You are here

University of Massachusetts Medical School

University of Massachusetts Medical School | ASCRS

Program Director: 
Karim Alavi, MD, MPH
University of Massachusetts Medical School
67 Belmont Street, Suite 201
UMass Memorial Medical Center-Memorial Campus
Worcester, MA 01602
United States
(508) 334-8195
(508) 334-9232

Program Coordinator: Teresa Paulin


Number of Residents (per year): 1 

Number of Faculty (ABCRS Certified): 4 (4) 

Salary/Year: Approximately $68,000 to $74,000 

Case Mix/Number of Cases: The resident will have the opportunity to perform approximately 200 abdominal cases, of which more than half are laparoscopic, 200-250 anorectal cases and greater than 200 colonoscopic examinations, including polypectomies and advanced techniques, such as balloon dilation of strictures and colonoscopic stent placement. 

Strengths of Program: The program provides the resident with a broad exposure to colorectal conditions including colorectal malignancies, inflammatory bowel disease, diverticulitis, anorectal disorders, and functional colorectal disorders including constipation and incontinence. A comprehensive endoscopic experience is available, including a colonoscopy simulator. Advanced technical skills such as TEM, single port laparoscopy, TaTME and robotic TME are part of the resident's operative experience. 

Clinic and/or Office Experience: The resident will be expected to attend a minimum of two office sessions per week, where they will have the opportunity to perform independent patient interviews/evaluations and learn to perform office procedures including anoscopy, rigid proctoscopy, thrombosed hemorrhoid excision, rubber band ligation of hemorrhoids and perirectal abscess drainage under the supervision of colorectal faculty. 

Interaction with General Surgery Residents: The resident will have daily interaction with junior and senior surgical residents rotating on the colorectal surgery service and at educational conferences. A rotating PGY 5 serves as the chief resident on one of the colorectal surgery services; the other service is led by the colorectal surgery resident. There is also one physician assistant and one nurse practitioner who assist in the care of inpatients and outpatients, respectively. The resident will be expected to perform all index level cases pertinent to a practice in colon and rectal surgery, specifically ileal pouch anal anastomosis, abdominoperineal resection, and overlapping sphincteroplasty. 

Conferences: There is a weekly core colorectal surgery conference, a combined GI/Surgery case conference and a multidisciplinary GI tumor board at which the resident will present colorectal cancer cases for discussion. There is also a monthly colorectal surgery teleconference with other regional sites and a monthly journal club meeting. The resident will also attend the general surgery weekly morbidity and mortality conference and grand rounds lectures. The Department of Pathology holds a monthly GI pathology conference which the resident will be encouraged to attend, specifically when the topics relate to colon and rectal surgery. 

Anorectal Physiology: The anorectal physiology laboratory at UMass Memorial Medical Center is a regional referral center, evaluating over 150 patients per year by a dedicated expert technologist who has over 20 years of experience. The resident will have the opportunity to perform in-depth manometric and physiologic evaluations along with 2D and 3D anal ultrasound. The lab also will provide the resident exposure to biofeedback therapy and electrogalvanic stimulation treatments.  Additionally, the resident will learn to independently perform 2D and 3D ultrasound evaluations of rectal cancer under the supervision of the colorectal faculty. 

Outside Rotations: Not Available. 

Research Year: A separate research year is available independent from the clinical fellowship. Please contact the program director for details if interested. 

Requirement for Paper: The resident will be required to submit an abstract for presentation at the annual meeting of the ASCRS and to submit the associated manuscript for publication in Diseases of the Colon and Rectum. 

Opportunity to Attend Meetings: The resident will be supported to attend the annual ASCRS meeting as well as the New England Society of Colon and Rectal Surgeons. The resident will also have the opportunity to attend a graduate educational course of their choosing during the academic year.