Bulletin of the American College of Surgeons (ISSN 0002-8045) is
published monthly by the American College of Surgeons, 633 N.
Saint Clair St., Chicago, IL 60611. It is distributed without charge to
Fellows, Associate Fellows, Resident and Medical Student Members,
Affiliate Members, and to medical libraries and allied health
personnel. Periodicals postage paid at Chicago, IL, and additional
mailing offices. POS TMAS TER: Send address changes to Bulletin of the
American College of Surgeons, 3251 Riverport Lane, Maryland Heights,
MO 63043. Canadian Publications Mail Agreement No. 40035010.
Canada returns to: Station A, PO Box 54, Windsor, ON N9A 6J5.
The American College of Surgeons’ headquarters is located at
633 N. Saint Clair St., Chicago, IL 60611-3211; tel. 312-202-5000; toll-free: 800-
621-4111; e-mail: firstname.lastname@example.org; website: www.facs.org. Washington,
DC, Office is located at 20 F Street N. W. Suite 1000, Washington, DC.
20001-6701; tel. 202-337-2701; website: www.tmiva.net/20fstreetcc/home.
Unless specifically stated otherwise, the opinions expressed
and statements made in this publication reflect the authors’
personal observations and do not imply endorsement by
nor official policy of the American College of Surgeons.
©2015 by the American College of Surgeons, all rights reserved. Contents
may not be reproduced, stored in a retrieval system, or transmitted in any
form by any means without prior written permission of the publisher.
Library of Congress number 45-49454. Printed in the
USA. Publications Agreement No. 1564382.
Join us in
• Advocate for health care improvements
• Engage influential decision makers
• Connect with ACS leaders and learn how
to get involved
• Lead discussions on innovative ways to face
leadership and surgical challenges
• Enhance your leadership skills by attending
professional development sessions
for schedule of events, registration, hotel, and
SAVE THE DATE
April 18–21, 2015 EDITOR-IN-CHIEF Diane Schneidman
DIREC TOR, DIVISION OF
EDITORIAL & PRODUC TION ASSISTANT
SENIOR GRAPHIC DESIGNER/
Charles D. Mabry, MD, FACS
Leigh A. Neumayer, MD, FACS
Marshall Z. Schwartz, MD, FACS
Mark C. Weissler, MD, FACS
FRONT COVER DESIGN
The American College of Surgeons is dedicated
to improving the care of the surgical patient
and to safeguarding standards of care in an
optimal and ethical practice environment.
Letters to the Editor
should be sent
with the writer’s
org, or via mail to
Diane S. Schneidman,
Chicago, IL 60611.
Letters may be edited
for length or clarity.
Permission to publish
letters is assumed
unless the author
indicates other wise.