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The Advance Gastrointestinal Disorders Program
The University of Hawaii Surgical Innovation, Technology and Education Center
(Hawaii SITE Center) Queen’s Medical Center, Honolulu Hawaii

I.    Mission Statement:

  1. Achieve excellence in the advancement of techniques and technology pertaining to gastrointestinal (GI) disorders through clinical excellence, education and research.
  2. Apply our clinical excellences, education and research knowledge to patient care.

II.   Gastrointestinal Disorders Background:

  1. GI disorders are a major international medical problem. Throughout the United States, there is an increase in frequency, morbidity and complexity in the management of complex GI disorder.  The cost of complex GI disorders is increasingly growing with no consensus regarding best practices. Both benign and malignant GI disorders are increasing because of the obesity epidemic in the US and tobacco abuse.

III. The University of Advance Gastrointestinal Disorder Program Justification:

  1.  Improved patient care leads to better outcomes and decreased complications
  2. Better outcomes lead to decreased cost
  3. Team approach with Gastroenterology and Surgery
  4. Reliable, prospective data leads to best practices and clinical studies
  5. Increased gastroenterology and surgical volumes
  6. Marketing opportunities through internet portals

IV. Comprehensive Multidisciplinary Requirements: 

  1. Institutional commitment to excellence
  2. Monthly Advance GI and Surgery patient conference meeting
  3. Designated GI and Surgical co-directors
    1. Scott Kuwada MD (GI)
    2. Kenric Murayama MD (Surgery)
  4. Responsive critical care support
  5. Appropriate equipment and instruments
  6. GI and Surgeon dedication and qualified call coverage
  7. Clinical pathways and standardized operating procedures
  8. Program coordinator, physician extenders and skilled nursing care
  9. Pre- and postoperative patient education
  10. Long-term patient follow-up, including a prospective, comprehensive outcomes database

 V. Multidisciplinary Team : 

  1. General Surgery (Dr. Murayama, Mikami)
  2. Gastroenterology (Scott Kuwada, Kristi Lopez)

VI. Clinical Specialties:

  • Foregut
    1. Benign
    2. Malignant
    3. Other
  • Colorectal
    1. Benign
    2. Malignant
    3. Other
  • HBP (Liver, Biliary system, Pancreas)
    1. Benign
    2. Malignant
    3. Other

 VII. Outcomes Database:

  •  Characteristics
    1. Comprehensive
    2. Prospective
    3. Longitudinal
  • Data usefollows data dissemination policies and procedures
    1. Publications and presentations
    2. Compliance
    3. Research
    4. Outcome improvement

 VII.  Educational Goals:

  1.  Case Conference (monthly)
  2. GI/Surgery Quarterly Grand Rounds
  3. GI Fellowship
  4. MIS Fellowship
  5. Student and Resident courses
  6. Post Graduate Continuing Medical Education Accredited Courses
  7. Mini-Fellowships (residents and practicing surgeons)
  8. Proctorships, Clinical Immersions/Mentorships
  9. Practice Management Programs
  10. International Visiting Scholar Program


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