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John H. Stroger, Jr. Hospital of Cook County

John H. Stroger, Jr. Hospital of Cook County | ASCRS

Program Director: 
Vivek Chaudhry, MD
John H. Stroger, Jr. Hospital of Cook County
1900 West Polk Street
G-23 Admin Building, Room 401
Chicago, IL 60612
United States
(312) 864-5233
(312) 864-9642

Number of Residents (per year): 3 

Number of Faculty (ABCRS Certified): 10 (8) 

Salary/Year: $66,494 (PGY 6) 

University Affiliation: University of Illinois at Chicago 

Case Mix/Number of Cases: The residents rotate through a private hospital, a university medical center and the public county hospital. Graduates finish having completed 700-800 procedures. Each resident performs between 175 and 250 abdominal colonic procedures (including 70 laparoscopic colon resections), 200-300 anorectal operations and more than 200 colonoscopic procedures, of which about 50 involve electrosurgical polypectomy. The colon and rectal resident also obtains experience from the active robotic program with some of the leaders in the U.S. in robotic colorectal surgery. 

Strengths of Program: The program provides broad exposure to all aspects of anorectal, colorectal and endoscopic cases. The program strengths are complex pelvic surgery, laparoscopic colorectal surgery, robotic colorectal surgery, colonoscopy, benign anorectal procedures and testing, sacral nerve stimulation for fecal incontinence, transanal endoscopic microsurgery (TEM), transanal minimally invasive surgery (TAMIS), transanal TME (taTME) and structured didactic teaching. There is supervised independence, particularly on the County Hospital rotation. 

Clinic and/or Office Experience: Each week, the residents spend approximately two half-day (four hours) sessions in the clinics or private offices of each facility. In addition, the Stroger Hospital at Cook County rotation includes a full-time surgical endoscopy unit at which outpatient colonoscopy experience is provided. 

Interaction with General Surgery Residents: General surgery residents rotate on each of the services at all times. Typically, at least one senior and one junior general surgery resident (and as many as four general surgery residents) are on service at any particular time. There is extensive interaction with general surgery residents in all conferences. Residents from Rush University rotate on the colorectal service at Stroger Hospital of Cook County, residents from the University of Illinois rotate on the colorectal service at Stroger Hospital and the University of Illinois and residents from the Metropolitan Group Program rotate on the colorectal service at Advocate Lutheran General Hospital. 

Conferences: A mandatory weekly didactic lecture schedule provides the core academic structure. In addition, there are biweekly multidisciplinary cancer planning conferences, weekly pathology review, weekly case preparation conferences and a monthly colorectal M&M conference. Weekly institutional morbidity and mortality, grand rounds, tumor board and surgery-radiology correlation conferences provide additional instruction.

Anorectal Physiology Availability: Fully equipped anorectal physiology labs provide excellent experience to the residents. There are Pelvic Floor Centers at the University of Illinois Hospital and Advocate Lutheran General Hospital, which provide ultrasound, biofeedback training, pudendal nerve studies and manometry testing. The Stroger Hospital of Cook County has an endoscopic simulator and ultrasound facilities including flexible endoscopic ultrasound. 

Outside Rotations: Not Available.

Research Year: Available. 

Requirement for Paper: Each resident must at least complete one paper for presentation at ASCRS meeting and/or publication in a referred journal. 

Opportunity to Attend Meetings: Each resident is given the opportunity to attend the ASCRS convention. The resident may also attend ACS Clinical Congress if he/she is on the program. The residents attend an annual Robotic course and Career development course. They are required to attend a biannual Chicago Colorectal Society dinner and meeting.