The Rhode Island Foundation for Colon and Rectal Diseases
R.I. Colorectal Clinic, LLC
Program Director: Jorge A. Lagares-Garcia, MD
Program Coordinator: Adam A. Klipfel, MD
334 East Avenue
Pawtucket, RI 02860
Phone: (401) 725-4803
Fax: (401) 725-3336
e-mail: jlagares@lifespan.org; aklipfel@lifespan.org
Web site: www.ricolorectalclinic.com
Number of Residents (per year): 1
Number of Faculty (ABCRS Certified): 5 (3)
Salary/Year: $57,500
Case mix / number of cases: The resident is expected to perform 350 anorectal procedures, 250 abdominal operations (>60 laparoscopic), and 500 endoscopic procedures.
Strengths of program: The colorectal resident will be exposed to and well trained in all aspects of colon and rectal surgery. The program is committed to training residents in complex abdominal and laparoscopic procedures without minimizing the importance of anorectal surgery, diagnostic and therapeutic endoscopy and pelvic floor dysfunction. The faculty has trained at diverse group of deeply established and well recognized programs throughout the country and has integrated their training into an extremely diversified department. Each faculty member has a clinical practice to include all aspects of colorectal surgery while at the same time has both clinical and research interest in specific colorectal diseases. This residency also emphasizes clinical research as an important part of a complete training experience.
Clinic or office experience: R.I. Colorectal Clinic, LLC and Daniel Wrobleski, MD, Ltd offers the colorectal resident an excellent opportunity to interact with patients in the outpatient basis. History and physical skills, specifically applied abdominal and anorectal examination (anoscopy, rigid or flexible sigmoidoscopy), and minor anorectal surgery under local anesthesia are being performed by the trainee under staff supervision. Practice management skills and coding instructions will be offered to the resident, complementing their surgical training.
Interaction with general surgery residents: Occurs primarily with Brown University residents at Miriam Hospital in clinical conferences. Due to the wide variety of the practice with complex cases, there is no competition towards the caselog completion and the resident is expected to complete without any deficiencies.
Conference: Include Colorectal Core Curriculum Conference, Colorectal Journal Club, General Surgery M&M, GI Tumor Board, Pathology and Anorectal physiology conference.
Anorectal physiology availability: Done with one of the faculty at the Roger Williams Medical Center.
Outside rotations: None
Research year: Available at the Roger Williams Medical Center.
Requirement for paper: Submission of an abstract for presentation at the ASCRS and the New England Colorectal Society is mandated. Possibility to attend and present at the Spanish Association of Coloproctology expanding international experience is also encouraged.
Opportunity to attend meetings: Residents will be given the opportunity to attend the ASCRS meeting, New England Society of Colon and Rectal Surgeons and the Cleveland Clinic Florida meeting in Ft. Lauderdale.


