Mass General Brigham

Agenda

Day 1

Opening

  • 7:00 AM - 7:31 AMRegistration and breakfast
  • 7:31 AM - 7:41 AMIntroduction to Symposium - Ali Aziz-Sultan, Nirav Patel, Linda Bi
  • 7:41 AM - 7:46 AMWelcome to the Department of Neurosurgery - E.A. Chiocca
  • 7:46 AM - 8:01 AMWelcome to MGB - David Brown
  • 8:01 AM - 8:16 AMFrom Individual Excellence to High-Performing Teams: Building Organizations Where Excellence Thrives - John Fish

Section 1: Excellence by Design: Concept

  • 8:16 AM - 8:18 AMTone setting - Nirav Patel
  • 8:18 AM - 8:28 AMFrom individual brilliance to reproducible excellence: How does excellence become legacy? - Ossama Al-Mefty
  • 8:28 AM - 8:38 AMWhy excellence must be intentional - David Langer
  • 8:38 AM - 8:48 AMComplexity as the true test of a program - Nirav Patel
  • 8:48 AM - 8:58 AMThe modern neurosurgical center of excellence - Michael Lawton
  • 8:58 AM - 9:08 AMBuilding the next generation neurosurgeons - E.A. Chiocca
  • 9:08 AM - 9:20 AMDiscussion

Section 2: Technical Craft: The Foundation

  • 9:20 AM - 9:22 AMTone setting - Ali Sultan
  • 9:22 AM - 9:32 AMMastering skull base surgery – how mastery is developed - Jacques Morcos
  • 9:32 AM - 9:42 AMHow mastery performs under pressure - Fady Charbel
  • 9:42 AM - 9:52 AMHow teams amplify technical excellence - Thoralf Sundt III
  • 9:52 AM - 10:02 AMWhy does a surgeon error, and how can the surgeon prevent error - Ali Sultan
  • 10:02 AM - 10:12 AMHow technical mastery is transferred to others - Mustafa Baskaya
  • 10:12 AM - 10:22 AMInnovation through mastery: how great surgeons responsibly redefine operations - Takeo Goto
  • 10:22 AM - 10:32 AMMaintaining excellence over a career - Neil Martin
  • 10:32 AM - 10:46 AMDiscussion

Break

  • 10:46 AM - 11:01 AMBreak

Section 3: Judgment: The Highest Form of Skill

  • 11:01 AM - 11:03 AMTone setting - Linda Bi
  • 11:03 AM - 11:13 AMPredicting the future / understanding the disease before choosing treatment - Lissa Baird
  • 11:13 AM - 11:23 AMThe paper you should not believe - Fred Barker
  • 11:23 AM - 11:33 AMCase selection as the first decision - Ugur Ture
  • 11:33 AM - 11:43 AMKnowing when enough is enough in endovascular interventions - Aman Patel
  • 11:43 AM - 11:53 AMKnowing when to stop due to intraoperative findings - Kenan Arnautović
  • 11:53 AM - 12:03 PMKnowing when radical resection is the wrong goal – just because I can do it, when I do not - Luis Borba
  • 12:03 PM - 12:13 PMPursuit of cure vs acceptance of risk - Ali Krisht
  • 12:13 PM - 12:23 PMTiming the intervention: acting under an uncertain future - Rose Du
  • 12:23 PM - 12:33 PMThe weight of responsibility – who owns the decision? - Kaith Almefty
  • 12:33 PM - 12:39 PMVideo display of technical judgement - Matt Koch
  • 12:39 PM - 12:45 PMVideo display of technical judgement - Rami Almefty
  • 12:45 PM - 12:51 PMVideo display of technical judgement - Juan Vicenty-Padilla
  • 12:51 PM - 1:10 PMDiscussion

Lunch

  • 1:10 PM - 2:00 PMLunch

Section 4: Building High-Performance Programs

  • 2:00 PM - 2:03 PMTone setting - Will Curry
  • 2:03 PM - 2:23 PMKeynote: Risk-adjusted outcomes in complex disease - Omar Lateef
  • 2:23 PM - 2:33 PMIntegrated neuroscience institute models - Meg Kotarski
  • 2:33 PM - 2:43 PMBuilding Disease Centered Neurosurgical Programs: How integrated service lines removes barrier to excellence - Peter Rasmussen
  • 2:43 PM - 2:53 PMFrom Data to Improvement: The NYU Outcomes Dashboard - John Golfinos
  • 2:53 PM - 3:03 PMMultidisciplinary alignment - Gelareh Zadeh
  • 3:03 PM - 3:13 PMCulture as a driver of outcome - Stavropoula Tjoumakaris
  • 3:13 PM - 3:23 PMReferral pathways for complex disease - Rich Byrne
  • 3:23 PM - 3:33 PMPathways for Global access / cultures of mergers
  • 3:33 PM - 3:43 PMUsing systems to produce quality - Will Curry
  • 3:43 PM - 3:53 PMBuilding it better: how would you do it? - Ivan Radovonic
  • 3:53 PM - 4:16 PMDiscussion

Reflections

  • 4:16 PM - 5:00 PMReflections

Day 2

Section 5: Designing Systems that Improve Surgeon Performance

  • 7:25 AM - 7:31 AMTone setting + Recap - Ali Sultan, Nirav Patel
  • 7:31 AM - 7:41 AMTime-Critical Neurosurgery: Stroke as a Model for High-Performance Systems - Chris Anderson
  • 7:41 AM - 7:51 AMWhen the Plan Fails: Technical and System Solutions for Intraoperative Crisis - Giuseppe Lanzino
  • 7:51 AM - 8:01 AMSalvage Surgery and bailouts, Systems that Make successful rescue possible - Nick Khan
  • 8:01 AM - 8:11 AMCase Selection Referrals as surgical decisions: can systems help? - Robert Dempsey
  • 8:11 AM - 8:21 AMContinuous Performance Improvement: Systems for lifelong mastery - Ajith Thomas
  • 8:21 AM - 8:31 AMDesigning the System Around the Surgeon: Can Surgeon-Built Surgical Suites Improve Care? - Elad Levy
  • 8:31 AM - 8:41 AMTraining The Next Generation Without Compromising Today's Patient - Chris Stapleton
  • 8:41 AM - 8:51 AMChanging Course during surgery - Roberto Heros
  • 8:51 AM - 9:05 AMDiscussion

Break

  • 9:05 AM - 9:21 AMBreak

Section 6: Defining Success: Measuring What Matters

  • 9:21 AM - 9:23 AMTone setting - Tim Smith
  • 9:23 AM - 9:33 AMWhy we Measure: Aligning around what matters - Vikas Saini of Lown
  • 9:33 AM - 9:43 AMKnowing your own practice: the power and limit of surgeon collected data - Carl Heilman
  • 9:43 AM - 9:53 AMCan Technology Measure what humans Cannot? - Graeme Woodworth
  • 9:53 AM - 10:03 AMDoes the evidence measure what matters? - Tim Smith
  • 10:03 AM - 10:13 AMLong-term outcomes and durability of cure - Nima Etminan
  • 10:13 AM - 10:23 AMMeasuring acoustic outcomes surgeon perspective vs hospital perspective - Michael Link
  • 10:23 AM - 10:33 AMFrom measurement to motivation: Can metrics be the carrot? - Jonathan Russin
  • 10:33 AM - 10:43 AMMeasuring what matters, Perspective, Who's? Patient, surgeon? Hospital? - Alice Lorch
  • 10:43 AM - 11:00 AMDiscussion

Keynote

  • 11:00 AM - 11:20 AMKeynote: Building a System for Excellence: From Sydney to Southeast Asia - Michael Morgan

Lunch

  • 11:20 AM - 12:00 PMLunch

Section 7: Technology in the Service of Surgery

  • 12:00 PM - 12:03 PMTone setting - Omar Arnaout
  • 12:03 PM - 12:13 PMLymphatic venous anastomosis - Ricardo Hanel
  • 12:13 PM - 12:23 PMOperating beyond Human Reach: Robotics, remote intervention, future neurointervention - Vitor Pereira
  • 12:23 PM - 12:33 PMDevices to make a great surgeon even better - Linda Bi
  • 12:33 PM - 12:43 PMWhen technology helps, and when it harms: dilemma of dual training - Bill Mack
  • 12:43 PM - 12:53 PMInnovating within and beyond a Health Care System - Adam Arthur
  • 12:53 PM - 1:03 PMDesigning the Digital Health System - Eric Rosenthal
  • 1:03 PM - 1:13 PMTechnology That Changed My Surgery: What Actually Made My Patient Better? - Amir Dedsashti
  • 1:13 PM - 1:23 PMFinding Patients that need us: AI-driven pulling of volume instead of referrals - Omar Arnaout
  • 1:23 PM - 1:33 PMInnovating Solutions for Simple yet pervasive problems - Adel Malek
  • 1:33 PM - 1:46 PMDiscussion

Section 8: Global Impact and the Future of Excellence

  • 1:46 PM - 1:56 PMTone setting: What is Global Neurosurgery? - Kee Park
  • 1:56 PM - 2:06 PMExpanding access to complex care - Alex Golby
  • 2:06 PM - 2:16 PMExporting systems, not just techniques - Rodolfo Alcedo
  • 2:16 PM - 2:26 PMTraining from a system globally in a sustainable way - Kerry Vaughn
  • 2:26 PM - 2:36 PMTraining in bypass around the world: Technology and skill transfer - Abdullah Keles
  • 2:36 PM - 2:46 PMMission Thrombectomy: Turning an Initiative into System Change - Fawaz Al-Mufti
  • 2:46 PM - 2:56 PMEthical and sustainable global research models - Michael Dewan
  • 2:56 PM - 3:06 PMDefining the next generation of neurosurgeons
  • 3:06 PM - 3:16 PMDiscussion / Reflections

Closing Panel

  • 3:16 PM - 4:00 PMPanel: What do we agree on, and how do we expand common ground?

Times are subject to change as the program is finalized.

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