St. Luke's/Roosevelt Hospital Center
Program Director: Lester Gottesman, M.D.
425 W. 59th Street, Suite 9A
New York City, NY 10019
Phone: (212) 523-8417 Fax: (212) 523-8186
Email: Lg40@columbia.edu
Web site: http://www.slrsurgery.org/departments/colon_rectal.shtml
Number of Residents (per year): 1
Number of Faculty (ABCRS Certified): 4
University Affiliation: Columbia University College of Physicians and Surgeons
Salary/Year: $46,000
Case mix/number of cases: Approximately 60% are anorectal and 40% abdominal, both open and laparascopic. About 800 flexible endoscopic examinations are performed yearly.
Strengths of program: The program provides a good representative experience in the entire field of colon and rectal surgery. There is a special interest in constipation and pelvic outlet disorders, incontinence and prolapse secondary to the active anorectal physiology lab, including work in the artificial sphincter. The program also provides expertise in office management of anorecal disease in both the ambulatory and acute setting. There is a strong emphasis on outpatient anal surgery done with local anesthesia and under propofol sedation.
Clinic or office experience: The resident spends two full days each week in the office. Two other days are devoted to outpatient anal surgery or endoscopy, performed under conscious sedation or propofol. Approximately 1000 anal cases are performed yearly.
Interaction with general surgery residents: A general surgical service is incorporated with the colon and rectal resident.
Conferences: Monthly journal club, weekly colon rectal conference with radiology and pathology, weekly general surgical M&M rounds, tumor boards.
Anorectal physiology: An active lab performs anorectal manometry, trans-rectal sonogoraphy, cinedefecography, colonic transit studies, pudendal nerve terminal motor latency studies and evaluates some 400 patients per year.
Outside rotation: A 3 week rotation to Cleveland Clinic Florida is instituted to augment the surgical cases in inflammatory bowel disease.
Research year: None is available. Internal funding is available for original work.
Requirement for paper: A presentation at the annual ASCRS meeting is expected.
Opportunity to attend meetings: The resident usually attends the annual ASCRS meeting.