Colorectal Surgery Residency Training Program: An Overview

The Section of Colon and Rectal Surgery is part of the Division of General Surgery, Department of Surgery, University of Louisville. It is affiliated with five teaching hospitals, including:

  • University of Louisville Hospital
  • Norton Hospital
  • Kosair Children's Hospital
  • Jewish Hospital
  • Veterans Administration Medical Center (VAMC)

With the exception of the VAMC, these hospitals are all located within a three-block area. Most are connected by skyways. Together, the hospitals represent a resource of more than a thousand beds, with the most up-to-date diagnostic and therapeutic facilities. Both the UofL J. Brown Cancer Center and Norton Cancer Center are located in the downtown Medical Center campus.

The Section of Colon & Rectal Surgery has garnered an outstanding reputation. One of its main strengths is the balance between complex abdominal surgery, anorectal pathology and endoscopy.

The section is the referral center for inflammatory bowel disease patients in Kentucky and southern Indiana. It also treats a large number of patients with both primary and recurrent colorectal cancer, as well as patients with simple and complex anorectal diseases.

Scope of Training
The aim of our program is to produce well-rounded, skilled operating surgeons who are committed to life-long learning. Fellows are taught by faculty on a one-to-one basis and perform surgery under faculty supervision. The majority of graduates are expected to go on to careers in academic surgery.

The strongest asset of our training program is the breadth of exposure to colon and rectal surgery. Residents complete the program with experience in complex tertiary referral surgery, anorectal surgery,endoscopy, laparoscopy, and physiology. Anorectal manometry, EMG with determination of pudendal nerve terminal motor latency, and endoanal and endo-rectal ultrasound are routinely available and performed by residents. Defecating proctography and transit studies are performed by radiologists, but interpreted by colon and rectal surgery residents.

Because we maintain a strong research program, trainees also participate in clinical trials and gain cutting-edge knowledge of new drugs and procedures.

Schedule of Rotations
Our training program offers a varied experience, along with some flexibility. The current schedule of the faculty provides options to the resident so as to meet training requirements. The rotations are in four-week blocks—alternating among each of the four faculty members.

The resident typically has the following schedule:

Monday OR at UofL Hospital

OR at VAMC

UofL Hospital Endoscopy
PM patient office hours at Norton Brownsboro Office

Colorectal Cancer Clinic J.Graham Brown Cancer Center
Noon-1 pm GI Tumor Board J. Graham Brown Cancer Center
First & Third Monday afternoon’s patient office hours at Health Care Outpatient Center
Second & Fourth Monday afternoon’s Colorectal Cancer Clinic J. Graham Brown Cancer Center
Galandiuk

McCafferty

Jorden



Bullard Dunn
Tuesday Colorectal clinic at UofL
Patient office hours at Health Care Outpatient Center

OR at VAMC

Colorectal Clinical at UofL
OR at Norton, Jewish or University Hospital

Colorectal clinic at UofL
Surgery/Endoscopy
Galandiuk



McCafferty

Jorden


Bullard Dunn
Wednesday OR at University Hospital

Colonscopies at VAMC

Patient Office hours at Health Care Outpatient Center

OR at Norton, Jewish, or University Hospital
Galandiuk

McCafferty

Jorden


Bullard Dunn
Thursday Patient office hours at Health Care Outpatient Center

AM—Proctology Clinic at VAMC
PM—Endoscopic/surgical procedures at VAMC

OR at Norton, Jewish, or University Hospital

Academic Duties
Galandiuk


McCafferty



Jorden

Bullard Dunn
Friday OR at Jewish, Norton or University Hospital

OR at VAMC

OR at Norton, Jewsh or University Hospital

Patient office hours at Health Care Outpatient Center
Galandiuk

McCafferty

Jorden

Bullard Dunn

Colonoscopies are scheduled throughout the week and these are available to the resident.

A four-week vacation is provided. There are no in-house calls after hours. However, residents must come to the hospital for emergency consults or surgeries. During the day, residents are responsible for rounding on patients, as well as overseeing the pre- and post-operative care of these patients. Sundays are free of clinical responsibilities. Residents will be off-call every other weekend, 7:00 PM Friday to 5:00 AM Monday. Moonlighting is not permitted.

Research Opportunities
The Department of Surgery at the University of Louisville School of Medicine offers outstanding research opportunities in the field of colon and rectal surgery, including clinical outcomes research and phase II and III clinical trials of new drugs and devices. An additional year of basic science research is optional.

Currently, our laboratory research is focusing on molecular biologic aspects of inflammatory bowel disease and colorectal cancer. We utilize a library of more than 1,000 DNA samples from patients with Crohn’s disease, ulcerative colitis, indeterminate colitis, familial adenomatous polyposis and colorectal cancer.

Other areas of basic research are varied and include immune tolerance, effect of temperature on infection and alterations in microcirculation and cytokine production in the presence of infection and tissue injury. Some of these projects are supervised in part by general and oncological surgeons. However, participation in any of the above is available to the colon and rectal surgery resident who wishes to pursue an additional laboratory research year. Advanced degrees (MBA, MPH and PhD) are also available, but, in most cases, are contingent on an additional 12- to 18-month commitment.

National Meeting Attendance
Each completing resident must submit one manuscript for publication in a peer-reviewed journal and at least one abstract for presentation at a national surgery meeting. Residents also must attend the meeting of the American Society of Colon & Rectal Surgeons. Expenses are paid for by the Section. Other national meeting attendance is contingent upon having a paper on the program.

Teaching Conferences
Colorectal surgery residents interact with general surgery residents and medical students. On Fridays, residents participate in teaching rounds at Surgery Grand Rounds. Afterwards, they attend the Quality Improvement Conference with the general surgery residents. On Monday mornings, there is a weekly colon and rectal surgery conference. This includes presentations by University faculty, Colorectal Quality Improvement Conference, and Journal Club.

Attendance at the Critical Care/Basic Science Conference of the general surgery residents on Monday mornings is optional. The Tumor Board of the J. Graham Brown Cancer Center meets weekly on Monday from noon to 1:00 PM.

We believe that the Colon & Rectal Surgery Training Program is one of the finest in the country. Should you have any questions about our program, please call or email us. We'd be happy to discuss program details with you.

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