Profile

Jeffrey R. Avansino, MD

General Surgery, Reconstructive Pelvic Medicine

On staff since August 2008

Academic Title: Assistant Professor of Surgery

Research Center: Center for Child Health, Behavior and Development

"I was first attracted to pediatric surgery during my 3rd year of medical school at the University of Nevada, while watching my mentor repair a tracheoesophageal fistula. I was captivated by the delicate nature of the surgery, the complexity of the congenital anomaly, and the opportunity to care for both the patient and the family. I am so lucky to have a job in which I have a positive and healing impact on peoples lives on a daily basis. I love talking with the families and patients and helping them understand and navigate the complexities of medical issues. That is definitely the most rewarding part of my job. Simlarly, my colleagues are amazing -- both within my division as well as throughout the hospital. Finally, I enjoy the opportunity to improve the quality and safety of care we deliver to our patients by contributing to our hospitals continuous performance improvement effort. I feel profoundly blessed to be a pediatric surgeon at Seattle Childrens."

Jeffrey R. Avansino, MD, is an assistant professor of surgery at the University of Washington and an attending pediatric surgeon in the Division of Pediatric General and Thoracic Surgery at Seattle Children's Hospital. Dr. Avansino earned his medical degree from the University of Nevada, School of Medicine in 1999 and completed his residency at the University of Washington in 2006. From 2002 to 2004, he served as a research fellow at the VA Medical Center in Seattle, studying intestinal stem cell transplantation. In 2008, he completed his fellowship training in pediatric surgery at Seattle Children's Hospital.

Dr. Avansino is board certified by the American Board of Surgery in adult general surgery and pediatric surgery. He is a member of the American Academy of Pediatrics and the American Pediatric Surgical Association.

His clinical interests include anorectal malformations and Hirschsprungs disease, minimally invasive surgery and chest wall reconstruction. He helped develop a cutting edge multidisciplinary clinic at Seattle Children's called the Reconstructive Pelvic Medicine (RPM) clinic. The RPM clinic involves a comprehensive approach to patients with abnormalities of the pelvic floor and its organs (urinary, reproductive, and intestine) in a concentrated, team effort to improve their quality of life.

Dr. Avansino's research interests center on continuous process improvement (CPI) and quality. CPI is a philosophy based on the Toyota production system used to improve processes by eliminating unnecessary steps in the care of our patients and applying these principals not only to academic and administrative processes but also to clinical work. Clinical Standard Work (CSW) combines the use of evidence-based medicine and consensus opinion to create a standard and reliable method of caring for our patients. The combination of CPI and CSW creates an environment for patients that heightens and enhances safety and efficiency.

Locally, he is a medical staff officer and serves on the Medical Executive Committee, Quality Improvement Steering Committee, and the Credentialing Professionals Standards Committee.

Recommendations

richieAmerica11.21.12

very good

KrissyRedmond, WA07.05.12

This past June Dr. Avansino preformed a laparoscopic resection to remove an ileal stricture related to an earlier Crohns flare in our son Kyle. This was the first surgical procedure for Kyle. The timing of this surgery was not planned however Dr. Avansino had met with us during two prior hospital stays and one clinic appointment to discuss proactively a treatment plan for him. Dr. Avansino and the staff at Childrens walked us through each procedure given to Kyle over the past six months leading up to this point, as well as explaining to us what his surgery would entail. We felt well informed and as calm as we could be under the circumstance. Kyle was at ease going into surgery and throughout his recovery stay at Childrens. I understand he is not cured from his Crohns disease, we just feel strongly that Dr Avansino helped us make the right choice in treatment for our son before he leaves for college this coming September. My husband and I felt very comfortable leaving Kyle in Dr. Avansino hands. We really cant thank him enough!

IranisKirkland, WA04.25.12

Dr. Avansino is such a wonderful person, my 4 year old son was diagnosed with a Inguinal Hernia 18 months ago and he did such an amazing surgery on my son with no complications at all. I thought that we were done but unfortunately my son has a new Inguinal Hernia and Dr. Avansino is going to do it again, i'm so glad to know he's the one that is going to do the surgery because he's a great Doctor and he care so much for health of his patients. Thank you Dr. Avansino!!!

TressaFairbanks,Ak01.09.12

My son Ricky had been diagnosed with U.C and his colon needed to be removed and we had Dr.Avasino perform the surgery and it went great.I highly recommend Dr.Avasino to take care of your child!Thank God for Dr.Avasino and Seattle childrens hospial.

CourtneyRoyal City, WA05.17.11

Dr. Avansino is an amzing doctor! He gave us and our baby girl so much thought and attention. He truly cares for each of his patients. We appreciate the fact that everytime we came into his office we felt as if he knew us and especially knew our daughter and that was a very comforting feeling! He kept us very informed throughout her surgery and even during her recovery. Thank you Dr. Avansino for what you have done for our little girl! You are Great!

AlycenLake Tapps, WA12.06.10

Dr. Avansino is a true professional with a wonderful, friendly personality. He made our son feel like he was his only patient during his surgery and recovery, and made sure we were informed every step of the way. We highly recommend Dr. Avansino for his professionalism, knowledge and personability.

Recommend Dr. Jeffrey Avansino

Overview
Awards and Honors
Publications
Presentations
Research Funding

Overview

Board Certification(s): Surgery - General
Pediatric Surgery
Medical/Professional School: University of Nevada, School of Medicine, Reno
Residency: Surgery - General, University of Washington, Seattle
Surgery - General, University of Washington, Seattle
Fellowship: Pediatric Surgery, Children's Hospital and Regional Medical Center, Seattle
Clinical Interests: Anorectal malformations; Reconstructive Pelvic Medicine (RPM) clinic
Research Focus Area: Continuous process improvement (CPI) and quality

Awards and Honors

Award Name	Awarded By	Award Date
U.S. News Top Doctor	U.S. News and World Report	2012
ACS, Washington Chapter		2005
Resident Research Symposium: First Place		2004
Association of Academic Surgery: Resident Award Session		2003
Seattle Surgical Society: First Place, Basic Science Competition		2003
Ruth E. Saviers Memorial Scholarship		1998
Leonard Marmor Surgical Arthritis Scholarship		1998
Alpha Omega Alpha, in Junior year	University of Nevada School of Medicine	1998
Lange Book Award		1997
McGraw Hill Book Award		1996

Publications

Laparoscopic management of neonatal paraesophageal hernia with intrathoracic gastric volvulus.
Journal of pediatric surgery , 2010 Aug: E21-3

Application of lean methods improves surgical clinic experience.
Journal of pediatric surgery , 2010 Jul: 1420-5

Mesothelial cyst presenting as an irreducible inguinal mass.
Journal of pediatric surgery , 2010 Jun: e19-21

Intestinal stem cell organoid transplantation generates neomucosa in dogs.
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract , 2009 May: 971-82

Orthotopic transplantation of intestinal mucosal organoids in rodents.
Surgery , 2006 Sep: 423-34

Optical tissue window: a novel model for optimizing engraftment of intestinal stem cell organoids.
The Journal of surgical research , 2006 Jul: 52-60

Comparison of polyester scaffolds for bioengineered intestinal mucosa.
Cells, tissues, organs , 2006: 154-65

Clinical features and treatment outcome of intussusception in premature neonates.
Journal of pediatric surgery , 2003 Dec: 1818-21

CT of Blunt Tracheal Rupture
Amer. J of Radiology , June 2003: 180: 1670

Gastrostomy
Operative Techniques in General Surgery , Dec. 2001: 3(4):251-262

Proximal 5p Trisomy Resulting from a Marker Chromosome Implicates Band 5p13 in 5p Trisomy Syndrome
Am J Med Genet. , Nov. 1999: 87(1): 6-11

Presentations

Presentations Title	Event	Location	Date
Creating New Models of Care to Improve Efficiencies and Effectiveness- Seattle Children's (co-presented with Howard Jeffries and Russell Migita)	National Association of Children's Hospitals and Related Institutions (NACHRI) - 2011 NACHRI Annual Leadership Conference	Bellevue, WA	Oct. 11, 2011
Hardwiring Clinical Standardization Across the Continuum of Care	Lean Healthcare Transformation Summit	Seattle, WA	June 8, 2011 - June 9, 2011
Continuous Performance Improvement and Changing the Culture of Pain Management in Two Pediatric Hospitals	American Pain Society	Austin, TX	May 21, 2011
A Lean Journey: Transforming Clinical Quality Utilizing Continuous Performance Improvement	Med Assets Healthcare Business Summit	Las Vegas, NV	April 27, 2011
Quality Care for Gastroschisis	Pediatric Grand Rounds, Seattle Children's Hospital	Seattle, WA	March 31, 2011
Quality Care of Gastroschisis	Grand Rounds, University of Washington, Department of Obstetrics and Gynecology	Seattle, WA	March 9, 2011
Ad-Hoc vs. Systematically Developed Order Sets: A Randomized Crossover Study of Patient Safety, Usability and Performance	Academic Surgical Congress	Huntington Beach, CA	Feb. 2011
Implementation of a Standardized Procedural Checklist in a Children's Hospital	North Pacific Surgical Association	Tacoma, WA	Nov. 2010
Enhanced Engraftment of Intestinal Stem Cells into Murine Jejunum	Pacific Association of Pediatric Surgeons	Sydney, Australia	2003
Engraftment of Mucosal Stem Cells into Murine Jejunum is Dependent on Optimal Dose of Cells	Tissue Engineering	Hilton Head, SC	2003
Engraftment of Mucosal Stem Cells into Murine Jejunum is Dependent on Optimal Dose of Cells	Resident Research Symposium	Seattle, WA	2003
Intestinal Stem Cell Transplantation into Murine Jejunum	Seattle Surgical Society	Seattle, WA	2003
Intestinal Transplantation	Grand Rounds, University of Washington Department of Gastroenterology	Seattle, Washington	2002
Characterization and Management of Children with Paraesophageal Hernias after Antireflux Surgery	Pacific Association of Pediatric Surgeons	Bejing, China	1999

Research Funding

Grant Title	Grantor	Amount	Award Date
National Research Service Award	National Institutes of Health	$, $	2003 - 2004

Primary Office

Seattle Children's

OA.9.220 - Surgery
4800 Sand Point Way NE

Seattle, WA 98105

206-987-2794

Additional Offices

Seattle Children's Bellevue Clinic and Surgery Center

CB-11
1500 - 116th Ave NE

Bellevue, WA 98004

425-454-4644

Western Pediatric Specialty Clinic

2618 South Ave W
Pediatric Surgery

Missoula, MT 59804

406-327-4760

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Jeffrey R. Avansino, MD

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