E C Funk studies how well surgical trainees and hospitals understand and follow new guidelines for cancer surgeries set by the Commission on Cancer. This research is essential because it addresses the quality of care that patients receive during surgeries. Funk's work reveals that many surgical trainees are not familiar with important standards, and hospitals often struggle to meet these guidelines, particularly for complex surgeries, like those involving lung cancer. By examining these issues, Funk aims to ensure that patients undergoing cancer surgery have the best possible outcomes.
Key findings
Only 30% of surgical trainees knew about key Commission on Cancer guidelines, compared to 68% of advanced trainees.
Compliance rates for new cancer surgery guidelines varied between 53% to 88% across nearly 1,000 treatment programs, with Community Cancer programs facing the most difficulties.
In 2022, 54% of hospitals complied with lymph node evaluation standards in lung cancer surgeries; this dropped to 46% in 2023 as stricter requirements were enacted.
Frequently asked questions
Does Dr. Funk study cancer surgery standards?
Yes, Dr. Funk focuses on how hospitals and surgical trainees follow cancer surgery guidelines to improve patient care.
What treatments has Dr. Funk researched?
Dr. Funk researches protocols and standards related to cancer surgeries, including specific practices like lymph node evaluation in lung cancer.
Is Dr. Funk's work relevant to lung cancer patients?
Yes, Dr. Funk's research directly impacts lung cancer patients by emphasizing the importance of accurate lymph node evaluations during surgery.
Publications in plain English
Surgical Trainee Familiarity and Knowledge of the Commission on Cancer (CoC) Operative Standards: A National Survey Study.
Plain English This study looked at how well surgical trainees in the U.S. understand the Commission on Cancer's (CoC) guidelines for cancer surgeries. Only 30% of trainees knew about these guidelines, while 68% of more advanced trainees (fellows) were familiar with them. This lack of knowledge shows that there needs to be better education on these important standards in training programs, which can help improve the quality of cancer surgery and patient care.
Who this helps: This helps surgical trainees and ultimately cancer patients by ensuring surgeries are performed to high standards.
Plain English The Commission on Cancer created six new rules to make cancer surgery more consistent and standardized across hospitals. Inspectors who visit these hospitals to check compliance found that the rules are working well, but success depends on whether hospital leaders support them, departments communicate effectively, and there are enough staff and resources—and whether surgeons are willing to follow them.
To make these standards actually stick, hospitals need strong leadership backing them up and need to get surgeons on board, while inspectors should officially take on a mentoring role to help hospitals improve rather than just checking boxes.
Rapid CRISPR-Cas13a genetic identification enables new opportunities for listed Chinook salmon management.
2025
Molecular ecology resources
Baerwald MR, Funk EC, Goodbla AM, Campbell MA, Thompson T +2 more
Plain English This study looked at a new genetic test using CRISPR technology to quickly identify different runs of Chinook salmon in California, specifically distinguishing between winter, spring, and fall runs. The test can provide results in under an hour, is 94-98% accurate, and can detect very small amounts of salmon DNA, making it much easier and cheaper to monitor these important fish populations. This is important because it supports better conservation efforts by allowing quicker decision-making regarding salmon management.
Who this helps: This helps conservationists and fisheries managers working to protect salmon populations.
Early compliance with lung cancer lymph node standard 5.8: An analysis of 2022 and 2023 Commission on Cancer site reviews.
2025
The Journal of thoracic and cardiovascular surgery
Baskin AS, Funk EC, Francescatti AB, Sinco BR, Palis BE +6 more
Plain English Researchers looked at how well hospitals followed new guidelines for checking lymph nodes in lung cancer surgeries. In 2022, 54% of hospitals met the standard, but this dropped to just 232 out of 504 (46%) in 2023 due to stricter requirements. These findings highlight a significant challenge in ensuring that patients receive optimal care, as improving lymph node evaluation can lead to better treatment outcomes.
Who this helps: Patients with lung cancer benefit from better lymph node evaluations during surgery.
First National Effort to Optimize the Performance of Cancer Surgery by the American College of Surgeons Commission on Cancer and Cancer Surgery Standards Program: Early Results After Implementation of the Operative Standards.
2025
Annals of surgery
Katz MHG, Francescatti AB, Mullett TW, Harris J, Bleznak AD +12 more
Plain English The study looked at how well hospitals follow new cancer surgery guidelines set by the American College of Surgeons to improve care for patients. Over three years, they checked nearly 1,000 cancer treatment programs and found that compliance rates ranged from 53% to 88%, with Community Cancer programs struggling the most, especially with technical aspects of surgeries. These findings show that while some hospitals perform well, many need support to ensure all patients receive the best possible surgical care.
Who this helps: This helps cancer patients by promoting better surgical practices at hospitals.
Autophagy unrelated transcriptional mechanisms of hydroxychloroquine resistance revealed by integrated multi-omics of evolved cancer cells.
2024
Cell cycle (Georgetown, Tex.)
Vaena SG, Romeo MJ, Mina-Abouda M, Funk EC, Fullbright G +2 more
Plain English This study looked at how certain cancer cells become resistant to the drug hydroxychloroquine (HCQ), which is known for its ability to interfere with cell recycling processes that help tumors survive chemotherapy. Researchers analyzed changes in gene activity in ovarian and colorectal cancer cells after exposing them to HCQ multiple times. They found that the cancer cells didn’t change much at the DNA level but showed significant changes in how their genes were expressed, activating pathways that help them resist the drug.
Who this helps: This research benefits cancer patients by improving understanding of how to use existing drugs more effectively.
Does the bowfin gas bladder represent an intermediate stage during the lung-to-gas bladder evolutionary transition?
2021
Journal of morphology
Funk EC, Birol EB, McCune AR
Plain English This study examined how the gas bladder of bowfin fish develops and whether it represents a middle stage in the evolution from lungs to gas bladders. Researchers used advanced imaging technology and found that bowfin gas bladders begin forming at the top of the foregut, twisting to the right at first but ultimately settling into a dorsal position. This finding confirms that the transition from lungs to gas bladders is more straightforward than previously thought.
Who this helps: This helps researchers and evolutionary biologists understand fish evolution better.
Changes in Nkx2.1, Sox2, Bmp4, and Bmp16 expression underlying the lung-to-gas bladder evolutionary transition in ray-finned fishes.
2020
Evolution & development
Funk EC, Breen C, Sanketi BD, Kurpios N, McCune A
Plain English This study looked at the genetic differences that allow ray-finned fishes, like zebrafish, to develop a gas bladder for buoyancy instead of lungs. Researchers found that two important genes, Nkx2.1 and Sox2, do not control the budding direction of the gas bladder as they do in lung development, and instead, another gene called Bmp16 takes over this role. Understanding these changes helps scientists learn more about how different organs evolved, potentially benefiting fields like fish biology and evolutionary research.
Who this helps: This helps researchers studying fish development and evolution.
Effect of spinal needle characteristics on measurement of spinal canal opening pressure.
2017
The American journal of emergency medicine
Bellamkonda VR, Wright TC, Lohse CM, Keaveny VR, Funk EC +2 more
Plain English This study looked at how different types of spinal needles affect the measurement of pressure in the spinal canal. Researchers tested 13 different needles and found that longer needles, larger gauge needles, and those with a specific cutting tip took longer to measure spinal pressure, ranging from 30 to 530 seconds, although all needles gave consistent results. Understanding these differences can help medical professionals choose the right needle for quicker and more efficient spinal pressure assessments.
Who this helps: This helps patients and doctors by ensuring faster and more reliable spinal assessments.