Mass General Brigham

Agenda

Day 1

Opening

  • 7:00 AM - 7:30 AMRegistration and breakfast
  • 7:30 AM - 7:40 AMIntroduction to Symposium - Ali Aziz-Sultan, Nirav Patel, Linda Bi
  • 7:40 AM - 7:45 AMWelcome to the Department of Neurosurgery - E.A. Chiocca
  • 7:45 AM - 8:00 AMWelcome to MGB - David Brown
  • 8:00 AM - 8:15 AMFrom Individual Excellence to High-Performing Teams: Building Organizations Where Excellence Thrives - John Fish

Section 1: Excellence by Design: Concept

  • 8:15 AM - 8:17 AMTone setting - Nirav Patel
  • 8:17 AM - 8:27 AM1.1From individual brilliance to reproducible excellence: How does excellence become legacy? - Ossama Al-Mefty
  • 8:27 AM - 8:37 AM1.2Why excellence must be intentional - David Langer
  • 8:37 AM - 8:47 AM1.3Complexity as the true test of a program - Nirav Patel
  • 8:47 AM - 8:57 AM1.4The modern neurosurgical center of excellence - Michael Lawton
  • 8:57 AM - 9:07 AM1.5Building the next generation neurosurgeons - E.A. Chiocca
  • 9:07 AM - 9:09 AMAudience poll
  • 9:09 AM - 9:19 AMDiscussion

Section 2: Technical Craft: The Foundation

  • 9:19 AM - 9:21 AMTone setting - Ali Sultan
  • 9:21 AM - 9:31 AM2.1Mastering skull base surgery – how mastery is developed - Jacques Morcos
  • 9:31 AM - 9:41 AM2.2How mastery performs under pressure - Fady Charbel
  • 9:41 AM - 9:51 AM2.3How teams amplify technical excellence - Thoralf Sundt III
  • 9:51 AM - 10:01 AM2.4Why does a surgeon error, and how can the surgeon prevent error - Ali Sultan
  • 10:01 AM - 10:11 AM2.5How technical mastery is transferred to others - Mustafa Baskaya
  • 10:11 AM - 10:21 AM2.6Innovation through mastery: how great surgeons responsibly redefine operations - Takeo Goto
  • 10:21 AM - 10:31 AM2.7Maintaining excellence over a career - Neil Martin
  • 10:31 AM - 10:33 AMAudience poll
  • 10:33 AM - 10:43 AMDiscussion

Break

  • 10:43 AM - 11:00 AMBreak

Section 3: Judgment: The Highest Form of Skill

  • 11:00 AM - 11:02 AMTone setting - Linda Bi
  • 11:02 AM - 11:12 AM3.1Predicting the future / understanding the disease before choosing treatment - Lissa Baird
  • 11:12 AM - 11:22 AM3.2The operation you do not perform - Fred Barker
  • 11:22 AM - 11:32 AM3.3Case selection as the first decision - Ugur Ture
  • 11:32 AM - 11:42 AM3.4Knowing when enough is enough in endovascular interventions - Aman Patel
  • 11:42 AM - 11:52 AM3.5Knowing when to stop acoustics
  • 11:52 AM - 12:02 PM3.6Knowing when radical resection is the wrong goal – just because I can do it, when I do not - Luis Borba
  • 12:02 PM - 12:12 PM3.7Pursuit of cure vs acceptance of risk - Ali Krisht
  • 12:12 PM - 12:22 PM3.8Timing the intervention: acting under an uncertain future - Rose Du
  • 12:22 PM - 12:32 PM3.9The weight of responsibility – who owns the decision? - Kaith Almefty
  • 12:32 PM - 12:50 PM3.10Video display of technical judgement - Matt Koch, Rami Almefty, Juan Vicenty-Padilla
  • 12:50 PM - 1:10 PMDiscussion

Lunch

  • 11:55 AM - 12:45 PMLunch

Section 4: Building High-Performance Programs

  • 2:00 PM - 2:02 PMTone setting - Will Curry
  • 2:02 PM - 2:22 PM★Keynote: Risk-adjusted outcomes in complex disease - Omar Lateef
  • 2:22 PM - 2:32 PM4.1Integrated neuroscience institute models - Meg Kotarski
  • 2:32 PM - 2:42 PM4.2Building disease centered neurosurgical programs: how integrated service lines remove barriers to excellence - Peter Rasmussen
  • 2:42 PM - 2:52 PM4.3From Data to Improvement: The NYU Outcomes Dashboard - John Golfinos
  • 2:52 PM - 3:02 PM4.4Multidisciplinary alignment - Gelareh Zadeh
  • 3:02 PM - 3:12 PM4.5Culture as a driver of outcome - Stavropoula Tjoumakaris
  • 3:12 PM - 3:22 PM4.6Referral pathways for complex disease - Rich Byrne
  • 3:22 PM - 3:32 PM4.7Measuring performance in high-risk surgery - Stavropoula Tjoumakaris
  • 3:32 PM - 3:42 PM4.8Pathways for global access
  • 3:42 PM - 3:52 PM4.9Using systems to produce quality - Will Curry
  • 3:52 PM - 4:02 PM4.10Building it better: how would you do it? - Ivan Radovonic
  • 4:02 PM - 4:04 PMAudience poll
  • 4:04 PM - 4:24 PMDiscussion

Reflections

  • 4:40 PM - 5:00 PMReflections

Day 2

Section 5: Designing Systems that Improve Surgeon Performance

  • 7:30 AM - 7:32 AMTone setting + Recap - Ali Sultan, Nirav Patel
  • 7:32 AM - 7:42 AM5.1Time-Critical Neurosurgery: Stroke as a Model for High-Performance Systems - Chris Anderson
  • 7:42 AM - 7:52 AM5.2When the Plan Fails: Technical and System Solutions for Intraoperative Crisis - Giuseppe Lanzino
  • 7:52 AM - 8:02 AM5.3Salvage Surgery and Bailouts, Systems that Make Successful Rescue Possible - Nick Khan
  • 8:02 AM - 8:12 AM5.4Case Selection Referrals as Surgical Decisions: Can Systems Help? - Robert Dempsey
  • 8:12 AM - 8:22 AM5.5Continuous Performance Improvement: Systems for Lifelong Mastery - Ajith Thomas
  • 8:22 AM - 8:32 AM5.6Designing the System Around the Surgeon: Can Surgeon-Built Surgical Suites Improve Care? - Elad Levy
  • 8:32 AM - 8:42 AM5.7Training the Next Generation Without Compromising Today's Patient - Chris Stapleton
  • 8:42 AM - 8:44 AMAudience poll
  • 8:44 AM - 8:59 AMDiscussion

Break

  • 9:00 AM - 9:15 AMBreak

Section 6: Measuring What Matters

  • 9:15 AM - 9:17 AMTone setting - Tim Smith
  • 9:17 AM - 9:27 AM6.1Why we Measure: Aligning around what matters - Vikas Saini of Lown Institute
  • 9:27 AM - 9:37 AM6.2Knowing your own practice: the power and limit of surgeon collected data - Carl Heilman
  • 9:37 AM - 9:47 AM6.3Can Technology Measure what humans Cannot? - Graeme Woodworth
  • 9:47 AM - 9:57 AM6.4Does the evidence measure what matters? - Tim Smith
  • 9:57 AM - 10:07 AM6.5Long-term outcomes and durability of cure - Nima Etminan
  • 10:07 AM - 10:17 AM6.6Measuring acoustic outcomes surgeon perspective vs hospital perspective - Michael Link
  • 10:17 AM - 10:27 AM6.7From measurement to motivation Can metrics be the carrot? - Jonathan Russin
  • 10:27 AM - 10:37 AM6.8Measuring what matters, but for who? Patient, surgeon, hospital? - Alice Lorch
  • 10:37 AM - 10:49 AMDiscussion

Keynote

  • 10:50 AM - 11:10 AM★KEYNOTE – Building a System for Excellence: From Sydney to Southeast Asia - Michael Morgan

Lunch

  • 11:10 AM - 11:55 AMLunch

Section 7: Technology in the Service of Surgery

  • 11:55 AM - 11:57 AMTone setting - Omar Arnaout
  • 11:57 AM - 12:07 PM7.1Seeing Beyond the Human Eye - Ricardo Hanel
  • 12:07 PM - 12:17 PM7.2Operating Beyond Human Reach: Robotics, Remote Intervention, Future Neurointervention - Vitor Pereira
  • 12:17 PM - 12:27 PM7.3Devices to Make a Great Surgeon Even Better - Linda Bi
  • 12:27 PM - 12:37 PM7.4When Technology Helps, and When It Harms: Dilemma of Dual Training - Bill Mack
  • 12:37 PM - 12:47 PM7.5Innovating within and beyond a Health Care System - Adam Arthur
  • 12:47 PM - 12:57 PM7.6Designing the Digital Health System - Eric Rosenthal
  • 12:57 PM - 1:07 PM7.7Technology That Changed My Surgery: What Actually Made My Patient Better? - Amir Dedsashti
  • 1:07 PM - 1:17 PM7.8Finding Patients That Need Us: AI-Driven Pulling of Volume Instead of Referrals - Omar Arnaout
  • 1:17 PM - 1:27 PM7.9Innovating Solutions for Simple yet pervasive problems - Adel Malek
  • 1:27 PM - 1:38 PMDiscussion

Section 8: Global Impact and the Future of Excellence

  • 1:36 PM - 1:46 PMTone setting: What is Global Neurosurgery - Kee Park
  • 1:46 PM - 1:56 PM8.1Exporting systems change, not just techniques - Rodolfo Alcedo
  • 1:56 PM - 2:06 PM8.2Training from a system globally in a sustainable way
  • 2:06 PM - 2:16 PM8.3Training in bypass around the world a technology solution for skill transfer - Abdullah Keles
  • 2:16 PM - 2:26 PM8.4Innovation through international collaboration - Fawaz Al-Mufti
  • 2:26 PM - 2:36 PM8.5Expanding access to complex care - Alex Golby
  • 2:36 PM - 2:46 PM8.6Ethical and sustainable global research models - Michael Dewan
  • 2:46 PM - 2:56 PM8.7Defining the next generation of neurosurgical leadership.
  • 2:56 PM - 3:11 PMDiscussion / Reflections

Closing Panel

  • 3:11 PM - 4:00 PMPanel: What do we already agree on, and how do we expand common ground?

Times are subject to change as the program is finalized.

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