MINIMALLY INVASIVE SURGERY (MIS) RESIDENCY PROGRAM

The Colon and Rectal Surgery Residency program is a one-year clinical residency program affiliated with the Colon & Rectal Clinic of Orlando, a private practice, and Orlando Health, an 800-bed community-based teaching hospital and Central Florida’s only Level 1 Trauma Center. Through our affiliations with Orlando Health, the University of Central Florida College of Medicine, and the Florida State University College of Medicine, our fellows will have the opportunity to work closely with general surgery residents, medical students, and even undergraduates. Our non-accredited Minimally Invasive Surgery (MIS) fellowship is offered through the Fellowship Council. We are currently approved for two (2) fellows per year. Our MIS program is truly unique in that the clinical experience parallels that of the accredited fellows, allowing the full spectrum of colon and rectal surgery to be experienced throughout the year. Many of our MIS fellows go on to enroll in accredited fellowships or transition directly into practice after fellowship. For more information, click here.

 

PROGRAM GOAL

The goal of this program is to teach competent general surgeons to become specialized in the diagnosis and management of diseases and disorders of the colon, rectum, and anus. Through working with our seven board-certified attendings, the fellows will experience a broad spectrum of diseases and surgical approaches.  By the end of the training year, our goal is for all fellows to feel confident in passing their boards and beginning practice, whether it be academic or community-based. By the end of the training year, our goals are for all fellows to:

  • Acquire an extensive, sound knowledge base in the clinical science of colon and rectal surgery and become especially well versed in the diagnosis and management of diseases and disorders of the colon, rectum, and anus.

  • Obtain a fundamental knowledge base in the basic sciences applicable to colon and rectal surgery.

  • Develop, through technical training and operative experience, competence to execute the operative and non-operative procedures intrinsic to the practice of colon and rectal surgery.

  • Refine the necessary skill in clinical decision-making to become a safe and effective practitioner of colon and rectal surgery.

  • Demonstrate the desire and ability to care for his or her patients in a competent, responsible, compassionate and ethical manner and to serve society by always demonstrating professional integrity, intellectual honesty, and social responsibility.

  • Achieve competence in the six areas listed to the level expected of a new practitioner:

    1. Patient Care

    2. Medical Knowledge

    3. Interpersonal Communication Skills

    4. Practice-Based Learning and Improvement

    5. Professionalism

    6. System-Based Practice

 

PROGRAM FEATURES

 

Average Operative Caseload (per resident, per year)

  • 190 – 240 major abdominal procedures

  • 250 – 300 anorectal procedures

  • 135 – 150 colonoscopies

  • 50 – 100 polypectomies

 

We are dedicated to imparting upon our fellows the necessary experience and knowledge that will lead to success both academically and in clinical practice. Some of the highlights and unique aspects of our program are listed below.

 

Anorectal Physiology Laboratory

The anal physiology lab and pelvic floor center is established at the Colon & Rectal Clinic of Orlando where advanced specialized training is provided to evaluate functional disorders. You will complete anal manometries, EMG, ultrasonography, biofeedback, and psychological evaluations. At the hospital, you will participate in defecography and colonic transit studies. The fellows are expected to become proficient in the technical and evaluation aspects of all these tests. The fellows also have access to our full-time biofeedback nurse, who provides extensive training in all aspects of pelvic floor disorders. The fellow will learn what is involved in the pretreatment evaluation, how to conduct initial interview sessions, and what is involved in follow up visits. We often work closely with our urogynecologic colleagues in evaluating and planning complex patient care.

 

Endorectal Ultrasound

Each year 200 endorectal ultrasound examinations are performed either for staging of rectal cancer or evaluation of incontinence and other anorectal disorders. The program is structured so that residents have direct experience performing this procedure and interpreting the images. As one of the few centers that utilize this technology, this is a unique feature of our program.

 

Orlando Health Fellow Clinic

Every Monday morning, fellows staff their own clinic through Orlando Health, where longitudinal care of the full spectrum of colorectal disease is experienced. This is an invaluable service to both the fellow and to the local community, as most patients are under or uninsured. The fellow, under the guidance of one of the faculty, leads in the preop, intraop, and postop care of their patients. This is a great preview of the ins and outs of the real life practice of a colon and rectal surgeon.

 

Rectal Cancer Multidisciplinary Tumor Board

Currently in the application phase for NAPRC accreditation, the Orlando Health UF Health Cancer Center holds biweekly rectal cancer tumor boards. These conferences include faculty from colorectal surgery, medical oncology, radiation oncology, radiology, and GI pathology. Together, all rectal cancer cases are reviewed in detail for treatment planning, monitoring, and post-op evaluation. The many intricacies of rectal cancer management are discussed at length, offering the fellows a unique and multi-faceted learning opportunity in cancer care. The fellows are expected to participate in presenting and helping to formulate treatment plans on their respective patients.

Didactic Curriculum

Here at CRC, we have been dedicated to the education of colon and rectal fellows for over 25 years. With seven faculty board certified in both general and colorectal fellowship, our program offers a broad clinical experience that will arm the fellows with different approaches to solve the myriad complex problems they may encounter in their practice. Drawing on that experience, our didactic curriculum consists of ASCRS Topic Review Conferences, Morbidity and Mortality, CARSEP Review, Clinical Decision Making Conference, and Pelvic Floor Conference. We also have journal club on a monthly basis where recent literature can be critically evaluated and reviewed.

 

Research

All fellows are required to perform a research project during the year. Fellows are expected to present their research at ASCRS or SAGES. We strongly encourage further pursuance of research projects with the goal of publication. Early in the fellowship year, we hold Research Meetings in order to aid in the planning and execution of research ideas and projects.

APPLY TO OUR PROGRAM

Fellows must be able to apply for and receive a Florida license to practice medicine upon acceptance into the program. Florida requires that applicants show they have obtained a passing score on the FLEX/National Board of USMLE examination Step I, Step II, & Step III, provided that said examination should have been taken within the ten (10) years immediately preceding the filing of the application for your license. An application for medical staff privileges at 3 hospitals will also need to be completed.

 

Program Requirements

  • A graduate of an ACGME or AOA approved general surgery residency

  • Board eligible General Surgeon

  • Florida State License

  • DEA Certificate

 

Application Process Positions

There are three positions available in the ACGME accredited Colon and Rectal Fellowship each year on a competitive basis.

 

Application and Appointments

To apply to the program, please contact the Electronic Resident Application Service (ERAS) with the following:

  • Official college, graduate school, and medical school transcripts

  • An official record of board scores (USMLE). All 3 steps need to have been completed and scores available for interview

  • A letter of recommendation from the Program Director of your general surgery residency program

  • Two additional letters of recommendation

  • A curriculum vitae

  • A personal statement

  • A wallet size photo

  • A valid ECFMG certificate (if you graduated from medical school outside the U.S. or Canada)

  • Applications will be reviewed and interviews are granted on an invitation basis

  • Interviews are conducted from September through October each year

 

For more information, please contact our Residency Coordinator:

Nancy Joiner

NJoiner@crcorlando.com

Colon & Rectal Clinic of Orlando
110 W Underwood St, Ste A
Orlando, Florida 32806

CRC Logo.jpg

©2020 by Colon & Rectal Clinic Of Orlando