Emergency surgeon: “ last of the mohicans” 2014-2016 editorial policy WSES- WJES: position papers, guidelines, courses, ...

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Title:
Emergency surgeon: “ last of the mohicans” 2014-2016 editorial policy WSES- WJES: position papers, guidelines, courses, books and original research; from WJES impact factor to WSES congress impact factor
Series Title:
World Journal of Emergency Surgery
Physical Description:
Mixed Material
Creator:
Fausto Catena
Frederick Moore
Luca Ansaloni
Ari Leppäniemi
Massimo Sartelli
Andrew B Peitzmann
Walt Biffl
Federico Coccolini
Salomone Di Saverio
Belinda De Simone
Michele Pisano
Ernest E Moore
Publisher:
World Journal of Emergency Surgery
Publication Date:

Record Information

Source Institution:
University of Florida
Holding Location:
University of Florida
Rights Management:
All rights reserved by the source institution.
System ID:
AA00020070:00001

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COMMENTARYOpenAccessEmergencysurgeon: “ lastofthemohicans ” 2014-2016editorialpolicyWSES-WJES:position papers,guidelines,courses,booksandoriginal research;fromWJESimpactfactortoWSES congressimpactfactorFaustoCatena1*,FrederickMoore2,LucaAnsaloni3,AriLeppniemi4,MassimoSartelli5,AndrewBPeitzmann6, WaltBiffl7,FedericoCoccolini3,SalomoneDiSaverio8,BelindaDeSimone1,MichelePisano3andErnestEMoore7AttheWSESBergamoCongresslastJulytheWSESWJESboardestablishedtheScientificDevelopmentPolicy (SDP)fortheSocietyandJournalforthenext2years (2014-2016). Theprojectisbasedontheideatocreateanorganized scientificmovementhavingtheobjectivetostandardize thestateoftheartforemergencysurgery,whileattemptingtodevelopguidelinesforrelatedtopicsandpromoting originalresearch. Thefirstaimofthisthestrategyistostartwithacarefulanalysisofexistingliteratureleadingtothecreation ofpositionpapers.(SDPfirststep). GenerallyamemberofWSES-WJESBoard(afteragreementoftheWSESBoardofDirectors-WJESEditorial Board)ischargedtoperformthisfirstSDPstep. ThepositionpaperisthenpublishedintheWJES,and thefollowingtwoyearsConsensusConferencesare scheduledtoprepareguidelinesthatwillbepresentedat theensuingWSESWorldCongress. AftertheWorldCongresstheseguidelineswillbe publishedintheWJES. Duringthese3yearsoriginalresearchisencouragedto clarifythesedefinedtopics. Theideatocreateascientificvirtuouscyclewiththe ultimategoaltodefinetheevidencebasedliteratureand stimulatingresearchtogiveemergencysurgeonsuseful tools. Globallythehugeriseinclaimsbypatients,theincrease inoperatingcostsofthefacilitiesinwhichthemedical serviceisrenderedandtheincreasinglyimportantroleof insurancehavepushedthevariouslevelsofgovernment authorities(localhealthcareagenciesandhospitals, RegionalGovernmentsandNationalHealthMinistry) toimplementcontrolsystemsandriskpreventionorganizationsduringtheperformanceoftherapeutic activities. Actuallyadecisiveroleintheorganizationandmanagementofhealthfacilitiesisplayedbytheriskmanagementalthoughtheclassificationoferrorsinhealth carerepresentsacomplextaskunderdifferentpointsof views.Intheriskmanagementevaluationhasalwaysto bepointedoutthespecificityofindividualpatients,the riskofsometypesofprocedureswiththemultiplicityof professionalexperiencesandtherangeofmanagement modelsofthevarioushealthcarefacilities.Inthepreventionofclinicalrisks,althoughattentionhasfocused primarilyonimprovingtheknowledgeandtrainingof theindividualpractitioner,howeverithasbeennoted thatoftentheerror,ratherthandependontheconduct ofthehealthprofessional,istheresultofobjective shortcomingsorganizationalstructuresthemselves.In thisarrangement,acentralroleistakenbytheclinicalguidelinesthatareusuallypreparedbyscientific societiesand,onthebasisofEvidenceBasedMedicine, mayberecognizedasrealrulesofprofessionalconduct andcertifiedpracticestowhichtheprofessionalsand thehospitalsmustfollow.Theserecommendations regardingthepracticalclinicalbehaviorarebasedon thelatestscientificstudiesandmaycomedirectlyor indirectlyfrompublicandprivateorganizations,national orinternational. *Correspondence: fausto.catena@gmail.com1EmergencySurgery,MaggioreParmaHospital,Parma,Italy Fulllistofauthorinformationisavailableattheendofthearticle WORLD JOURNAL OF EMERGENCY SURGERY 2014Catenaetal.;licenseeBioMedCentralLtd.ThisisanOpenAccessarticledistributedunderthetermsoftheCreative CommonsAttributionLicense(http://creativecommons.org/licenses/by/2.0),whichpermitsunrestricteduse,distribution,and reproductioninanymedium,providedtheoriginalworkisproperlycited.TheCreativeCommonsPublicDomainDedication waiver(http://creativecommons.org/publicdomain/zero/1.0/)appliestothedatamadeavailableinthisarticle,unlessotherwise stated.Catena etal.WorldJournalofEmergencySurgery 2014, 9 :14 http://www.wjes.org/content/9/1/14

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Ingeneraltheuseofguidelinesasacriterionforidentifyingtheresponsibilityofthephysicianhaslongbeenused bylawpronetoassessthelegitimacyofthebehaviorof healthprofessionalasthecompliancewith “ goodclinical practice ” ,withouttherebyhidingthelimitsthatthiscriterioninitselfentails.Guidelinesarenot,infact,mandatory rulesinabsoluteterms,butgeneralguidingprinciplesand sometimesabittheoretical,thatmaybecomesoonobsoleteduetotherapidandsteadyprogressofscience andrelativelyinapplicableduetothemarginsofunpredictabilityofthemedicinerelatedtotheconcrete individualcase. Theriskofguidelinesistoreducethefreedomof actionofthehealthprofessionalandconstrainthechoices attheexpenseofpossiblealternativesolutions,eventually stilleffectiveandevenmorebeneficialtoscientific progress.Infactthesurgeon,whointhedailypracticeis limitedtoadheretotheguidelines,inevitablyproduces anarrestoftheevolutionofscientificthoughtandof clinicaltrials. Whilebearinginmindtheselimitationsanddisadvantagesoftheguidelinesisimportantthatthescientific societiesprovidefortheirconstructionandupdatesto helpthesurgeonsintheircommondailypractice. Thistoolisespeciallyusefulinemergencyandtrauma surgerywheretreatmentdecisionsaretobetakenin timesthatarenotcompatiblewiththeusualscientific update. Forthesereasons,theWSEShasplaced(andwill continuetoplace)alotofeffortinbuildingguidelinesthat involveasmuchaspossibleprofessionalsworkingindifferentcountriesandcontinentsinordertoprovidecommontoolstoidentifythebestclinicalpractice. Thedisseminationofguidelinesandrecommendations isperhapsevenamoreimportantactivitythantheir creation. IsthereforeintentionalandwantedtheincreasedpublicationofWSESguidelinesonWJES.Wehopethatthese toolswillbeusefulandappreciatedbytheemergencyand traumasurgeonsfromaroundtheworld. AfterobtaininganimpactfactorforWJES,ournext newchallengeistodevelopaWSESCongressimpact factorbasedonthequalityoftheCongressandonits intrinsiccapacitytosupportSDPvirtuouscycle. The “ WJES-WSESimpactfactorTaskForce ” hasdevelopedthemathematicalformulatobeappliedonthelast WSESCongress. TheWSES-WJESEducationalTeamhasalsorecently completedthefirsteducationalprojectwiththeissuing oftheWSESTraumaSurgeryBook.Themainaimof thesetwovolumesistoprovideafreshviewofthesurgical approachtotraumapatients,bymeanofpracticalsuggestions,surgicaltechniquesandorganizationalissuesfor improvingtheskillsoftraineesurgeonsaswellasanyone whoisdealingwithtraumapatients.Theworldwidecontributiontothesebooksisevidentbytheparticipationof traumaprofessionalsfromfivecontinentsandthecoverageofmultidisciplinarytopic,acrossseveralsurgicaland criticalcaresubspecialties(Volume1coversTrauma Management,TraumaCriticalCare,OrthopaedicTrauma andNeuro-Trauma[1],Volume2focusesonThoracic andAbdominalTrauma[2].Thebooksaimtopurposely fallwithinthemultidisciplinaryeducationalscopeofour SDPplannedbyatruly “ World ” SocietyofEmergency Surgery. Thenextstepsofthisprojectoneducationofthe EmergencySurgeonworldwidewillbeanAcuteCare (non-Trauma)SurgerybookandWSES-WJESCourses, whichwillpromulgateemergencysurgeryeducation aroundtheworld,byusingWSES-WJESguidelines. Inourerawehaveobservedtheonsetofmanygeneral surgerysubspecialization:(minimalinvasive,bariatric,, upperGI,HBP,colorectaletc … ). Inthiscontextemergencysurgeonsappearstoremain the “ lastgeneralsurgeons ” abletoperformaemergencythoracotomyoraliverresectionafteraDCSfor trauma[2-7]. Weareprobablythe “ lastoftheMohicans ” butthe needfortheseskillsetsisincreasing.TheWSES-WJES missionistosupportthisexpertise,aimingtopromulgatetheinformationglobally. TheWSES – WJESeducationprogram(includingup-todatebooksandsurgicalcoursesincludinghands-on sessions)iscriticalforthismission.Authordetails1EmergencySurgery,MaggioreParmaHospital,Parma,Italy.2Departmentof Surgery,UniversityofFlorida,Gainesville,FL,USA.3GeneralSurgery Department,PapaGiovanniXXIIIhospital,Bergamo,Italy.4Departmentof AbdominalSurgery,UniversityHospitalMeilahti,Helsinki,Finland.5DepartmentofSurgery,MacerataHospital,Macerata,Italy.6Departmentof Surgery,UniversityofPittsburghSchoolofMedicine,Pittsburgh,PA,USA.7DepartmentofSurgery,DenverHealthMedicalCenter,Denver,CO,USA.8DepartmentofSurgery,MaggioreHospital,Bologna,Italy. Received:27January2014Accepted:28January2014 Published:3February2014 References1.TugnoliS,CatenaG,AnsaloniF,NaidooLN: TraumaSurgery Volume1:TraumaManagement,TraumaCriticalCare,Orthopaedic TraumaandNeuro-TraumaDiSaverio. VerlagItaly:Springer;2014. ISBN978-88-470-5403-5. 2.TugnoliS,CatenaG,AnsaloniF,NaidooLN: TraumaSurgeryVolume2: ThoracicandAbdominalTraumaDiSaverio. VerlagItaly:Springer;2014. ISBN978-88-470-5459-2. 3.MooreHB,MoorePK,GrantAR,TelloTL,KnudsonMM,KornblithLZ, SongTE,SauaiaA,ZuckerbahnB,MooreEE: Futureofacutecaresurgery: aperspectivefromthenextgeneration. JTraumaAcuteCareSurg 2012, 72 (1):94 – 99.doi:10.1097/TA.0b013e31823b990a. 4.LeppniemiA: Organizationofemergencysurgery. BrJSurg 2014, 101 (1):e7 – e8. 5.CatenaF,SartelliM,AnsaloniL,MooreF,MooreEE: SecondWSES convention,WJESimpactfactor,andemergencysurgeryworldwide. WorldJEmergSurg 2013, 8 (1):15.doi:10.1186/1749-7922-8-15.Catena etal.WorldJournalofEmergencySurgery 2014, 9 :14Page2of3 http://www.wjes.org/content/9/1/14

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6.CatenaF,MooreEE: Emergencysurgery,acutecaresurgery andtheboulevardofbrokendreams. WorldJEmergSurg 2009, 4: 4. 7.CatenaF,MooreEE: WorldJournalofEmergencySurgery(WJES), WorldSocietyofEmergencySurgery(WSES)andtheroleof emergencysurgeryintheworld. WorldJEmergSurg 2007, 8: 2 – 3.doi:10.1186/1749-7922-9-14 Citethisarticleas: Catena etal. : Emergencysurgeon: “ lastofthe mohicans ” 2014-2016editorialpolicyWSES-WJES:positionpapers, guidelines,courses,booksandoriginalresearch;fromWJESimpact factortoWSEScongressimpactfactor. WorldJournalofEmergency Surgery 2014 9 :14. Submit your next manuscript to BioMed Central and take full advantage of: € Convenient online submission € Thorough peer review € No space constraints or color “gure charges € Immediate publication on acceptance € Inclusion in PubMed, CAS, Scopus and Google Scholar € Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Catena etal.WorldJournalofEmergencySurgery 2014, 9 :14Page3of3 http://www.wjes.org/content/9/1/14