Barnes Jewish Hospital at Washington University Medical Center
Program Director: Matthew Mutch, M.D.
660 S. Euclid
Campus Box 8109,
St.
Phone: (314) 454-7177
Email: mutchm@wustl.edu
Number or Residents (per year): 3
Number of Faculty (ABCRS Certified): 7
University Affiliation:
Salary/Year: $56,923
Case mix / number of cases: The service performs 1113 abdominal colon operations, 803 anorectal operations including 53 TEM procedures, and 1990 fiber optic endoscopic procedures each year.
Strengths of program: The University based program is integrated into the general surgery residency program, providing an excellent learning environment and teaching experience for the colorectal resident. The clinical practices of the each faculty member is broad based includes high volume anorectal cases, inflammatory bowel disease, colon cancer, rectal cancer, functional colon disorders, laparoscopy, TEM and colonoscopy. There is broad support from clinical sciences and basic research. Specific interests include radiation therapy for rectal cancer, as adjuvant treatment and also as primary therapy using endocavitary radiation for selected cases. The residents rotate at
Clinic or office experience: There are three clinical rotations through which the fellows rotate. Service one is a one on one experience with Dr. Fleshman covering his outpatient clinics, inpatient service and operative cases. Service two covers the inpatient service at
Interaction with general surgery residents: The colon and rectal surgery resident functions closely with junior surgical house staff, supervising patient evaluations and hospital care. He/she attends general surgical conferences and participates when appropriate. As mentioned, there are two inpatient services at Barnes-Jewish. The fellow and chief resident are responsible for the services with no overlap in patient care or operative cases. There is a third year resident on the service that is responsible for inpatient consults and manages the ICU patients. There are two interns on the floor so that each service has an intern during the year.
Conferences: The resident is directly responsible for organizing and conducting the weekly colorectal multidisciplinary conference, a working conference in which a wide variety of current clinical cases are discussed. The conference is attended by colorectal faculty, gastroenterologists, pathologists, radiation oncologists, medical oncologists, medical students, and general surgical house staff. He/she also attends general surgery grand rounds, general surgery conference, and gastroenterology conference, and participates in the monthly surgery journal club. There is a weekly didactic lecture and every other week there is a pelvic floor abnormality conference that is required.
Anorectal physiology availability: Defecography, anal manometry, pudendal nerve conduction studies and endorectal ultrasound are all routinely performed. The resident will be responsible for the performance interpretation of the physiology lab testing with supervision by an attending.
Outside rotations: None are offered.
Research year: A research year is available.
Requirement for paper: A paper is required for completion of the program. Clinical research is strongly promoted and the resident is encouraged to submit such research for presentation at the ASCRS annual scientific meeting.