Ellen F. Kessler, Esq Port Jefferson NY; Shawnee Mission KS; Boston MA; Bronx NY; Pittsburgh PA; Tarrytown NY; Uniondale NY Contract negotiation is an area minimally addressed in the physician education process, although vital to postresidency practice. In addition to the obvious issue of financial compensation, other important elements to an employment contract include: the opportunity to conduct research, full vs. part-time status, who pays for benefits such as malpractice and disability, relocation restrictions, and traversing between the worlds of academia and private practice. This minisemi-
Scientific Session—Tuesday P73
image guided surgical navigation, with accurate multiplanar instrument localization, complications during endoscopic sinus surgery continue to occur at a concerning rate. Some experts blame the technology itself, others the extent of surgery performed, and still others the post-graduate educational process. The majority of sinus surgery in this country is performed by otolaryngologists who did not learn endoscopic surgical technique along with its technological advances during their formal residency training. Nevertheless, most otolaryngologists have spent their time and resources to learn proper endoscopic surgical technique and cautiously embrace these newer technologies. In this era of managed care with an emphasis on “quality”, patient safety is receiving more attention than ever, and “outcomes” could become linked to reimbursement. This mini-seminar, will focus on minimizing complications and improving outcomes during ESS. Specific topics to be addressed include: 1.) Patient selection and the pre-op nasal prep 2.) Endoscopic techniques to minimize risks of: Orbital injury Intracranial injury Middle meatal scarring Septal perforation Iatrogenic frontal sinusitis “Empty Nose” syndrome 3.) Powered Instrumentation 4.) Indications for, and proper use of, computer aided surgical navigation 5.) Postoperative care.
nar is designed to address the highlights of contract negotiations for both male and female physicians with additional attention being given to gender-specific issues. A legal expert in the field of medical contracts and practice management will highlight the most critical points a physician must have before entering into contract negotiations. Other panelists include senior members of the American Academy of Otolaryngology Head and Neck Surgery in the arenas of both private practice administration and academic medicine. Physician panelists will make presentations reflective of their own experience with hiring and contracts. In addition, the panelists will address the issues of salary equity and benefits for all physicians, with particular focus on how these relate to gender. This panel will provide a comprehensive presentation for both male and female physicians who are negotiating their first contract, or for those who are in mid-career and considering a change. This miniseminar will provide current information which is very relevant to the day-to-day practice of medicine for all physicians.
TUESDAY
Otolaryngology– Head and Neck Surgery Volume 133 Number 2