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Cleveland Clinic

Cleveland Clinic | ASCRS

Program Director: 
Michael A. Valente, DO, FACS, FASCRS
Cleveland Clinic
9500 Euclid Avenue - Desk A30
Cleveland, OH 44195
United States
(216) 445-3832
(216) 445-1079

Number of Residents (per year): 5 ACGME; 4 International

Number of Faculty (ABCRS Certified): 21

Salary/Year: $64,069.00

Case Mix/Number of Cases: The 23 staff surgeons annually care for nearly 20,000 persons in the outpatient clinic while performing 3,500 abdominal operations, 1,800 anorectal procedures and 3,000 colonoscopic examinations. Patients are offered comprehensive care that incorporates the latest technological advances in laparoscopy/robotics, TAMIS/TaTME/TEM, sphincter preservation/reconstruction, anorectal physiology testing, basic and advanced endoscopic techniques (ESD) and imaging techniques. Our training program exposes residents to myriad disorders of the small bowel, colon, rectum and anus that encompass the breadth of benign and malignant disease. The program also offers trainees the opportunity to participate in IRB-approved clinical trials/studies and NIH-funded basic science research.

Strengths of Program: The program provides exposure to a large number of complex cases of inflammatory bowel disease, colorectal cancer, re-operative surgery and complex anorectal procedures, as it is a major national/international quaternary referral center. Routine and basic laparoscopic and anorectal procedures are also heavily performed, as well as the establishment of a new community-based rotation. Various open surgical techniques are still performed in several cases, due to the extremely complex nature of our referral patters. Experience in the management of these patients results in well-trained surgeons capable of dealing with most any situation and complication.

The surgical staff are diverse in their specialization areas and are national/international thought leaders in our field. The program is supported by physician assistants and nurse practitioners who assist with patient care in the hospital and ambulatory settings. The department also houses a well-equipped anorectal physiology laboratory, endoscopy suites and an endoluminal ultrasound unit; residents gain extensive experience in performing all studies.

Clinic and/or Office Experience: Each resident accompanies the staff physician in the outpatient clinic. New and follow-up patients are evaluated and the resident actively participates in decision analysis. The residents, under staff supervision, will also run a weekly "resident clinic." This clinic will have a strong emphasis on anorectal diseases and procedures such as hemorrhoid banding, sclerotherapy, anoscopy, rigid proctoscopy, and flexible sigmoidoecopy will be performed by the resident on a routine basis. 

Interaction with General Surgery Residents: Two PGY 5 residents rotate at a level similar to the colorectal surgery resident but not on the same service. Other service lines are assigned a junior level general surgery resident. 

Conferences: There is an extensive and diversified weekly didactic teaching conference series that is protected time. Weekly resident run case conferences, multidisciplinary tumor board, and expert staff lectures are held every Wednesday. Bi-monthly multidisciplinary IBD conference, with complex IBD cases being presented in conjunction with gastroenterology, radiology, and pathology departments. Other conferences include bi-monthly mortality and morbidity conference, and monthly journal clubs. A robust visiting professor series is also held 2-3 times annually, with leading national/international scholars that spend time with the residents and staff. Various other ad hoc learning seminars/conferences are held throughout the year. 

Anorectal Physiology: Available studies include manometry, EMG, defecography, dynamic pelvic MRI and endorectal/endoanal ultrasound. Experience with each procedure is gained as they are routinely performed in the outpatient setting.

Enterostomal Therapy: The Cleveland Clinic is a world innovator and leader in enterostomal therapy. A department of 15 enterostomal therapists are housed in the Rupert B. Turnbull, MD School of Enterostomal Therapy in The Department of Colorectal Surgery. The resident will spend time with the therapists on a routine basis in both the inpatient and outpatient settings learning the art of stoma and wound care.

Outside Rotations: None.

Research Year: Available either before or after clinical year but not required. Opportunities exist in basic science, animal work or clinical subjects.

Requirement for Paper: Each resident is expected to write at least one major paper to be submitted for presentation at a national meeting and publication in a peer review journal. Opportunities exist for more participation and many residents are able to generate more than one publication.

Opportunity to Attend Meetings: Attendance at several local and regional society meetings is encouraged. Each resident is financially supported to attend one national meeting such as the ACS, DDW or ASCRS meeting. Attendance at approved meetings for oral presentation of a paper is encouraged and appropriate support provided.