Barnes – Jewish Hospital at Washington University Medical Center
Program Director: Matthew Mutch, M.D.
660 S. Euclid
Campus Box 8109, Suite 14102
St. Louis, Missouri 63110
Phone: (314) 454-7177
Email: mutchm@wustl.edu
Number or Residents (per year): 2
Number of Faculty (ABCRS Certified): 4
University Affiliation: Washington University (St. Louis, MO)
Salary/Year: $44,936
Case mix / number of cases: The service performs 811 abdominal colon operations, 759 anorectal operations, and 1428 fiberoptic 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. 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. No travel outside of the hospital is required. The resident will be exposed to the laparoscopic approach to colorectal diseases.
Clinic or office experience: The colon and rectal resident attends clinic with attending faculty, providing exposure to preoperative evaluation and postoperative follow up of patients. This setting also provides excellent exposure to outpatient anorectal procedures.
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.
Conferences: The resident is directly responsible for organizing and conducting the weekly colorectal departmental 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.
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.
Opportunity to attend meetings: One meeting of the resident’s choice is provided each year. Support is also provided to attend appropriate scientific meetings at which the resident presents original research material.