In this episode, Thomas K Varghese, Jr, MD, FACS, is joined by Sarah Remer, MD, from Loyola University Medical Center, and Marcia M Russell, MD, from UCLA. They discuss Drs Remer and Russell's recent article, “Hospital Variation in Postoperative Delirium Screening and Outcomes in Older Adult Surgical Patients: A National Analysis of Geriatric and Non-Geriatric Surgery Verification Hospitals,” which found that in a national cohort of adults aged 75 years and older, Geriatric Surgery Verification (GSV) hospitals demonstrated significantly higher postoperative delirium screening rates than non-GSV hospitals. While delirium positivity was similar, higher screening rate was associated with reduced length of stay and prolonged hospitalization among screened patients, supporting standardized, routine screening.

Disclosure Information: All relevant conflicts have been mitigated and Drs Varghese, Remer, and Russell, moderators, have no relevant financial conflicts to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Ko, C. Y., Rosenthal, R., Remer, S. L., Russell, M. M., & Smolkin, C. (2026). Hospital Variation in Postoperative Delirium Screening and Outcomes in Older Adult Surgical Patients: A National Analysis of Geriatric and Non-Geriatric Surgery Verification HospitalsJournal of the American College of Surgeons https://doi.org/10.1097/XCS.0000000000002043

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Lillian Erdahl, MD, FACS, is joined by Clifford Ko, MD, FACS, from UCLA. They discuss Dr Ko’s recent article, “Impact of American College of Surgeons Verification Programs: Systematic Review and Meta-Analysis,” a framework-based systematic review and meta-analysis evaluating the association between ACS verification programs and surgical quality. Across diverse programs and outcomes, verification is consistently associated with improvements in safety, effectiveness, efficiency, equity, and patient-centered care.

Disclosure Information: Dr Erdahl, moderator, has no relevant financial conflicts to disclose. Dr Ko, moderator, is an employee of the American College of Surgeons.

Cohen ME, Remer SL, Grieco A, et al. Impact of American College of Surgeons Verification Programs: Systematic Review and Meta-Analysis Journal of the American College of Surgeons. Published online April 30, 2026. doi:10.1097/XCS.0000000000001980

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Thomas K Varghese, Jr, MD, FACS, is joined by Erika Rangel, MD, FACS, from Brigham and Women’s Hospital. They discuss Dr Rangel’s recent article, “Flexibility Stigma and the Double Bind of Family Formation in Medical and Surgical Residency,” which found that flexibility stigma in residency discourages pregnant and parenting trainees from using needed work-life accommodations, creating harmful double binds between training expectations and personal well-being. Structural and cultural reforms are essential to support equity, retention, and trainee health.

Disclosure Information: All relevant conflicts have been mitigated and Drs Varghese and Rangel, moderators, have no relevant financial conflicts to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. This activity has been designated as Credit to Address Regulatory Mandates in the following categories: Cultural Competency and Behavioral Health. Individuals MUST check with their state or local medical board, hospital, or organization to verify that the content does meet the specific requirements. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Rangel EL, Zeineddine J, Lovejoy MC, et al. Flexibility Stigma and the Double Bind of Family Formation in Medical and Surgical Residency Journal of the American College of Surgeons. Published online May 21, 2026. doi:10.1097/XCS.0000000000002046

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

#JACSOperativeWord