Southern Illinois University
Program Director: Jan Rakinic, M.D.
Address: Southern Illinois University
Dept. of Surgery, Section of Colorectal Surgery
Phone: 217-545-7230
Fax: 217-545-7762
E-Mail: jwilliams2@siumed.edu
Website: www.siumed.edu/surgery/general/colorectal/fellowship.html
Number of Residents (per year): 1
Number of Faculty (ABCRS Certified): 7
Salary/Year: $55,345.00 (PGY 6)
Case mix/number of cases: Over 400 anorectal cases, 1700 endoscopies, and 2000 abdominal cases were performed by the six attending surgeons in the SIU Colorectal Surgery Residency Program in 2007-08. The numbers of index cases are more than sufficient for a Colorectal Surgery resident to meet the requirements in all categories, without adversely impacting on the operative experience of General Surgery residents on the Colorectal Surgery service.
Strengths of program: The Southern Illinois University Program in Colorectal Surgery is a collaborative educational program involving academic and private colorectal surgeons who have come together to craft a program designed to provide excellent postgraduate training in the current practice of colorectal surgery. The catchment area for the Southern Illinois University Program in Colorectal Surgery encompasses the southern two-thirds of
Clinic & Office Experience: The SIU Colorectal Surgery Program will utilize two inpatient facilities and two outpatient facilities. The inpatient facilities allow the CRS resident to gain experience with working within two distinct healthcare systems – a private, nonprofit healthcare system as well as a church-owned healthcare system. Each inpatient facility is part of a larger regional healthcare system which incorporates inpatient and outpatient care elements. The culture within each system is also distinctly different. Experience with both will equip the CRS resident with skills that will aid his/her transition into a practice setting. Similarly, the two outpatient settings are distinctly different – one is an academic clinic setting, and the other a private office setting, and experience with both will allow the CRS resident to feel more comfortable when settling into the type of practice s/he chooses after completion of training.
Interaction with general surgery residents: SIU has a 5-year general surgery program with three residents per year. CRS resident will teach general surgery residents and medical students on the CRS service. S/he will also engage in teaching of nurses and other allied healthcare workers in the operating suite and other procedural and patient care areas. Further, the CRS resident is expected to engage in teaching patients about the concerns for which they have visited the Colorectal Surgery Clinic, as well as the plans for evaluation and treatment, including potential side effects of therapy. Education of family members may occur concurrently or separately.
Conferences:
Colorectal Surgery Service conference. 0700-0800 every Monday. 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.
Morbidity and Mortality. 0700-0800, every Thursday.
Surgery Grand Rounds. 0800-0900, every third Thursday.
Surgery Xray Conference. 0800-0900, every second and fourth Thursday. CRS resident will attend when subject is of colorectal surgery interest.
General Surgery Journal Club. 0900-1000, first Thursday. CRS resident will attend when subject is of colorectal surgery interest.
Colorectal Cancer Management conference. 1200-1300 every second and fourth Thursday.
Colorectal Surgery Core Conference. 1700-1800. Every Thursday except days when Colorectal Surgery Journal Club is held. Core conference is presented by the CRS resident or attending staff. Invited speakers who are content experts in their fields will present Core Conference topics as well.
Colorectal Surgery Journal Club. 1800-2100, homes of faculty. 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 Colorectal Surgery faculty, the CRS resident, and Colorectal Surgery Program support staff. Effectiveness of the program is reviewed, and changes in program structure and content are discussed and implemented as appropriate.
Anorectal physiology availability: A multidisciplinary pelvic floor program for the evaluation and management of functional and pelvic disorders is available. Basic physiologic investigations and tests including ultrasonography, manometry and transit studies are available.
- Endorectal ultrasounds (3D and 2D) for benign and malignant conditions are performed and interpreted by colorectal surgeons.
- Anorectal manometry and pelvic floor evaluation is performed by a trained nurse and interpreted by colorectal surgeons.
- Biofeedback is available.
- Contrast studies such as defecography, CT enterography, and nuclear transit studies are done through the department of radiology.
Outside Rotations: None.
Research year: Available by arrangement.
Requirement for paper: There is an expectation that the Colorectal Surgery Resident will involve him/herself in an ongoing research project or propose and carry out a project of his/her own design during the Colorectal Surgery Residency. It is expected that the project will result in a publication or presentation at a national or regional scientific meeting. Multiple research opportunities are available at the
Opportunity to attend meetings: The Dept. of Surgery funds the resident’s attendance at the annual ASCRS meeting, and at any other meeting in the continental