WU-Surgery-Spreads-FNL

Department’s Michael Dr. Amy Cyr lecturing to a group of medical students Department of Surgery Annual Report 2019 51 Awad plays role in as part of the Surgical Disciplines Clerkship. national medical school curriculum HIGHLIGHTS Michael Awad, MD, PhD, director of the Washington restructuring University Institute for Surgical Education, was named chair of the Society of American Gastrointestinal and An administrative restructuring of the Department Endoscopic Surgeons (SAGES) Resident and Fellow of Surgery’s residency and fellowship programs has Training Committee, which oversees resident and led to more centralized operations. Traditionally, fellowship training for the specialty. He will lead the a residency coordinator divided time in providing committee in developing a national curriculum for support for these programs while also handling minimally invasive surgery (MIS) fellowships and a clinical support responsibilities for surgeons. The new foregut fellowship. structure of this educational support position has now shifted to a dedicated focus on one or two Since all MIS surgeries are video-based, a residencies or fellowships. potential feature of the curriculum is video- Education support specialists are in charge of all based assessment with third-party reviewers aspects of accreditation for the training programs, and a formal grading rubric. SAGES works along with their respective residency and fellowship with the Fellowship Council to set the criteria program directors. This includes the requirements for for accreditation of MIS fellowships. Accreditation Council for Graduate Medical Education (ACGME)-accredited programs, which include the Awad, who also serves as director of the Washington residencies and about half of the fellowships. University Integrated Surgical Disciplines Clerkship for These administrative professionals have a common medical students, is also contributing to the medical workspace located in office suites on one floor of school’s curriculum renewal process. One of the goals an ancillary building at Barnes-Jewish Hospital, is to give students greater exposure to various surgical rather than being housed in each individual section disciplines so they can select specialties that offer as they were previously. Although the residencies training programs immediately after graduation — have specialty-specific goals, they also have common such as vascular and cardiothoracic surgery — and program requirements, and this co-location thus bypass the traditional general surgery residency. optimizes communication by helping coordinators share best practices and expertise across programs. Photo right: Office of Surgical Education The newly expanded Office of Surgical Education is changing Top row: Christa Donald, Lindsey Ballard, Leanna Bell, Janel Johnson, the paradigm of education by centralizing all departmental Kellie Hunter. Bottom row: Karree Hughes, Emily Stroisch, Heather Fone, staff in order to increase specialization and resources. Stephanie Martino. Not pictured: Rae Lynee Meyer surgery.wustl.edu

EDUCATION Residencies & Fellowships General Surgery Residency International Surgical Rotation For general surgery residents desiring an Program Director: Paul Wise, MD international experience, the department offers a two-month rotation at Mzuzu Central Hospital The Washington University General Surgery in Malawi, Africa, a resource-limited hospital that Residency Program, which began in 1919 and serves the needs of nearly 2.5 million citizens. remains one of the top surgical residency programs Residents care for a wide range of adult and in the United States, was among the earliest surgical pediatric surgical patients, performing more than training programs in the country to introduce a 100 cases during their rotation. The opportunity skills and simulation lab that allowed trainees to has been offered for the past four years. learn a variety of technical skills at their own pace. The five-year program is consistently noted as innovative, with Program Director Paul Wise, MD, Plastic Surgery Residency and other educational leaders nationally recognized Program Director: Marissa Tenenbaum, MD for contributions enhancing postgraduate surgical education. The Plastic Surgery Residency is a six-year integrated program, including five years of plastic Education Five associate program directors offer expertise 52 in specific areas of surgical education and engage surgery training in breast, craniofacial, pediatrics, head/neck trauma, hand, microsurgery, transgender, residents on a daily basis. Department faculty — cosmetic and peripheral nerve surgery. Residents many of whom have been or are current leaders also complete rotations in all the general surgery of national organizations — also enthusiastically experiences required by the American Board of embrace their roles as educators and mentors. For Plastic Surgery as well as subspecialty rotations in clinical training, the volume of cases is extensive: oculoplastics, surgical dermatology, orthopedic residents train in five hospitals, including Barnes- hand surgery and anesthesia. Training takes Jewish Hospital, St. Louis Children’s Hospital, the place at Barnes-Jewish Hospital, Barnes-Jewish John Cochran VA Hospital, and two community West County Hospital, Christian Hospital, The hospitals. Along with a wide variety of clinical Shriner’s Hospital for Children – St. Louis and opportunities, the department has a strong St. Louis Children’s Hospital. The program has a research component to the residency program. distinguished history: James Barrett Brown, MD, The department is engaged in robust basic and Vilray Blair, MD, two of the founders of the science research, but residents also can engage plastic surgery specialty, initially developed the in clinical, translational or outcomes research or training program at Washington University School earn advanced degrees in public health, clinical of Medicine in the early 20th century. investigation, business administration or education.

Urology Residency Fellowships Department of Surgery Annual Report 2019 53 Program Director: Erica Traxel, MD Advanced Gastrointestinal/Minimally Invasive Surgery Fellowship The Urology Residency is a five-year program. Program director: L. Michael Brunt, MD In the first year, interns spend six months on the urology service and six months on general surgery Breast Disease Fellowship rotations. In the remaining four years, residents Program director: Julie Margenthaler, MD rotate at Barnes-Jewish Hospital, St. Louis Children’s Hospital, the VA St. Louis Health Care Cardiothoracic Surgery Fellowship System, Barnes-Jewish West County Hospital and Program director: Spencer Melby, MD Christian Northeast Hospital. Residents are exposed to a volume and diversity of surgical cases that Colorectal Surgery Fellowship are among the highest in the country for urologic Program director: Steven Hunt, MD residency programs. The program, which has prepared graduates for careers in urologic surgery Hand, Nerve and Microsurgery Fellowship since 1910, places major emphasis on technological Interim director: Ida Fox, MD innovation, scientific inquiry, and patient safety/ quality improvement. Hepatobiliary-Pancreatic Surgery Fellowship Program director: William Hawkins, MD Vascular Surgery Residency Minimally Invasive Urology Fellowship Program Director: Jeffrey Jim, MD, MPHS Clinical fellowship director: R. Sherburne Figenshau, MD The Integrated Vascular Surgery Residency is a five-year training program for medical school Research fellowship director: graduates who decide to focus exclusively Ramakrishna Venkatesh, MD on vascular or endovascular surgery and the management of patients with vascular diseases. Pediatric Surgery Fellowship The program has full accreditation and graduated Program director: Patrick Dillon, MD its first resident in 2017. For trainees who have completed their general surgery residency and Pediatric Urology Fellowship then decide to specialize in vascular surgery, Program director: Douglas Coplen, MD the section also offers a two-year accredited fellowship in vascular surgery. Surgical Critical Care Fellowship Program director: Douglas Schuerer, MD Transplant Surgery Fellowship Program director: Majella Doyle, MD, MBA Vascular Surgery Fellowship Program director: Jeffrey Jim, MD, MPHS surgery.wustl.edu

Research The department is a leader in NIH funding among its peersResearch nationwide and has robust basic science, clinical and public health sciences research. Key cancer biology, immunologic, pancreas and breast cancer research are among areas of 54 excellence for department investigators. 819 $2.8 million clinical research clinical trial contract studies income funding 145 $23.6 million active grants awarded peer-reviewed grants

Researcher Wenjun Li, MD, in the Thoracic Immunology Lab.

Research RESEARCH 56 Vaccines, tumor atlas among notable research Basic and translational research is a long-standing strength of the Department of Surgery. Even today, in a challenging funding environment, surgeon-scientists and researchers continue to receive notable awards and report significant findings. Recent studies point toward potential major advances in treating cancer and lung transplant rejection. Daniel Kreisel, MD, PhD, seeks to better understand the immune response during lung transplant in order to improve survival.

Vice Chair for Research William Gillanders, MD, and his lab HIGHLIGHTS Department of Surgery Annual Report 2019 57 are conducting trials that combine a neoantigen vaccine — personalized to each patient — with current treatment clinical research options to try to prevent recurrence in patients with triple negative breast cancer, an aggressive form of the disease. Surgeons have continued an upward trend to expand clinical research efforts in the Department of Surgery. Gillanders and Surgical Oncology Chief Ryan Fields, MD, are Over the past year, faculty have initiated trials to: surgical co-principal investigators on a $9 million National evaluate telemonitoring to aid “prehabilitation” Institutes of Health (NIH) grant to study the life histories of before pancreatectomy surgery, track pain medication breast and pancreatic cancers. The grant is part of the NIH use through an electronic follow-up system, and Human Tumor Atlas Network (HTAN), a large-scale effort to determine whether electrical stimulation during understand the life span of tumors, including how normal ulnar nerve decompression optimizes hand function cells become cancerous; how various cancers evolve in after surgery. Other trials measure the use of response to treatment; and what changes occur when neoantigen vaccines in breast and pancreas cancers tumors become resistant to therapy or spread. Gillanders and the tracking the effectiveness of a Facebook will focus on how cancer immunotherapy works, while Fields app created to help kidney donor champions tell will study metastasis and resistance in pancreatic cancer. the recipient’s story. Researchers are also tracking outcomes of HIV-positive liver and kidney transplant A study led by Daniel Kreisel, MD, PhD, the recipients who have accepted HIV-positive donor G. Alexander Patterson, MD, Mid-America organs under the HOPE (HIV-Positive Organ Transplant Endowed Distinguished Chair in Policy Equity) Act. Lung Transplantation, used an animal model to identify a process that may prevent antibody- Administration of clinical research was centralized mediated rejection — a particularly deadly eight years ago to provide better efficiency and form of rejection — in lung transplant patients. consistent support for faculty members, and to ensure adherence to increasingly complex regulatory The study, published in The Journal of Clinical Investigation,* guidelines. Research administrators have added a could lead to development of therapies to treat this form quality assurance program to internally audit studies of rejection. unmonitored by an external source. Researchers in the lab of Nupam Mahajan, PhD, have basic and translational research identified a type of the protein kinase, called ACK1, as a new therapeutic target for drug-resistant prostate and breast The Department of Surgery remains in the top tier cancers. They developed a small molecule inhibitor, (R)-9b. of NIH funding among its peers nationwide and Early animal models have found the inhibitor to be effective. continues to publish numerous basic science and Those study results will now be submitted to the U.S. Food translational findings during the course of each and Drug Administration (FDA) for approval to test the academic year. Among its focused areas of study inhibitor in human clinical trials. are breast cancer, cancer biology and immunology, lung transplantation immunology, nerve repair, Daniel Kreisel has a pending patent entitled “Compositions and methods for cardiovascular physiology and pancreas cancer. detecting CCR2 receptors” (application number 15/611,577). public health research * L i W, Gauthier JM, Higashikubo R. Hsiao H-M, Tanaka S. Vuong L, Ritter JH, Tong AV, Wong B, Hachem RR, Puri V, Bharat A, Krupnick AS, Hsieh CS, Baldwin III WM, Kelly FL, Establishment of the Division of Public Health Palmer SM, Gelman AE, Kreisel D. Bronchus-associated lymphoid tissue-resident Foxp3 T Sciences within the department has fostered lymphocytes prevent antibody-mediated lung rejection. The Journal of Clinical Investigations. collaboration among public health and surgical Published Feb. 1, 2019. investigators. The division’s research offers true breadth from epidemiology to comparative effectiveness, health disparities, public health, health literacy and communication, and other areas. (See more on Public Health Sciences, page 38). surgery.wustl.edu

RESEARCH New Research Awards FUNDING ABOVE $1,000,000 Washington University School of Medicine Division of Urologic Surgery Timothy Eberlein, MD / Chair, Department of Surgery Nupam Mahajan, PhD Centene Corporation / Personalized Medicine NIH R01 / Molecular Mechanisms of Castration Initiative Resistant Prostate Cancer Recurrence & 01/01/2019 – 12/31/2028 Therapeutic Strategies The university received an award of $10M per year for 12/14/18 – 11/30/23: $2,839,308 10 years to fund personalized medicine research in NIH R01 / Targeting a Novel Epigenetic Signaling Cancer (Breast and Pancreatic), Alzheimer’s Disease, Nexus ACK1-pY88H4-AR/AR-V7 in Drug Resistant Obesity and Diabetes. For the first year of funding Metastatic Prostate Cancer (04/01/19-03/31/20), principal investigators in the 03/01/19 – 02/28/22: $1,003,388 Research Department of Surgery lead seven of the cancer H. Henry Lai, MD projects. The first year of funding for those projects NIH U01 / Symptoms of Lower Urinary Tract is $1,712,500. Dysfunction Research Network (LURN) Second 58 Division of General Surgery Phase Study Section of Surgical Oncology 09/09/19-8/31/24: $2,418,474 Ryan C. Fields, MD NIH U01 / Multidisciplinary Approach to the Study William E. Gillanders, MD of Chronic Pelvic Pain (MAPP) Research Network Samuel Achilefu, PhD (Radiology) Extension Study Li Ding, PhD (contact principal 08/14/19-06/30/22: $1,168,038 investigator, Medicine) Division of Public Health Sciences NIH U2C / Washington University Human Tumor Atlas Research Center Graham A. Colditz, MD, DrPH 09/30/18-08/31/23: $8,835,023 Ross C. Brownson, PhD NIH P50 / Washington University Implementation William E. Gillanders, MD Science Center for Cancer Control NIH R01 / Targeting Neoantigens in 09/18/19-08/31/24: $7,639,459 Triple Negative Breast Cancer 8/1/19-7/31/24: $3,180,480 Erika Waters, PhD, MPH NIH R01 / Child Asthma Exacerbation: Role of Caregiver Risk Beliefs 09/01/18 – 06/30/22: $2,585,035 Ying Liu, MD, PhD NIH R01 / Residential Mobility, Treatment Quality and Survival in Low-Income Women with Breast Cancer 09/30/18 – 08/31/21: $1,075,887

FUNDING $100,000 – $999,999 Division of Public Health Sciences Department of Surgery Annual Report 2019 59 Division of Cardiothoracic Surgery Yikyung Park, ScD NIH R01 / Temporal Dietary Patterns: Daniel Kreisel, MD, PhD Development and Evaluation against Cystic Fibrosis Foundation / Investigating Adiposity and Metabolic Biomarkers the Immunofibrosis Continuum in CLAD 12/01/18 – 11/30/21: $969,107 01/01/19 – 12/31/20: $729,001 Bettina Drake, PhD, MPH Michael Pasque, MD Department of Defense / Treatment Options and NIH R56 / Left Ventricular Distribution Patterns Survival of Metastatic Prostate Cancer Patients of the Regionally Varying Ischemic Myocardial 05/15/19 – 05/14/22: $590,104 Contractile Substrates Associated with Ischemic Mitral Regurgitation Department of Defense / Prostate Cancer 09/01/18 – 08/31/19: $389,375 Biorepository Network (PCBN) – Washington University Network Site Andrew Gelman, PhD 09/30/18 – 09/29/21: $533,750 Cystic Fibrosis Foundation / Elucidating Mechanisms of ECP to Better Understand Ying Liu, MD, PhD CLAD Pathogenesis American Cancer Society / Disparities in 01/01/19 – 12/31/20: $324,000 Adherence to Adjuvant Therapy for DCIS and Outcomes Division of General Surgery 07/01/18 – 06/30/21: $570,000 Section of Transplant Surgery Yin Cao, ScD, MPH Jae-Sung Kim, PhD NIH K07 / Optimizing the Impact of Aspirin NIH R01 / Autophagy in Liver Injury for Chemoprevention 01/10/19 – 08/31/19: $338,865 09/30/18 – 09/29/21: $567,342 Division of Pediatric Surgery National Comprehensive Cancer Network / Disparities in Young-Onset Colorectal Cancer Jesse Vrecenak, MD Survival According to Patient, Treatment, and Children’s Discovery Institute / In Utero Tumor Molecular Characteristics Transplantation for Mucopolysaccharidosis VII 07/01/18 – 06/30/20: $150,000 02/01/19 – 01/31/22: $448,895 Saira Khan, PhD Division of Urologic Surgery Department of Defense / Chemotherapeutic Potential of Metformin and Statins to Prevent Nupam Mahajan, PhD Progression to Lethal Prostate Cancer Prostate Cancer Foundation / Targeting 08/01/18 – 07/31/20: $254,299 Androgen Receptor and ACK1 Signaling with Novel Epigenetic Therapeutics in Castration- Resistant Prostate Cancer 08/31/18 – 08/31/19: $450,487 surgery.wustl.edu

RESEARCH CoCnltirnaiccatlInTrcioaml e Focused areas TOTAL: $2,781,400 of research excellence Plastic & Reconstructive: $207,641 Public Health Sciences: $193,459 Abdominal aortic aneurysms Urology: $143,037 Breast cancer Pediatric: $9,591 Cancer biology Research Cancer epidemiology 60 and public health Cancer immunology General Surgery: Cardiothoracic: Cardiovascular physiology $1,351,654 $876,018 Diabetes and peripheral arterial disease Education Lung transplantation immunology Peripheral nerve injury Pancreas cancer Prostate cancer Sepsis and critical injury

Research Grants TOTAL: $23,572,479 BY SOURCE BY DIVISION Government: Non-Government: Urologic: $2,858,274 $14,843,054 $8,729,425 Pediatric: $879,861 Plastic & Reconstructive: $689,811 Department of Surgery Annual Report 2019 61 General Surgery: Cardiothoracic: $7,668,286 $4,698,291 Public Health Sciences: $6,777,957 Merit Awards awarded by the U.S. Department of Daniel Kreisel, MD, PhD Veterans Affairs Leukocyte trafficking in thoracic grafts Many Department of Surgery faculty members hold joint appointments at the John Cochran Division of the Spencer J. Melby, MD VA St. Louis Health Care System. Three faculty members Contribution of Inflammation and Oxidative in the Division of Cardiothoracic Surgery currently have Stress in Pericardial Fluid to Postoperative VA Merit Awards which are held at the VA. Atrial Fibrillation After Cardiac Surgery surgery.wustl.edu Varun Puri, MD, MSCI Defining Quality of Care in Lung Cancer

Clinical The department is a leader in cultivating patient care and achievingClinical successful outcomes. Our highly active faculty treat patients across 16 practice sites and combines surgical innovation, research, and training within all clinical operations. Using both proven practices 62 and state-of-the-art technology, the department consistently ensures patient care is the priority while setting the global standard for multidisciplinary care. 203,728 131 outpatient visits surgeons 729,431 total procedures 67 nurse practioners and physician assistants

Clinical suites are housed in the Center for Advanced Medicine on the Washington University Medical Campus.

Clinical CLINICAL 64 Strategic partnerships, PS/QI guide operations The Department of Surgery is expanding patient access to clinical services through a series of strategic partnerships in Illinois. As part of the Washington University Physicians in Illinois (WUPI) program, plastic and urologic surgeons now provide care in Alton. Cardiothoracic surgeons are staffing biweekly clinics in Mt. Vernon. They also are partnering with Blessing Hospital in Quincy and UnityPoint Health in Peoria to provide cardiothoracic teleconsulting services for local physicians to improve the quality and level of care in those communities. Benjamin Kozower, MD, MPH (left), the Department of Surgery’s new vice chair for patient safety/quality improvement and Tracey Guthrie, RN, BSN, MHS, CCRS, director of clinical research, quality improvement and patient safety, have developed a team of patient safety coordinators and surgeons from each division and section who disseminate best practices.

On the Washington University Medical Campus, a The Annual Patient Safety and Clinical Effectiveness Department of Surgery Annual Report 2019 65 Department of Surgery patient safety/quality Meeting generates lively discussions on patient improvement (PS/QI) group was developed in 2012 and safety/quality improvement projects. led by urologic surgery Division Chief Gerald Andriole, MD, the Robert K. Royce Distinguished Professor of HIGHLIGHTS Urologic Surgery. This program has led to initiatives within the department that address key issues such Fourth-year plastic surgery resident Teri Moak, MD, as surgical site infections and readmissions. Andriole, won an award at the Fifth Annual Patient Safety who became vice chair for patient safety and quality and Clinical Effectiveness Meeting in May 2019. improvement, led efforts to significantly reduce The central topic of the meeting was creating a surgical site infections and develop enhanced recovery culture of safety. Moak won for her project on the after surgery (ERAS) protocols that have improved care Professionalism Time Out (PTO), which she learned and shortened length of stay. Annual PS/QI efforts in the operating room of Plastic and Reconstructive by faculty, residents and fellows in each division also Surgery Chief Susan Mackinnon, MD, the Shoenberg have successfully resulted in decreasing weekend Professor of Plastic and Reconstructive Surgery. readmissions, promoting psychological safety in the PTO is conducted before every operation as each operating room and increasing proper opioid disposal. team member introduces herself or himself by first Andriole transitioned his vice chair role on October 1, name and role, and all acknowledge the Professional 2019 to Benjamin Kozower, MD, MPH. Agreement, which reinforces the patient’s care as the primary focus of the team. Moak recruited six Kozower and Tracey Guthrie, RN, BSN, MHS, CCRC, attending surgeons to incorporate PTO into their director of clinical research, quality improvement ORs and surveyed OR team members three months and patient safety, now lead a team of patient safety before and three months after its implementation. coordinators and surgeons from each division and The short-term effect was a better-established section who disseminate best practices. common goal, flattening of the communication hierarchy, and improved patient-centered behavior. The initiatives have a foundation in a program started more than a decade Visits, Procedures and Work RVUs (2015–2019) ago to create a more supportive work environment and increase faculty input, 1,000,000 which subsequently led to working groups focused on PS/QI as well as surgical quality 750,000 and education. 500,000 To develop the next generation of quality improvement leaders, four faculty members are participating in the 250,000 Intermediate Improvement Science Series (I²S²) at Cincinnati Children’s Hospital. The nine-month course 0 FY17 FY18 FY19 has participants working on real projects within their FY15 FY16 respective institutions that can result in immediate Procedures improvements in health care. Kozower; Shaina Eckhouse, Total Work Relative Visits MD; Erica Traxel, MD; and Tiffany Osborn, MD, MPH, are Value Units (RVUs) taking the course along with the department’s patient safety coordinator, Dee Dee Epstein, RN, BSN. surgery.wustl.edu

WASHINGTON UNIVERSITY MEDICAL CAMPUS Washington University Medical Campus Our Campus and City Washington University Medical Campus includes St. Louis Children’s Hospital is the largest children’s Barnes-Jewish Hospital, St. Louis Children’s hospital in the region, with 390 licensed beds and 66 Hospital, and the Alvin J. Siteman Cancer Center an American College of Surgeons-verified Level I at Barnes-Jewish Hospital and Washington pediatric trauma center. It offers comprehensive University School of Medicine. Covering 178 services in every pediatric medical and surgical acres over 18 city blocks, the Medical Campus specialty and is recognized as one of America’s is located at the intersection of St. Louis’ top children’s hospitals by U.S. News & World Central West End and Forest Park Southeast Report, which in 2019 ranked the hospital in all (also known as the Grove) neighborhoods. 10 specialties surveyed. The School of Medicine’s clinical practice group of Siteman Cancer Center is the only National Cancer more than 1,593 full-time clinical physicians and Institute-designated Comprehensive Cancer Center surgeons, called Washington University Physicians, in Missouri and is ranked as one of the nation’s is one of the largest academic clinical practices top cancer facilities by U.S. News & World Report. in the nation. In addition to providing care on the Siteman provides care for nearly 75,000 people a Medical Campus, these physicians see patients at year, including 12,000 newly diagnosed patients. locations across the St. Louis region. The hospitals on the Medical Campus are affiliated Surgeons are among almost 1,700 attending with BJC HealthCare, one of the largest nonprofit physicians at Barnes-Jewish Hospital, the largest health care organizations in the country. hospital in Missouri. Barnes-Jewish is consistently ranked among the nation's best hospitals by U.S. Multidisciplinary research in nearly every area of News & World Report. The hospital holds advanced biomedicine is a hallmark of the medical school. certification from the Joint Commission for lung The school has 13 Fellows of the National Academy volume reduction surgery and is an American of Sciences. It received $449.3 million in National College of Surgeons-verified Level I trauma center. Institutes of Health funding in 2018. There has The hospital has 1,386 licensed beds. been a 28 percent increase in NIH funding over the last three years.

MEET ME IN ST. LOUIS Department of Surgery Annual Report 2019 67 Minimally Invasive Surgery Section Chief Michael Brunt, MD, who Gateway Arch National Park has been a team physician with the St. Louis Blues for 25 years, celebrated the club’s National Hockey League championship by hoisting the Stanley Cup after game 7 at TD Garden in Boston. “An incredible experience!” he exclaimed. Brunt treats a high volume of professional, collegiate and amateur athletes for sports hernias along with Blues players. Newcomers soon discover St. Louis is an ideal the city’s Central West End, an area brimming with place to train or pursue an academic career. dining and entertainment options that cater to the A leading center for international research and area’s young professionals. The Medical Campus destination for patients seeking exceptional care, also borders Forest Park, where miles of multi-use the city also attracts engineers, entrepreneurs, trails wind around some of the city’s most popular artists and other innovative professionals destinations: the art museum, zoo, science center working at the forefront of diverse fields. and other free attractions. St. Louis is livable, with a patchwork of eclectic Outside the Central West End, many neighborhoods neighborhoods not far from the Medical Campus. boast a burgeoning culinary scene, microbreweries The city earns accolades from techies, foodies, and hip nightlife. St. Louis has a significantly lower music lovers and outdoor enthusiasts. cost of housing than the nation’s major coastal cities, and children of all ages enjoy a substantial number The neighborhoods closest to the Medical Campus of free attractions year round. offer trendy restaurants and bars, historic charm and a quick commute. The campus is located in surgery.wustl.edu

NOTED ACCOMPLISHMENTS Graham Colditz, MD, Trauma surgeon DrPH, the Niess-Gain Laurie Punch, MD, professor of surgery received the 2019 and director of the Gerry and Bob Division of Public Virgil Ethic of Health Sciences, Service Award from was named to the the Washington National Institutes University Gephardt of Health (NIH) Council of Councils. The group Institute for Civic and Community Engagement. and its 27 members, selected from NIH institutes The award is given annually to a select group and advisory councils, advises the NIH director on of Washington University community members policies and activities of the Division of Program for their service and contributions to the Noted Accomplishments, Professorships and Transitions Coordination, Planning, and Strategic Initiatives. St. Louis region. Punch is director of Power4STL, The Council of Councils makes recommendations a nonprofit that aims to reduce harm from on emerging scientific opportunities, rising public violence through community health outreach. health challenges and knowledge gaps that deserve She also has taught some 2,000 people special emphasis or would otherwise benefit from bleeding-control skills and trauma first strategic planning and coordination. Colditz was aid through the program “Stop the Bleed.” one of 10 newly appointed members of the Council Punch was one of seven recipients. of Councils. 68 PROFESSORSHIPS Rebecca Aft, MD, PhD, William Gillanders, MD, Andrew Gelman, PhD, Nupan Mahajan, PhD, was chosen to vice chair of research, a nationally recognized was named the become the inaugural was named the Mary lung immunobiology Endowed Professor holder of the newly Culver Professor of researcher, was installed of Urologic Surgery established Jeffrey F. Surgery. as the Jacqueline G. Research. Moley Professorship and William E. Maritz in Endocrine and Endowed Chair in Oncologic Surgery. Immunology and Oncology.

TRANSITIONS Richard Schuessler, Hepatobiliary- Department of Surgery Annual Report 2019 69 PhD, professor of Pancreatic and GI surgery and biomedical (HPB-GI) surgeon engineering, will retire at the end of 2019 after Steven Strasberg, a 35-year research MD, received the career in the Division 2019 Barnes-Jewish of Cardiothoracic Hospital Medical Surgery. Schuessler joined the faculty in 1984 to Staff Lifetime work alongside cardiac surgeons James Cox, MD, Achievement “Master Physician” Award. The and John Boineau, MD, on the surgical treatment annual award honors physicians for superlative of heart arrhythmias. Their research led to the service and commitment for 25 years or more development of the Cox-Maze procedure, the first at Barnes-Jewish Hospital and its predecessor cure for atrial fibrillation (AF). The procedure, first institutions. Strasberg joined the faculty in 1992 performed by Cox in 1987, was highly successful and founded the Section of HPB-GI Surgery, and yet challenging to perform. It required the which he led until 2007. He is perhaps best surgeon to make small, strategically placed known for developing the Critical View of Safety incisions in the atria, creating scar tissue to guide method of identifying anatomic structures the heart’s electrical signals. Schuessler worked during cholecystectomy. The Society of American with Cardiothoracic Surgery Division Chief Ralph Gastrointestinal and Endoscopic Surgeons Damiano Jr., MD, to replace these surgical incisions used this method as part of a national initiative with radiofrequency tissue ablation, creating a to reduce injuries during that operation. simplified Cox-Maze IV procedure that is both Strasberg’s many prestigious honors include successful and widely replicated. the American Surgical Association Medallion for the Advancement of Surgical Care and the Schuessler considers a study by Farah Musharbash, Distinguished Service Award of the Americas MD, a Washington University medical student at the Hepato-Pancreato-Biliary Association. time, as best representing the contribution of the Cox-Maze procedures.* Patients with AF who had Congratulations the Maze procedure at the same time as other heart to Greg Barnett procedures had a 62 percent survival rate at 10 on his retirement years, the same as patients without AF undergoing after 16 years as these procedures. Patients with AF who did not the Department of undergo the Maze procedure along with these Surgery’s media heart procedures had only a 42 percent survival. and marketing Schuessler also directed the cardiothoracic surgery administrator. We’re laboratory and administered the Washington sorry to see Greg leave, and we’re grateful for his University Cardiothoracic National Institutes of years of commitment. He initiated and crafted the Health (NIH) T32 Institutional Research Training department’s strongest content pieces, including Grant since its inception in 1994. the Annual Report, quarterly newsletters and dozens of websites. He was a great content creator, * The Journal of Thoracic and Cardiovascular Surgery. 2018 January; an innovative storyteller and a valued colleague. 155(1): 159–170. surgery.wustl.edu

LEADERSHIP Graham Colditz, MD, DrPH Alison Snyder-Warwick, MD Neiss-Gain Professor of Surgery; Chief, Assistant Professor of Surgery national and international Division of Public Health Sciences Secretary, Sir Charles Bell Society organizations Advisor, National Cancer Moonshot Secretary-Treasurer, Plastic Surgery Initiative Research Council Gerald Andriole, MD Advisor, National Cancer Institute Robert K. Royce Distinguished Professor Board of Scientific Advisors Siobhan Sutcliffe, PhD, ScM, MHS of Urologic Surgery Member, National Institutes of Professor of Surgery Board of Directors, Society of Urologic Health (NIH) Council of Councils Project Leader, Multidisciplinary Oncology and its Clinical Trials Approach to the Study of Chronic Consortium Timothy Eberlein, MD Pelvic Pain Research Network William K. Bixby Professor of Surgery; Michael Awad, MD, PhD Chair, Department of Surgery Marissa Tenenbaum, MD Associate Professor of Surgery Board of Regents, ACS; Immediate Past Associate Professor of Surgery Treasurer, Association for Surgical Chair, National Comprehensive Cancer Clinical Editor, Aesthetic Surgery Journal Education Network Board of Directors, American Society Member of Board, Association for Editor-in-Chief, Journal of the American for Aesthetic Plastic Surgery Surgical Education College of Surgeons Chair, Resident and Fellow Training Thomas Tung, MD Committee, Society of American Mary Klingensmith, MD Professor of Surgery Gastrointestinal and Endoscopic Mary Culver Distinguished Professor Board of Directors, American Society Surgeons (SAGES) of Surgery; Vice Chair for Education of Plastic Surgeons Co-Chair, Education Council, SAGES Member, American College of Surgeons (ACS) Academy of Brad Warner, MD Master Surgeon Educators Jessie L. Ternberg, MD, PhD Distinguished Professor of Pediatric Surgery Jeffrey Blatnik, MD President, SCORE, Inc. Chair, Nominating Committee, American Assistant Professor of Surgery Member, American Board of Medical Pediatric Surgical Association 70 Leadership Member, Board of Governors, Specialties Committee on Certification national and Americas Hernia Society international awards Erin Linnenbringer, PhD Keith Brandt, MD Assistant Professor of Surgery Doug Brown, PhD William G. Hamm Professor of Surgery Jane Engelberg Memorial Fellowship Surgical Education Coordinator Executive Director, American Board Advisory Group, National Society of Association for Surgical Education of Plastic Surgery Genetic Counselors Clerkship Coordinator Recognition L. Michael Brunt, MD Julie Margenthaler, MD Award Chief, Section of Minimally Professor of Surgery Invasive Surgery President-Elect, American Society of Emily Onufer, MD Advisor, Society of American Breast Surgeons General Surgery Resident Gastrointestinal and Endoscopic Executive Committee, American Society Rosenkrantz Research Award, American Surgeons Board of Governors of Breast Surgeons (2017–2020) Academy of Pediatrics Member, Board of Directors, SAGES Marc Moon, MD Tara Semenkovich, MD, MPHS Education and Research Foundation John M. Shoenberg Professor of Surgery General Surgery Resident Second Vice President and Member, President-Elect, American Association Society of Thoracic Surgeons’ Board Fellowship Council for Thoracic Surgery President’s Award President-Elect, Central Surgical G. Alexander Patterson, MD Jennifer Yu, MD Association Joseph Bancroft Professor of Surgery General Surgery Resident William Chapman, MD Editor-in-Chief, The Annals of Thoracic 2018 Association for Surgical Education Eugene M. Bricker Chair of Surgery Surgery Outstanding Resident Teacher Award Treasurer, American Society of Mary Politi, PhD washington university Transplant Surgeons Professor of Surgery school of medicine Vice President, Society for Medical Michael Awad, MD, PhD Decision Making Associate Professor of Surgery 2018 and 2019 Distinguished Service Teaching Awardee – Clinical Teacher of the Year

Sam Bhayani, MD Jennifer Yu, MD John Kirby, MD Department of Surgery Annual Report 2019 71 Holekamp Family Endowed Chair General Surgery Administrative Associate Professor of Surgery in Urology Chief Resident Medical Director, Rehabilitation Chief Medical Officer, Faculty 2019 Keith D. Amos, MD Memorial Award Services, Barnes-Jewish Hospital Practice Plan 2019 Distinguished Service Teaching Awardee – Resident of the Year Benjamin D. Kozower, MD, MPH Jeffrey Blatnik, MD Professor of Surgery Assistant Professor of Surgery barnes-jewish hospital, Vice Chair for Patient Safety Jeffrey Moley Resident Mentoring st. louis children’s hospital, and Quality Improvement Award and Graham Teaching Award siteman cancer center, bjc healthcare and john Daniel Kreisel, MD, PhD Douglas Brown, PhD cochran va medical center G. Alexander Patterson, MD/Mid-America Surgical Education Coordinator Transplant Endowed Distinguished Chair 2019 Distinguished Service Teaching Majella Doyle, MD, MBA in Lung Transplantation Awardee – Clerkship Administrator Professor of Surgery Surgical Director, Lung Transplant of the Year Vice Chair for Clinical Affairs, Program, and Scientific Director, Department of Surgery Washington University and Barnes- Michael Brunt, MD Director, Abdominal Organ Jewish Transplant Center Minimally Invasive Surgery Chief Transplantation Program, St. Louis 2018 Distinguished Service Teaching Children’s Hospital Matthew Mutch, MD Awardee – Clinical Teacher of the Year Solon and Bettie Gershman Professor Bettina Drake, PhD, MPH of Surgery, Chief, Section of Colon and Bettina Drake, PhD, MPH Professor of Surgery Rectal Surgery Professor of Surgery Associate Director of Community Chief of Surgery, Barnes-Jewish Associate Director, Community Outreach Outreach and Engagement and Chair, West County Hospital and Engagement, Siteman Cancer Center Behavioral Science Subcommittee, Siteman Cancer Center Kamlesh Patel, MD, MSc Julie Grossman, MD Associate Professor of Surgery General Surgery Resident Shaina R. Eckhouse, MD Medical Director, St. Louis Children’s 2019 Distinguished Service Teaching Associate Professor of Surgery Hospital Operating Room Awardee – Resident of the Year Surgical Representative, Perioperative Medical Director of Cranofacial Surgery, Services, Barnes-Jewish Hospital St. Louis Children’s Hospital Laurie Punch, MD Co-director 3D Printing Center, St. Louis Associate Professor of Surgery Ryan Fields, MD Children’s Hospital 2018 Distinguished Service Teaching Chief, Section of Surgical Oncology Awardee – Clinical Teacher of the Year Co-Leader, Solid Tumor Therapeutics Jacqueline Saito, MD, MSCI Recipient, 2019 Gerry and Bob Virgil Program, Siteman Cancer Center Associate Professor of Surgery Ethic of Service Award Outcomes Physician, Center for 2018-2020 Carol B. and Jerome T. Loeb Bruce Hall, MD, PhD, MBA Clinical Excellence, BJC HealthCare Teaching Fellow Professor of Surgery Chief Quality Officer, BJC HealthCare Douglas Schuerer, MD 2019 Distinguished Service Teaching Professor of Surgery Awardee – Humanism in Medicine Virginia Herrmann, MD Director of Trauma, Barnes-Jewish Award Nominee Professor of Surgery Hospital Head, High-Risk Breast Cancer Clinic, Raphael Sun, MD Siteman Cancer Center Alison Snyder-Warwick, MD General Surgery Resident Assistant Professor of Surgery 2018 Distinguished Service Teaching Steven Hunt, MD Co-Director, Cleft Palate and Awardee – Resident of the Year Associate Professor of Surgery Craniofacial Institute Paul Wise, MD Surgical Co-Director, Center for Professor of Surgery Advanced Medicine, South County Jason Wellen, MD, MBA Director, Washington University Associate Professor of Surgery Inherited Colorectal Cancer and Aimee James, PhD, MPH Director, Abdominal Organ Polyposis Registry Professor of Surgery Transplantation Program, Inaugural member of Washington Co-leader, Prevention and Control St. Louis Children’s Hospital University School of Medicine Research Program, Siteman Cancer Surgical Representative, Perioperative Academy of Educators Center Services, Barnes-Jewish Hospital 2019 Distinguished Service Teaching Awardee – Clinical Teacher of the Year surgery.wustl.edu

Section of Cardiac Surgery Wenjun Li, MD FACULTY Varun Puri, MD, MSCI Associate Professors of Surgery Ruben G. Nava Bahena, MD Assistant Professor of Surgery chair’s office Bruce Lee Hall, MD, Marc R. Moon, MD, Chief Xingan Wang, MD, PhD PhD, MBA John M. Shoenberg Chair in Instructor in Surgery Chief Quality Officer, Cardiovascular Disease Section of Pediatric BJC HealthCare Ralph J. Damiano Jr., MD Cardiothoracic Surgery Timothy J. Eberlein, MD, Tiffany M. Osborn, MD, MPH Chief, Division of Cardio- Chair Professor of Surgery; thoracic Surgery; Evarts William K. Bixby Professor Co-Director, Leadership and Ambrose Graham of Surgery; Director, Alvin Professional Development Professor of Surgery J. Siteman Cancer Center Aimee S. James, PhD, MPH William A. Gay Jr., MD Pirooz Eghtesady, MD, PhD, Professor of Surgery; Professor Emeritus of Chief Practice of Medicine Section Surgery Emerson Chair in Pediatric Leader, Public Health Nabil A. Munfakh, MD G. Alexander Patterson, MD Michael K. Pasque, MD Cardiothoracic Surgery, Richard B. Schuessler, PhD St. Louis Children’s Hospital; Professors of Surgery Professor of Surgery William C. Chapman, MD Joseph C. Bancroft Professor Matthew G. Mutch, MD Michael Crittenden, MD Aaron Abarbanell, MD, MS Eugene M. Bricker Professor of Cardiothoracic Surgery; Solon and Bettie Gershman Associate Professor of Dilip Nath, MD* of Surgery; Executive Vice Co-Director, Leadership and Chair for Colon and Rectal Surgery; Chief of Cardio- Assistant Professors of Surgery Chair Professional Development Surgery; Chief of Surgery, thoracic Surgery, St. Louis VA Medical Center-John Anoop Brar, PhD Cochran Division Instructor in Surgery Barnes-Jewish West County Hersh S. Maniar, MD Critical Care Service in the Hospital Spencer J. Melby, MD Cardiothoracic Intensive Associate Professors of Care Unit Surgery Mary C. Politi, PhD Thomas J. Graetz, MD, Chief Professor of Surgery; Majella Doyle, MD, MBA Co-Director, Faculty Career Akinobu Itoh, MD, PhD Associate Professor of Professor of Surgery; Development Mentoring Puja Kachroo, MD Anesthesiology Co-Director, Faculty Career Muhammad F. Masood, MD Michael S. Avidan, MBBCh, FCA Faculty Development/Mentoring; Peter S. Goedegeburre, PhD Laurie J. Punch, MD Dipesh K. Shah, MD* Dr. Seymour and Rose T. Brown Vice Chair for Clinical Affairs Associate Professor of Associate Professor of Assistant Professors of Professor of Anesthesiology and Surgery Surgery; Director of Medical Surgery Surgery 72 Student Community Charl J. de Wet, MBChB institutional Engagement Mohsen Ibrahim, MD leadership Associate Professor of Kunal Kotkar, MD Anesthesiology and Surgery Instructors in Surgery William E. Gillanders, MD Section of General Diego Casali, MD Professor of Surgery; Thoracic Surgery Daniel A. Emmert, MD, PhD Vice Chair for Research Mohammad Helwani, MD, MSPH Mary E. Klingensmith, MD Michael Awad, MD Jacqueline M. Saito, Clare H. Ridley, MD Mary Culver Distinguished Associate Professor of MD, MSCI Adnan Sadiq, MD Professor of Surgery; Surgery; Director, Integrated Associate Professor of Assistant Professors of Vice Chair for Education; Surgical Disciplines Surgery; Outcomes Anesthesiology and Surgery Director, Washington Physician, Center for University School of Clinical Excellence, Bryan F. Meyers, MD, MPH, division of general Medicine Academy of BJC HealthCare Chief surgery Health Professions Patrick and Joy Williamson Educators; Associate Sam B. Bhayani, MD Jason R. Wellen, MD Chair in Cardiothoracic William C. Chapman, MD, Chief Director, Simulation Center Holekamp Family Endowed Associate Professor Surgery Eugene M. Bricker Professor of Benjamin D. Kozower, Chair in Urology; Chief of Surgery; Surgical Andrew E. Gelman, PhD Surgery MD, MPH Medical Officer, Washington Representative, Jacqueline G. and William E. Section of Acute and Critical Professor of Surgery; Vice University Physicians Perioperative Services, Maritz Professor of Surgery, Care Surgery Chair for Patient Safety Shaina R. Eckhouse, MD Barnes-Jewish Hospital Pathology and Immunology and Quality Improvement Associate Professor Daniel Kreisel, MD, PhD Grant V. Bochicchio, MD, MPH, of Surgery; Surgical division of G. Alexander Patterson, Chief Representative, cardiothoracic MD/Mid-America Harry Edison Professor of Perioperative Services, surgery Transplant Endowed Surgery Barnes-Jewish Hospital Distinguished Chair in Colonel Jeffrey A. Bailey, MD Ralph J. Damiano Jr., MD, Lung Transplantation; Bradley D. Freeman, MD Chief Surgical Director of John E. Mazuski, MD, PhD Evarts Ambrose Graham Lung Transplantation; Tiffany M. Osborn, MD, MPH Professor of Surgery Professor of Surgery Douglas J.E. Schuerer, MD G. Alexander Patterson, MD Professors of Surgery Joseph C. Bancroft Professor of Cardiothoracic Surgery Benjamin D. Kozower, MD, MPH Professor of Surgery

Obeid N. Ilahi, MD Steven M. Strasberg, MD Majella Doyle, MD, MBA division of Jean S. Wang, MD, PhD John P. Kirby, MD Pruett Family Professor Jae-Sung Kim, PhD* plastic and Associate Professor of Laurie J. Punch, MD of Surgery; Carl Moyer Surendra Shenoy, MD, PhD reconstructive Surgery; Associate Professor Associate Professors of Departmental Teaching Professors of Surgery surgery of Medicine Surgery Coordinator Jason R. Wellen, MD, MBA Sara A. Buckman, MD, Chet Hammill, MD Associate Professor of Susan E. Mackinnon, MD, Yin Cao, ScD, MPH PharmD Associate Professor of Surgery Chief Su-Hsin Chang, PhD, MSc Anja G. Fuchs, PhD Surgery Adeel S. Khan, MD, MPH Sydney M. Jr. and Robert H. Kia L. Davis, ScD, MPH Mark H. Hoofnagle, MD, PhD Dominic Sanford, MD Yiing Lin, MD, PhD Shoenberg Chair in Plastic Cynthia Herrick, MD Piroska K. Kopar, MD Dirk M. Spitzer, PhD Brian W. Wong, PhD and Reconstructive Surgery Ashley Housten, OTD, MSCI, Jennifer M. Leonard, Assistant Professors of Assistant Professors of MPA, OTR/L* MD, PhD* Surgery Surgery Keith E. Brandt, MD Shu Joy Jiang, PhD, MSc* Nishant Raj, MD Section of Minimally Vijay Subramanian, MD William G. Hamm Professor Jean Hunleth, PhD, MPH Jason A. Snyder, MD Invasive Surgery Instructor in Surgery of Plastic Surgery Erin L. Linnenbringer, PhD Melissa K. Stewart, MD Ying Liu, MD, PhD Isaiah R. Turnbull, MD, PhD L. Michael Brunt, MD, Chief Section of Vascular Terence M. Myckatyn, MD Angela Mazul, PhD, MPH* Kelly J. Vallar, MD Professor of Surgery Surgery Thomas H. Tung, MD Michelle Silver, PhD, ScM* Michael D. Weiss, DPM Mary E. Klingensmith, MD Professors of Surgery Fei Wan, PhD* Muhammad Yasin, MD Mary Culver Distinguished Luis A. Sanchez, MD, Chief Assistant Professors of Assistant Professors of Professor of Surgery Gregorio A. Sicard Amy M. Moore, MD Surgery Surgery Michael M. Awad, MD, PhD Distinguished Professor of Head of Hand and Trauma Gerald R. Fortuna Jr., MD J. Christopher Eagon, MD Vascular Surgery Surgery Kenneth R. Carson, MD Adjunct Associate Professor Associate Professors of Gregorio A. Sicard, MD Assistant Professor of of Surgery Surgery Emeritus Professor of Ida K. Fox, MD Surgery; Assistant Professor Jeffrey A. Blatnik, MD Surgery Kamlesh B. Patel, MD of Medicine Bracken Armstrong, MD Francesca M. Dimou, MD* Patrick J. Geraghty, MD Marissa M. Tenenbaum, MD Zachary Englert, DO Shaina R. Eckhouse, MD Brian G. Rubin, MD Associate Professors of division of urologic Andrew B. Hall, MD Sara E. Holden, MD Robert W. Thompson, MD Surgery surgery Chelsea Hutchinson, MD Assistant Professors of Professors of Surgery Deacon Life, MD Surgery Jeffrey Jim, MD, MPHS Donald W. Buck II, MD Gerald L. Andriole Jr., MD, Department of Surgery Annual Report 2019 73 Major Charlie Srivilasa, MD* Section of Surgical Associate Professor of John M. Felder, MD Chief Adjunct Assistant Professors Oncology Surgery Mitchell A. Pet, MD Robert Killian Royce, MD, of Surgery Sean J. English, MD Alison K. Snyder-Warwick, Distinguished Professor Cody Barnes, MD* Ryan C. Fields, MD, Chief Vipul Khetarpaul, MD* MD of Urologic Surgery Jessica Kramer, MD* Professor of Surgery John W. Ohman, MD Matthew D. Wood, PhD Sam B. Bhayani, MD Instructors in Surgery Rebecca L. Aft, MD, PhD Nanette R. Reed, MD Assistant Professors of Holekamp Family Endowed Jeffrey F. Moley Professor in Mohamed A. Zayed, Surgery Chair in Urology Section of Colon and Endocrine and Oncologic MD, PhD Arnold D. Bullock, MD Rectal Surgery Surgery Assistant Professors of division of public Alan A. and Edith L. Wolff Matthew G. Mutch, MD, Timothy J. Eberlein, MD Surgery health sciences Distinguished Professor Chief William K. Bixby Professor Gerald R. Fortuna Jr., MD of Urology Solon and Bettie Gershman of Surgery; Chair, Adjunct Associate Professor Chair for Colon and Rectal Department of Surgery of Surgery Graham A. Colditz, MD, R. Sherburne Figenshau, MD Surgery William E. Gillanders, MD DrPH, Chief Taylor Family and Ralph V. Ira J. Kodner, MD Mary Culver Professor of division of Neiss-Gain Professor of Clayman Chair in Minimally Professor Emeritus of Surgery pediatric surgery Surgery; Associate Director, Invasive Urology Surgery Virginia M. Herrmann, MD Prevention and Control, Nupam Mahajan, PhD Paul E. Wise, MD Julie A. Margenthaler, MD Brad W. Warner, MD, Chief Alvin J. Siteman Cancer Endowed Professorship of Professor of Surgery Professors of Surgery Jessie L. Ternberg, MD, PhD Center; Deputy Director, Urologic Research; Professor Sean C. Glasgow, MD Taylor C. Brown, MD* Distinguished Professor of Institute for Public Health of Surgery Steven R. Hunt, MD Amy Cyr, MD Pediatric Surgery; Surgeon- Ramakrishna Venkatesh, MD Associate Professors of Katherine Glover-Collins, in-Chief, St. Louis Children’s Professor of Surgery Surgery MD, PhD Hospital Matthew L. Silviera, MD (T.K.) Pandian, MD, MPH* Patrick A. Dillon, MD Ross C. Brownson, PhD Douglas E. Coplen, MD Radhika K. Smith, MD Assistant Professors of Jun Guo, PhD Professor, George Warren AHs.sHoecniartye LParoi,fMesDsors Assistant Professors of Surgery Martin S. Keller, MD Brown School of Social Work of Surgery Surgery Section of Transplant Jacqueline M. Saito, Lisa M. Klesges, PhD, MS* Surgery MD, MSCI Section of Hepatobiliary- William C. Chapman, MD, Associate Professors of Margaret Olsen, PhD, MPH Christopher T. Arett, MD Pancreatic and Chief Surgery Professors of Surgery; Alana C. Desai, MD Gastrointestinal Surgery Eugene M. Bricker Professor Baddr Shakhsheer, MD* Professors of Medicine Kefu Du, MD of Surgery Jesse D. Vrecenak, MD William G. Hawkins, MD, Assistant Professors of Bettina F. Drake, PhD, MPH Dane P. Johnson, MD Chief Surgery Neidorff Family and Robert Aimee S. James, PhD, MPH Eric Kim, MD C. Packman Professor of Surgery Mary C. Politi, PhD Kiran Mahajan, PhD Siobhan Sutcliffe, PhD, Gregory P. Murphy, MD ScM, MHS Zachary Smith, MD* Yan Yan, MD, PhD Ralph J. Torrence, MD Professors of Surgery Erica J. Traxel, MD Feng Gao, MD, PhD, MPH, MS Gino J. Vricella, MD Assistant Professors of Allison King, MD, MPH, PhD Surgery Esther J. Lu, PhD Jingqin (Rosy) Luo, PhD Arjun Sivaraman, MD, MBBS, Yikyung Park, ScD MS, MCH* Adetunji T. Toriola, MD, Instructor in Surgery MPH, PhD *Joined faculty in fiscal year Erika Waters, PhD, MPH 2019-20 Associate Professors of surgery.wustl.edu Surgery

NEW FACULTY division of division of general surgery Section: Surgical Oncology cardiothoracic surgery Section: Acute and Critical (Formerly Endocrine and Section of Cardiac Surgery Care Surgery Oncologic Surgery) Dipesh Shah, MD Cody Barnes, MD Taylor Brown, MD Assistant Professor Instructor 1-year position Assistant Professor of Surgery of Surgery Residency: General Residency: Cardiovascular surgery, University of Residency: General surgery, G.B. Pant Hospital, Missouri Hospital and Surgery, Yale – New Delhi, India; cardiovascular surgery, Clinics—Columbia, MO New Haven Hospital LPSIC, Kanpur, India Fellowships: Critical care surgery, Fellowships: Resident research, Fellowships: Advanced cardiovascular Washington University School of Yale Endocrine Neoplasia Laboratory; surgery, Mayo Clinic, Rochester, MN; Medicine Endocrine surgery, Yale – New Haven cardiopulmonary transplantation Clinical Interests: Acute care surgery Hospital and mechanical circulatory support, Research Interests: Blood component Clinical Interests: Endocrine, thyroid, University of Pittsburgh Medical Center, therapy, infrared imaging and parathyroid, adrenal surgery Pittsburgh, PA recognition of sepsis, Arabidopsis Research Interests: Endocrine cancer Clinical Interests: Adult cardiac thaliana protein and genome genetics and genomics surgery, minimally invasive cardiac research T.K. Pandian, MD, MPH surgery, heart failure and cardiothoracic Assistant Professor Colonel Jeffrey A. of Surgery transplantation, structural heart disease and transcatheter valve procedures Bailey, MD 74 New Faculty Research Interests: Clinical outcomes Professor of Surgery Residency: General surgery, research, heart failure devices, heart Residency: General surgery, Mayo Clinic College of transplant, xenotransplantation, stem Saint Louis University Medicine & Science, Rochester, MN cell therapy for heart failure School of Medicine Fellowships: General surgery, Mayo Fellowships: Critical care surgery, Clinic College of Medicine & Science; Section of Pediatric trauma surgery, Saint Louis University Brigham and Women’s Hospital, Cardiothoracic Surgery School of Medicine Massachusetts General Hospital, Harvard Medical School, Boston, MA Clinical Interests: Trauma programs, Dilip Nath, MD trauma systems, injury prevention, pre- Clinical Interests: Endocrine, thyroid, Assistant Professor hospital care, tactical combat casualty parathyroid, adrenal surgery of Surgery care, en-route care, combat surgery, Residency: Congenital damage control resuscitation and Section: Minimally Invasive cardiac surgery, University surgery, emergency general surgery of Southern California/Children’s Surgery Hospital, Los Angeles Research Interests: Trauma education Francesca M. Dimou, MD Fellowships: Post-doctoral research and training, trauma systems, trauma Assistant Professor prevention, trauma registries and fellowship, surgery, University of informatics, trauma outcomes, of Surgery Minnesota; post-doctoral research emergency general surgery registries fellowship, cardiothoracic surgery, Residency: Surgery, The University of South Florida Washington University in St. Louis Jessica Kramer, MD Fellowships: T-32 surgical research in Clinical Interests: Pediatric Instructor 1-year position gastrointestinal diseases, The University cardiothoracic surgery, congenital Residency: General of Texas Medical Branch, Galveston, TX; heart conditions, closure of atrial and surgery, Emory University, advanced gastrointestinal/minimally ventricular septal defects, pediatric Atlanta, GA invasive surgery, Weill Cornell Medicine/ heart transplant, repair of Tetralogy of Fellowships: Burn surgery, Grady New York Presbyterian, New York, NY Fallot, Fontan procedure, Glenn shunt Hospital, Atlanta, GA; critical care Clinical Interests: Bariatrics, foregut surgery, abdominal wall reconstruction, procedure, repair of coarctation of aorta, surgery, Washington University School robotic surgery repair of atrioventricular canal of Medicine Research Interests: Congenital heart Clinical Interests: Trauma Research Interests: Clinical research disease, solid organ transplant Research Interests: education research, of patient-centered outcomes in simulation training, antibiotic utilization hepatobiliary surgery (benign gallbladder disease), bariatrics surgery, foregut surgery and robotics

Section of Vascular Surgery division of public health Shu Joy Jiang, PhD, MSc Department of Surgery Annual Report 2019 75 sciences Assistant Professor of Vipul Khetarpaul, MD Surgery Assistant Professor Lisa M. Klesges, PhD, MS Graduate Education: of Surgery Professor of Surgery PhD, statistics, University Residency: General Graduate Education: of Waterloo, Canada; MSc, statistics, surgery/vascular surgery, MS, psychology/research University of Western Ontario, Canada Washington University School of methods, University Post Doctoral Education: Postdoctoral Medicine of Memphis, TN; PhD, epidemiology/ fellow in biostatistics, Harvard School Fellowships: Vascular surgery, behavioral epidemiology, University of Public Health, Boston, MA Washington University School of of Minnesota, Minneapolis, MN Research Interests: Statistical Medicine Research Interests: Dissemination and methodology in precision medicine, Clinical Interests: Open and implementation research, evidence- multistate models, correlated processes endovascular surgery, aortic and based health behavior change, research involving comorbidities carotid surgery, peripheral vascular methods in cancer prevention and disease/limb salvage, varicose veins, control, childhood obesity prevention Michelle Silver, PhD, ScM dialysis access Assistant Professor of Research Interests: Endovascular Ashley Housten, OTD, Surgery and minimally invasive advances in MSCI, MPA, OTR/L Graduate Education: peripheral vascular disease, complex Assistant Professor of PhD, ScM, epidemiology, aortic pathology Surgery Johns Hopkins School of Public Health, Graduate Education: Baltimore, MD division of pediatric surgery MPA, George Mason University, Fairfax, Post Doctoral Education: Cancer VA; OTD, MSCI, Washington University prevention fellow, National Cancer Baddr Shakhsheer, MD School of Medicine Institute, Rockville, MD; research fellow, Assistant Professor Post Doctoral Education: T32 epidemiology, Johns Hopkins School of of Surgery postdoctoral scholar, Washington Public Health, Baltimore, MD Residency: General surgery, University School of Medicine; Health Research Interests: Cervical cancer University of Chicago Services Research, R25T, and K99 screening and prevention; HPV Fellowships: Pediatric surgery, postdoctoral fellow, University of Texas vaccination; understanding the delivery St. Louis Children’s Hospital/Washington MD Anderson Cancer Center, Houston, TX of the BRCA1/2 testing and impact on University School of Medicine Research Interests: Supporting cancer preventive health services Clinical Interests: Pediatric colorectal screening and treatment decision- surgery, adolescent bariatric surgery making to reduce health disparities and Fei Wan, PhD Research Interests: Recidivism in to address challenges associated with Assistant Professor of bariatric surgery, adolescent bariatric health literacy in diverse populations; Surgery surgery, clinical ethics dissemination and implementation of Graduate Education: decision support strategies to improve PhD, biostatistics, MS, health behaviors and outcomes; using computer science and information qualitative and mixed-methods to technology, University of Pennsylvania, identify challenges and opportunities to Philadelphia; mathematics, University of strengthen patient-provider engagement Cincinnati, applied statistics, University in decision-making across the cancer of Vermont, Burlington, VT care continuum Research Interests: Causal interference, biostatistics, health service research surgery.wustl.edu

GIVING The Department of Surgery Dr. David A. Hardy Rising Tide Foundation for Clinical Cancer Research gratefully acknowledges Dr. Eugene Hsiao the generosity of the Dr. Donald V. Huebener Peggy & Jerry Ritter Family Fund following donors: International Hepato- Mr. Robert A. Rosenthal Aesthetic Surgery Education & Pancreato-Biliary Association Marc & Helen Rubenstein Research Foundation International Society for Philanthropic Fund American Hepato Pancreato Biliary Heart/Lung Transplantation Dr. James E. Schiele Association Dr. & Mrs. Ira J. and Barbara Mr. David E. Shaw & Ann Bottchen Kodner Ms. Beth Kobliner American Medical Association Foundation Mr. & Mrs. William J. and SIS Foundation Joan B. Koman Sr. American Society Reconstructive Dr. Dirk Paul Slaker Microsurgery Susan G. Komen for the Cure Dr. Alan J. Stein American Surgical Association Dr. Norman H. Leffler Foundation Mr. & Mrs. Timothy S. and Stephens & Associates, Inc. Mr. Joel J. Barrientos Margaret B. MacGregor Dr. & Mrs. Paul T. and Suzanne Stockmann Dr. & Mrs. Keith Eric and Dr. Brian Mailey Giving and In Memory Tina Brandt Main Line Health Dr. Benjamin Sutker Mr. Stephen F. Brauer Jr. Dr. & Mrs. Peter A. and The Emerson Collective Fund Brown Foundation Barrett Donna Marzek The Foundation for Barnes-Jewish Hospital 76 Checkpoint Surgical, Inc. Dr. Mark Victor Mazziotti Dr. Matthew R. Thom Children’s Discovery Institute Mid-America Transplant Services Dr. Lewis J. Thomas Jr. Children’s Hospital Foundation– Midwest Stone Institute St. Louis Dr. Arthur Joseph Misischia Dr. Gary Lee Timmerman Dr. & Mrs. James John and Dr. & Mrs. Aaron L. and Dr. & Mrs. Thomas M. and Lynne Clanahan Andrea Morgan Corinne E. Ulbright Dr. Ralph V. Clayman Drs. Jamie and Aaron Mull Vascular Cures Mr. & Mrs. Herbert Condie Jr. Dr. Seymour C. Nash Mrs. Loretta Verde Family Fund Mr. Samuel S. Waters Craig H. Neilsen Foundation Dr. Michael M. Crissey Dr. David Jeffrey Weil Mr. & Mrs. Neal and Cystic Fibrosis Foundation Pamela M. Neuman Dr. Yolanda Y. Yang Mr. Patrick Delhougne Dr. George A. Oliver Dr. Rupsa Yee Dr. E. Gene Deune Mr. & Mrs. Victor A. and Dr. John Stanley Dillon Joyce A. Oltmann Jr. Dr. Leahthan Domeshek Dr. William Frank Oppat To Make a Gift Mr. John P. Dubinsky Pancreatic Cancer Action Network Dr. Robert L. Elliott Dr. Harper D. Pearse The Department of Surgery welcomes Foundation for Surgical Fellowships Dr. Howard Pecker your support. Ways to make a gift Dr. Robert D. Fry Ms. Kimberly J. Perry include annual unrestricted giving such Dr. Pedro Luis Gobbato Prostate Cancer Foundation as membership in the Eliot Society, gifts Dr. Gilberto A. Gonzalez Dr. George F. Reinhardt for education of residents and fellows, Dr. Benjamin L. Gray Dr. & Mrs. Scott Ira and support for research and endowment, Dr. Daniel I. Gup Staci Reznik and planned gifts and bequests. For additional information, please contact the Office of Medical Alumni and Development at (314) 935-9690.

IN MEMORY Jerome Fred Levy, MD, a distinguished surgeon and Department of Surgery Annual Report 2019 77 emeritus professor at Washington University School of Medicine in St. Louis, died June 12, 2019, of pancreatic cancer at home in St. Louis. He was 84. A Washington University alumnus, Levy earned — in only three years and with honors — a bachelor’s degree in chemistry in 1954. He then earned a medical degree in 1958 and a master of liberal arts in 2010. A native St. Louisan, Levy also began his professional career at Washington University. He started as a resident in surgery at what was then called Barnes Hospital and ascended to become an associate professor in clinical surgery before retiring from his surgical practice in 2002. Early in his medical practice, Levy was drafted during the Vietnam War to serve as a captain in the U.S. Army, primarily with the 101st Airborne at Fort Campbell, Kentucky. He trained as a vascular surgeon and eventually focused his practice on treating patients with breast cancer, becoming one of the region’s first surgeons to perform immediate reconstruction following a mastectomy. Additionally, Levy wrote and published a book entitled Your Breasts, aimed at educating lay audiences in breast care. “Jerry was loved by his patients and was an early pioneer of breast conservation and immediate reconstruction,” said Timothy J. Eberlein, MD, the Bixby Professor of Surgery, head of the Department of Surgery and director of the Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine. “He was a renaissance man, having many outside interests where he also excelled. He and his wife, Judy, collected prints, and he was a superb nature photographer.” Levy’s passion for arts compelled him to earn a master of liberal arts degree from University College in Arts & Sciences, for which he was featured as a 2010 outstanding graduate. He also traveled the globe, helped build his second home in Idaho and was committed to his Jewish faith through his deep involvement with Congregation Temple Israel. surgery.wustl.edu

Department of Surgery Partner Institutions office of the chair The 1,500 specialty and primary care clinicians who make up Washington University Physicians Timothy Eberlein, MD comprise the medical staffs at Barnes-Jewish William K. Bixby Professor and Chair Hospital and St. Louis Children’s Hospital. Department of Surgery Jamie Sauerburger Executive Director, Business Affairs Phone: (314) 362-6770 surgery.wustl.edu Washington University School of Medicine CB 8109 660 S. Euclid Ave. St. Louis, MO 63110 Phone: (314) 362-8020 Fax: (314) 454-1898 View the annual report online at: surgeryannualreport.wustl.edu division of cardiothoracic surgery — (314) 362-7260 Section of Cardiac Surgery — (314) 362-0993 Section of General Thoracic Surgery — (314) 362-8598 Section of Pediatric Cardiothoracic Surgery — (314) 454-6165 division of general surgery — (314) 362-7792 Section of Acute and Critical Care Surgery — (314) 362-9347 Section of Colon and Rectal Surgery — (314) 454-7183 Section of Hepatobiliary-Pancreatic and Gastrointestinal Surgery — (314) 362-7046 Section of Minimally Invasive Surgery — (314) 454-8877 Section of Surgical Oncology — (314) 362-2280 Section of Transplant Surgery — (314) 362-7792 Section of Vascular Surgery — (314) 362-7408 division of pediatric surgery — (314) 454-6066 division of plastic and reconstructive surgery — (314) 362-4586 division of public health sciences — (314) 454-7940 division of urologic surgery — (314) 362-8212