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) 725-4888
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): 4
Salary/Year: $63,000
Case mix / number of cases: The resident is expected to perform 250 anorectal procedures, 200 abdominal operations, 400 endoscopic procedures and 50 pelvic floor evaluations.
Strengths of program: Clinical activities are divided between two major institutions with academic affiliations to Boston University and Warren Alpert Brown University Medial School, namely the Roger Williams Medical Center and the Miriam Hospital. Extensive laparoscopic experience, transanal microscopic surgery, endoscopy and minimally invasive techniques are offered to the colorectal resident as well as open surgical technique. Strict colorectal surgery call is taken without cross-coverage with other subspecialities. The program operative experience was above the 80th percentile in the country as of 2007 graduating residents, with the minimally invasive techniques above 90th percentile.
Clinic or office experience: R.I. Colorectal Clinic, LLC 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 are offered to the resident, complementing their surgical training.
Interaction with general surgery residents: Occurs primarily with Brown University residents at Miriam Hospital, surgical oncology residents and gynecology oncology fellows. Due to the wide variety of the practice with complex cases, there is no competition towards the caselog completion.
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 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.