American Association of Endocrine Surgeons

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The American Association of Endocrine Surgeons (AAES) is a professional organization for endocrine surgeons. [1] The organization partakes in patient care, education, and scientific investigations in the field of endocrine surgery, including training endocrine surgeons and developing practice guidelines. [2]

Contents

Background, mission, and annual meeting

Deriving inspiration from the formation of the International Association of Endocrine Surgeons (IAES), the AAES was created in 1979 by Orlo Clark, Tony Edis, Edward Kaplan, Jack Monchik, and Norman Thompson during the San Francisco Congress of International Society of Surgeons. [3] [4] The goal of the organization was to enhance education, clinical care, and research in endocrine surgery and recruit membership from surgeons who had made significant contributions to the field. On May 5–6, 1980, the first meeting of the AAES was held in Ann Arbor, Michigan, and subsequent meetings have been held every year in the spring. [4] Today, the meeting program consists of competitive oral/poster presentations, invited lectureships (including the Orlo and Carol Clark Distinguished Lecturer in Endocrine Surgery), interesting case presentations, workshops, awarding grants, and electing leadership. [5] As an organization, the AAES has expanded its membership and programs to include postgraduate courses, research awards, quality and outcomes tracking, and comprehensive endocrine surgery fellowships. [6]

Membership and leadership

Currently, the organization has more than 600 members practicing in over 40 states and 30 countries. [7] Membership requirements include certification by the American Board of Surgery (or its equivalent in Canada, Central America, Mexico, and South America), initiation as a Fellow of the American College of Surgeons (or an international equivalent), and participation in clinical and educational activities related to endocrine surgery. [8] There are also membership categories for international surgeons and allied specialists dedicated to endocrine surgery. [8]

Noteworthy accomplishments and contributions

Since its founding, the AAES has acknowledged and promoted endocrine surgeon-scientists through awards and grants. These include the Oliver Cope Meritorious Achievement Award (first awarded to Oliver Cope in 1985), the Paul LoGerfo Research Award (first awarded to Rebecca Sippel in 2010), and the ThyCa Award for Thyroid Cancer Research (first awarded to Melissa Wilson in 2017). [9] [10] In partnership with the American Association of Clinical Endocrinologists, the AAES released clinical practice guidelines for thyroid cancer in 2001, a position statement for the management of primary hyperparathyroidism in 2005, and management guidelines for adrenal incidentalomas in 2009. [11] [12] In 2010, Janice Pasieka led the construction of the first endocrine surgery patient education website. [13] That same year, Dr. Martha Zeiger established the first Endocrine Surgery University, an annual postgraduate course in routine and complex cases in endocrine surgery. [14] In 2012, William Inabnet III developed the Collaborative Endocrine Surgery Quality Improvement Program (CESQIP), the first multi-institutional database devoted to quality improvement and outcomes in endocrine surgery. [15] Under the direction of Sally Carty, the AAES published the first practice guidelines for parathyroidectomy in 2016. [16] In community practices, recognition of endocrine surgery is growing and the AAES established the Community-Based Surgeons Committee in 2014 to represent this population of the membership. [17] In general , the AAES has been acknowledged for the proportion of women surgeons represented in membership and as leaders. [18] [19] Approximately half of endocrine surgery fellowship graduates are women and, currently, more than 35% of active members are women. [20] [21]

Endocrine surgery fellowships

The AAES membership and leadership are responsible for the development and governance of all comprehensive endocrine surgery fellowships in North America. [22] Many early members of the AAES had gained additional exposure and experience with endocrine surgery via apprenticeships, international fellowships, or surgical oncology fellowships. [18] Recognizing the importance of advanced post-graduate training in endocrine surgery, prominent members created domestic fellowships, most notably, Norman Thompson at the University of Michigan in 1984. [23] The AAES defined a fellowship curriculum in 2004 and sponsored the first match in 2006, supervised by Allan Siperstein. [24] [25] In 2013, a regular accreditation process was established to ensure that all fellowship programs provide robust case volume, complexity, and diversity. [24] As of 2019, there are twenty-three AAES fellowship training programs in comprehensive endocrine surgery. [22] Many fellowship graduates perform a high-volume of endocrine operations early in their careers, and more than 95% experience high job satisfaction. [20] [26] [27] In recent years, endocrine surgery fellowship graduates have joined both academic and community practices equally, increasing patient-access to specialized care and signifying a growing recognition of the specialty. [20]

Related Research Articles

Urology Medical specialty

Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the male and female urinary-tract system and the male reproductive organs. Organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs.

Vascular surgery

Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Open surgery techniques, as well as endovascular techniques are used to treat vascular diseases. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system excluding the coronaries and intracranial vasculature.

Hyperparathyroidism Medical condition

Hyperparathyroidism is an increase in parathyroid hormone (PTH) levels in the blood. This occurs from a disorder either within the parathyroid glands or outside the parathyroid glands. Symptoms of hyperparathyroidism are caused by inappropriately normal or elevated blood calcium leaving the bones and flowing into the blood stream in response to increased production of parathyroid hormone. In healthy people, when blood calcium levels are high, parathyroid hormone levels should be low. With long-standing hyperparathyroidism, the most common symptom is kidney stones. Other symptoms may include bone pain, weakness, depression, confusion, and increased urination. Both primary and secondary may result in osteoporosis.

Endocrine surgery

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Parathyroidectomy Surgical removal of one or more of the parathyroid glands

Parathyroidectomy is the surgical removal of one or more of the (usually) four parathyroid glands. This procedure is used to remove an adenoma or hyperplasia of these glands when they are producing excessive parathyroid hormone (PTH): hyperparathyroidism. The glands are usually four in number and located adjacent to the posterior surface of the thyroid gland, but their exact location is variable. When an elevated PTH level is found, a sestamibi scan or an ultrasound may be performed in order to confirm the presence and location of abnormal parathyroid tissue.

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Primary hyperparathyroidism Medical condition

Primary hyperparathyroidism is usually caused by a tumor within the parathyroid gland. The symptoms of the condition relate to the elevated calcium levels, which can cause digestive symptoms, kidney stones, psychiatric abnormalities, and bone disease.

Endocrine disease Medical condition

Endocrine diseases are disorders of the endocrine system. The branch of medicine associated with endocrine disorders is known as endocrinology.

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Sivapatham Vittal

Sivapatham Vittal is an Indian surgical endocrinologist, considered by many as the Father of Surgical Endocrinology in India. The Government of India honored Vittal in 2011, with the fourth highest civilian award of Padma Shri.

Raghu Ram Pillarisetti

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Julie Ann Sosa, MD, MA, FACS, is professor and chair of the Department of Surgery at the University of California, San Francisco (UCSF) and holds the Leon Goldman, MD, Distinguished Professorship in Surgery. She currently serves as the Treasurer of the American Thyroid Association and Editor-in-Chief of the World Journal of Surgery.

Antonio Bernardo

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Ravindra Laxman Thatte

Dr. Ravin Laxman Thatte is a doyen a professor in the field of Plastic and Reconstructive Surgery, a teacher to most plastic surgeons in India, an Indian philosopher and an active environmentalist.

Herbert (Chaim) Dardik was a vascular surgeon who served as the chief of vascular surgery at Englewood Hospital and Medical Center in Englewood, New Jersey, and founded that institution's first vascular surgery fellowship program in 1978. Dardik made many developments in vascular surgery, including the first tissue-engineered bypass graft used to prevent gangrene and save lower limbs. In 2017 he earned the Society for Vascular Surgery's Lifetime Achievement Award for his contributions to the profession.

Sanjay Kalra is an Indian endocrinologist working at Bharti Hospital, Karnal, Haryana. A graduate of Christian Medical College, Ludhiana, he completed his post-graduation (MD) in Medicine at Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, and fellowship (DM) in Endocrinology and Metabolism at All India Institutes of Medical Sciences, New Delhi. Kalra is currently the President of Endocrine Society of India and Vice President of South Asian Federation of Endocrine Societies. He also serves on the executive council of the Research Society for Study of Diabetes in India. He has over 500 PubMed indexed articles to his name, and has fostered bilateral and multilateral links between various Afro Asian countries in the field of endocrinology. He has developed the terms Glucocrinology and Lipocrinology. and the Gluco Coper tool to assess coping mechanisms. Winner of the DAWN Award (2009). He has also published the concepts of diabetes fatigue syndrome, euthymia in diabetes, quaternary prevention in endocrinology, and quinary prevention.

References

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