Welcome Message from Program Director

 

 

LSU Colon and Rectal Fellowship

 

The Colon and Rectal Surgery Fellowship Program at LSUHSC-New Orleans is an exceptional training program offering a unique clinical environment that provides a challenging surgical education program to prepares our graduates for their future. Our fellows have the opportunity to participate in every facet of the care of patients with a wide range of colon and rectal pathology.  This prepares them for a successful future in any facet of colon and rectal surgical practice that they will encounter after graduation.

 
Our program is based primarily at the University Medical Center in New Orleans, Louisiana.   This new, state of the art facility provides a tremendous clinical experience with active teaching and the newest technologies available.  UMCNO is a safety net hospital and this allows the clinicians to see pathology and volumes that are unparalleled in a colorectal surgical training program.  The Section of colon and rectal surgery is composed of outstanding faculty who are leaders in the field both nationally and regionally who are also dedicated to teaching excellence. The fellow works closely with these faculty yet is expected to function at the level of a junior staff surgeon commensurate with their surgical experience. 

 

Here at the LSUHSC colorectal surgery program, we focus on the patient, for they are why we do what we do.  Our aim is to provide the best, timely care to the sickest patients with the fewest means.  We demand continuous professional and personal growth yet are able to accomplish this in a friendly supportive environment.  Graduating general surgery residents choose our program because they want to be challenged.  This program is for those who seek an unparalleled clinical experience, occurring in a nurturing environment. This fellowship instills all the behaviors and skills necessary for becoming a successful colon and rectal surgeon.

 

The city of New Orleans is a wonderful and unique place to train and live. Our philosophy is Laissez le bons temps rouler. Apply and come for a visit.  We are confident you will recognize a true gem in the bayou.

 

LSU Faculty: Section of CRS

 

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Guy R Orangio MD, FACS,FASCRS
Professor of Clinical Surgery
Past-President American Society of Colon and Rectal Surgeons
Section Chief of Colon and Rectal Surgery
Program Director of Colon and Rectal Surgery Fellowship
LSU Health Science Center

Colon and Rectal Surgery Fellowship- ACGME Accredited

Number of Residents (per year): 1

Number of Faculty (ABCRS Certified): 4

Salary/Year: $60,382.94

Eligibility: Board eligible/board certified general surgeon

Case Mix/Number of Cases: LSU-UMCNO training program encompasses the entire spectrum of benign and malignant disease of the small bowel, colon, rectum, and anus. A single trainee will be able to achieve and exceed all required defined categories. Fellows are expected to complete between 650-750 total cases: including 200-250 abdominal procedures (40% minimally invasive); 200-250 anorectal procedures; > 250 colonoscopy (diagnostic and therapeutic).

Strengths of Program: With a high ratio of faculty to colorectal surgery fellow, the fellow is offered close one-on-one attention. The University Medical Center New Orleans (UMCNO) which opened August of 2015, it is a state of the art academic medical center and Level I trauma center, boasting 440 beds. UMCNO has two Robotic Platforms; the new Senhance Surgery TransEnterix Robotic System and a Dual Console Da Vinci Robot (Si) System ideal for teaching robotic colorectal surgery. All operating rooms have 60-inch LED wall mounted video monitors and boom mounted mobile LED monitors for all minimally invasive platforms (including standard laparoscopic) for colon and rectal resections. LSU-UMCNO also cares for a high-risk patient population, which offers a high level of complex disease management, including treating a high percentage of locally advanced and late-stage colorectal malignancies. LSU-UMCNO Colorectal Surgery partners include the LSU Gastroenterology Inflammatory Bowel Disease Clinic, which affords us a high volume of complex patients with Crohn’s Disease and Ulcerative Colitis. In addition, LSU-UMCNO serves a large stable HIV/AIDS population, offering management of advanced diseases of the anus (high incidence of anal canal cancers) and rectum in immunosuppressed patients.

Clinic and/or Office Experience: : University Medical Center Colorectal Clinic and LSU Healthcare Network Colorectal Clinics have two half days/week each, with the full spectrum of patients with anorectal disease and the experience includes anoscopy, proctoscopy, and THD digital high resolution anoscopy (HRA) system.

Interaction with General Surgery Residents: The LSU General Surgery Residency graduates 10 Chief residents per year covering 3 cites in Louisiana (New Orleans, Lafayette and Baton Rouge). The relationship of the GS and CRS program is collegial and interactive. The CRS service includes general surgery junior and mid-level residents on service, usually a PGY-1 or -2 one PGY-3. The CRS service also has (3) third year medical students and fourth year acting interns. The fellow will oversee the CRS service, with attending supervision but with ample opportunity for supervised independent clinical and didactic teaching, as he/she progress through the fellowship. 

Conferences: Weekly didactics based on the ASCRS Textbook of Colon and Rectal Surgery 3rd edition, Morbidity & Mortally Conference and Multidisciplinary Tumor Board. Monthly Colorectal Journal Club and Multidisciplinary Inflammatory Bowel Disease Conference. A bimonthly Hepatobiliary Multidisciplinary Conference, which CRS attends when we present patients with colorectal metastatic disease.

Anorectal Physiology: Anal manometry, endorectal ultrasound, MRI defecography

Outside Rotations: N/A

Research Year: Not currently offered. One half-day per week of dedicated research time

Requirement for Paper: The fellow is expected to develop a project of his/her own design during the fellowship that will result in a publication or a presentation at a national (ASCRS Annual Scientific Meeting) and/or a regional scientific meeting.