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Florida Hospital

Florida Hospital | ASCRS

Program Director: 
Bruce Orkin, MD
Florida Hospital
2501 North Orange Avenue
Suite 235 Box 38
Orlando, FL 32804
United States
(407) 303-5947
(407) 303-7323

Number of Residents (per year): 3

Number of Faculty: 7 ABCRS Certified: 5; Not ABCRS Certified:

Salary/Year: $60,000

Eligibility: Applications for the Colon and Rectal Surgery Fellowship Program are accepted through the Electronic Residency Application Service.

Applicants should have successfully completed an ACGME or AOA-accredited General Surgery Residency Program and be Board Eligible in General Surgery. Applicants should be in their final year of training OR have completed training within the past two years OR currently be in practice.

  • Certificate or letter of completion with dates of training.
  • ABSITE Transcript
  • Medical School Transcript
  • Letter of recommendation from Program Director
  • Minimum of 2 other letters of recommendation from program faculty or from surgical colleagues (if currently in practice)
  • Curriculum Vitae describing education, research and other life experiences
  • A personal statement reflecting on career goals and reasons for applying to the fellowship program

LCME graduates:

  • Doctor of Medicine diploma (or equivalent) without reservation
  • Dean's letter
  • Successful passed USMLE I, USMLE II, and USMLE III (United States Medical Licensing Examination) on first attempts with a minimum score of 200 (80)
  • Transcript directly from the FSMB (Federation of State Medical Boards)
  • Acceptable explanation of any break in education (if applicable)
  • Demonstrated written and spoken fluency in English language
  • Proof of US citizenship or appropriate visa status (Florida Hospital HR requirement) 

AOA Graduates:

  • Doctor of Osteopathy diploma without reservation
  • Dean's letter
  • Successful completion of all steps of COMLEX on first attempts with a minimum score of 500 (80)
  • Transcript directly from the NBOME (National Board of Osteopathic Medical Examiners)
  • Internship year in Osteopathic Program (required by Florida Board of Osteopathic Medicine and the American Osteopathic Association)
  • Acceptable explanation of any break in education (if applicable)
  • Demonstrated written and spoken fluency in English language
  • Proof of US citizenship or appropriate visa status (Florida Hospital HR requirement)

International Medical Graduates (IMGs):

  • Doctor of Medicine diploma (or equivalent) without reservation
  • Successfully passed USMLE at first attempt
  • Current and valid ECFMG (Education Council of Foreign Medical Graduates) certificate
  • Letter from residency program director (if applicable)
  • Acceptable explanation of any break in education (if applicable)
  • Demonstrated written and spoken fluency in English language
  • Proof of citizenship or resident alien status as required by Florida Hospital Human Resources

Case Mix/Number of Cases: This volume of cases should allow board certification with the participation in evaluation and treatment of anorectal and colon disorders. Great experience will be achieved in laparoscopic, robotic surgery and transanal minimally invasive surgery. 

Each fellow can expect to perform approximately 200-250 abdominal colon procedures and 150-200 anorectal procedures. Fellows can also expect to perform 300-350 endoscopic procedures, with colonoscopy procedures from 175-200 per fellow. 

Strengths of Program: The primary teaching site is Florida Hospital Medical Center, a 2,247-bed acute-care medical facility that serves as a community hospital for Greater Orlando. Florida Hospital is home to many nationally recognized Centers of Excellence and boasts successful surgery and sub-specialty surgical training programs. 

The Colon & Rectal Surgery Fellowship Program at Florida Hospital was founded in 2009 by Drs. Larach, Albert, and Atallah. It is only one of five ACGME-accredited fellowships in the subspecialty of colorectal surgery in the State of Florida, training three fellows per year on a one-year fellowship. Our aim is to prepare well-rounded, board-certified colorectal surgeons who will be able to pursue academic or private practice positions.

One of the hallmarks of the colorectal training program at Florida Hospital Orlando is our emphasis on new technology with opportunity for the fellow to have hands-on training in these methods.  Performing robotic-assisted colorectal surgery is a standard practice in our teaching curriculum and allowing the residents time on the console provides them with the skill-set necessary to perform these types of advanced operations upon completion of the program.   

The training program provides a good balance of cases in all areas (colonoscopy, anorectal and abdominal) but there is a strong emphasis on the minimally invasive approach, including robotic, laparoscopic and TAMIS (TransAnal Minimally Invasive Surgery). The latter is a newer technique developed at Florida Hospital by Drs. Larach, Albert and Atallah in 2009. Florida Hospital colorectal department is the primary training site in North America for TAMIS and Transanal offering monthly courses and live surgery.

The Pelvic Floor Center of Orlando, a division of Florida Hospital's Center for Colon & Rectal Surgery, is a state-of-the-art facility that offers highly specialized pelvic floor diagnostics and treatment. Fellows will have the ability to work closely with minimally invasive subspecialists in other fields (such as gynecology) to treat complex disorders of the male and female pelvis and so-called 'pelvic floor.' Our fellows have the opportunity to perform a significant portion of their pelvic floor procedures laparoscopically and robotically. 

Clinic and/or Office Experience: Outpatient experience is provided to each resident through the Center for Colon and Rectal Surgery. Each fellow spends a minimum of three one-half days in the office each week, rotating between the five offices of our full time faculty throughout the year-long fellowship. This provides each fellow with first-hand experience in an outpatient facility so they may develop skills in patient evaluation, examination, office treatment and care after surgery. 

Interaction with General Surgery Residents: Florida Hospital maintains a fully accredited general surgery program of 10 residents. These surgery residents closely interact with the colon and rectal fellows both in consultative interaction as well as curricular activities. The colon and rectal program has one general surgery resident assigned to its service per month, with the CR fellow directly assisting in the education of the GS resident. The case load of our four board certified colon and rectal surgery faculty members provide enough cases so that there is no surgical competition between the colon and rectal surgery fellows and general surgery residents. There is no in-house night call for the colon and rectal fellows. 

Conferences: Regular conferences include daily rounds and preoperative case presentation, as well as the following on a weekly basis: Morbidity and Mortality Conference, Research Conference, Clinical Pathology Conference and Radiology discussion. Monthly conferences include: Tumor Board Conference, Pelvic Floor Conference, Clinical Pathology Conference and Journal Club.

Outside Rotations: Not Available. 

Research Year: Optional; self-funded. 

Requirement for Paper: Each fellow is expected to complete a clinical research project to be presented at national conferences and for publication. Past fellows have had participation in many research projects with abstracts, video submissions and papers submitted to national meetings including SAGES and ASCRS. Research assistance and mentoring is provided.

Opportunity to Attend Meetings: CME money is available to fellows to attend professional conferences and meetings, and attendance is encouraged by all faculty members.