Jared Schober

Chris Deibert from discusses a unique position for unmatched urology applicants as a urology resident associate at @UrologyUnmc

Yesterday I completed my once every four years refresher course of ATLS (Advanced Trauma Life Support System.) I am one of over 1 million health care providers who have taken the course, a course borne of a tragic private plane crash almost 50 years ago. ATLS is systematic approach to treating injured patients when they arrive in an emergency room, whether it’s a rural hospital in Haiti or a top trauma center in Houston. It has been taught in over 65 countries. It’s a common language, a universal protocol. A method to insure that severely injured patients get the same proper care wherever they are. But care of the injured patient was not always systemized in a universal fashion. The origins of ATLS were born in Lincoln, Nebraska nearly 50 years ago. In 1976, an orthopedic surgeon from Lincoln, Dr. James Styner, was piloting his small propeller plane carrying his wife and four children back from a wedding they attended in California. As they got closer to home on their long trek, the weather deteriorated over rural parts of Kansas. With weather worsening and darkness approaching, Styner had to choose between turning around and flying away from home, landing in the middle of nowhere, or forging ahead. Styner pushed forward. After flying over 1,000 miles and only 60 miles from home, tragedy struck. With decreased visibility due to clouds, fog, and darkness, James Styner become disoriented and crashed the plane. They flew through trees at around 160 miles per hours, shredding off both wings, and crashed into a corn field. Styner survived the crash. His wife was ejected from the cockpit and died instantly when a piece of the propeller hit her head. His four children were in back of the plane and survived but three of them suffered head injuries and were unconscious. After waiting for help for hours in the desolate field, Styner decided he had to look for help. He left his oldest child behind to watch his three siblings, and walked in the direction of distantly appearing headlights from passing cars. He eventually reached a nearby road, flagged down a car for help, and they returned to the field to retrieve his children. Styner learned he had crashed near a small town called Hebron, Nebraska, a town he would soon learn which had a small hospital not well equipped to handle severely ill or injured patients. Only two doctors staffed the small hospital and they had little experience with severe trauma. House after the crash and in the Emergency Room at Hebron with his 4 injured children, Styner was shocked at the care, or perhaps better said, lack of appropriate care given to his injured children. Later he would say: “When I can provide better care in the field with limited resources than what my children and I received at the primary care facility, there is something wrong with the system, and the system has to be changed.” He demanded the he and his children be transferred out of that hospital to the the large hospital at which he practiced, 60 miles away in Lincoln, Nebraska. Over the course of time, Styner and his children had complete physical recoveries, but he remained troubled by his experience at the small hospital. Dr. Styner would vocally complain about the small town hospital. One of his medical colleagues, an ER doc, grew tired of his complaining and told him to change the system. Well in this case there was no system. As Styner said: “You have to train them before you can blame them.” So Styner together with the help of colleagues created a protocol for the treatment of severely injured patients with the goal of teaching it to health care providers in rural settings. Their system was called ATLS, and first debuted in Nebraska in 1978. Their little course was picked up the University of Nebraska, and eventually the American College of Surgeons, and by global institutions. Since it’s humble beginnings in a class in a small town in Nebraska, it was been taught in thousands of classes in over 60 countries to over 1 million providers. From a personal tragedy to a global protocol which has saved countless lives over decades, James Styner proved several things. • One person can change the world. • Humble beginnings don’t reduce the chance of massive succes. • The solution to complex problems is often to have a systemized protocol in place. • You have to train them before you can blame them. #ship30for30

And it happened #TheyGrowUpSoFast

It is our pleasure to announce Dr. Kristian Stensland (@stensy) is joining our faculty this July. A former @LaheyUro resident, he joins after completing his @UroOnc fellowship at @UMichUrology. He is a surgeon-scientist whose research centers on implementation and clinical trials

Another #GU23 in the books! Amazing to see friends from near and far. Grateful to be headed home with new ideas and energy, feeling lucky to work with our GU team @FoxChaseCancer every day (not pictured but also in SF: @BenMironMD @Robert_Uzzo) We're looking forward to #GU24

Huge congrats to our research intern @spencer_bell416 who successfully matched at @UKYurology 🎉🎉🎉. All @FCUroOnc very proud of you. @uretericbud @dytcmd @LauraBukavinaMD @d_magee22

WELCOME BROOKE AND PAUL!! We are so pumped to match these two!!