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Spectrum Health/MSU

Spectrum Health/MSU | ASCRS

Program Director: 
Rebecca E. Hoedema, MD
Address: 
Spectrum Health
221 Michigan NE
Suite 402
Grand Rapids, MI 49503
United States
Phone: 
(616) 391-3245
Fax: 
(616) 391-3130

Program Coordinator:  Susan Grice

Number of Residents (per year): 

Number of Faculty (ABCRS Certified): 8 Faculty; 3 APPs (PA-Cs)

Salary/Year: $59,200 

University Affiliation: Michigan State University 

Case Mix/Number of Cases: Each resident participates in approximately 200 anorectal cases that include TEMS/TAMIS and SNS. In addition, 200 endoscopic procedures, both diagnostic and therapeutic, are performed per colorectal surgery resident throughout the year. 250 abdominal cases, of which more than half are laparoscopic and/or robotic cases performed per resident. Approximately 65 pelvic dissections are also performed per colorectal surgery resident. Robotic colorectal surgery is being performed and the residents are able to participate in these cases with some autonomy.   

Strengths of Program: The greatest strength of the program is the clinical variety of cases which are encountered in both the office and the operating room. There is a very good balance of anorectal and abdominal cases in the operating room and plenty of endoscopy opportunities. There is also tremendous variety in the office setting. 

Clinic and/or Office Experience: Office experience is available on a daily basis and typically accounts for one to two half days of office per colorectal surgery resident. In the office, a variety of patient encounters are performed which include checkups for established patients, post op checks and new consultations. In addition to the patient encounters, a variety of office based procedures are performed which include, hemorrhoid banding, infrared coagulation, enucleation of thrombosed hemorrhoids, I&D of abscesses and flexible/rigid sigmoidoscopy. 

Interaction with General Surgery Residents: We have PGY 4 and PGY 2 general surgery residents on the service throughout the year. They interact in a team approach with the colorectal surgery fellows and the colorectal surgery advanced practice providers or the PAs. We also have many opportunities for teaching with rotating medical students.

Conferences: The conferences include a monthly Journal Club, monthly CRS Tumor Board and a monthly radiology and pathology conference, all held on the Tuesdays of the month. Morbidity and Mortality occur weekly directed by the colorectal surgery fellows and residents. We also have quarterly meetings in research, safety and quality and video session review. The core didactics occur starting at 7 am for 90 minutes. After the dedicated conferences, there is a Core Curriculum review with the teaching staff where the chapters of the ASCRS textbook are reviewed. After the chapter review, teaching rounds also occur with the assigned staff which is to briefly review any interesting clinical dilemmas or patients on the service.  

Anorectal Physiology: Defecography, anorectal manometry (ARM), endoanal ultrasound, EMG and pudendal nerve testing is performed on a regular basis. Also, dedicated anorectal physiology teaching sessions are performed with the colorectal staff throughout the year. 

Outside Rotations: Not Available. 

Opportunity to Attend Meetings: In addition, residents are given the opportunity to attend the company sponsored courses, including the robotics course, career courses and ultrasound courses that are available throughout the year and also organized through the Program Directors' Association. Participation in all local meetings is strongly encouraged and participation/presentation is highly recommended at a national level as well.