The Operative Word

• E39: Postoperative Pain Management in the US vs Low- and Middle-Income Countries by US Surgeons

  In this episode, Tom Varghese, MD, FACS, is joined by Ziad Sifri, MD, FACS, from Rutgers New Jersey Medical School, and Matthew Linz, MD, from Rutgers Robert Wood Johnson Medical School. They discuss Drs Sifri and Linz’s recent article, “Postoperative Pain Management in the US vs Low- and Middle-Income Countries by US Surgeons,” in which they found that surgeons in the US prescribe significantly more opioids after inguinal hernia repair compared with when they operate on short-term surgical trips to low- and middle-income countries, despite continued efforts to reduce opioid overprescription in the US.   Disclosure Information: Drs Varghese, Linz, and Sifri have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Linz, Matthew S MD1; Parvin-Nejad, Fatemeh P MD2; Srinivasan, Nivetha MD3; Vegunta, Geetasravya MD1; Eng, Ashley K BS1; Kim, Eugene BA MBS; Alexander, Imani BS1; Elgammal, Fatima MD2; Benson, Ryan MD2; Benneh, Albert Y MD4; Gyakobo, Mawuli K MD5,6; Lopez, Lorena MD7; Jalloh, Samba MD8; Sifri, Ziad C MD FACS2. Postoperative Pain Management in the US vs Low-and-Middle-Income Countries by US Surgeons. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001538, July 30, 2025. | DOI: 10.1097/XCS.0000000000001538   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord

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• E38: What About the Coach? Mixed-Methods Study Assessing the Experience of Coaches in a Peer Surgical Coaching Program

  In this episode, Lillian Erdahl, MD, FACS, is joined by Eilidh Gunn, MBChB MRCSEd, from the Surgical Sabermetrics Laboratory at the University of Edinburgh. They discuss Dr Gunn’s recent article, “What About the Coach? Mixed-Methods Study Assessing the Experience of Coaches in a Peer Surgical Coaching Program.” As peer-led surgical coaching becomes an increasingly popular professional development activity, this study explores the impact of participation on surgeons acting as coaches. Using a concurrent, mixed-methods design, results demonstrate that coaches found participation worthwhile and that it affected their own clinical practice. Learn more about the SCOPE program here.   Disclosure Information: Drs Gunn and Erdahl have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Gunn, Eilidh GM MBChB MRCSEd1; Sinyard, Robert D MD MBA2; Cummins, Emily R PhD3; Yule, Steven PhD4; Smink, Douglas S MD, MPH, FACS5. What About the Coach? Mixed-Methods Study Assessing the Experience of Coaches in a Peer Surgical Coaching Program. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001506, July 24, 2025. | DOI: 10.1097/XCS.0000000000001506    Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord

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• E37: Expanding the Public Health Role of Pediatric Trauma Centers: Drug Screening for Adolescent Trauma Patients

  In this episode, Lillian Erdahl, MD, FACS, is joined by Jordan Rook, MD, from UCLA, and Lorraine Kelley-Quon, MD, FACS, from Children’s Hospital Los Angeles and Keck School of Medicine of USC. They discuss Drs Rook and Kelley-Quon’s recent article, “Expanding the Public Health Role of Pediatric Trauma Centers: Drug Screening for Adolescent Trauma Patients,” in which the authors found that biochemical drug screening for injured adolescents is decreasing at pediatric trauma centers, despite increasing national adolescent overdose deaths. Given high rates of substance use among injured adolescents, this is a missed opportunity to intervene on problematic substance use and prevent future adolescent overdose deaths.   Disclosure Information: Drs Rook, Kelley-Quon, and Erdahl have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Rook, Jordan M MDa,b; Spurrier, Ryan G MD FACSc,d; Lee, Jenna S MDc; Safavi, Arash MD MHSC FACSc,d; Barrington-Trimis, Jessica PhDe; Ignacio, Romeo C MD MS MPath FACSf; Juillard, Catherine J MD MPH FACSa; Kelley-Quon, Lorraine I MD MS FACSc,d,e. Expanding the Public Health Role of Pediatric Trauma Centers: Drug Screening for Adolescent Trauma Patients. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001596, August 22, 2025. | DOI: 10.1097/XCS.0000000000001596    Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

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• E36: Association of Discharge Against Medical Advice with Surgical Outcomes and Healthcare Cost

  In this episode, Tom Varghese, MD, FACS, is joined by Timothy Pawlik, MD, FACS, from The Ohio State University. They discuss Dr Pawlik’s recent article, “Association of Discharge Against Medical Advice with Surgical Outcomes and Healthcare Cost,” in which the authors found that discharge against medical advice (DAMA) among surgical patients is associated with increased 30-day readmission, complication, fragmented care, and higher healthcare cost. DAMA patients were younger, socioeconomically vulnerable, and often had substance use or psychiatric disorders.     Disclosure Information: Drs Varghese and Pawlik have nothing to disclose.    To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Sarfraz, Azza MBBS; Khalil, Mujtaba MD; Woldesenbet, Selamawit PhD; Altaf, Abdullah MD; Rashid, Zayed MD; Zindani, Shahzaib MD; Kawashima, Jun MD; Pawlik, Timothy M MD, PhD, MPH, MTS, MBA, FACS. Association of Discharge Against Medical Advice with Surgical Outcomes and Healthcare Costs. Journal of the American College of Surgeons 241(5):p 822-832, November 2025. | DOI: 10.1097/XCS.0000000000001469    Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.    #JACSOperativeWord 

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• E35: Association of State Helmet Laws with Helmet Use and Injury Outcomes in Motorcycle Crashes

  In this episode, Lillian Erdahl, MD, FACS, is joined by Stephanie M Jensen, MD, MPH, and A Britt Christmas, MD, MBA, FACS, from the Carolinas Medical Center, Charlotte, NC. They discuss the recent article by Drs Jensen and Christmas, “Association of State Helmet Laws with Helmet Use and Injury Outcomes in Motorcycle Crashes,” in which the authors analyzed a decade of motorcycle collision data from an American College of Surgeons-verified Level I Trauma Center positioned at the border of 2 states with differing motorcycle helmet laws. The study found that helmeted patients had reduced injury severity, and that state helmet laws significantly influence helmet usage among motorcyclists. Disclosure Information: Drs Erdahl, Jensen, and Christmas, speakers, have nothing to disclose. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.   Jensen, Stephanie M MD, MPH; Ricker, Ansley MD; Sing, Ronald F DO, FACS; Ross, Sam MD, MPH, FACS; Cunningham, Kyle W MD, MPH, FACS; Christmas, A Britton MD, MBA, FACS. Association of State Helmet Laws with Helmet Use and Injury Outcomes in Motorcycle Crashes. Journal of the American College of Surgeons 241(3):p 418-425, September 2025. | DOI: 10.1097/XCS.0000000000001400  Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord

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