
| Update: Read a Hartford Courant cover story about our 5/24 HH protest. ********************* Hartford Hospital, in concert with the University of Connecticut School of Medicine, administers a program called the Advanced Trauma Operative Management course (ATOM). ATOM includes a 3-hour lab session during which medical students pay $1,500 each to manage fourteen different traumatic injuries that are intentionally inflicted in live adult pigs. The animals must suffer through 14 penetrating injuries (see right column of page 472) such as stab wounds, “to numerous organs in the abdomen and chest, including the bowel, bladder, kidney, ureter, pancreas, duodenum, stomach, diaphragm, liver, inferior vena cava, spleen and heart." Hartford Hospital uses five pigs per month in this series of highly invasive surgical procedures at the end of which they are killed. According to documents obtained from the U.S. Department of Agriculture (see page 5) the facility regularly confines over 100 pigs for use in this program. They also use mice, dogs, guinea pigs, rabbits and sheep in various other forms of experimentation. Pigs are sentient individuals who have the right be treated with respect and who suffer immensely as a result of being raised, confined, mutilated for these kinds of exercises. This course is not only morally wrong, but scientifically unjustifiable. It is a waste the state's resources and the lives of these animals training surgeons on anatomically incorrect models, especially when there are so many promising ethical alternatives that are used at other facilities including virtual reality simulators and physician observation programs. These promising alternatives also include the work of Dr. Emad Aboud and his colleagues at the University of Arkansas for Medical Sciences. They have developed a model for conducting surgical training exercises that utilizes donated human cadavers and could completely eliminate the need to use live animals for trauma exercises. His method entails circulating artificial blood through the vessels of the cadaver using a mechanical pump to simulate a live human being. Because of the availability of these kinds of humane alternatives, the American College of Surgeons no longer uses animals in its trauma training course, nor do they suggest to do so in its new curriculum. According to a March 2007 New England Journal of Medicine article (356:1381), inanimate models and virtual reality simulators, have been shown to provide surgical trainees with enhanced surgical skills by allowing “very detailed feedback and…more subtle measurement of trainee performance than is possible in the real world” with humans or animals. These models, they conclude, are not only effective training tools, but “safe, reproducible, portable, readily available, and…cost-effective.” In the interest of upholding their duty to practice ethical medicine, doctors and researchers at Hartford Hospital should be abandoning these flawed, superfluous animal-based exercises in favor of pursuing effective, economical, human-relevant, humane alternatives. Testimonials: "The surgery training paradigm has moved beyond the use of live animals. More than 95 percent of American medical schools have eliminated the use of animals to teach surgery skills, the majority of Advanced Trauma Life Support courses do not use animals, and the American College of Surgeons no longer uses animals in its own courses or in its revised surgery curriculum." -John Pippin, M.D., Senior Medical and Research Adviser for the Physician's Committee for Responsible Medicine, April 2007 "Using live animals is simply not a sound way to teach medical students the basics of surgery, anatomy or any other subject. It's profoundly inhumane. Physicians need to learn about the human body - not the bodies of pigs, goats, rabbits or any other animals. That's why the overwhelming majority of U.S. medical schools, and even the American College of Surgeons, now use human patient simulators, lectures and physician observation programs. Students deserve to know that there are better and more humane ways to obtain a medical education without having to compromise ethics." -Samuel L. Jacobs, M.D., former fellow in reproductive endocrinology at the University of Connecticut Health Center and current Associate professor of clinical obstetrics and gynecology at the University of Medicine & Dentistry of New Jersey-Robert Wood Johnson Medical School. Act now! Tell Hartford Hospital to end live pig trauma courses!! Mr. Elliot Joseph President and CEO Tel: 860 545-2100 Email: ejoseph@harthosp.org Dr. Lenworth Jacobs Director, Trauma Program/ATOM Tel: 860 545-3112 Email: ljacobs@harthosp.org Erica Thompson Coordinator, ATOM program Tel: 860-545-3766 Email: ethomps@harthosp.org Liz Pelletier Animal Research Facility Manager/IACUC member Tel: 860-545-3164 Email: epellet@harthosp.org Dr. Laurine Bow Director, Research Program lbow@harthosp.org Hartford Hospital 80 Seymour Street Hartford, CT 06102 All emails: ejoseph@harthosp.org, epellet@harthosp.org, lbow@harthosp.org, ljacobs@harthosp.org, ethomps@harthosp.org ****Sample letter/talking points**** Dear [NAME]: Thank you for your time. I am writing as a concerned citizen to express my opposition to a program at Hartford Hospital called the Advanced Trauma Operative Management course (ATOM). ATOM includes a 3-hour lab session during which surgery trainees and practitioners manage fourteen different traumatic injuries that are intentionally inflicted in live adult pigs. The animals must suffer through penetrating injuries such as stab wounds to numerous organs in the abdomen and chest, including the stomach, diaphragm, liver, spleen and heart. Pigs are sentient individuals who have the right be treated with respect and who suffer immensely as a result of being raised, confined, mutilated for these kinds of exercises. This course is not only morally wrong, but scientifically unjustifiable. It is a waste the state's resources and the invaluable lives of these animals training surgeons on anatomically incorrect models, especially when there are so many promising ethical alternatives that are used at other facilities including virtual reality simulators and physician observation programs. Further, researchers at UCHC and Hartford Hospital should be working towards developing and adopting alternatives that are both ethically and pedagogically superior. These promising alternatives include the work of Dr. Emad Aboud and his colleagues at the University of Arkansas for Medical Sciences who have developed a vascular model for conducting surgical training exercises that utilizes donated human cadavers and eliminates the need to use live animals for penetrating trauma training. This method entails circulating artificial blood through the vessels of the cadaver using a mechanical pump to simulate all of the circumstances of live surgery. More than 95% of American medical schools have eliminated the use of animals to teach surgery skills, most trauma training courses have as well, and the American College of Surgeons no longer uses animals in its own courses or in its revised surgery curriculum. Please end the use of animals in surgical training courses at the Hartford Hospital. In the interest of upholding their duty to practice ethical medicine, doctors and researchers at Hartford Hospital should be abandoning these cruel, flawed, superfluous animal-based exercises in favor of pursuing human-relevant, humane alternatives. I look forward to hearing from you. Sincerely, (name) (address) |

| Photos from a 2005 undercover investigation at contract testing firm and primate supplier. Covance Laboratories. The macaques above are used for drug testing at Covance before they are eventually sent to labs like the one at UMC and UCHC to be abused and killed. |