Colorectal Surgery Resident Manual

EDUCATIONAL PROGRAM AND CONFERENCES

Conference attendance is mandatory except where otherwise noted.

M Colorectal Surgery Service conference. 0700-0800 every Monday, MMC.

Attendees include Colorectal Surgery faculty, residents and medical students on CR Surgery rotation, nurses and physician extenders. The inpatients on the CR Surgery service are discussed and used as teaching material by the CR Surgery faculty. A 15-minute period each Monday is set aside for specific purposes, which rotates as follows:

Second Monday: invited short presentation by adjunct field, such as Anesthesia, Radiation Therapy, Medical Oncology , Pathology, GI.
Third Monday: Junior resident 5-5-5 presentation on a selected topic in Colorectal Surgery. (Five minute presentation, five slides, five references)
Fourth Monday: Review of Colorectal Morbidity and Mortality for identification of any patterns that may need attention. This exercise is expected to generate topics for experiential learning opportunities for the residents.

Periodically cases of special interest will be presented, with attendance from other specialties, including pathology, radiology, gastroenterology, medical or radiation oncology.

Tu Colorectal Tumor Board.  0700-0800 every third Tuesday, MMC. (cases from any staff physician are invited.)

Attendees include colorectal and general surgeons, gastroenterologists, primary care providers, medical oncologists, radiation oncologists, gynecologic oncologist, radiologists, pathologists, nurses and other physician extenders, residents and medical students. Cases are presented for discussion regarding management options, with pathology and radiology studies presented by specialists in those disciplines. Follow-up of therapy results and interesting cases are sometimes presented as well. Multidisciplinary management decisions are often made in this venue.

Th  Morbidity and Mortality Conference. 0700-0800, every Thursday, MMC. Memorial Medical Center and St. John’s Hospital Depts. of Surgery. Attendees include general and specialty surgeons on staff at both hospitals, general and specialty surgery residents, medical students, nurses and physician extenders, occasionally other specialists.

Surgery Grand Rounds. 0800-0900, every third Thursday, MMC. Memorial Medical Center and St. John’s Hospital Depts. of Surgery. Attendees include general and specialty surgeons on staff at both hospitals, general and specialty surgery residents, medical students, nurses and physician extenders, occasionally other specialists.

Surgery Xray Conference. 0800-0900, every second and fourth Thursday, MMC.  Memorial Medical Center and St. John’s Hospital Depts. of Surgery. (alternates with Grand Rounds and resident meetings). CRS resident will attend when subject is of colorectal surgery interest.

General Surgery Journal Club. 0900-1000, first Thursday, MMC.  Memorial Medical Center and St. John’s Hospital Depts. of Surgery. CRS resident will attend when subject is of colorectal surgery interest.

Colorectal Surgery Core Conference. 1600-1700, MMC. Every second and fourth Thursday. Core conference is presented by the CRS resident or attending staff when the topic is Colorectal Surgery. Invited speakers who are content experts in their fields will present Core Conference topics as well.

Colorectal Surgery Journal Club. 1800-2100. Once every other month. Attended by Colorectal Surgery faculty, the CRS resident, and General Surgery residents on service. Also invited are other interested surgery residents and medical students.

Colorectal Surgery Program Review. Held twice during the academic year, at the midpoint and near the end of the academic year. Attended by Program Director and Colorectal Surgery faculty, the CRS resident, and Colorectal Surgery Program support staff.  Minutes are kept. The group will review program goals and objectives and the effectiveness with which they are achieved. Based on this, changes in program structure and content are discussed and implemented as appropriate. The educational outcome of any program modifications will be evaluated at the next program review meeting.

One-on-one Mentor Program. Each quarter a member of the faculty serves as the CRS resident’s mentor, allowing the resident a more personal experience with several faculty members. This is not a clinical rotation, and the resident continues to work clinically with all faculty members. Rather, the faculty member fulfilling the mentor role will foster the resident in directed self-evaluation regarding personal strengths and weaknesses, as well as limits of knowledge and expertise. The mentor plays a role in validation of resident self-assessment and in helping the resident to select realistic and achievable performance and improvement goals. The resident works together with the mentor to identify appropriate learning activities to achieve the resident’s chosen goals.  These may be patient care based, literature review based, surgical skills lab based, systems practice based, research based, or a combination thereof.

Surgical Skills Laboratory. The Surgical Skills Lab is in Memorial Medical Center adjacent to the operative suite. While there is no set curriculum for the Colorectal Surgery resident, there are modules for the General Surgery residents which the Colorectal Surgery resident may participate in, including bowel anastomosis, both hand-sewn and stapled, with both intraabdominal and pelvic models. The lab is accessible 24/7 for individual practice on several models, including flexible sigmoidoscopy and flexible colonoscopy models.

Residents as Teachers. The General Surgery curriculum includes a Residents as Teachers course which is offered yearly. The Colorectal resident may take advantage of this opportunity to further hone skills for teaching junior residents and students.

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