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Page 1: 4th Esmsc preview

esmscessential skills in the management of surgical cases

may 9 11, 2016

experimental research center elpenathens, greece

experimental research center - elpen

scientific society of hellenicmedical students - sshms

course programme

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esmscessential skills in the management of surgical cases

welcome letterDear friends and colleagues,

We are delighted to welcome you in Athens for the “4rd Essential Sklills in the Management of Surgical Cases - ESMSC” course which takes place in the Experimental - Research Center ELPEN between 9 and 11 May 2016. This initiative was purely designed for medical students and junior trainees, aiming to familiarize them with the systematic approach of a surgical patient.

EESMSC (esmsc.gr) is an international initiative which combines a huge variety of surgical skills and aims to promote re-search in Medical Education, supported by ERC ELPEN. Its an intense SBL course aimed primarily at the undergraduate level. The unique perception of our model lies into the combination of basic knowledge with systematic methodology of Surgical Science and the acquisition of skills to deliver patients' care. The second unique part is the introduction of expensive, though promising in vivo experience which hopefully will drive students' initiative as well as expand their competence to effectively perform basic procedures and assist in theatre.

Curriculum CI4R is a brand new ergonomic combination of current classic In Vivo and Ex Vivo stations with high fidelity research modules which aim to discover more on how students should be motivated towards the hands-on skills. Currently we are proud to introduce the "4th Core" which introduces delegates to the "non-technical skills" and tries to enhance the ability of the delegates to engage earlier on with decision making and familiarize themselves with the "soft skills" principles ThThe 1st ESMSC ran with great success, as as a satellite symposium of the National Surgical Conference back in November 2014, set under the auspices of the Hellenic Surgical Society. The 2nd ESMSC expanded and reached the idea of an International Combined Applied Surgical Science and Wet lab Course.

WWe would like to thank Professor GC Velmahos for supporting this project, as well as all the Academics, Clinicians and Trainees from various prestigious universities of the world including the UK (Imperial College London, King’s College London, University College London, University of Leeds, Queen Mary University of London, Peninsula Medical School, University of Liverpool), USA (Harvard Medical School), AUB and Greece, who support with their presence this huge ini-tiative and motivate our delegates towards a surgical career.

With kind regards,

the Scientific Directors,

Professor GK Zografos, PhD, FACSProfessor of Surgery and Vice Rector of the National and Kapodistrian University of AthensDirector of the 1st Propaedeutic Surgical Department, Hippocratio Hospital

Professor GC Velmahos, MD, PhD, MSEdProfessor of Surgery, Harvard Medical School-Chief of TraumaEmergency Surgery and Surgical Critical CareMassachusetts General Hospital

ApoApostolos E. Papalois, PhD, KGSJ, AMACSDirector of the Experimental - Research Centre ELPENVisiting Professor, Harvard Medical School

Dr Michail Ch SiderisNIHR Academic Clinical Fellow, London DeaneryQueen Mary University London, UK

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facultyScientific DirectorsG.K. Zografos, MD, PhD, FACSProfessor of Surgery, University of AthensDeputy Dean, University of Athens

George C. Velmahos, MD, PhD, MSEdJohn F. Burke Professor of Surgery, Harvard Medical School CChief of Trauma, Emergency Surgery, and Surgical Critical Care Massachusetts General Hospital , Boston, USA

Apostolos E. Papalois, PhD, KGSJ, AMACSDirector of Experimental-Research Centre ELPEN, Visiting Professor, Harvard Medical School

Michael SiderisNIHR Academic Clinical Fellow, London Deanery,LLondon and The Bart's Medical School,Queen Mary's University London

Faculty LeadGeorgios Tsoulfas, MD, PhD, FACSAssistant Professor of Surgery, Aristotle University of Thessaloniki

International LeadSavvas Papagrigoriadis, MD, Savvas Papagrigoriadis, MD, MSc, FRCSConsultant Colorectal Surgeon, Senior Clinical Lecturer in Surgery, King's College London

Honorary International LeadVassilios Papalois, KGSJ, MD, PhD, FICS, FRCS, FEBSProfessor of Tranplant Surgery, Imperial College, London, UK

CCourse ConvenorNikolaos Staikoglou5th Year MBBS Student, Aristotle University of Thessaloniki

Honorary MembersThanos Athanasiou, MD, PhD, MBA, FECTS, FRCSProfessor of Cardiovascular Science, Imperial College, London, UK

Jamal Hoballah, MD, MBA, FACSProfProfessor of Surgery, Head of Surgical Division, American University of Beirut Medical Centre

Shakila Thangaratinam, PhD, MRCOGProfessor of Maternal and Perinatal HealthR & D Director for Women's Health | Barts Health NHS Trust

Kayvan Shokrollahi, BSc, MB, ChB, MSc, LLM, MRCS(Eng), FRCS(Plast)Professor of Plastic Surgery,UUniversity of Liverpool

Lead Curriculum AdvisorNikolaos Lymperopoulos, PhD, MRCSST4 Trainee in Plastic Surgery, HEE Yorkshire and the Humber

Curriculum AdvisorsPanagiotis Dedeilias, MDConsultant Cardiac Surgeon, Evangelismos Hospital, Athens, Hellas esmsc

essential skills in the management of surgical cases3

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esmscessential skills in the management of surgical cases

facultyIoannis Dimitropoulos, MRCP(UK)Consultant in Diabetes and Endocrine Medicine, Plymouth Hospitals NHS Trust

Efstratios Koletsis, MD, PhDAssociate Professor of Surgery, University of Patras

Ramesan Navaratnarajah, MRCOG (UK)Consultant Obstetrician and Gynaecologist, St. Barthomews and the Royal London HospitalsRRCOG tutor, London Deanery

Nikolaos Panagiotopoulos, MD, PhD, MRCS, FRCSConsultant Thoracic Surgeon, University College London Hospitals (UCLH)

Senior Faculty MembersPanagiotis BamidisAssociate Professor in Medical Education Informatics, Aristotle University of Thessaloniki

1st Lieutenant Stavros Fyntanis RRN ICU, 251 GNA, ICU, Hellenic Airforce

Athanasios Kalogeropoulos, MHCH, MPHMilitary Doctor, Hellenic Navy

Nikolaos Karmiris, MD, EBORPASConsultant Plastic Surgeon, 401 Military Hospital, Athens

Alexios Bimpis, MDConsultant Neurosurgery, Tripolis Hospital

MMichael Pierides, BSc(HONS) MSc(Med Ed) MBChB MRCP(UK) SCE RCP (D&E)Consultant in Diabetes and Endocrine Medicine, University Hospitals Leicester, UK

Michael Potoupnis, MD, PhDAssistant Professor of Orthopeadic Surgery, Aristotle University of Thessaloniki

Fares Sayegh, MD, PhDAssociate Professor of Orthopaedic Surgery, Aristotle University of Thessaloniki

Parmenion Tsitsopoulos,MD. PhDAssiAssistant Professor of Neurosurgery, Aristotle University of Thessaloniki

Faculty MembersAlexander Bell, MBBSFoundation House Officer Trainee, Royal London Hospital, London, UK

Charikleia Demiri, MDTrainee in General Surgery

Ioanna Drami, MBBS, MRCSCT2 TraCT2 Trainee in Surgery, Royal London Hospital

Konstantinos Imprialos, MDTrainee in Internal Medicine, Clinical Research Fellow, Aristotle University of Thessaloniki

Theodoros Michail, MDTrainee in Orthopaedic Surgery

Stavros Pellios, MDConsultant Orthopaedic Surgeon, 424 Military Hospital, Thessaloniki

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facultyAris Plastiras,MD, PhDClinical Research Fellow, King's College Hospital NHS Foundation Trust

Alexandros Rampotas, MDClinical Fellow at Renal Medicine and Transplantation, Royal London Hospital

Ioannis Sagkriotis, MRCSConsultant General Surgeon, Iatriko Athinon Hospital

FraFrancois Santos, MBBSST3 Trainee in Obstetrics and Gynaecology

Stratos Sofos, MRCSST5 Specialty Registrar in Plastic Surgery, Mersey Deanery

Andreas Tooulias. MDTrainee in General Surgery, Papageorgiou Hospital, Thessaloniki

Anastasios Tzavellas, MDTraTrainee in Orthopaedic Surgery

Students’ CommitteeNikolaos StaikoglouCourse Convenor & Undergraduate Lead

Georgios PaparoidamiseMERG Lead Coordinator

Ismini TsagkarakiIntInternational Affairs Lead Project Manager

Efstratia-Maria GeorgopoulouCME & Feedback Accreditation Project Manager

Stefanos KaramaroudisEducational Material Coordinator

ESMSC “Train the trainer” Friederike BoscheMMedical Student, Medical School of Munich

Elpen FacultyLead Coordinators A. E. Papalois, PhD, KGSJ, AMACS, VPHMS, Director of the Experimental – Research Centre ELPENG. Stagias MS(c), Department of Administrative Support – FELASA – B & CN. Psychalakis MS(c), Department of Educational Programs & Infrastructure – FELASA - C MMembers A. Zacharioudaki DVM, MLAS, PhD ( c ), Veterinary Department – FELASA - CA. Ghiatas MSc, Department of Scholarships & International AffairsE. Karampela MSc, Medical Department – FELASA - CA. Karaiskos, Technical Department – FELASA - CM. Karamperi, Laboratory Department – FELASA - CK. Tsarea, Nursing Department – FELASA - CE. E. Gerakis, Department of Animal Facilities – FELASA - BS. Gerakis, Department of Animal Facilities – FELASA - BCh. Vidopoulou, Staff

Graphic Design Nikolaos Staikoglou esmscessential skills in the management of surgical cases5

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esmscessential skills in the management of surgical cases

course descriptionICASSWEC ESMSC Curriculum “Cores Integrated fo(u)r Research” – a few words Sideris, Papalois et al.

UUndergraduate Surgical Education is becoming an essential element in the training of the future generation of safe and efficient surgeons. Currently, evolving technology and increasing demand for excellence in patient care, have led to-wards the reconsideration of surgical curriculum, and various Medical Schools are introducing Basic Surgical Training (BST) skills at an earlier stage. Essential Skills in the Management of Surgical Cases – esmsc, is an international, com-bined applied surgical science and wet lab course, designed to combine basic science knowledge, with case-based learning and BST in vivo and ex vivo modules, aimed specifically at the undergraduate level. Its an intense SBL course aimed primarily at the undergraduate level.

Curriculum CI4R (3rd Edition) is a brand new ergonomic combination of current classic In Vivo and Ex Vivo stations with high fidelity research modules which aim to discover more on how students should be motivated towards the hands-on skills. Currently we are proud to introduce the "4th Core" which introduces delegates to the "non-technical skills" and tries to enhance the ability of the delegates to engage earlier on with decision making and familiarise them-selves with the "soft skills" principles

In vivo dissections & Scoping on high fidelity simulation model, ex vivo stations including ORIF, suturing, USS guided central access, Dexterity skills, Lap Simulator, Wound debridement, small interactive workshops, consist some parts of this exciting 2-year old now initiave

MMedical Students report overall improvement in their confidence to approach a surgical patient, and the mean feed-back from both series was 9.50/10 (7-10, SD=0,86) and 8.61/10 (5-10, SD= 1.24). The overall ESMSC concept was posi-tively evaluated, with mean score of 9.41/10 (8-10, SD=0.72) and 8.94/10 (7-10, SD=1.1). In the out of 10 scale, dele-gates thought that esmsc should be incorporated as a feature of undergraduate surgical curriculum with mean score 9.86/10 (8-10, SD 0.43) and (9.58/10, 6-10, SD=0.91). On comparison between UK vs. Greek Medical Students reports, as well as between Year 3,4 vs. Year 5,6 Medical Student responses revealed no statistical significant difference petaining to any question (p>0.05)

Surgery is a rapidly evolving field of Medicine, hence involvement of students into Basic Surgical Training is essential. Simulation-based training is an efficient way towards the acquisition of basic surgical skills. Medical students seem to appreciate and seek any SBT opportunity in their undergraduate training years, and this is reflected in the ESMSC feed-back report from both younger as well as more senior students. What is more, students across different European Countries, appear to have similar views on needs for training and development needs.

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Registration

Multiple Choice Questions

Welcome A. Papalois, M. SiderisESMSC Course Overview N. Staikoglou

Changeover / Team Split

Basic Surgical Skills

esmscessential skills in the management of surgical cases

8:30

9:00

9:20

9:40

10:00-14:00

10:00-10:30

10:30-11:00

11:00-11:30

11:30-12:00

12:00-12:30

12:30-13:00

Suturing IK. ShokrollahiN. Lymber-opoulosS. Sofos

Suturing IIG. TsoulfasI. DramiF. Santos

US guidedAccessBARDinstructors

DexterityTestM. Potoupnis

ORIF IF. Sayegh

WoundDebridementA. Plastiras,N. Karmiris

13:00-13:30

13:30-14:00

TacticalTraumaWorkshopA. Kalogerop-oulos

DAY 1 MAY O9, 2016

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programme

teamA teamB teamC teamD teamE teamF teamG teamHteamB teamA teamD teamC teamG teamH teamE teamFteamG teamH teamA teamB teamF teamE teamC teamDteamH teamG teamF teamE teamD teamC teamA teamBteamC teamD teamE teamF teamA teamB teamH teamGteamD teamC teamB teamA teamH teamG teamE teamFteamE teamF teamG teamH teamB teamA teamC teamDteamF teamE teamH teamG teamC teamD teamB teamA

Changeover -Lunch

Leadership in Surgery T. Athanasiou

Introduction to Non-technical skills T. Athanasiou

Non - technical Skills, T. Athanasiou et al, Coordination, I. Tsagkaraki

14:00

15:00

15:30

General Surgery Emergencies G. TsoulfasDay 2 Prepeartion F. Bosche

18:00-18:30

16:00-18:00

16:00-16:30

16:30-17:00

17:00-17:30

Trauma Scenarios I & II(Mock & Moulage)

CommunicationScenarios I & II(Mock & Moulage)

Ward RoundScenarios I & II(Mock & Moulage)

17:30-18:00

teamA teamB teamC teamD teamE teamF teamG teamH

teamG teamH teamA teamB teamC teamD teamE teamF

teamE teamF teamG teamH teamA teamB teamC teamD

teamC teamD teamE teamF teamG teamH teamA teamB

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Welcome

Shock A. Rambotas

Changeover - Team Split

Intermediate in vivo & ex vivo Skills I

programme

esmscessential skills in the management of surgical cases

8:30

8:45

9:15

9:30-13:30

9:30-10:00

10:00-10:30

10:30-11:00

11:00-11:30

11:30-12:00

12:00-12:30

ORIF IIM. Potoupnis

Ex vivoflapsK. ShokrollahiN. Lymber-opoulos

ABG’sworkshopK. ImprialosA. RambotasA. Bell

Ex vivografts(plastic)J. Hoballah

Ex vivografts(animaltissue)J. Hoballah

Lap Simu-latorR. Navarat-narajah, F. SantosF. Bosche

12:30-13:00

13:00-13:30

In vivoLap skillsG. Tsoulfas

DAY 2 MAY 10, 2016

teamA teamB teamC teamD teamE teamF teamG teamHteamB teamA teamD teamC teamG teamH teamE teamFteamG teamH teamA teamB teamF teamE teamC teamDteamH teamG teamF teamE teamD teamC teamA teamBteamC teamD teamE teamF teamA teamB teamH teamGteamD teamC teamB teamA teamH teamG teamE teamFteamE teamF teamG teamH teamB teamA teamC teamDteamF teamE teamH teamG teamC teamD teamB teamA

Welcome Prof GK Zografos, Prof AE Papalois Lecture Prof. GC VelmahosThe concept of Acute Care Surgery as a new specialty

Discussion G. Tsoulfas, J. Hoballah

Acute Care Surgery in the UK, S. Papagrigoriadis

Acute Care Surgery Greece, K. Toutouzas

Informal Discussion - Training in th US GC Velmahos, G. Tsoulfas, J. Hoballah Intermediate in vivo & ex vivo skills II

14:10

14:00

14:55

15:10

15:25

15:40

Team BuildingSocial Event

16:30

16:50 16:40

Teams ABCD

R. Navaratnarajah, F. Santos Obs & Gyn Emergencies Thoracoscopy in vivo N. Panagiotopoulos, E. Koletsis

Open Dissections G. Tsoulfas, J. Hoballah

Central Venous Access K. Imprialos, A. Rambotas, A. Bell

K. Shokrollahi, N. Lymperopoulos Plastic Surgery Emergencies

N. Panagiotopoulos, E. Koletsis Cardiothoracics

EFGH Teams

17:10-17:20 Changeover

16:20

17:50

18:10 18:00

18:30

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Teams EFGH

R. Navaratnarajah, F. Santos Obs & Gyn Emergencies Thoracoscopy in vivo N. Panagiotopoulos, E. Koletsis

Open Dissections G. Tsoulfas, J. Hoballah

Central Venous Access K. Imprialos, A. Rambotas, A. Bell

K. Shokrollahi, N. Lymperopoulos Plastic Surgery Emergencies

N. Panagiotopoulos, E. Koletsis Cardiothoracics

ABCD Teams

17:40

16:00-18:30

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Vascular Emergencies J. Hoballah

ICP Bolt Insertion P. Tsitsopoulos, A. Bimpis

5’ Rotation on ICP

Neurosurgical Emergencies P. Tsitsopoulos

Medical Education Informatics P. Bamidis

Extracorporeal Circulation / Transplant P. Dedeilias et al

Electrolyte Disorders K. Imprialos

ACS/Sepsis/DKA in Surgical Patients, M. Perides

Principles in Tactical Trauma T. Kalogeropoulos

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Closing Remarks - Feedback

programme

10’ Rotation on Transplant

esmscessential skills in the management of surgical cases

9:00

9:30live

live

10:00

10:40

11:00

11:30

13:30

15:00

16:00

16:45

17:15

15:30-16:00 Coffee Break

DAY 3 MAY 10, 2016

Teams ABCDEFGH

Teams ABCDEFGH

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esmscessential skills in the management of surgical cases

esmsc Medical Education Research Group

We are delighted to introduce the “ESMSC Medical Education Research Group- eMERG”. eMERG is an international re-search network that aims to link health care professionals and Academics from various backgrounds, with Medical Students and Junior Doctors, in order to exchange views on Simulation-Based Education and produce novel work as part of the ICASSWEC – ESMSC Group.

The eMERG(roup) was founded by Sideris, Papalois et al. as part of an International Combined Applied Surgical Science and Wet lab course (ICASSWEC) Research Project called ESMSC, which is primarily funded from a research grant, supported by the Experimental & Research Centre of ELPEN, one of the most well reputed labs in Europe for animal model Research

WWe welcome Medical Students and Junior Trainees (SHO, StR level) from the UK, Greece and other countries to apply online for being part of this group. Initially there will be offered 3 places for Medical Students and 3 for SHO/StR level trainees, who will be actively involved in the research modules, with the upper purpose to produce novel work.

If you are interested all you need to do is to send your cv, as well as a statement of 300 words in which you summarize why you wish to be part of this project and what you aim to do through this collaboration. CVs and statements will be assessed by the Academic Leads of the eMERG and shortlisted delegates will attend a skype interview if needed.

AlAlong with your cv and statement, you can provisionally attach a research proposal based on the background of the clusters. The best proposal will be awarded a funded scholarship to be conducted as part of the esmsc in November 2016.

Successful applicants will be informed on the new planned studies and will be allocated to one of those. We hope that soon (November 2016) we will invite applicants to submit a novel idea on a study as part of the ESMSC which will be funded by ERC elpen as part of this Group. YYours sincerely,

The Academic Lead of the Group Apostolos E. Papalois, PhD, KSGJ, AMACSDirector of the Experimental Research Centre ELPEN Georgios Tsoulfas, PhD, FACSAssiAssistant Professor of Surgery, AUTH Michail Ch. SiderisNIHR Academic Clinical Fellow, London Deanery The Lead Coordinators GeGeorgios PaparoidamisLead of the eMERG Coordination Nikolaos StaikoglouESMSC Course Convenor, Lead of the Students’ Committee

Ismini TsagkarakiInternational Affairs Lead Project Manager

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esmscessential skills in the management of surgical cases

S.C. BiographiesGeorge C. Velmahos, MD, PhD, MSEdJohn F. Burke Professor of Surgery, Harvard Medical School Chief of Trauma, Emergency Surgery, and Surgical Critical Care Massachusetts General Hospital , Boston, USA

G.K. Zografos, MD, PhD, FACSProfessor of Surgery, University of AthensDeputy Dean, University of Athens

George C. Velmahos received his medical degree and a doctorate from the University of Athens Medical School in Athens, Greece. He also has a Masters in Medical Education from the University of Southern California. He is a Fellow of the American College of Surgeons, American College of Critical Care Medicine, Royal College of Surgeons of Edinburgh and Royal College of Physicians and Surgeons of Glasgow. He is the John F. Burke Professor of Surgery at Harvard Medical School and Chief of Trauma, Emergency Surgery and Surgical Critical Care at Massachusetts General Hospital, in Boston, Massachusetts. Recepient of multiple teaching awards frfrom the University of Southern California and Massachusetts General Hospital , he is the Associate Editor of the World Journal of Surgery, serves on the Editorial Board of Surgery, Archives of Surgery, World Journal of Emergency Surgery and Journal of Trauma. He is a reviewer for nearly all major surgical and critical care journals. Dr. Velmahos has published over 380 peer-reviewed articles, over 45 books and book chapters, scores of ab-stracts, editorials, clinical communications and online educational modules, and has delivered over 150 invited lectures or presentations at national and international conferences. He has a strong interest on trauma research and is committed to the education of the new generation of surgeons. He is the Director of multiple educational courses, including the Harvard Critical Care and Trauma Symposium.

George Zografos is aProfessor of Surgery at Medical School in University of Athens as well as the Depury Dean of the National and Kapodistrian University of Athens. He is the lead of Breast Unit in the 1st Department of Propaedeutic Surgery at Hippokratio Hospital in Athens. His activity in research, writing and editorial work is really huge, as he has more than 300 publications in international refereed journals and 60 publications in Greek journals, 20 chapters in Greek and International books and numerous communications and recommen-dations in Greek and international conferences. He is also an invited reviewer of several international scientific journals.journals. He has also participated in several funded research projects and clinical studies. He supports the Scientific Society of Hellenic Medical Students’ activity for the last decade and he has organized numerous workshops, events and screening programs for cancer.

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S.C. BiographiesApostolos E. Papalois, PhD, KGSJ, AMACSDirector of Experimental-Research Centre ELPEN, Visiting Professor, Harvard Medical School

Georgios Tsoulfas, MD, PhD, FACSAssistant Professor of Surgery, Aristotle University of Thessaloniki

(Bd: July 22nd, 1968). High School, Varvakeion Model School. Mr Papalois was graduated from the Department of Biology, University of Athens in 1991 and he has a PhD degree in biology – biochemistry from the University of Athens in close collaboration with the University of Cambridge, Department of Surgery. His per-sonal training abroad from 1991, contains University of Minnesota, University of Cambridge, University of Boston, University of C. Los Angeles, University of Texas and also special training courses (Transplantation, L.a.s. Courses, Leadership – Harvard). In 1996 was appointed Director of the Experimental – Research Center ELPEN.ELPEN. Teaching staff in the University of Athens, Greece (in pre - and post - graduate level) as well as in other Hellenic Universities (Patras and Alexandroupolis) Schools of Medicine, & Nursing. Visiting Professor (University of Ioannina, Greece, Timisoara, Romania San Antonio, Texas, 2011 and Harvard University Medical School, 2014). More than 240 publications in international peer review journals as well as participation in in-ternational and panhellenic scientific congresses. Also many training courses (more than 700 national and in-ternational) were organized in his lab. His work has been awarded with more than 150 prizes in national and international congresses as well as from scientific associations. Knighthood of Saint John of Jerusalem Order (2010). Also under his supervision, many PhD’s and Master degree thesis were elaborated in E.R.C. ELpen labo-ratories in accordance with the European legislation for experimentation. Member of national and international Scientific Societies (Academy of Surgical Research, ICLAS, FELASA, Experimental Biology and Medicine, European Society for Transplantation, Cell Transplant Society, Academy of Management and others).

Dr Georgios Tsoulfas received his medical degree from Brown University School of Medicine and completed his general surgery residency at the University of Iowa Hospitals and Clinics, as well as a transplant research fellow-ship at the Starzl Transplant Institute at the University of Pittsburgh. He then completed a two-year transplanta-tion surgery fellowship at the Massachusetts General Hospital, Harvard Medical School and then joined the Division of Solid Organ Transplantation and Hepatobiliary Surgery at the University of Rochester Medical Center as an Assistant Professor of Surgery. He has moved back to Greece, where he is an Assistant Professor of Surgery at the Aristoteleion University of Thessaloniki. He has published over 70 papers in peer-reviewed Journals and in PubMed, as well as 17 book chapters. He is a reviewer for 15 International Journal and on the Editorial Board of several others.His main area of interest include primary and metastatic hepatic malignancies and their multimodal management.

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S.C. BiographiesThanos Athanasiou, MD, PhD, MBA, FECTS, FRCSProfessor of Cardiovascular Science, Imperial College, London, UK

Savvas Papagrigoriadis, MD, MSc, FRCSConsultant Colorectal Surgeon, Senior Clinical Lecturer in Surgery, King's College London

Jamal Hoballah, MD, MBA, FACSProfessor of Surgery, Head of Surgical Division, American University of Beirut Medical Centre

Professor Thanos Athanasiou is a Consultant Cardiothoracic Surgeon at Hammersmith and St Mary's Hospitals and a Professor of Cardiovascular Sciences & Cardiac Surgery in the Division of Surgery at Imperial College London. He specializes in Complex Aortic Surgery, Coronary Artery Bypass Grafting (CABG), Minimally Invasive Cardiac Surgery and Robotic Assisted Cardiothoracic Surgery. His institutional responsibility is to lead academ-ic cardiac surgery. His current statistical expertise is on longitudinal data analysis, multilevel modelling, com-peting risk modelling, bayesian hierarchical modelling and Neural Networks.He has published more than 500 peer reviewed publications including 70 book chapters with an overall h-index of 52 and more than 10000 cita-tions

Savvas Papagrigoriadis was born in Athens, Greece in 1961 and he did his medical and initial surgical training in Greece. He has been working in NHS and University positions in the UK since 1994. He has been on the Specialist Register of the GMC since 1994. Since 2001 he is a Consultant in Colorectal Surgery at King's College Hospital London and also a Senior Lecturer in Surgery of King's College London .He works as a medicolegal expert witness to the courts for the UK and other countries and he is a Member of the Expert Witness Institute. He is a Fellow of the Royal College of Surgeon of England, a member of the Association of Coloproctology of GreatGreat Britain, a member of the American Society of Colon and Rectal Surgeons and a member of the British Society of Gastroenterology. His main clinical interests are colorectal cancer, diverticular disease and pelvic floor disorders although he works in the whole spectrum of colorectal surgery. He specializes in minimally inva-sive surgery such as TEMS (Transanal Endoscopic Microsurgery) and Laparoscopic surgery and he has been a trainer of the LapCo, which is the national programme of the Department of Health for training of consultant sur-geons on laparoscopic surgery for colorectal cancer. His research interests are treatment and surveillance ofbowel cancer and pathogenesis , epidemiology and pathogenesis of diverticular disease and probiotics in gut disease. In 2015 he has set up at Athens Medical Centre the first in Greece specialist Department of Colon and Rectal Surgery and Pelvic Floor Laboratory

Dr. Jamal Hoballah received his MD from the American University of Beirut in 1981. He joined New York University (NYU) in 1982 where he completed his general surgery residency in 1987 and a trauma/critical care fellowship in 1988. He remained on the faculty at NYU for two years before moving to the University of Iowa where he complet-ed his vascular fellowship in 1991. Dr. Hoballah then joined the Department of Surgery at the University of Iowa where he became a tenured professor of surgery, director of the Vascular Surgery Fellowship program, and chairman of the Vascular Surgery Division in 2002. In 2007, Dr. Hoballah was appointed the surgical director of tthe University of Iowa Heart and Vascular Center. In 2008, Dr. Hoballah returned to AUBMC where he serves as the Chairman of the Department of Surgery, as well as the Head of the Division of Vascular Surgery since 2011.Dr. Hoballah is Board certified in general surgery, vascular surgery, and surgical critical care. He has obtained an ex-ecutive MBA from the Tippie School of Business at the University of Iowa in 2001 and completed a program on Leadership Development for Physicians in Academic Health Centers at Harvard School of Public Health in 2004.Dr. Hoballah’s areas of clinical and research interest include endovascular surgery, infrainguinal revascularization, acute limb ischemia, and surgical education. He has authored and co-authored over 90 papers in peer reviewed journals and over 40 book chapters. In addition, he has been the sole author of a vascular surgery book and co-editor of six other surgical books. He also serves as a reviewer for several surgical journals.Dr. Hoballah is a member of numerous prestigious surgical societies and has served as president of the Johnson County Medical Society and president of the Iowa Vascular Society. He served as an examiner for the American Board of Surgery and the American Board of Vascular Surgery. He has received several awards including the AtteAttending of the Year award at NYU in 1989 and the Teacher of the Year award at the University of Iowa in 1996. He has been selected to the Best Doctors in American list for several years. Dr. Hoballah is the past chair of the International Relations Committee of the American College of Surgeons. He is the Governor of the ACS Lebanon Chapter, and the chair of the International Governors workgroup of the American College of Surgeons.

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notes

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notes

esmscessential skills in the management of surgical cases15

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Experimental - Research Center ELPEN

Scientific Society of Hellenic Medical Students - eefie

Hellenic Surgical Society

Parisianou Publications

European Society of Hellenic Junior Doctors

Under the auspices of the Surgical Departments of the Medical Schools of: National and Kapodistrian University of Athens

Aristotle University of Thessaloniki UUniversity of ThessalyUniversity of Patras University of Crete University of Ioannina

Democritus University of Thrace

American College of Surgeons - Greek Chapter

Medical Association of Athens

Medical Association of Thessaloniki

Hellenic Society of Medical Education