Oregon Health & Science University Colorectal Fellowship
Program Director: Kim Lu, M.D.
Oregon Health & Science University Department of Surgery
3181 SW Sam Jackson Park Rd., Mailcode L223A
Portland, OR 97239
Phone: (503) 494-7344
Fax: (503) 494-5615
E-Mail: andersoe@ohsu.edu
Web site address: www.ohsu.edu
Number of Residents (per year): 1
Number of Faculty (ABCRS Certified): 7
Salary/Year: dependent upon PGY level; 2010-2011 range: $60,900 to $66,530
Case mix/number of cases: The resident will perform approximately 366 anorectal procedures (including transanal endoscopic microsurgery, Procedure for Prolapse and Hemorrhoids/stapled hemorrhoidopexy, and Ligation of the Intersphincteric Fistula Tract), 73 rigid proctoscopies, 304 diagnostic/therapeutic colonoscopies, 205 open abdominal cases, and 184 laparoscopic procedures.
Strengths of program:
The colorectal fellow rotates at four different hospitals (including Kaiser Permanente, the university, and a multispecialty private practice). The resident will be exposed to both straightforward and complex patients within these 3 tertiary referral practices. The faculty, with diverse training backgrounds, will expose the resident to several approaches to each clinical problem.
The resident will perform many office-based procedures including sclerotherapy and infrared treatment of hemorrhoids with a senior colorectal surgeon. Anal manometry and endoanal ultrasound (both 2 and 3 dimensional) will be taught by colorectal and/or Urogynecology faculty.
Transanal endoscopic microsurgery will be taught in the private practice setting. The resident will have extensive experience with various laparoscopic approaches in benign and malignant colorectal disease. The resident will have an opportunity to teach laparoscopy in formal courses. The resident will have a solid experience with both diagnostic and therapeutic colonoscopy, in a simulation center and on patients.
Weekly didactic sessions with the Program Director allow for formal teaching, early feedback, and close mentorship. The resident will have opportunities for formal didactics with radiation oncology also. The Portland Citywide Colorectal Journal Club facilitates healthy debate between colorectal and general surgeons across the city
The resident will have protected time and access to a Department of Surgery statistician and research coordinator (for help with IRB approval) for her research project.
Clinic or Office Experience: In university, HMO, and private practice settings, the fellow will follow patients both preop and postop and will assume primary responsibility for diagnostic work-up and treatment plans. The resident will perform many office-based procedures including sclerotherapy and infrared treatments of hemorrhoids with a senior colorectal surgeon.
Interaction with general surgery residents: The colorectal fellow will lead the surgical team and teach general surgery residents and medical students. The fellow will be expected to participate in teaching opportunities during the daily care of surgical patients.
Conferences: Includes weekly multidisciplinary GI oncology conferences, weekly formal teaching conferences with the program director, weekly grand rounds, weekly general surgery and monthly colorectal M&M’s, and monthly Portland Citywide Colorectal Journal Clubs. The resident will have opportunities for formal didactics with radiation oncology also.
Anorectal physiology availability: Anal manometry, electromyography (both surface and needle), and 2-D/3-D endoanal ultrasound (for anal sphincter integrity and rectal cancer staging) will be taught by colorectal and/or urogynecology faculty.
Outside Rotations: Not available.
Research year: Not available.
Requirement for paper: The submission of an abstract to the American Society of Colon and Rectal Surgeons is a requirement for graduation from this program. The colorectal fellow will have ½ day per week that will be protected for clinical research.
Opportunity to attend meetings: The resident will attend the annual ASCRS meeting and any other national or regional meeting at which she may be presenting, e.g. Northwest Society of Colon and Rectal Surgeons.