Residency in Colon and Rectal Surgery at MedStar Washington Hospital Center

The residency training program in colon and rectal surgery at the MedStar Washington Hospital Center in Washington, D.C. was initiated by Drs. Lee Smith and Thomas Stahl in July 1999 and has since trained eleven ABCRS board certified / board eligible individuals in our subspecialty. We host a one year clinical training experience, following the completion of a residency in general surgery. Our program offers wide exposure to colorectal and anorectal diseases, including colorectal cancer, inflammatory bowel disease and all forms of anal / perianal disease.

We are one of the few centers in the country who offer training on transanal microsurgery (TEM) as a tool for local treatment of benign and malignant lesions of the rectum, as well as training in the use of the single-incision laparoscopic surgery (SILS) instrumentation for transabdominal and transanal procedures. We perform open, laparoscopic assisted, hand-assisted, combined laparoscopic-endoscopic procedures.

We train our residents in the full scope of anorectal physiology testing (manometry, anal ultrasound, pudendal nerve terminal motor latency), and have a close relationship with our colleagues in urogynecology, urology, physical therapy and radiology, to offer multidisciplinary care as part of the National Center for Advanced Pelvic Surgery.

Education in Colon and Rectal Surgery

We host and participate in several educational activities during the academic year on a daily, weekly, monthly, and quarterly basis as described below.

Daily

  • Bedside rounds with general surgery residents

Weekly

  • Pre-operative conference
  • Case discussion of inpatients
  • General Surgery Grand Rounds and Morbidity Mortality conference
  • Systematic review of CRS Core Subjects (ASCRS textbook chapter review, plus supplemental materials)

Monthly

  • Colorectal surgery journal review
  • GI Oncology conference (hosted by the Washington Cancer Institute)
  • DC Metropolitan regional multidisciplinary gastrointestinal CME dinner case conference
  • Pathology conference (in conjunction with the Division of Gastroenterology)
  • Lower GI Research Forum (multidisciplinary meeting with the Division of Gastroenterology, often including participants from radiology, pathology, infectious disease, trauma critical care)

Quarterly

  • Radiology conference
  • Pelvic floor conference

Annually

  • Local - Metropolitan DC American College of Surgeons (bi-annual meeting)
  • Regional - Chesapeake Society of Colorectal Surgeons (bi-annual meeting)
  • National - ASCRS Annual Meeting

For more information:

Please contact:
Kurt Koches
Program Manager
Surgery Education Office
MedStar Washington Hospital Center
Phone: 202-877-6426
Email: [email protected]