Fellowship Program Details
Anorectal anomalies are medical problems affecting the structure of the anus and rectum. A person with an anorectal problem would have some sort of deformative feature of the anus or rectum, collectively known as an anorectal malformation.
Anorectal disorders are painful but common conditions like hemorrhoids, tears, fistulas, or abscesses that affect the anal region. Primary care physicians can treat most of these disorders, however, roughly half of whom need surgery to remedy the disorders.
It results from disruption of the anchoring of the anal cushions. Doctors uses a variety of tools and techniques to evaluate the type of anorectal disorder, including digital and anoscopic investigations. The initial examination can be painful because a gastroenterologist will need to spread the buttocks and probe the painful area, which may require a local anesthetic.
The most common outpatient advice given to patients with less severe disorders include a high-fiber diet, application of ointment, and increased water intake. More serious procedures include the removal of affected tissue, injection of botulinum toxin, or surgically opening the fistula tract in the sphincter muscle.
Clinical Fellowship Training
Colon and Rectal Surgery is a challenging and fulfilling field with interesting and widely variable tasks, making it the preferred career for an increasing number of residents who are in the final path of their general surgery training. Due to the steadily rising interest in the field, it has become increasingly difficult to match into a fellowship in Colon and Rectal Surgery. For those who have decided to pursue a career in Colon and Rectal Surgery, this overview may be of some use during the quite cumbersome and costly process of applying for a fellowship.
Anorectal fellowship program is designed as a rotating preceptorship. Fellows spend about one month to two months with the each of the primary teaching attending physicians and work very closely with the program’s colorectal surgeons. Fellows take histories and perform physical examinations on new and established patients, make ward rounds alone or with one of the attending staff, write progress notes, order and interpret diagnostic tests, perform and assist surgical procedures, learn and perform diagnostic and therapeutic colonoscopies, teach and participate in assigned conferences and present clinical cases when necessary. Additionally, fellows spend time with other members of the Cedars-Sinai teaching staff, gaining valuable insights into enterostomal care, anorectal and colonic physiologic testing, anorectal ultrasound and pelvic floor disorders. Essentially, all aspects of colorectal surgery are observed, managed and discussed within this one-year experience.