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Methodist Healthcare System of San Antonio

Methodist Healthcare System of San Antonio | ASCRS

Program Director: 
Jaime L. Mayoral, MD
Methodist Healthcare System of San Antonio
1200 Brooklyn Avenue
Suite 150
San Antonio, TX 78212
United States
(210) 575-3116
(210) 510-6093

Program Coordinator: Jessica L. Craig

Number of Fellows (per year): 1 

Number of Faculty (ABCRS Certified): 4 

Salary/Year: Commensurate with experience. 

University Affiliation: N/A 

Case Mix /Number of Cases: The program provides a balance of the major elements of colorectal surgery. Each resident participates in approximately 150 abdominal colon operations, 200 anorectal operations and 350 colonoscopic procedures during the year. 

Strengths of Program: Strengths of the program include a wide experience in both complex referral cases as well as the more common problems seen in a community based practice. Virtually all anorectal procedures are performed in an ambulatory setting. Our special areas of interest include: local excision of carcinoma of the rectum, preoperative adjuvant treatment of rectal carcinoma, colorectal endometriosis, fecal incontinence, single layer continuous bowel anastomosis and rectal prolapse. All of the faculty are now performing an increasing percentage of their colorectal resections laparoscopically. The program utilizes a number of different hospitals which offers a very realistic exposure to the practice of colon and rectal surgery in a setting influenced by managed care.

Clinic and/or Office Experience: A great deal of time (average four hours per day) is spent in the clinic/office where new patients (4,500 per year) are evaluated, postoperative patients are followed, and many problems are managed (rubber band ligation, minor surgical procedures, and medical therapy of anorectal and inflammatory bowel disease).

Interaction with General Surgery Residents: There is little interaction with general surgical residents and virtually no competition from them for operative cases. 

Conferences: Residents are responsible for the colon and rectal surgical conference consisting of didactic presentations, morbidity and mortality, journal review and case presentations. They also have the opportunity to attend general surgery grand rounds, as well as gastroenterology/surgery, pathology, radiology and other specialty conferences. A weekly lecture series covers most of the topics of colon and rectal surgery.

Anorectal Physiology: Anorectal physiological studies available include anal manometry, defecography, pudendal nerve conduction, EMG and endorectal ultrasound. Ultrasound and manometry are performed by the colorectal surgeons. 

Outside Rotations: Not Available. 

Research Year: Not Available. 

Requirement for Paper: A paper is required for completion of the program and a large amount of clinical material is available for review. The fellow is encouraged to submit this work for presentation at the ASCRS Annual Scientific Meeting and/or the Texas Medical Association. 

Opportunity to Attend Meetings: Support is provided for the fellow to attend one meeting during the year.