Don K. Nakayama

Infection Control in Surgery

Don K. Nakayama, Anna E Dunson

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What the Salary Rankings Miss About Pediatric Surgery: Readiness, Not Compensation

Don K. Nakayama

Recent Bureau of Labor Statistics reports identifying pediatric surgeons among the highest-paid occupational categories in the United States have placed the specialty in an unfamiliar public frame. Although the ranking is accurate, compensation alone provides an incomplete understanding of the role pediatric …

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Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing

Don K. Nakayama

Academic publishing in surgery has undergone profound change during the past several decades. Expansion of medical schools, residency programs, international academic centers, and digital publishing platforms has produced unprecedented growth in manuscript submissions and intensified competition for professional attention. Journals are judged …

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Artificial Intelligence, Cognitive Aging, and the Late-Career Surgeon: A Narrative Review

Kimberly McElveen, Don K. Nakayama

BackgroundThe surgical workforce in the United States is aging while artificial intelligence (AI) tools are increasingly integrated into clinical practice. These developments raise questions about cognitive aging, professional longevity, and patient safety within the cognitive domains of surgical performance. This review situates …

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Medical Student Contributions to Surgical Innovation: Historical Lessons for Modern Training

Don K. Nakayama, Kimberly McElveen

Several advances in surgery originated from observations made by medical students during their training. Although students are usually viewed primarily as learners, their position at the intersection of scientific study and patient care gave a handful a chance to have significant impact. …

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Instant Answers, Enduring Responsibility: Teaching Judgment in the Age of Artificial Intelligence

Don K. Nakayama

Artificial intelligence (AI) has become embedded in medical practice and education. In today's digital world, medical learners use AI tools to arrive at plausible diagnoses with speed and accuracy that can equal those of experienced clinicians. This shift challenges a long-standing assumption …

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Turning a Major Revision Request Into an Accepted Manuscript: How to Respond to Reviewers' Comments

Don K. Nakayama

Requests for major revision generate more anxiety than almost any other editorial decision, in part because authors struggle to interpret what the journal is signaling. Some view major revision as near acceptance and rush to make changes, while others interpret it as …

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Turning a Rejection Into an Accepted Manuscript: How to Rework a Rejected Manuscript

Don K. Nakayama

Rejection is a routine and expected part of surgical publishing. Many manuscripts that ultimately reach publication have been declined by at least one journal, most often not because of flawed data or poor execution, but because of misalignment between the work and …

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Turning a Single-Center Retrospective Study Into a Publishable Article: A Practical Guide for Surgical Authors

Don K. Nakayama

Single-center retrospective studies remain a common form of surgical scholarship and often reflect careful clinical work addressing real problems. Despite this, many such studies fail to reach publication. The reason is rarely flawed data or poor execution. More often, the work does …

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Peer Review and the Educational Mission of The American Surgeon

Don K. Nakayama

The American Surgeon , as the official journal of the Southeastern Surgical Congress (SESC), serves as a central component of the society’s educational mission to support the development of surgeons, trainees, and clinical educators across the southeastern United States. Historically, manuscripts originating …

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The Operation that Saved a Future King: Henry V from Shrewsbury to Agincourt

Don K. Nakayama

As Prince of Wales, Henry V (1386-1422, r. 1413-1422) was struck in the face by an archer's arrow during the Battle of Shrewsbury (1403), the decisive clash that secured his father Henry IV's hold on the English throne. Just sixteen and commanding …

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William Ladd's Procedure for Malrotation and Volvulus: Convincing the World

Don K. Nakayama

For one considered "the father of pediatric surgery," William Ladd (1880-1967) has few eponymous procedures and terms that bear his name. The Ladd procedure is a series of procedures to address malrotation of the intestine and midgut volvulus. Also bearing his name …

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