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Spectrum Health/MSU

Spectrum Health/MSU | ASCRS

Program Director: 
Rebecca E. Hoedema, MD, MS, FACS, FASCRS
Spectrum Health
221 Michigan NE
Suite 402
Grand Rapids, MI 49503
United States
(616) 391-3245
(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: $63,466

University Affiliation: Michigan State University 

Case Mix/Number of Cases: Each fellow easily meets the minimum case numbers annually.  Each fellow participates in approximately 200 endoscopic procedures, both diagnostic and therapeutic, with the option to see advanced endoscopy procedures (EMR/ESD) with the GI trained faculty.  Approximately 100 anorectal cases and 300 abdominal cases are performed per fellow per year, which includes approximately 70 pelvic dissections each.  More than half of the abdominal cases are minimally invasive approaches including robotic colorectal surgery with active participation of the fellows and progressive autonomy throughout the year.   

Strengths of Program: One of the greatest strengths of the program is the diverse background of the faculty that provides the fellow with a broad and varied approach to operative clinical scenarios.  In addition, there are 3 dedicated colorectal surgery PAs who are an integral part of the colorectal surgery team and perform daily interdisciplinary rounds on all inpatients with the on call faculty.  Other strengths include the clinical variety of cases, which are encountered in the office, endoscopy suite and the operating room.

Clinic and/or Office Experience: Office experience is available on a daily basis and the fellows are encouraged to attend office hours at least one half day per week.  In the office, a variety of patient encounters and consultations are performed in addition to office based procedures 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 are an integral part of the team and assist with daily duties, rounds, and case coverage. There are plenty of opportunities for teaching and we also regularly have medical students who rotate on the service.

Conferences: The didactic conferences occur every Tuesday morning.  A bimonthly tumor board, radiology and pathology conferences with GI participation for IBD cases and rotating quarterly meetings in research, safety and quality and video session review occur at 7am, followed by weekly M&M.  Weekly chapter review occurs with a complete review of the 3rd edition of the ASCRS textbook, along with other sources like CREST with the assigned faculty member

Anorectal Physiology: Defecography, anorectal manometry (ARM), endoanal ultrasound, and Biofeedback sessions are available on a regular basis for the fellow participation.  In addition, dedicated anorectal physiology teaching sessions are performed throughout the year. 

Outside Rotations: Not Available. 

Opportunity to Attend Meetings: Residents are given the opportunity to attend the company sponsored courses, which are available throughout the year, including the robotics course and the colorectal surgery career course, both supported by the Program Directors Association.  Participation in all local meetings is strongly encouraged and participation/presentation is highly recommended at a national level as well.