During Mayo Clinic's Colon and Rectal Surgery Fellowship, you will work closely with Mayo Clinic's eight colon and rectal surgeons. You will participate in elective preoperative patient evaluations, operative procedures, postoperative care, and emergency colorectal conditions. Every other day will be spent in the operating room, gaining experience in surgical management of diseases of the colon, rectum and anus. Minimally invasive surgery and enhanced recovery pathways are a significant part of the practice and trainees will gain significant experience in this approach.
On nonoperative days, residents run a daily anorectal surgery clinic with their faculty mentor. You will gain experience in complex colonoscopy, learn techniques for assessment of pelvic floor dysfunction, such as anorectal manometry, and work closely with our enterostomal therapists in management of stomas and stoma complications.
Each resident completes a six week rotation with each of the eight faculty members. During each of these rotations residents will be involved pre-and post-operative care and operate with their faculty. Residents also participate in emergency call on a rotating basis. Nonoperative days are spent in the anorectal surgery clinic with their faculty, performing complex colonoscopy and learning techniques for assessment of pelvic floor dysfunction.
Clinical conferences, seminars, journal clubs and one-on-one instruction are all an integral part of Mayo Clinic's Colon and Rectal Surgery Fellowship. You will participate in:
- A weekly dedicated Division of Colon and Rectal Surgery educational conference that includes moderated, formally structured, case presentations by residents and a didactic lecture by the faculty based on ASCRS textbook.
- A cadaver-based curriculum that includes technical competency assessment in open, laparoscopic and robotic surgical skills.
- A quarterly combined Colon and Rectal Surgery/Inflammatory Bowel Disease conference that includes case presentations by residents and/or a didactic lecture by faculty.
- A weekly seminar series in surgery that is sponsored by the Department of General Surgery and attended by residents and faculty members
- A quarterly visiting faculty program that features national and world leaders in Colon and Rectal Surgery.
- Journal club is held eight times per year, each one hosted by faculty.
- An extensive schedule of optional didactic conferences in many surgical and medical subspecialties and basic sciences
- An opportunity to spend one week in observation at St. Marks Hospital in London, England.
A structured research orientation will take place upon your arrival to present you with opportunities to pursue both clinical and basic research at our institution. We have tremendous resources, including extensive procedural databases, statisticians, and available funding. You will be encouraged to pursue one or more projects, submit an abstract to a national or international meeting and publish in highly recognized surgical journals.
A night float call system, as well as an ER call schedule, is structured to include both senior general surgery and colon and rectal residents. In a typical rotation, residents are on call one in every four nights and one weekend per month.
Residents teach by giving formal didactic lectures during the Monday Morning Colon and Rectal Surgery Conference and the quarterly Inflammatory Bowel Disease/Colon and Rectal Surgery combined conference. Residents also engage in daily teaching on rounds, in the operating room and in the clinic with general surgery residents and medical students. Residents also give formal didactic lectures to allied health staff throughout the year. Additionally, residents participate in educational activities in the general surgery training program in the simulation center and cadaver and animal labs.
- Weekly Colon and Rectal Surgery educational conference.
- Monthly journal club hosted by each faculty member.
- Morbidity and Mortality conference once every six weeks.
- Quarterly combined Inflammatory Bowel Disease/Colon and Rectal Surgery conference.
- Other education activities will be scheduled throughout the year.
Competency-based assessment in a 360-degree format is used for resident evaluation. To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored and assessed in the clinical and a simulated environment throughout the year. You are formally evaluated by your supervising faculty member and a mid-level provider following the completion of each clinical rotation; and then meet with the program director to review these evaluations. You will also be evaluated by patients and faculty will evaluate your participation in journal club and case presentations at conferences. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.