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Former Chairman of theDepartment of SurgeryClyde F. Barker, MD and his assistant Ms. Donna Muldoon

Concept, Writing, EditorialSteege/Thomson Communications4606 Spruce StreetPhiladelphia, PA 19139215.747.7700www.steegethomson.com

DesignJelesiewicz DesignJill Glodek, Designer219 Glendalough RoadErdenheim, PA 19038

Office of the CuratorUniversity of Pennsylvania Art CollectionJacqueline Jacovini100 College HallPhiladelphia, PA 19104-6380

Penn Medicine DevelopmentKimberley GrubeSenior Director of Development, SurgicalPrograms and Patient Facilitated Services3535 Market Street, Suite 750Philadelphia, PA 19104

PrinterPrinters Trade, Inc.Charlene Sidebotham10081 Sandmeyer LanePhiladelphia, PA 19116

Web Administrator, Graphic ArtistRobin Noel

Acknowledgements

The 2007 Annual Report from the University of Pennsylvania Health System Department of Surgery

was produced with contributions by the following people:

The John Rhea Barton Professor and Chairman of the Department of Surgery,University of Pennsylvania

Surgeon-in-Chief, University of Pennsylvania Health System

Larry R. Kaiser, MD and his executive assistant Ms. Marie Mattera

The Council of Chiefs and Executive Committee

Michael A. Acker, MD and his assistant Ms. Geri Iannelli

N. Scott Adzick, MD and his assistant Ms. Renata Rodgers

Donna J. Barbot, MD and her assistant Ms. Christine Marino

Jo Buyske, MD and her assistant Ms. Sameerah Rahman

Joel D. Cooper, MD and his executive assistant Ms. Renee Billingslea

Stephen L. Demers, MBA and his executive assistant Ms. Stacey Duffy

Jeffrey A. Drebin, MD, PhD and his assistant Ms. Denise Orr

Ronald M. Fairman, MD and his executive secretary Ms. Maureen Griffith

Douglas L. Fraker, MD and his executive assistant Ms. Carla Tolino-Panaccio

Robert D. Fry, MD and his executive assistant Ms. Pamela Quinn

Peter R. McCombs, MD and his assistant Mr. Darryl Adderley

Jon B. Morris, MD and his assistant Ms. Judy Fitzpatrick

James L. Mullen, MD and his executive assistant Ms. Susan Ciancaglione

Joseph M. Serletti, MD and his executive assistant Ms. Robin Hartigan

C. William Schwab, MD and his administrator Ms. Sue Auerbach

Abraham Shaked, MD, PhD and his assistant Ms. Kathy Potter

Alan J. Wein, MD and his assistant Ms. Carol Martin

Angela B. Wurster and her executive assistant Ms. Anita Rodriguez

L E G E N D A R Y P E O P L E

Shippen, Physick, White, Ravdin, Rhoads, Johnson, Gibbon, Roberts, Barker, to name a few.

Many giants of medicine have called Penn Surgery home.

Among the most memorable is D. Hayes Agnew, MD, Penn Surgery’s first chairman, who is immortalized

in Thomas Eakins’ iconic 1889 painting The Agnew Clinic (at right). Agnew was an innovator who loved

research, and this passion single-handedly drove forward numerous innovations, including new surgeries,

techniques, and instruments from clamps to artery forceps.

In the tradition of these legends, Penn surgeons never stop working for the next breakthrough,

and that promises a better tomorrow for our patients.

21104 penn srgry cvr 1/16/08 1:52 PM

T A B L E O F C O N T E N T S

Message from the Chairman 2

Saving Lives: Penn Surgery Clinical Care 4

“Answering Our Prayers” Felicia & Roberto Rodriguez, patients 5

“A True Lifesaver” Pau Geli Vilardell, patient 6

“It’s a Miracle” Gary Onufer, patient 7

Finding Solutions: Penn Surgery Research Programs 8

“A Comprehensive Approach” Bob H. Katz 9

“Ahead of the Game” Richard K. Reznick, MD 10

“Doing the Right Thing” Michael Useem, PhD 11

Educating Leaders: Penn Surgery Education Programs 12

“Trust and Collegiality” Edward M. Copeland, III, MD, alumnus 13

“Better Than Any Place Else” R. Scott Jones, MD, alumnus 14

“The Very Best Model” W. Roy Smythe, MD, alumnus 15

Year at a Glance 16

Sustaining Excellence: Penn Surgery Operations 20

Expansive Horizons: The Penn Surgery Network of Care 22

Forward Thinking: The Raymond and Ruth Perelman Center for Advanced Medicine 23

A Brighter Future: Donor Listing 24

Extraordinary Talent: Faculty Listing 30

The John Rhea Barton Professors of Surgery 32

“COMPREHENSIVE…”

P e n n S u r g e r y

2 0 0 7 a n n u a l R e p o r t

The Agnew Clinic by Thomas Eakins, 1889. Courtesy of theUniversity of Pennsylvania Art Collection, Philadelphia, Pennsylvania

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2 | Penn Surgery

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M E S S A G E F R O M T H E C H A I R M A N

Larry R. Kaiser, MD


Educating Leaders: Penn Surgery Education Programs | 3

Milestones are often touchstones to both the

past and future. This past year, my sixth

chairing the Department of Surgery, marked

such an occasion.

All department chairs serve six-year terms, and

each term culminates in comprehensive internal

and external reviews yielding detailed analyses

of where we’ve been and where we need to

go. For Penn Surgery, the findings were

overwhelmingly positive.

While the final report uncovered several

opportunities to further consider the whys and

hows of everything we do, it also confirmed the

high level of standards we set and meet every

day. U.S.News & World Report recently

reflected this pursuit of excellence in naming the

Hospital of the University of Pennsylvania to

its Best Hospitals 2007 Honor Roll – an

achievement accorded to only 18 institutions

out of more than 5,400 surveyed.

My chairmanship has particularly valued

external relationships, an approach that has

fostered rich collaborations. Our work with

The Wharton School on leadership

development, change management, and overall

operations has resulted in ongoing Executive

Education programs, two Patient Safety

Leadership Academies, and our Chairman’s

Leadership Council, composed of business

leaders who challenge us to be even more

successful.

Lessons learned through the outside work

of our Cardiac and Trauma divisions helped

shape a partnership with Community

Health Systems to build the entire surgical

service at Chestnut Hill Hospital. These

relationships and others are national

models, which other departments of

surgery can replicate.

Building on these themes, this annual report

looks at our work through the eyes of others

– the exceptional qualities those outside the

institution see in Penn Surgery.

Fresh perspectives should always be part of

future planning, especially at important

crossroads. Soon Penn Surgery will

transition many outpatient practices to

the Raymond and Ruth Perelman Center

for Advanced Medicine and its eight new

day-surgery operating rooms, convert to

electronic medical records, significantly

grow our research enterprise through our

new Glenolden Laboratory, and usher

in the future with a coming surgical

simulation center.

This milestone year is as much about our

accomplishments as it is about the

tremendous possibilities that lie ahead.

“A Milestone Year” Larry R. Kaiser, MD

This annual report looks at our work through the eyes of others – the exceptional qualities those outside the institution see in Penn Surgery.

Larry R. Kaiser, MD

The John Rhea Barton Professor and ChairmanDepartment of Surgery, University of PennsylvaniaSurgeon-in-Chief, University of Pennsylvania

Health System


S In every time and under any circumstance – from the nation’s first operating theater in 1804 toWorld War II’s 20th General Hospital in theChina-Burma-India theater, staffed largely by Pennsurgeons – we deliver the best care.

The Penn Surgery difference begins with skilledfaculty members and staff, distinguished by theirexperience and ingenuity. It ends with betterpatient outcomes. In between, strong research and education programs play essential roles,according to Chairman Larry R. Kaiser, MD: “When you have people committed to educating students and residents and committed to developing new knowledge, by definition, it leads to cutting-edge care and the best results.”

Penn Surgery also distinguishes itself by volume –how often procedures, especially complex ones,take place. “Our surgeons performed 200 pancreatic resections last year,” notes Kaiser. “Acommunity hospital may perform only a handful.”

Penn’s growing surgical care options leverage the newest breakthroughs. Expanded robotic programs make complex operations, such asprostatectomies, into outpatient procedures.Minimally invasive approaches now treat emphysema. More airway procedures – from tracheal surgery to a bronchus trial – help patientsbreathe easier. The thoracic aorta program isamong the largest nationwide. Plastic surgeonsperform an increasing number of microvascularreconstructions. Simulation technology, alreadyintegrated into a residency rotation, signals a futurebenchmark. And opportunities await at the coming Perelman Center for Advanced Medicine,with its eight day-surgery operating rooms.

“Faculty members here are thought leaders,” Kaiserobserves. “Together, we’re in the business of developing new procedures; of doing the toughestones more often; of shaping future medical leaders;of defining, discovering, and advancing knowledge.After all, knowledge is our most valuable asset.”

4 | Penn Surgery

S A V I N G L I V E S

Penn SurgeryClinical Care

“Knowledge is our most valuable asset.”


Saving Lives: Penn Surgery Clinical Care | 5

The most challenging journeys begin with a

single step, however uncertain. Felicia Rodriguez

hung up the phone and took that shaky first step

to sit down. What would she and her husband

do? Suddenly, her routine pregnancy was in

jeopardy after a 20-week ultrasound detected a

life-threatening mass on the lung of the fetus they

planned to name Roberto. The diagnosis was a

congenital cystic adenomatoid malformation.

Luckily, Felicia’s perinatologist had worked with

one of the very few surgeons who could help:

N. Scott Adzick, MD, Surgeon-in-Chief at The

Children’s Hospital of Philadelphia (CHOP).

Among the world’s most skilled units, CHOP

was preparing for its first fetal surgery. The day

after Valentine’s Day 1996, the Rodriguez

family’s flight took off from Palm Beach, FL.

“There was no decision. We were going to do

whatever it took. The next morning, I was admitted

and prepped. Roberto was going downhill fast.

Dr. Adzick opened the fetal sac, drained it, did the

surgery, and filled it with saline. Amazingly, fetuses

reproduce their own amniotic fluid. The CHOP

surgery team made me feel like I was their only

patient. From the moment we walked in the door,

we never doubted their abilities. I said, ‘God, this is

the answer to our prayers.’ Four months later,

Roberto was born and he has answered a prayer, too

– even if he drives us nuts sometimes! Now that

Roberto is 11, you see the miracle. The older he gets,

the more real it becomes for us.”

“Answering Our Prayers”

Seven thousand referrals later, the Center for Fetal

Diagnosis and Treatment at CHOP remains one of the only

open fetal surgery units in the world, with patients from all

50 states and 46 countries. When Scott Adzick, MD, and

his team operated on the Rodriguezes, it was only the 11th

procedure of its kind. Roberto is the seventh survivor.

Felicia & Roberto Rodriguez, Patients

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“A True Lifesaver”Pau Geli Vilardell, Patient

Pau Geli Vilardell was determined to find

the answer. He had moved 4,000 miles

from his hometown, Girona, Spain, on his

brother’s advice: In America, you really

can get a good college education and keep

playing baloncesto – basketball – the game

they both loved. Now, just pulling his

athletic 6’9” frame up a few steps left the

University of Delaware sophomore as spent

as he once felt after a hard practice. Pau

was unsure he could now finish his degree

in mechanical engineering, much less ever

play basketball again. His team physician

recommended a trip to Philadelphia. Pau

picked up the phone to check with the

doctor he knew best. That physician, his

mother, agreed: “Go to Penn Surgery.”

“I came in for a morning appointment

and ended up staying. They found bilateral

pulmonary embolisms. Treatment with

blood thinners didn’t work. I needed

surgery. It’s not a common operation,

but I felt confident. The Hospital of the

University of Pennsylvania is one of the

hospitals that performs it most. Everyone

treated me great. Now I’m back to normal.

And they just cleared me to play. I can’t

wait. Penn Surgery is a true lifesaver.

I live for basketball, and they gave me back

my life.”

Pioneers in minimally invasive procedures

and first-in-man clinical trials, Penn’s Vascular

Surgery faculty spans three generations of

medical excellence – from the legendary Clyde

Barker, MD, and Chief Ronald Fairman, MD, to

emerging surgical leader Edward Woo, MD.

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Saving Lives: Penn Surgery Clinical Care | 7

“It’s a Miracle”Gary Onufer, Patient

What a difference a month makes. In

just 28 days, 46-year-old Gary Onufer

experienced three life-giving operations at

Penn Surgery, living out a story that not too

long ago would have been considered

science fiction. After a simple office errand

left the former aerobics instructor severely

short of breath, a diagnostic check-up

found that Gary’s heart was failing him.

Careful research led Gary to Penn Surgery,

the only area program offering the Total

Artificial Heart as a bridge-to-transplant

option – his best chance of survival.

“My rarer blood type, B+, meant I could get

a new heart in 30 to 60 days, but my heart

was pumping so poorly, my liver and kidneys

might be damaged. So the artificial heart

saved me from multiple-organ transplants.

Then, once I had the heart, it saved my life

by detecting blood clots. I needed another

open-heart surgery. A few weeks later, the

best news came: ‘Gary, we got you a heart.’

I woke up after the operation with my family

around me. My brother and sister-in-law,

who are both nurses, were marveling at the

perfect spikes on the heart monitor. Today,

I’ve never felt better. It’s a miracle. I feel

like I did in my 20s. I owe everything to

Penn Surgery for saving my life.”

When Rohinton Morris, MD, implanted the

Total Artificial Heart in Gary Onufer, the Hospital

of the University of Pennsylvania became the

first hospital in the Northeast, the eighth in the

United States, and the 15th worldwide to

perform this surgery.

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F From ever-evolving neonatal surgery breakthroughs at The Children’s Hospital ofPhiladelphia to increasingly common proceduresthat began with Vascular Surgery’s first stent trials,Penn Surgery is an undeniable research leader.“It is a strong discipline across all divisions,” saysJeffrey L. Drebin, MD, PhD, Vice Chair ofResearch and Chief of Gastrointestinal Surgery.“That’s rare for any department of surgery.”

Both established and younger faculty memberscontinue to strengthen Penn Surgery’s growingreputation for winning the most competitiveawards, reflected in a 247 percent increase inNational Institutes of Health funding between2004 and 2006. Among recent grantees areDouglas L. Fraker, MD, Chief of Endocrine andOncologic Surgery, for his work on regional treatments for advanced cancers, and cardiac surgeon Charles R. Bridges, MD, who – withPENN Medicine molecular expert HansellStedman, MD – has achieved patented breakthroughs in the field of gene delivery toskeletal muscles.

Partnerships with PENN Medicine now fuel a coming spurt in research facilities, including thenew 70,000-square-foot Glenolden Laboratoryand the 100 small laboratories planned for the Perelman Center for Advanced Medicine.While the Glenolden center will enhance work inthe cardiac, urology, and thoracic divisions, bothnew spaces hold a world of promise for oncology.

“From a ‘bench-to-bedside’ standpoint, the Perelman Center promises exciting newopportunities for interdisciplinary trials because of the proximity of research to clinicalwork,” says Drebin. “The ultimate benefits ofthis expansion are career development andrecruitment. What Penn Surgery can be tomorrow is about who we are today.”

8 | Penn Surgery

F I N D I N GS O L U T I O N S

Penn Surgery Research Programs

“What Penn Surgery can be tomorrow is about who we are today.”

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Finding Solutions: Penn Surgery Research Programs | 9

Bob Katz has made a career of forging

partnerships to advance medical knowledge.

As president of Aptus Endosystems, Inc.,

headquartered in Sunnyvale, CA, Katz reached

across the country for one of his most successful

collaborations – working with Penn Surgery.

Ronald M. Fairman, MD, Chief of Vascular

Surgery, serves as national co-principal

investigator for Aptus’ clinical trials in

endografting – a process to repair the aorta while

decreasing the likelihood of a potentially fatal

aneurysm. The benefits have the potential to

reach beyond just one specialty, offering a new

option for soft-tissue repair and the possibility of

less invasive procedures to restore other organs.

“Penn Surgery has a comprehensive approach to

patient care, and that translates to success when

you’re conducting a trial. From the start, Penn

Surgery was on our short list to host one of the six

Phase 1 clinical trials. Penn Surgery’s state-of-the-art

facilities compare favorably with any institution, and

Penn has what’s needed for a good clinical trial –

excellent operating theaters, digital imaging functions,

and research capabilities. Some of the other surgeons

we’re working with have gone through their vascular

residencies at Penn and a high degree of competency

threads through all of them. Importantly, these

physicians have a point of common reference, which

enhances interaction and collaboration in a

multi-investigator trial.”

Bob H. Katz, President, Aptus Endosystems“A Comprehensive Approach”

Penn Surgery’s research endowment is now at an

unprecedented $140 million. The current research

portfolio consists of 151 active grants.

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The future can be now. It’s an attitude and a

commitment that has infused Penn Surgery

throughout its long history – touching on one

medical frontier after another, from Philip Syng

Physick’s invention of the absorbable suture

two centuries ago to just-emerging robotic

surgery options. Today’s newest frontier is

simulation technology. Seeking to integrate

different approaches – from responsive

mannequins to high-tech simulators – across

its research and education programs, Penn

Surgery turned to a pioneer in the field,

Richard Reznick, MD. At the University of

Toronto, Reznick leads a team of up to 80

faculty members who use their simulation

laboratories as the hub for training and

continuing medical education and as the

entryway for innovation on a virtual level.

“There’s a transformation going on globally that

challenges the way we practice health care. I

trained in a bygone era. We’re never going to go

back, nor can we rely on live operations as the

only training tool or the only place to introduce

new techniques. We should support simulation

labs because they make good sense. Penn

Surgery is ahead of the game, since it is already

dedicating part of the curriculum to simulation.

That’s rare. It’s a reflection of how it thinks

about competence. Philadelphia itself presents a

unique opportunity in the United States as home

to five medical schools. If Penn can lead the way

in sharing resources, it would make an immedi-

ate impact. It is definitely going in the right

direction.”

10 | Penn Surgery

“Ahead of the Game”Richard K. Reznick, MD, MEd, FRCSC, FACS R.S. McLaughlin Professor and Chair Department of Surgery, University of TorontoVice President, Education, University Health Network

Plans have earmarked the new PENN

Medicine at Rittenhouse as the site for the

PENN Medicine Simulation Center, opening

in 2009, creating 17,000 square feet of space

for simulation training and continuing medical

education programs.

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Finding Solutions: Penn Surgery Research Programs | 11

“Despite the enormous difference that leadership can

make on how people go about their work, it’s rare to

see it as important and influential as it is here at Penn

Surgery, since hospital division chiefs are not used to

being led. Dr. Kaiser has built on the premise that

doing the right thing for your patients begins by doing

the right thing for your team. And he has creatively

and ambitiously helped attract and build resources for

his surgeons to get their jobs done, as evidenced in the

creation of the new Perelman Center for Advanced

Medicine. With extraordinary vision and leadership,

the department has been taking the quality and scope

of surgical services to the next level.”

“Doing the Right Thing”Michael Useem, PhDWilliam and Jacalyn Egan Professor of ManagementDirector, Center for Leadership and Change ManagementThe Wharton School, University of Pennsylvania

Sometimes researchers themselves become the

topic of research. When Michael Useem,

Wharton professor and renowned leadership

expert, looked across Penn’s campus for models

to use for his newest book, The Go Point, he

found one of his favorites at Penn Surgery. In

interviewing Larry Kaiser, MD, and subsequently

studying his management style as Chairman of

the Department of Surgery, Useem discovered

new paradigms for how to lead a professional

organization, as well as techniques more

prevalent in the business world. His admiration

for Kaiser’s judicious application of these

principles convinced Useem to continue working

with Penn Surgery as an outside expert, when he

joined the Chairman’s Leadership Council.

U.S.News & World Report recently reflected Penn Surgery’s pursuit of excellence in naming the Hospital of

the University of Pennsylvania to its Best Hospitals 2007 Honor Roll – an achievement accorded

to only 18 institutions out of more than 5,400 surveyed.

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E “It remains the province of academic departments of surgery to educate the futureleaders of surgery…the intellectual leaders ofthe next generation.” These words and thephilosophy they embody greet every surgeon-to-be pursuing a residency at Penn. Last year,from 500 applications, just 50 candidates wereinterviewed. The exceptional six residentsselected are precisely where they want to be:Penn Surgery was their first choice.

“Recruiting the very best is an intense, highly personalized process,” says Jon B. Morris, MD,Program Director for General Surgery, “but wewouldn’t have it any other way.” Togetherwith James L. Mullen, MD, Vice Chairman ofAdministration, Morris oversees all of Penn’straining programs, poised on the brink of anexpansive future.

“Simulation technology is the future,” saysMullen. Penn Surgery’s residency is among aselect few nationwide with a dedicated simulation rotation – a month-long, full-timecomponent of general surgery training. By2009, the PENN Medicine Simulation Centerdeveloped by Penn Surgery for the entireUniversity of Pennsylvania Health System, will designate 17,000 square feet to training.Human patient simulators will react to operating conditions, even responding toanesthesia and drugs according to dosage.

The plans for the PENN Medicine SimulationCenter exemplify Penn Surgery’s expertise in technology-based innovation. Mullen sees current live, interactive surgery telecasts, funded by the Measey Foundation, as “a major leap – a revolutionary approach to medical education.” The same is true of thedepartment’s ongoing classroom collaborationswith The Wharton School resulting in theexecutive education courses that help shapefuture leaders. Morris and Mullen agree:“Leadership begins at Penn Surgery.”

12 | Penn Surgery

E D U C A T I N GL E A D E R S

Penn Surgery EducationPrograms

“Leadership begins at Penn Surgery.”

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Many talented surgical careers have begun

under the guidance of two modest giants:

Drs. I. S. Ravdin and Jonathan E. Rhoads.

It was no different for Edward M.

Copeland, III, MD, former chairman of the

University of Florida Department of

Surgery, though his first healthy dose of

admiration for these legends – who

consecutively chaired Penn Surgery from

1945 to 1972 – came as a child at his

uncle’s knee. Dr. Murray Copeland, who

had served under Ravdin during World

War II, came to know Rhoads equally well,

since all three served as president of the

American Cancer Society. How fitting that

the younger Copeland is president of the

American College of Surgeons, a post

Ravdin and Rhoads both held.

“I was lucky enough to train with them.

At Penn Surgery, there’s an environment of

trust and collegiality like no other. It shaped

my belief in mentorship, my teaching ability,

and my philosophy to this day. We were

extremely good at pre-op and post-op,

because we learned the value of patient

safety before it was a byword. The faculty

supported research in all avenues. That’s

why I was especially proud to present the

American College of Surgeons’ Jacobson

Innovation Award to two Penn colleagues –

Stan Dudrick, MD, who pioneered patient

nutrition, and Bill Pierce, MD, who

developed the artificial heart. Penn-trained

surgeons are individuals for all seasons.”

“Trust and Collegiality”Edward M. Copeland, III, MD, AlumnusThe Edward R. Woodward Distinguished

Professor of Surgery, University of FloridaChairman, Department of Surgery, 1982-2003Founding Director, University of Florida

Shands Cancer Center

In addition to Copeland, Ravdin, and

Rhoads, three other Penn Surgery

alumni have presided over the American

College of Surgeons: Drs. R. Scott Jones

(profiled on page 14), James D. Hardy,

and James C. Thompson.

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“I came to Penn Surgery during a golden time.

The standard they had set was attracting

outstanding people, as it does today. Clyde

Barker, a true hero of mine, was my attending

physician while I was chief resident. I knew I

was working with a complete surgeon – a

world-class clinician, great leader, creative

scientist. Being there, with all these amazing

colleagues and faculty, was like playing for the

New York Yankees. What you’re exposed to at

Penn makes you better than you could be any

place else. A lot of things in my life have

enabled me to rise to the next level. In surgery

and medicine, Penn was that force, that

opportunity. When I chaired my own

department, I worked to create a similar

environment, where young surgeons can

thrive. That’s what I got at Penn and what

I try to pass on.”

On February 10, 1966, Scott Jones, then Chief

Resident at Penn Surgery, looked on as history

was being made. He was assisting a young

surgeon named Clyde Barker, who was

performing one of the world’s first kidney

transplants. Jones was reminded then, as he

is today, of why he chose Penn: Its intense

atmosphere, culture of excellence, and the

sense that anything is possible. Four decades

later – having helmed the American College of

Surgeons and built an outstanding department

of his own at the University of Virginia – Jones

still sees Penn as the driving impetus of his

distinguished career.

14 | Penn Surgery

“Better Than Any Place Else”R. Scott Jones, MD, AlumnusS. Hurt Watts ProfessorDepartment of Surgery, University of VirginiaChairman, Department of Surgery,1981-2001

Penn’s Transplant Institute is a national

top 10 program in volume and outcomes.

Dr. Barker’s many contributions to

advancing this specialty – including those

during two decades as The John Rhea

Barton Professor of Surgery and Chairman

– are reflected in the naming of the Clyde F.

Barker Penn Transplant House. The House

will be home to patients’ families during the

most trying times, pre- and post-op.

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For all its expansiveness, Texas fits W. Roy

Smythe, MD, like a glove. As Chairman of

Surgery for Scott & White Health System and

Texas A&M Health Science Center College of

Medicine, Smythe travels the very same roads he

did growing up eight miles away in Belton, TX,

and going to medical school at A&M. But to get

this far, Smythe took the most important journey

of his life outside his home state. In 1989, he

flew east to train at a premier academic

department of surgery. After interviewing at

leading institutions, from Johns Hopkins to

Duke to Massachusetts General, he made his

decision. It would be Penn Surgery.

“Penn is an unusual combination of ‘bread-and-butter’

clinical cases, this incredible referral-based practice,

and a broad training program. While academic centers

are often strong in several specialties, Penn Surgery is

strong in all of them. Many other training programs

are regimented and hierarchical or funnel you into one

specific area. Not Penn Surgery. The faculty made us

feel we could do anything. I was limited only by my

own imagination and work ethic. When [former Penn

Surgery Chairman] Clyde Barker recently came to

Texas as a visiting professor, I told him: ‘You’ll see a

lot of things that look like Penn Surgery South.’

That’s because Penn has the very best surgical

education model I’ve ever seen.”

“The Very Best Model”W. Roy Smythe, MD, AlumnusGlen and Rita K. Roney Endowed ChairChairman of Surgery, Scott & White Health System and Texas A&M Health Science Center College of MedicineProfessor of Surgery and Molecular and Cellular Medicine

Through training with world-class

surgeons, exposure to complex

clinical cases, and an infrastructure

that supports advanced research,

Penn Surgery prepares future

health care leaders.

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• The region’s most advanced and largest program performed more than 1,900 procedures – a two percent increase, compared with double-digit declines nationally.

• The division received increased NIH and clinical research funding and again recruitedits top fellowship candidates.

• The Hospital of the University ofPennsylvania (#13) and PennsylvaniaHospital (#39) were among U.S.News &World Report’s best heart surgery hospitals.

• For the fifth year, Penn Presbyterian is aSolucient Top 100 Cardiovascular hospital.

• The division affiliated with Pocono MedicalCenter, adding to partnerships at Bayhealth,Phoenixville, and Brandywine hospitals.

• The mid-Atlantic region’s first total artificialheart bridge-to-transplant drove the division’s transplant program, featuring survival rates far above national averages.

• Penn is among five centers nationallyengaged in the Sapien percutaneous aorticvalve trial.

C a r d i o v a s c u l a r S u r g e r y

• The American Society of Colon and RectalSurgeons (ASCRS) appointed NajjiaMahmoud, MD, as its representative to theAmerican College of Surgeons, augmentingher current leadership roles within ASCRS asa member of its Research Foundation Boardand its Quality and Safety, Grant Review, andCME Committees.

• Bringing the division to PennsylvaniaHospital ensured its presence across theHealth System and helped generate volumeincreases across all surgery options.

• Dr. Mahmoud collaborated with colleaguesCarter Paulson, MD, and Hannah Zafar, MD,in tracking colorectal cancer patients usingthe National Cancer Institute’s Surveillance,Epidemiology, and End Results database.

• Significant clinical trials observed postoperative ileus after laparoscopic colectomy and continued new advances intreating T2 distal rectal cancers.

• Clinical trial sponsor Adolor Corporationworked with the division in studying cardiovascular outcomes after colorectal surgery.

C o l o n a n d R e c t a l S u r g e r y

The faculty and staff of Penn Surgery’s 11 divisions continually work to improve the delivery of

care that saves lives, to expand research endeavors that find solutions, and to strengthen training

programs that educate tomorrow’s surgical leaders. The following FY2007 accomplishments and

accolades reflect their exceptional commitment and expertise and exemplify the ingenuity and

determination that enable Penn Surgery to achieve the best possible outcomes for its patients and

their families.

For more information, please visit us online at www.uphs.upenn.edu/surgery.

16 | Penn Surgery

Year at a GlanceYear at a Glance


• The breast cancer cell vaccine trial, led byBrian Czerniecki, MD, was featured in aClinical Cancer Research cover story.

• With Medicine and Otorhinolaryngology:Head and Neck Surgery, the division beganwork on a groundbreaking online database encompassing thousands of thyroid, parathyroid, and adenal patients.

• Renewed National Cancer Institute funding ishelping develop a revolutionary photodynamictherapy, with Radiation Oncology, to addressperitoneal carcinomatosis for ovarian and gastrointestinal cancers.

• Julia Tchou, MD, working with The WistarInstitute’s Meenhard Herlyn, DVM, has begunresearch on describing stem cells for breastcancer.

• As the School of Medicine’s new Director ofthe Core Surgery Clerkship, Rachel Kelz, MD,introduced innovative programs, such asintraoperative cameras providing studentswith a surgeon’s-eye view.

E n d o c r i n e a n d O n c o l o g i c S u r g e r y

• The American Society of Bariatric Surgerycertified the Hospital of the University ofPennsylvania as a Center of Excellence.Pennsylvania Hospital gained provisional status, positioning it for this distinction.

• Four new surgeons were recruited: minimallyinvasive specialists Allen Bar, MD, and AlanSchuricht, MD, and recent Penn residencygraduates Kristoffel Dumon, MD, and AndrewResnick, MD.

• Jo Buyske, MD, Penn Presbyterian Medical Center Chief of Surgery, was named associate executive director of the American Board of Surgery.

• Continuing medical education was a strongcomponent of division programs, including acomprehensive obesity care course by NoelWilliams, MD, and several courses designedand co-directed by Chief Jeffrey Drebin, MD.

• A new Pancreaticobiliary Center further bolstered the division’s capabilities.

G a s t r o i n t e s t i n a l S u r g e r y

• During FY2007, more than 1,000 motherscarrying babies with birth defects were evaluated at the Center for Fetal Diagnosisand Treatment at The Children’s Hospital of Philadelphia (CHOP).

• The American College of Surgeons honoredAlan Flake, MD, Director of CHOP’s GeneralSurgery Fellowship Program, with the prestigious Sheen Award for outstandingcontributions to medicine and medicalresearch.

• The 11th Annual Fetal Surgery FamilyReunion gathered more than 120 families,who laid mosaic tiles at the future GarboseFamily Special Delivery Unit, a first-of-its-kind facility opening in 2008.

• Child magazine and U.S.News & WorldReport named CHOP America’s best pediatrichospital, for the fourth and fifth consecutiveyears, respectively.

• CHOP achieved Magnet Status for NursingExcellence, given by the American NursesCredentialing Center to fewer than three percent of institutions.

P e d i a t r i c S u r g e r y

Year at a Glance | 17


• Final plans are in place for opening the state-of-the-art Penn Lung Center at thePerelman Center for Advanced Medicine.

• The FDA approved a study of the division-developed airway bypass procedure; JohnKucharczuk, MD, heads the Penn study,working with Pulmonary, Allergy, and CriticalCare Medicine.

• The division again had the highest regionallung cancer surgery volume and a recordnumber of extended transcervical thymectomies for myasthenia gravis.

• A special general thoracic surgery trainingposition was awarded for 2008, even as similar positions nationally are cut.

• A Penn Surgery-staffed CME course in managing lung cancer and emphysema,designed and conducted by Joseph Shrager,MD, and Chief Joel Cooper, MD, was attended by 130 oncologists, pulmonologists, and surgeons.

• The respiratory muscle research lab Dr.Shrager runs with Sandy Levine, MD,received NIH funding for ventilator-associated diaphragm atrophy.

T h o r a c i c s u r g e r y

• More than 200 free tissue transfers forbreast, head and neck, and extremity reconstruction puts the division on par withthe nation’s two other major reconstructivemicrosurgery centers, M.D. Anderson CancerCenter and Memorial Sloan Kettering.

• The new Royster-Measey Chair in PlasticSurgery and recruitment of a reconstructivesurgeon further strengthened the faculty andhelped secure top-choice matches for residencies and fellowships.

• The division formed a reconstructive transplant surgery team that will use composite tissue allotransplantation.

• Four faculty members received newly funded clinical research projects and joinedthe editorial boards of the two major plasticsurgery journals.

• Chief Joseph Serletti, MD, was the PlasticSurgery Education Foundation’s national visiting professor at 10 other major programsites.

P l a s t i c S u r g e r y

• The entire Trauma Network experienced substantial increases across all volumes,including those for patients with higherinjury severity.

• Penn Trauma Center implemented a newClinical Coverage Model; expanded international work, including supportingtroops in Iraq; recruited outstanding new faculty; and was the only program nationallyto fill all fellowship openings.

• The network expanded coverage acrossBerks, Carbon, and Schuylkill counties.

• PennSTAR added helicopters 5 and 6,responding to a record number of calls andincreasing first-hour patient recoveries.

• The division authored and co-authored morethan 50 articles, editorials, and books andmade more than 75 presentations nationallyand internationally.

• Surgical Critical Care received the BeaconAward as a top 10 unit nationally.

• The Firearms & Injury Center at Pennreceived a $370,000 grant to support its participation in Pennsylvania’s InjuryReporting and Intervention System.

T r a u m a & S u r g i c a l C r i t i c a l C a r e

18 | Penn Surgery

Year at a GlanceYear at a Glance


• The division continues to achieve outstandingpatient and graft survival rates, compared withnational averages.

• Penn Surgery achieved top four volume status for heart, lung, liver, and kidney/pancreas transplantation among all providers in its United Network for OrganSharing region.

• Current NIH funding to support ongoing and new human transplant research is thehighest of any institution.

• A member of the division’s faculty wasrecruited to fill a significant leadership position at Massachusetts General Hospital.

• The division has taken the final steps inpreparing to purchase the property that willbecome the Clyde F. Barker Transplant House,serving the families of transplant patients in asupportive, home-like atmosphere.

T r a n s p l a n t S u r g e r y

• Volumes for many surgical procedures anddifferent minimally invasive options wereagain strong during FY2007.

• Two significant publications edited by ChiefAlan Wein, MD, were issued: the updated edition of the field’s accepted gold-standardtextbook Campbell’s Urology, as well as thePenn Clinical Manual for Urology, a briefcompendium of all key clinical information.

• The residency program attracted strong candidates, underwent a review, and receivedreaccreditation.

• The division’s national reputation resulted ininvitations and participation in numeroustalks, 11 moderator/presenter roles, fivecourses, two “Lunch with the Experts” special events, one plenary session, one panelist position, and the publication of 15abstracts.

U r o l o g y

• The division grew its national and internationalbase of patient referrals across all conventionaland minimally invasive surgeries and treatments using a range of FDA-approved and investigational therapies.

• Faculty members made plenary presentationsat every major national and international vascular meeting, and invited lectureshipscontinue to increase.

• New clinical research included appointmentsfor Chief Ronald Fairman, MD, as nationalprincipal investigator for thoracic aortic andabdominal aortic stent graft trials.

• More than 10 peer-reviewed manuscriptswere published, including a basic scienceresearch paper in the prestigious Journal ofClinical Investigation.

• The division secured its first choice for vascular fellowship, a female surgeon trained at Massachusetts General Hospitaland Harvard.

V a s c u l a r s u g e r y

Year at a Glance | 19


S When friends, family, and former colleagues

ask Stephen Demers about his new job as

Penn Surgery’s Chief Operating Officer, one

adjective always comes to mind: “Amazing,”

says Demers. “It describes this place perfectly.

Amazing care, education, and research.

Amazing individuals who really care about this

department, about this health system. You can

really feel it: People are very proud of what

they do at Penn Surgery.”

When it comes to nouns, safety is one of

Demers’ mainstays. He has spent much of his

career helping hospitals meet the highest

patient safety standards. Penn Surgery’s

commitment to the issue is a leading reason

Demers is here, since he believes that safety,

above all, impacts everyday operations,

institutional effectiveness and efficiency,

and patient satisfaction.

“That’s why we provide a higher-quality patient

experience and how we can handle the highest

volume of the toughest cases,” says Demers,

who cites ever-increasing volumes, along with

continued strong funding from the National

Institutes of Health and historically exceptional

outcomes, as Penn Surgery’s leading assets.

“My goal is to ensure there is a seamless

support system in place to help our faculty to

create the best outcomes for patients and their

families and to educate future generations of

top surgeons,” Demers adds. “I want to help

guide the best surgical program in the country.

I want to be part of the best team. I can do

that here.”

20 | Penn Surgery

S U S T A I N I N GE X C E L L E N C E

Penn SurgeryOperations

Phot

o by

Pet

er O

lson

“People are very proud of what they do at Penn Surgery.”


22,000

21,000

23,000

20,000

19,000

18,000

17,000

16,0002005 2006 2007

Operative Casestotals from 2005-2007

22,013

21,169

20,316

$11M$10M$9M$8M$7M$6M$5M$4M$3M$2M$1M

$0

$12M

2001 2002 2003 2004 2005 2006 2007

Total Gifts Pledgedtotals from 2001-2007

$17M$18M

$16M$15M$14M$13M$12M$11M$10M$9M$8M$7M$6M

2004 2005 2006 2007

NIH Fundingtotals from 2004-2007

Clinical Productivity - Work RVUtotals from 2003-2007

$6,931,568

$13,463,584

$17,133,452

$12,917,253

$791,734

$5,722,236

$3,328,161

$6,842,635

$5,125,615

$10,341,152

$7,171,503

600,000650,000

550,000500,000450,000400,000350,000300,000

16%

18%

14%12%10%8%6%4%

2004 2005 2006 2007

405,560

431,201 460,809504,716

573,344

2003

6%7% 10%

14%

Penn Surgery Operations | 21

YOY

Grow

th


Penn Surgery strengthens cardiac surgery atChester County’s Brandywine and Phoenixvillehospitals and at Kent General Hospital in Dover,DE. It takes flight through PennSTAR, whichlinks a population base of 15 million with thebest emergency care at certified trauma centers atSt. Luke’s Hospital in Bethlehem and ReadingHospital. Penn Surgery’s imprint and impact onthis growing network of care is most evident inits complete surgical units at Chestnut HillHospital, the Philadelphia VA Medical Center,and its two leading partners, PennsylvaniaHospital and Penn Presbyterian Medical Center.

“Being part of Penn Surgery, with its brand andits national reputation for excellence, has done somuch for Pennsylvania Hospital,” says ExecutiveDirector Kate Kinslow, CRNA, EdD. “Volumeshave increased. We are able to attract the bestand brightest faculty and residents. We’ve addedrobotic and minimally invasive surgical optionsand entire programs, such as colorectal, with thehelp of Chief Robert Fry, MD, are now based atPennsylvania Hospital. Leadership has a visionfor where we need to go.”

Michele Volpe, Executive Director of PennPresbyterian, agrees: “The greater breadth anddepth of our surgeons and the quality of our residents have made a tremendous difference.We were a community hospital. Now, we havedeveloped into a tertiary institution, a placewhere the most difficult cases are referred.Perhaps the best indication of PennPresbyterian’s surgical strength is the fact that our Chief of Surgery, Jo Buyske, MD, will leave next year to become the first female to hold the number-two post at the AmericanBoard of Surgery. That honor says a lot aboutPenn Surgery.”

22 | Penn Surgery

The Penn Surgery Network of Care

Expansive Horizons

From its nexus at the Hospital of the University of

Pennsylvania and The Children’s Hospital of Philadelphia,

Penn Surgery’s expertise reaches out across

the greater Philadelphia region.

PP E N N S U R G E R YA C R O S S T H E R E G I O N


When the state-of-the-art, five-story

building is completed in 2008, the

Perelman Center for Advanced Medicine

will exemplify how space can benefit

everyone from patients and families to

surgeons, physicians, nurses, and

researchers. Central to its many cutting-

edge care facilities will be the Penn

Outpatient Surgical Pavilion, designed to

accommodate a constantly growing

patient population stretching across the

mid-Atlantic region. The Pavilion

features eight spacious day-surgery

operating rooms, a surgical waiting room

to make family members feel comfortable,

and 32 pre-operative and recovery beds

that put patients’ needs first.

Because it encompasses research facilities

as well, the Perelman Center promises to

enhance collaboration across specialties –

especially in bringing new technology

from bench to bedside more efficiently.

As an extension of the region’s leading

medical center, the Perelman Center

augments the University of Pennsylvania

Health System’s recent distinctions.

Not least, the Perelman Center responds

to the demand for environmentally

conscious construction. Rising on the site

of the former Philadelphia Convention

Hall and Civic Center, its construction

recycled 90 percent of the former

building’s materials and has achieved

certification from The Leadership in

Energy and Environmental Design Green

Building Rating System™.

Forward ThinkingThe Raymond and Ruth Perelman Center for Advanced Medicine

Penn Surgery has always been in the vanguard of

medical innovation. Its next and newest frontier –

The Raymond and Ruth Perelman Center for Advanced

Medicine – builds upon this tradition.

Penn Surgery Across the Region | 23


The support of Penn Surgery’s corporate,

foundation, and individual donors make the

exceptional an everyday experience.

We are proud to report that during Fiscal

Year 2007, this outstanding support for the

University of Pennsylvania Department of

Surgery resulted in gifts in excess of

$7.17 million.

As a Penn Surgery donor, you are enabling

us to put your resources to work.

Right now, they are supporting outstanding

care, leadership, education, and innovation in

operating rooms, on teaching rounds, and in

research facilities throughout the Penn Surgery

network.

Thank you for helping make possible more

stories like the ones in this report and for

helping us build on the outstanding divisional

accomplishments from last year.

We invite your renewed commitment in

support of our 2008 funding priorities,

spanning current initiatives – from the Total

Artificial Heart program to the Pavilion for

Patient Facilitated Services – and future plans –

from the PENN Medicine Simulation Center

and the Clyde F. Barker Transplant House to

the Perelman Center for Advanced Medicine.

Only through your generosity can we offer our

patients greater hope, more options, and even

better outcomes.

24 | Penn Surgery

Thank you to our donors.A Brighter Future


Donors | 25

GIFTS OF $1,000,000 and above

Benjamin and Mary SiddonsMeasey Foundation

Board of Women Visitors of HUP

Mr. and Mrs. I Michael Coslov

Gifts of $100,000 - $999,999

Mr. Joel N. Appel

Center for Human AppearanceResearch & EducationFoundation

Mr. and Mrs. Jerome Fisher

Global Industries, Inc.

Estate of Edwin and Fannie Hall

Ms. Helene Kendall and Family

Lavin Family Foundation

Jan and Lotte Leschly

Mr. and Mrs. Edward Lipkin

Laffey McHugh Foundation

H. Laddie and Linda MontagueFoundation

Neubauer Family Foundation

Mr. and Mrs. Joseph Neubauer

Mr. and Mrs. Harold G. Schaeffer

Benjamin Shein Foundation for Humanity

Mr. and Mrs. Leonard Sylk

Mr. James J. White, IV

Mr. and Mrs. Andrew Wilson

Gifts of $50,000 - $99,999

Mr. and Mrs. John L. Castleman

Mr. and Mrs. Peter Gartman

Mark H. and Blanche M.Harrington Foundation

Estate of Armason Harrison

Samuel P. Mandell Foundation

Miller-Worley Foundation

Nearly New Shop

John W. Price Trust

Mr. and Mrs. Benjamin Strauss

Mr. Edmond Walters

Mr. Walt K. Weissman

Gifts of $25,000 - $49,999

Mr. and Mrs. Larry Benaroya

Mr. and Mrs. Sheldon Blank

Mr. and Mrs. Eli Caplan

Julius H. Caplan CharityFoundation

Mr. and Mrs. Douglas E. Crane

Dr. James D. Luketich

Mrs. Diane Slavitz Raynes

Mr. Mitchell Warwick

Gifts of $10,000 - $24,999

Abrahamson Christmas and EasterCommittee

American Society ofTransplantation

ASTS Foundation

Bach Fund

Ms. Ellen Blum

Breg, Inc.

Buckingham Mountain Foundation

Andrea Cavitolo Foundation

Mr. Barry J. Cohen

Milton Ginsburg Foundation Fund

Mr. and Mrs. Milton Ginsburg

Johnson & Johnson Corporation

Mr. and Mrs. Warren Kantor

Elmer and Gertrude KaplinFoundation

Marcia and Ned J. KaplinFoundation

Mr. and Mrs. Irwin P. Kornfeld

Irwin Kornfeld Memorial Fund

Mr. and Mrs. Johannes R. Krahmer

Dr. Christian J. Lambertsen

Mr. and Mrs. William J. Leighton, III

Merck & Co., Inc.

Mr. and Mrs. Marc Miller

Joan and Marc Miller Fund

Mr. Ron Mintz

Mayer and Arlene MitchellCharitable Foundation

Monterey Fund, Inc.

The late Mr. Vincent Moran

William F. and Linda L. MullisFund

Pennsylvania Jaycees

Vivian Weyerhaeuser Piasecki 1996Irrevocable Trust

Dr. Jonathan E. Rhoads, Jr.

Ralph and Suzanne RobertsFoundation

Mr. and Mrs. Fred I. Robinson

Mr. Arthur Rosenberg


Roy and Ellen RosenthalFoundation

Mr. and Mrs. Kurt Schultz

Ms. Lynn Seltzer

Mr. and Mrs. Howard L. Shecter

Dr. Philip T. Siegel

Sony Electronics, Inc.

Bennet and Jeanne TanenbaumFoundation

Mr. and Mrs. Myles H.Tanenbaum

Gifts of $5,000 - $9,999

Ms. J. Antonowsky

Dr. and Mrs. Joseph E. Bavaria

Ms. Catherine D. Burke

Mr. and Mrs. David N. French

Estate of John Harper

Ms. Faye B. Listman

Ms. Joan Mackie

Mrs. Marie Mattos

Mr. and Mrs. Alfred Muscari

Ms. Marine Ponente

Mr. and Mrs. Leonard P. Punia

John F. Scarpa Foundation

Dr. Bertram H. Serota

Mr. Raymond Shapiro

United Stationers CharitableTrust

Dr. and Mrs. Alan J. Wein

Ms. Deborah R. Wolfe

Wurster Family Foundation

Gifts of $1,000 - $4,999

Dr. Clyde F. Barker

Dr. Harold G. Barker

Mr. Searle J. Barry

Dr. and Mrs. Henry D. Berkowitz

Mr. William Biermann

Dr. and Mrs. Louis P. Bucky

Mr. and Mrs. John A. Carney, Jr.

Ms. Georgette P. Ciukurescu

Mr. and Mrs. Glenn R. Crane

Mr. and Mrs. Fred D. Deandrea

Dr. Jeffrey A. Drebin

Drs. Ronald M. and JulieFairman

Mr. and Mrs. Henry T. Finch

Mr. A. Theodore Flum

Ms. Joanna Hamill Flum

Mr. Robert A. Fox

Dr. Robert D. Fry

Georgica Management, Inc.

Mrs. Penny Grossman Fox

Dr. T. Sloane Guy, IV

Drs. Ralph W. and Gail P.Hamilton

Dr. Robert S. Harding

Hartford Customer Service Group

Joseph D. Helmuth Foundation

Dr. Dennis J. Hoelzer

Mr. Charles S. Hough

Ideon Healthcare Education

Mr. and Mrs. John B. Jarrett

Dr. Larry R. Kaiser and Ms. Lindy Snider

Mr. Walter Kubiak

Mr. John W. Leighton

Mr. and Mrs. William J. Leighton

Lenox Incorporated

Mr. Ronald L. Leymeister

Mr. George Mabrey

Mr. and Mrs. Patrick J. McHugh

Dr. Linda Mundy

Mr. and Mrs. Patrick J. O'Connor

Dr. Kim M. Olthoff

Mr. and Mrs. R. Anderson Pew

Dr. and Mrs. G. G. Pietra

Jerome Punia Trust

Mr. M. Norton Rosner

Ms. Elizabeth Scheuerman

Mr. and Mrs. Francis W.Schluckebier

Mr. and Mrs. Marc Schwegman

Estate of Dr. Joseph A. Sciuto

Dr. and Mrs. Abraham Shaked

Dr. Michael B. Simson

Mrs. Sharon P. Simson

Mr. Edward G. Smith

Mr. Joseph M. Sulock

Mr. Edward J. Sweeney

Mr. Robert M. Tarola

Dr. Lisa Unger and Mr. KennethFleisher, Esq.

Mr. David J. VanHouten

Mrs. Nancy Van Noppen

J. William White Trust

Dr. Chung-Hsiu Wu

26 | Penn Surgery

Thank you to our donors.

A Brighter Future


Donors | 27

Ms. Fang-Rong C. Wu

Xerox Corporation

Mr. James H. Yocum

Gift of $500 - $999

Mr. Curtis Block

Mr. Mark M. Cheigh

Mr. and Mrs. Nathan A. Collins

Mr. and Mrs. William Corbin

Dr. Paul Dabrowski

Dr. Robert J. DiGiovanni

Mr. and Mrs. Richard R. Fallstich

Dr. Per Gunnar Fredriksson

Mr. John F. Freidberg

Mr. Robert Gamberg

Mrs. Ann Gimbel Goff

Dr. and Mrs. Stanley Goldfarb

Dr. Rajan Gupta

Ms. Maureen Hillary

Mr. and Mrs. David N. Ingram

Mr. and Mrs. Michael A. Jones

Ms. Barbara R. Kahn

Barbara R. & Charles Kahn Jr.Foundation

Ms. Deborah M. Kennedy

Mrs. Sue Burns Kremer

Ms. Barbara M. Leighton

Reverend Donald E. Leighton

Dr. Virginia A. LiVolsi

Mr. and Mrs. Herbert Lotman

Mr. and Mrs. Scott H.MacPherson

Ms. Lana Keltcher McDonald

Millennium Pharmaceuticals, Inc.

Ms. Angel Di Pentino

Dr. Patrick Michael Reilly

Mrs. Anna I. Roberts

Ms. Caroline M. Southall

Mr. and Mrs. Joseph R.Summerlin

Mr. and Mrs. Brian Sweeney

Temple University School ofPharmacy

Mr. and Mrs. H. J. Weintraub

Dr. Arthur F. Whereat

Wolters Kluwer Health

Gifts of $100-$499

Mr. and Mrs. Anthony Alber

Mr. and Mrs. Gerald Allardyce

Mrs. Mary H. Allen and Family

Ms. Catherine Balsamo

Ms. Concetta Balsamo

Mr. and Mrs. Donald P. Beach

Ms. Marie Birbeck

Treasures for Tomorrow

What do 18th century decorative arts have to do

with one of the 21st century’s most advanced

medical devices, the Total Artificial Heart?

For Penn Surgery, the connection is the annual

Philadelphia Antiques Show. Continuing a

long-standing philanthropic relationship with the

University of Pennsylvania Health System, the

Antiques Show designated the proceeds from

its 2006 fundraiser to Penn Surgery’s

Cardiovascular Division, making possible the

purchase of the bridge-to-transplant heart that is

saving lives today (see page 7).

Since 1992, the Antiques Show has contributed

$15 million to further ensure that Penn patients

benefit from every technological advantage.

The 2008 show, to be held April 12-15 at the

Navy Yard, will underwrite a state-of-the-art

information system facilitating collaboration

among thoracic surgeons, pulmonary

specialists, and chest radiologists at The Penn

Lung Center in the new Perelman Center for

Advanced Medicine.

Founded in 1962, the Philadelphia Antiques

Show is among the nation’s longest running

and most distinguished exhibitions, involving

more than 50 dealers and galleries and some

250 volunteers.


Mr. and Mrs. Felix B. Birnbaum

Mr. and Mrs. Edward Blahut

Mr. and Mrs. Claude B. Blum

Ms. April E. Bogardus

Ms. Dorothy C. Boss

Ms. Renee Bottos

Dr. Paul S. Brown

Mr. and Mrs. David F. Budenz, Jr.

Mr. Garrett J. Burch

Ms. Patrice A. Burdalski

Mr. and Mrs. R. Mark Butler

Ms. Kimberley C. Campanelli

Mr. Anthony Caponigro

Mr. and Mrs. William A. Chuba

Chubb & Son, Inc.

Mr. Norman S. Cohen

Mr. Clarence Cooper

Mr. and Mrs. Daniel J. Cooper

Dr. Joel D. Cooper

Craig Foundation

Mr. and Mrs. Russell Crawford

Mr. and Mrs. Gerald G. Cronin

Ms. Margaret M. Curry

Dr. Romulo Cuy, Jr.

Ms. Hilda J. Daily

Mr. Jerome F. Dean

Mr. Salvatore M. Debunda

Mr. Robert B. DeRienzo

Desert Highlands

Ms. Beth Eaby

Mr. and Mrs. Amir L. Ecker

Dr. Sheldon J. Einhorn

Enviroprobe Service, Inc.

Equity Group-North CarolinaDivision

Fieldstone Associates Ltd

Ms. Patricia Fischer

Mr. Edward G. Fitzgerald

Mrs. Brenda A. Fraser

Mr. and Mrs. Richard B.Friedman

Ms. Kris Gallagher

Mr. and Mrs. Ronald H. Green

Mr. and Mrs. William J.Grochowski

Mr. and Mrs. David Gruber

Mr. and Mrs. Michael Gutzan, III

Ms. Shirley K. Guzikowski

Mr. and Mrs. Robert J. Hadam

Dr. Denis Hadjiliadis

Ms. Demetra J. Haines

Dr. and Mrs. Thomas E. Hamilton

Ms. Ann H. Hamman

Ms. Deborah Harris

Mr. Edward Hart

Ms. Belle Heller

Mr. and Mrs. Henry L. Herman

Mr. and Mrs. Richard E. Hickey

Mr. and Mrs. Ron Hickman

Mr. and Mrs. Francis X. Higgins

Mr. and Mrs. George Hill

Ms. Vicky Hullar

Mr. William Hyndman, IV

Ms. Mary Jacob

Jean's Apartments

Mr. and Mrs. Stephen D. Johnson

Mr. Leon Jonas, Jr.

Mr. and Mrs. Richard A. Jones

Mr. and Mrs. Joseph P. Kelly

Mr. and Mrs. Todd C. Kendall

Ms. Cynthia A. Kennedy

Mr. and Mrs. James D. Kennedy

Keystone Foods Corporation

Mr. and Mrs. Gary K. Knoettner

Ms. Mary Ellen Konczyk

Mr. and Mrs. Jeff Konz

Ms. Dorothy T. Koontz

Dr. Angeliki Kourelis

Mr. Harold P. Kravitz

Mr. Richard G. Kravitz

Dr. E. Ross Kyger

Dr. Michael Lanuti

Dr. Donato LaRossa

Dr. David A. Lazovitz

Mr. Alvin Leibowitz

Mr. and Mrs. Martin Lentz

Mr. and Mrs. Dennis M. Lynn

Ms. Margaret R. Madigan

Ms. Sheila S. Madow

Dr. Najjia N. Mahmoud

Dr. James F. Markmann

28 | Penn Surgery

Thank you to our donors.

A Brighter Future


Donors | 29

Martin-Brower

John P. Martin Excavating, LLC

Ms. Vicki McCall

Ms. Debra Eberly McCorriston

Mr. Matthew E. McGovern

Ms. Loretta McGrath

Mrs. Anne M. McGuire

Dr. Emma Meagher

Mr. and Mrs. Jeffrey Melrose

Ms. Linda Melrose

Mr. William J. Melrose

Mr. and Mrs. Frank Menneguzzo

Mignatti Enterprise, Inc.

Minis and Co., Inc.

MissaBay

Mr. and Mrs. Joseph D. Moore

Dr. and Mrs. Jon B. Morris

Ms. Martha A. Murphy

Ms. Mary A. Murphy

Nacirema Environmental Service

Mr. and Mrs. Dennis J. Nagy

Dr. Ali Naji

Dr. Francis C. Nance

National Exchange CarrierAssociation

Ms. Bernadette A. Notaro

Ms. Barbara O'Neill

Mr. and Mrs. Robert Oppenheimer

Mrs. Patricia S. Owen

Mr. Paul S. Pacello

Ms. Kathryn Parente

Mr. Louis Paul

Ms. Ann Peifer

Mr. and Mrs. Donald G. Pelino

Pepper Hollow Fund

Dr. Donald L. Preate, Jr.

Ms. Ruth G. Preucel

Dr. John P. Pryor

Ms. Marilyn Ramos

Renzi Bernardai Suarez and Co. PA

Mr. and Mrs. Randy Riegner

Mrs. Nancy Rizzolo

Dr. and Mrs. John L. Rombeau

Ms. Deborah A. Roney

Ms. Rose A. Russo

Dr. Jeffrey S. Sager

Mr. Bob Saghirian

Mrs. Sandra C. Santo

Mr. and Mrs. Dante J. Sarubbi, Sr.

Mr. and Mrs. Raymond K. Sayre

Ms. Deborah C. Schaub

Mr. and Mrs. Thomas J. Schneider

Mr. and Mrs. Charles Sciarra

Mr. Carlo Scotch

Dr. Joseph M. Serletti

Mr. Eddie D. Shelton

Ms. Joan M. Sheridan

Mr. and Mrs. William L. Shooter

SIL Fitness Incorporation

Mr. Mahlon B. Simon, Jr.

Ms. Marie Sinnott

Mr. Richard J. Smith, II

Dr. Seema S. Sonnad

Mr. and Mrs. John L. Specht

Mr. and Mrs. James L. Staats

Ms. Vivienne Stevens

Ms. Nicole M. Stifontis

Ms. Susan Sullivan-Lyons

Dr. Julia C. Tchou

TR Insurance Group, Inc.

Ms. Patricia L. Tregl

Dr. Jennifer Trofe

Ms. Mary Elizabeth Turchi

Mr. and Mrs. Richard Ughetta

Mr. and Mrs. S. Van Gobes

Dr. Omaida C. Velazquez

Dr. Lawrence Robert Volz

Mr. and Mrs. Michael Waltz

Mr. and Mrs. Robert Weckenman

Mr. Norman C. Wehnau

Mr. and Mrs. William B.Weihenmayer

Ms. Marlene Weinberg

Weir and Partners LLP

Mr. Richard Weintraub

Mr. Joseph N. Wexler

Mr. Marlow White

Dr. Noel N. Williams

Mr. and Mrs. Gary Winkler

xpedx


Larry R. Kaiser, MD The John Rhea Barton Professor andChairman of the Department ofSurgery, University of PennsylvaniaSurgeon-in-Chief, University ofPennsylvania Health System

CARDIOVASCULAR SURGERY

Michael A. Acker, MDChief, Division of CardiovascularSurgery, William Maul MeaseyProfessor of Surgery

Joseph E. Bavaria, MDBrooke Roberts/William MaulMeasey Professor of Surgery

Charles R. Bridges, MDAssociate Professor of Surgery,Chief of Cardiothoracic Surgery atPennsylvania Hospital

L. Henry Edmunds, MDJulian Johnson Professor of Surgery

Joseph H. Gorman, III, MDAssociate Professor of Surgery

Robert C. Gorman, MDAssociate Professor of Surgery

W. Clark Hargrove, III, MDClinical Professor of Surgery

Hans M. Haupt, MDClinical Assistant Professor of Surgery

Arthur T. Martella, MDClinical Assistant Professor of Surgery

Rohinton J. Morris, MDClinical Associate Professor of Surgery

Alberto Pochettino, MDAssociate Professor of Surgery

Wilson Y. Szeto, MDAssistant Professor of Surgery

Robert K. Wenger, MDClinical Assistant Professor of Surgery

Y. Joseph Woo, MDAssistant Professor of Surgery

COLON AND RECTAL SURGERY

Robert D. Fry, MDChief, Division of Colon and RectalSurgery, Emilie & Roland deHellenbranth Professor of Surgery,Chair of Surgery at PennsylvaniaHospital

Najjia N. Mahmoud, MDAssistant Professor of Surgery

David J. Maron, MDAssistant Professor of Clinical Surgery

ENDOCRINE & ONCOLOGIC SURGERY

Douglas L. Fraker, MDChief, Division of Endocrine andOncologic Surgery, Jonathan E.Rhoads Associate Professor ofSurgical Science, Vice Chair forClinical Affairs

Patricia M. Bailey, MDClinical Assistant Professor of Surgery

Donna J. Barbot, MDClinical Associate Professor ofSurgery, Chief of Surgery at ChestnutHill Hospital

Marcia C. Boraas, MDClinical Associate Professor of Surgery

Brian J. Czerniecki, MD, PhDAssociate Professor of Surgery

Rachel Rapaport Kelz, MDAssistant Professor of Clinical Surgery

Francis R. Spitz, MDAssociate Professor of Surgery

Julia C. Tchou, MD, PhDAssistant Professor of Surgery

GASTROINTESTINAL SURGERY

Jeffrey A. Drebin, MD, PhDChief, Division of GastrointestinalSurgery, William Maul MeaseyProfessor of Surgical Research, ViceChair of Research

Allen H. Bar, MDClinical Associate Professor of Surgery

Jo Buyske, MDAssociate Professor of ClinicalSurgery, Chief of Surgery at PennPresbyterian Medical Center

Kristoffel Dumon, MDAssistant Professor of Surgery

Matt L. Kirkland, MDClinical Assistant Professor of Surgery

Gary B. Korus, MDAssistant Professor of Clinical Surgery

Keith A. Kreitz, MDAssistant Professor of Clinical Surgery

Jon B. Morris, MDProfessor of Surgery, SurgeryResidency Program Director

James L. Mullen, MDVice Chair, Surgery, Professor of Surgery

Steven E. Raper, MDAssociate Professor of Surgery

Andrew S. Resnick, MDAssistant Professor of Surgery

Ernest F. Rosato, MDProfessor of Surgery

Alan L. Schuricht, MDClinical Associate Professor of Surgery

Hansell H. Stedman, MDAssociate Professor of Surgery

Lisa D. Unger, MDAssistant Professor of Clinical Surgery

30 | Penn Surgery

Our FacultyExtraordinary Talent

The surgeons highlighted in this report

and listed to the right share many

common bonds – foremost their

lasting bonds with the University of

Pennsylvania. This connection is

formalized in their membership in the

Penn Surgical Society, composed of all

surgical faculty, residents, and interns,

past and present.

Intergenerational collegiality is a

founding principle of Penn Surgery.

For more than six decades,

its expression in the concept

of the Penn Surgical Society has

linked future surgical leaders with

emeriti faculty and Penn-trained

chairs from around the nation.


Faculty | 31

David S. Wernsing, MDClinical Assistant Professor ofSurgery

Noel N. Williams, MDAssociate Professor of ClinicalSurgery

PEDIATRIC SURGERY

N. Scott Adzick, MDSurgeon-in-Chief, Chief,Division of Pediatric Surgery,C. Everett Koop Professor ofSurgery

Pediatric General,Thoracic, and Fetal Surgery

Michael W. Bebbington, MDAssociate Professor of ClinicalSurgery

Thane A. Blinman, MDAssistant Professor of Surgery

Timothy R. Brazelton, MD, PhDAssistant Professor of Surgery

Joy L. Collins, MDAssistant Professor of Surgery

Edward J. Doolin, MDClinical Professor of Surgery

Alan W. Flake, MDProfessor of Surgery

Holly L. Hedrick, MDAssistant Professor of Surgery

Kenneth W. Liechty, MDAssistant Professor of Surgery

Stephanie Mann, MDAssistant Professor of Clinical Surgery

Peter Mattei, MDAssistant Professor of Surgery

Michael L. Nance, MDAssociate Professor of Surgery

R. Douglas Wilson, MDProfessor of Surgery

Pediatric CardiothoracicSurgery

Thomas L. Spray, MDChief, Division ofCardiothoracic Surgery;Professor of Surgery

J. William Gaynor, MDAssociate Professor of Surgery

Peter J. Gruber, MD, PhDAssistant Professor of Surgery

Pediatric Urology

Douglas A. Canning, MDChief, Division of Urology;Professor of Urology inSurgery

Michael C. Carr, MDAssociate Professor ofUrology in Surgery

Pasquale Casale, MDAssistant Professor of Urology in Surgery

Thomas F. Kolon, MDAssistant Professor of Urology in Surgery

Howard M. Snyder, MDProfessor of Urology in Surgery

Stephen A. Zderic, MDProfessor of Urology in Surgery

PLASTIC SURGERY

Joseph M. Serletti, MDChief, Division of PlasticSurgery, Henry Royster-William Maul MeaseyProfessor of Plastic &Reconstructive Surgery

Scott P. Bartlett, MDProfessor of Surgery, Chief ofPlastic Surgery at CHOP

Louis P. Bucky, MDAssociate Professor of Surgery

Benjamin Chang, MDAssociate Professor of Clinical Surgery

Richard E. Kirschner, MDAssociate Professor of Surgery

Stephen J. Kovach, III, MDAssistant Professor of Surgery

Donato LaRossa, MDProfessor of Surgery

David W. Low, MDAssociate Professor of Surgery

Linton A. Whitaker, MDProfessor Emeritus of Surgery

Liza C. Wu, MDAssistant Professor of Surgery

THORACIC SURGERY

Joel D. Cooper, MDChief, Division of ThoracicSurgery, Professor of Surgery

Scott W. Cowan, MDAssistant Professor of Surgery

Joseph S. Friedberg, MDAssociate Professor ofSurgery, Chief of ThoracicSurgery at Penn PresbyterianMedical Center

Larry R. Kaiser, MDThe John Rhea BartonProfessor of Surgery,Chairman of the Departmentof Surgery

John C. Kucharczuk, MDAssistant Professor of Surgery

Taine T.V. Pechet, MDAssistant Professor of Surgery

Joseph B. Shrager, MDAssociate Professor of Surgery

TRANSPLANT SURGERY

Abraham Shaked, MD, PhDChief, Division of TransplantSurgery, Eldridge L. EliasonProfessor of Surgery

Peter L. Abt, MDAssistant Professor of Surgery

Ali Naji, MD, PhDJ. William White Professor ofSurgical Research

Kim M. Olthoff, MDAssociate Professor of Surgery

TRAUMA & SURGICALCRITICAL CARE

C. William Schwab, MDChief, Division ofTraumatology and SurgicalCritical Care, Professor ofSurgery

Benjamin M. Braslow, MDAssistant Professor of Surgery

James Cipolla, MDClinical Assistant Professor ofSurgery

G. Paul Dabrowski, MDAssistant Professor of ClinicalSurgery

Forrest B. Fernandez, MDAssistant Professor of ClinicalSurgery

Vicente H. Gracias, MDAssociate Professor of Surgery

Michael D. Grossman, MDAssistant Professor of Surgery

Brian A. Hoey, MDClinical Assistant Professor of Surgery

William S. Hoff, MDClinical Associate Professor of Surgery

Patrick K. Kim, MDAssistant Professor of Surgery

Nathaniel McQuay, Jr., MDClinical Assistant Professor ofSurgery

Jose L. Pascual, MD, PhDAssistant Professor of Surgery

John P. Pryor, MDAssistant Professor of Surgery

Patrick M. Reilly, MDAssociate Professor of Surgery

Babak Sarani, MDAssistant Professor of Surgery

Carrie A. Sims, MDAssistant Professor of Surgery

Peter G. Thomas, MDClinical Assistant Professor of Surgery

UROLOGY

Alan J. Wein, MD, PhD (Hon)Chief, Division of Urology,Founders Professor ofUrology in Surgery

Andrew C. Axilrod, MDClinical Assistant Professor ofUrology in Surgery

George W. Drach, MDProfessor of Urology inSurgery

Phillip Hanno, MDProfessor of Urology inSurgery

David I. Lee, MDAssistant Professor of Urologyin Surgery, Chief of Urology atPenn Presbyterian MedicalCenter

S. Bruce Malkowicz, MDProfessor of Urology inSurgery

M. Louis Moy, MDAssistant Professor of Urologyin Surgery

C. William Schwab, II, MDAssistant Professor of UrologySurgery

Keith N. Van Arsdalen, MDProfessor of Urology inSurgery

VASCULAR SURGERY

Ronald M. Fairman, MDChief, Division of VascularSurgery, Professor of Surgery

Clyde F. Barker, MDDonald Guthrie Professor of Surgery

Jeffrey P. Carpenter, MDProfessor of Surgery

Michael A. Golden, MDAssociate Professor of Surgery

Peter R. McCombs, MDClinical Associate Professor ofSurgery, Chief of Surgery atPhiladelphia VA MedicalCenter

Edward Y. Woo, MDAssistant Professor of Surgery


Unlike his older brother and uncle, John Rhea

Barton, MD, never served on Penn’s faculty,

but his ties to the University were numerous.

Barton graduated from the Medical School in

1818, following a residency at Pennsylvania

Hospital, which inspired his thesis topic,

“Certain Injuries in the Bones of Children.”

Orthopedics would become Barton’s

specialty, reflecting his surgical dexterity

and his ingenuity at finding solutions where

none existed. To this day, medical textbooks

remember his contributions with three

eponymous breakthroughs – Barton’s fracture,

Barton’s bandage, and Barton’s forceps.

Penn Surgery remembers his contributions,

because the Chairman of the Department

also holds The John Rhea Barton Professorship

of Surgery.

The John Rhea Barton Professorship of

Surgery holds a distinguished place in

medical education history. As Penn’s first

chair in any medical discipline, it effectively

spurred the School of Medicine’s growth

upon its establishment in 1877. As America’s

first endowed faculty post in surgery, the

professorship created a model strategy for

recruiting and retaining faculty. At a time

when many institutions training physicians

were in the throes of financial crisis – since

students traditionally paid tuition fees

directly to professors, not institutions –

the $50,000 gift from Sarah Barton, in her

late husband’s memory, changed the future

of medical education.

32 | Penn Surgery

Column 1

D. Hayes Agnew, MD1878-1889

John Ashurst, Jr., MD1889-1900

J. William White, MD1900-1910

Edward Martin, MD1910-1918

Column 2

John B. Deaver, MD1918-1922

Charles H. Frazier, MD1922-1936

Eldridge L. Eliason, MD1936-1945

Column 3

I. S. Ravdin, MD1945-1960

Jonathan E. Rhoads, MD1960-1972

William T. Fitts, MD1972-1978

Column 4

Leonard D. Miller, MD1978-1983

Clyde F. Barker, MD1983-2001

Column 5

Larry R. Kaiser, MD2001-Present

TT H E J O H N R H E A B A R T O N

Professors of Surgery


Former Chairman of theDepartment of SurgeryClyde F. Barker, MD and his assistant Ms. Donna Muldoon

Concept, Writing, EditorialSteege/Thomson Communications4606 Spruce StreetPhiladelphia, PA 19139215.747.7700www.steegethomson.com

DesignJelesiewicz DesignJill Glodek, Designer219 Glendalough RoadErdenheim, PA 19038

Office of the CuratorUniversity of Pennsylvania Art CollectionJacqueline Jacovini100 College HallPhiladelphia, PA 19104-6380

Penn Medicine DevelopmentKimberley GrubeSenior Director of Development, SurgicalPrograms and Patient Facilitated Services3535 Market Street, Suite 750Philadelphia, PA 19104

PrinterPrinters Trade, Inc.Charlene Sidebotham10081 Sandmeyer LanePhiladelphia, PA 19116

Web Administrator, Graphic ArtistRobin Noel

Acknowledgements

The 2007 Annual Report from the University of Pennsylvania Health System Department of Surgery

was produced with contributions by the following people:

The John Rhea Barton Professor and Chairman of the Department of Surgery,University of Pennsylvania

Surgeon-in-Chief, University of Pennsylvania Health System

Larry R. Kaiser, MD and his executive assistant Ms. Marie Mattera

The Council of Chiefs and Executive Committee

Michael A. Acker, MD and his assistant Ms. Geri Iannelli

N. Scott Adzick, MD and his assistant Ms. Renata Rodgers

Donna J. Barbot, MD and her assistant Ms. Christine Marino

Jo Buyske, MD and her assistant Ms. Sameerah Rahman

Joel D. Cooper, MD and his executive assistant Ms. Renee Billingslea

Stephen L. Demers, MBA and his executive assistant Ms. Stacey Duffy

Jeffrey A. Drebin, MD, PhD and his assistant Ms. Denise Orr

Ronald M. Fairman, MD and his executive secretary Ms. Maureen Griffith

Douglas L. Fraker, MD and his executive assistant Ms. Carla Tolino-Panaccio

Robert D. Fry, MD and his executive assistant Ms. Pamela Quinn

Peter R. McCombs, MD and his assistant Mr. Darryl Adderley

Jon B. Morris, MD and his assistant Ms. Judy Fitzpatrick

James L. Mullen, MD and his executive assistant Ms. Susan Ciancaglione

Joseph M. Serletti, MD and his executive assistant Ms. Robin Hartigan

C. William Schwab, MD and his administrator Ms. Sue Auerbach

Abraham Shaked, MD, PhD and his assistant Ms. Kathy Potter

Alan J. Wein, MD and his assistant Ms. Carol Martin

Angela B. Wurster and her executive assistant Ms. Anita Rodriguez

L E G E N D A R Y P E O P L E

Shippen, Physick, White, Ravdin, Rhoads, Johnson, Gibbon, Roberts, Barker, to name a few.

Many giants of medicine have called Penn Surgery home.

Among the most memorable is D. Hayes Agnew, MD, Penn Surgery’s first chairman, who is immortalized

in Thomas Eakins’ iconic 1889 painting The Agnew Clinic (at right). Agnew was an innovator who loved

research, and this passion single-handedly drove forward numerous innovations, including new surgeries,

techniques, and instruments from clamps to artery forceps.

In the tradition of these legends, Penn surgeons never stop working for the next breakthrough,

and that promises a better tomorrow for our patients.

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