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Feb. 8, 2002

MUSC Professor Elected to Royal College of Surgeons

CHARLESTON, SC -- Peter Cotton, M.D., professor of medicine and director of the Digestive Disease Center at the Medical University of South Carolina, was inducted as an elected Fellow of the Royal College of Surgeons of England, at a ceremony in London. This is an unusual honor for a "non-surgeon."

The Royal College is the professional society supervising surgical training, certification and service quality throughout England, and has had substantial influence on surgical practice throughout the world.

The Royal College is very active in surgical education and innovation. It has elected to Fellowship a few "non-surgeons" who are judged to have made relevant contributions in these fields. In Cotton's case, these contributions have been in the field of endoscopy. During the last 20 years, large areas of surgery have been affected by various forms of minimally invasive therapy where treatments are performed without major incisions. With endoscopy small telescopic instruments are used. Laparoscopic and athroscopic procedures are good examples.

Cotton's career has been dedicated to the development, evaluation and teaching of techniques using flexible endoscopes as treatment tools. Many digestive conditions, such as polyps, bleeding, strictures and various stones are now managed by medical specialists (gastroenterologists) rather than surgeons Ð although some surgeons have also embraced the endoscopic revolution.

"It is obvious that questions and concerns about "turf," could arise, with different specialists wanting to claim primacy," said Cotton. "In fact, time-honored distinctions between Ômedicine' and Ôsurgery' may interfere with best medical practice." The Digestive Disease Center which Cotton initiated at MUSC in 1994, was based on the vision that facilitating multidisciplinary collaboration should enhance patient care, and the research and education necessary to improve it.

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