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Goals and Objectives of the Colorectal
Surgery Residency Training Program

The Section of Colon and Rectal Surgery at the UniThe goal of the University of Louisville Colon and Rectal Surgery Fellowship Program is to produce a well-rounded colon & rectal surgeon with clinical competence in the care of lower gastrointestinal disease.

At the completion of the fellowship, the trainee will have factual knowledge and technical skills with respect to preoperative evaluation, operative management and postoperative care of patients with lower gastrointestinal disease. This includes knowledge of the anatomy and embryology pertinent to the practice of colon & rectal surgery. The trainee will have a thorough understanding of the diagnosis, medical and surgical treatment of benign anorectal and colonic disorders, as well as of functional disorders affecting the lower gastrointestinal tract and pelvic floor.

Competence will be attained in the evaluation and treatment of malignant disease affecting the colon, rectum and anus. This includes knowledge regarding the molecular basis of such disease. The trainee will become familiar with the indications for adjuvant radiation and chemotherapy and with the complications associated with these treatments. Understanding of the role of both medical therapy and surgery in the treatment of patients with inflammatory bowel disease will be a major goal of the fellowship. This includes the indications for and management of intestinal stomas and complex wounds and fistulae.

Individuals who complete the fellowship will be competent in the selection and performance of patient preparation for, and the prevention and management of complications of, endoscopy of the colon, rectum and anus.

Training will also include techniques for the correct performance and interpretation of endorectal and endoanal ultrasonography and anorectal physiological studies. Trainees will be competent in the interpretation of radiographic studies including:

  • defecography
  • transit studies
  • barium enema
  • visceral angiography
  • CT scanning
  • magnetic resonance imaging
  • hepatic ultrasonography.

Fellows will be knowledgeable in the application of laparoscopic techniques applicable to colon and rectal surgery and be aware of the indications and contra-indications to the laparoscopic approach. Fellows will be able to recognize gross and microscopic features of key colon and rectal pathologies and histologies.

It is anticipated that upon completion of the fellowship in colon and rectal surgery, that residents will be prepared to play an active role in the socioeconomic and political climate that has impact on the care that they are able to provide their patients. They will also develop the presentation skills that will allow them to deliver an effective medical presentation.

Educational Goals of Colorectal Surgery Fellowship Program

  1. To educate fellows regarding the indications for surgery, and pre and postoperative care of patients undergoing colorectal surgery procedures.

  2. To teach colon and rectal surgery fellows the technical skills involved in sphincter-sparing procedures for rectal cancer, surgery for inflammatory bowel disease, endoscopy, anorectal procedures and anorectal physiology.

  3. To produce a well-rounded colon and rectal surgeon with a commitment to life- long learning and encourage graduates to go on to careers in academic medicine.

  4. Provide a background in the basic science and underlying the pathogenesis of colorectal diseases and their treatment.

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