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Southern Illinois University - Springfield Clinic Residency in Colorectal Surgery

Southern Illinois University - Springfield Clinic Residency in Colorectal Surgery | ASCRS

Program Director: 
Jan Rakinic, MD
Address: 
Southern Illinois University School of Medicine
P.O. Box 19638
Department of Surgery, Section of Colorectal Surgery
Springfield, IL 62794-9638
United States
Phone: 
(217) 545-7230
Fax: 
(217) 545-7762

Number of Residents (per year): 1

Number of Faculty (ABCRS Certified): 7

Salary/Year: $61,717 (PGY 6)

Case Mix/Number of Cases: Over 400 anorectal cases, 1,700 endoscopies and 2,000 abdominal cases are performed annually by the seven attending surgeons in the SIU Colorectal Surgery Residency Program. 

Strengths of Program: The Southern Illinois University Program in Colorectal Surgery is a collaborative educational program involving academic and private colorectal surgeons who have come together to craft a program designed to provide excellent postgraduate training in the current practice of colorectal surgery. The catchment area for the Southern Illinois University Program in Colorectal Surgery encompasses the southern two-thirds of Illinois, including urban and rural populations. As the program is centered in a tertiary care center, the breadth of pathology seen covers the entire spectrum of colorectal disease, from basic uncomplicated anorectal and colorectal problems in otherwise healthy people to complex and complicated anorectal and colorectal problems in people with multiple medical comorbidities. The surgical faculty enjoys a good working relationship with other subspecialties who often participate in management of complex cases, including but not limited to: urology, gynecology, plastic surgery, radiation and medical oncology, gastroenterology, orthopedics and enterostomal therapy/wound management. The CRS attendings have trained at a number of different programs, allowing a breadth of experience for the trainee’s benefit. 

Clinic and/or Office Experience: The SIU Colorectal Surgery Program uses three inpatient facilities and two outpatient facilities. The inpatient facilities allow the CRS resident to gain experience with working within two distinct healthcare systems – a private, nonprofit healthcare system, as well as a church-owned healthcare system. Each inpatient facility is part of a larger regional healthcare system, which incorporates inpatient and outpatient care elements. The culture within each system is also distinctly different. Experience with both will equip the CRS resident with skills that will aid his/her transition into a practice setting. Similarly, the two outpatient settings are distinctly different – one is an academic clinic setting, and the other a private office setting, and experience with both will allow the CRS resident to feel more comfortable when settling into the type of practice s/he chooses after completion of training.  

Interaction with General Surgery Residents: SIU has a five-year general surgery program with four categorical residents per year. The CRS resident teaches general surgery residents and medical students on the CRS service. S/he also teaches nurses and other allied healthcare workers in the operating suite and other procedural and patient care areas. Further, the CRS resident engages in teaching patients about the concerns for which they have visited the Colorectal Surgery Clinic, as well as the plans for evaluation and treatment, including potential side effects of therapy. Education of family members may occur concurrently or separately.  

Conferences:

Colorectal Surgery Service Conference: 0700-0800, every Monday. Attendees include Colorectal Surgery faculty, residents and medical students on CR Surgery rotation, nurses and physician extenders. The inpatients on the CR Surgery service are discussed and used as teaching material by the CR Surgery faculty.

Colorectal Surgery Core Conference: 1715-1815, every Monday. Core conference is presented by the CRS resident and/or identified attending staff. Invited speakers who are content experts in their fields will present Core Conference topics, as well.

Morbidity and Mortality: 0700-0800, every third Thursday.

Surgery Grand Rounds: 0800-0900, as scheduled.

Colorectal Cancer Management conference: 1200-1300, every second and fourth Thursday.

Colorectal Surgery Journal Club: 1800-2000, every other month; held at the homes of CRS faculty, attended by Colorectal Surgery faculty, the CRS resident, General Surgery residents on service and colorectal surgeons in practice in the region. Also invited are other interested surgery faculty, residents, medical students and invited attendees who are content experts in their field.

Colorectal Surgery Program Review: Held twice during the academic year, at the midpoint and near the end of the academic year. Attended by Colorectal Surgery faculty, the CRS resident and Colorectal Surgery Program support staff. Effectiveness of the program is reviewed, and changes in program structure and content are discussed and implemented as appropriate. 

Anorectal Physiology: 

A multidisciplinary pelvic floor program for the evaluation and management of functional and pelvic disorders is available. Basic physiologic investigations and tests including ultrasonography, manometry and transit studies are available.  

  • Endorectal ultrasounds (3D and 2D) for benign and malignant conditions are performed and interpreted by colorectal surgeons.
  • Anorectal manometry and pelvic floor evaluation is performed by a trained nurse and interpreted by colorectal surgeons.
  • Biofeedback is available.
  • Contrast studies such as defecography, CT enterography and nuclear transit studies are done through the department of radiology.

Outside Rotations: OSF St. Francis, Peoria, IL

Research Year: Available by arrangement.

Requirement for Paper: There is an expectation that the colorectal surgery resident will involve himself/herself in an ongoing research project or propose and carry out a project of his/her own design during the colorectal surgery residency. It is expected that the project will result in a publication or presentation at a national or regional scientific meeting. Multiple research opportunities are available at the School of Medicine and in the Section of Colorectal Surgery.  

Opportunity to Attend Meetings: The Department of Surgery provides funds for the resident's attendance at the annual ASCRS meeting, as well as other meetings in the continental United States at which the resident presents research. The resident is also supported to attend several specialty courses sponsored by the APDCRS.