University of Missouri Columbia Department of Surgery Division of General Surgery
University of Missouri Columbia Department of Surgery Division of General Surgery Residency Program University of Missouri H lth Care Health C System S t University of Missouri Hospital & Clinics MU Women’s W ’ & Children’s Child ’ Hospital H i l Ellis Fischel Cancer Center University of Missouri Hospital & Clinics • • • University Hospital serves as the flagship hospital of University of Missouri Health Care, offering the only Level I trauma center and helicopter service in central Missouri. Located on the MU campus, the hospital opened its doors in 1956 bringing previously unavailable advanced medical care to rural Missourians. Missourians Today, the 274-bed hospital offers a wide spectrum of services, from specialty care in outpatient clinics to advanced critical care in the hospital's three-story addition, which was dedicated in 2000. The following list outlines just a few services offered at University Hospital: – – – – – – – – – – World-renowned diabetes center Nationally recognized eye institute Comprehensive cardiology services for the diagnosis and treatment of virtually all types of heart problems Mid-Missouri's Mid Missouri s only burn intensive intensive-care care unit Accredited sleep disorders center Same-day surgery center Mid-Missouri's most comprehensive neonatal intensive care unit Ronald McDonald House family room Vi it amenities Visitor iti such h as free f valet l t parking, ki hotel-style h t l t l patient ti t room service, a full-service restaurant, Lakota Coffee Kiosk, cafeteria, and gift shop Full-service bank in the hospital and ATM Machines MU Women Women’ss & Children’s Children s Hospital • • • MU Women’s and Children’s Hospital, formerly Columbia Regional Hospital, opened with 157 beds for women and children in September p 2010. Patients and visitors at the new Children’s Hospital will find 43 private rooms for pediatric and adolescent patients. Located on the fifth floor of the hospital, these rooms are decorated in bright, kid-friendly décor. The rooms average 244 square feet, and include a bathroom and sleeper sofa for family members. The rooms come equipped with free wireless Internet access and a Wii Gaming System for kids. The Family Birth Center features 26 antepartum and postpartum rooms, eight labor and delivery rooms, two surgical suites and a well-baby nursery. Each private patient room includes a bathroom, bathroom a sleeper sofa for guests and special amenities for new mothers to welcome the arrival of their babies. An obstetrician/gynecologist is available 24 hours a day, seven days a week to provide care at the Family Birth Center, which delivered 1,863 babies in fiscal year 2010. Affiliated Institution Harry S Truman Memorial VA Hospital Harryy S Truman VA Hospital p • • • • The Harry S. Truman Memorial Veterans’ Hospital was dedicated in 1972 and is located on the southwestern edge of the University of Missouri-Columbia (MU) campus. The facility was built to g veterans throughout g mid-Missouri. Public law enacted in meet the health care needs of eligible January 1975 changed the name of the Columbia VA Hospital in honor of former President Truman. The facility is one of nine medical centers in the VA Heartland Network, a Veterans Integrated Service Network (VISN) covering a geographic region served by medical centers and clinics in Kansas, Missouri, southern Illinois, northern Arkansas, southern Indiana and western Kentucky. N t Network kh headquarters d t iis llocated t d in i Kansas K City, Cit Missouri. Mi i In I 1998 an ambulatory b l t care addition dditi was completed to replace and expand the key outpatient services of the facility. The facility is a general medical and surgical, tertiary care teaching medical center with 66 acute care operating beds and 38 extended care beds. Each patient is assigned to a health care team responsible for the total care of that individual. We deliver the entire continuum of care for our patients, ti t ffrom iintensive t i iinpatient ti t services i to t primary i care to t h home care to t h hospice i to t extended t d d care as well as providing special programs to meet the unique needs of veterans. Ambulatory care outpatient services encompass all primary care and specialty clinics, ambulatory diagnostic and therapeutic procedures, a pharmacy and associated clinical and administrative support functions. The facility’s outpatient is more than 163,500 visits per year. Ellis Fischel Cancer Center • Ellis Fischel has been serving the citizens of Missouri since it’s establishment in 1940 as a state facility. facility Ellis Fischel was the first cancer center west of the Mississippi. In 1990, Ellis Fischel became a partner with the University of Missouri Health Sciences Center. • Ellis Fischel Cancer Center provides a full range of diagnostic services available on-site to assist physicians in determining the type and extent of the disease process. Once a diagnosis is made, a multidisciplinary team works with each patient to determine the best treatment plan. Manyy p patients are treated with a combination of surgery, g y, chemotherapy py and/or radiation therapy. A wide range of rehabilitative and counseling services is also available to help patients and their families cope with the physical and emotional effects of cancer. Ellis Fischel also offers the most comprehensive cancer screening program in mid-Missouri. Department of Surgery • Surgeons at University Hospital and Clinics, Children's Hospital, and Ellis Fischel Cancer Center provide diagnostic, operative and non-operative management and postoperative care for adults and children with surgical disorders. Treatment is provided by a competent and caring team of surgeons, nurses, and staff. Surgeons are available for both adult and pediatric emergency cases 24 hours a day. • More than 68,000 patients visit the surgical clinics each year. Approximately 13,400 surgical procedures are performed at University Hospital and Ellis Fischel Cancer Center per year. Many of these procedures d are performed f d in i the th Same S Day D Surgery S Center, C t offering ff i patients an early return to normal daily activities. • The Health Sciences Center is one of the most comprehensive health care networks in the mid-west, with five hospitals and a network of clinics offering the finest primary, secondary, and tertiary health care services. Department p of Surgery g y Divisions • • • • • • • • Cardiothoracic Surgery G General l Surgery S Acute Care Surgery (Trauma, SICU & Burn) g Surgery g y Neurological Plastic and Reconstructive Surgery Surgical Oncology Urology Vascular Surgery The department Th d t t provides id preoperative ti evaluation, l ti operative and non-operative management and postoperative care for adults and children with the widest variety of surgical disorders. disorders Department of Surgery Care Centers • • • • • • • Bariatric B i t i Surgery S C Center t Craniofacial Center George David Peak Memorial Burn Care Center Heart Center Minimally Invasive Surgery Center Same Day Surgery Center Level 1 Trauma Center Missouri Bariatric Services • • MU Healthcare Healthcare’ss Missouri Bariatric Services provides a multidisciplinary approach to the weight-loss surgery process that guides you from pre-surgery consultation and testing through surgery, recovery and continuing support. The physicians of the Missouri Bariatric Service are Drs. Roger de la Torre, Arachana a as a y, and a d Norbert o be t Richardson. c a dso Ramaswamy, Dr. Roger de la Torre is internationally recognized as a leader in laparoscopic surgery. He has been invited to hospitals and universities throughout the United States, Europe, Asia and South America to lecture and perform various laparoscopic operations. He holds more than 30 patents world wide for surgical d devices. Dr. de d la l Torre has h performed f d more than h 2,000 bariatric b procedures d and has published articles in surgical journals and laparoscopic textbooks regarding the techniques he helped develop. • • • The Burn Care Center opened its doors in 1977. 1977 It was the first facility solely dedicated to treating burn patients in mid-Missouri and remains the only burn intensive care center between Kansas City and St. Louis. Today the Burn Center is in the forefront of burn care by offering new techniques for skin replacement, including the use of cultured skin and dermal substitutes. The multidisciplinary burn care team also l is i committed itt d to t teaching t hi and d educating d ti children hild and d adults d lt how h to t preventt burns. Currently we average between 300-400 admissions per year and we are ranked in the top 20 nationally for excellence in burn care services. The Burn Center is housed in University Hospital and Clinics' Critical Care Tower. This new structure provides the latest in medical technology for critically ill patients patients. In addition, to our burn patients the Wound Care clinic will see 5,000-6,000 patients each year. Level I Trauma Center • • • The only Level I Trauma Center in mid-Missouri and one of only five in the state treats more than 25,000 patients in its emergency room each year. University Hospital's comprehensive program for the care of injured children and adults uses a multidisciplinary ltidi i li tteam approach. h S Specially i ll trained t i d physicians, h i i nurses, therapists, th i t technicians and social workers collaborate in the provision of high-quality patient care from the time of the injury through the rehabilitation process. As a Level I Trauma Center, a tertiary care referral center and a regional resource center, the Health Sciences Center possesses the capability of providing total care of every aspect of injury including prevention. ti The trauma program at University Hospital and Clinics is recognized by the Missouri Department of Health and the American College of Surgeons. The trauma team is led by board-certified surgeons accredited in critical care and includes a team of trauma surgeons g trained in the operative p and non-operative p care of the trauma patient, p , an orthopedic traumatologist with fellowship training and a team of board-certified pediatric surgeons. Trauma nurse coordinators are responsible for program management and coordination of care. Trauma nurse clinicians manage the patient care process from the point of trauma resuscitation throughout the continuum of care. Pre-hospital Pre hospital care and transportation of trauma victims is provided by ground and air, including an ambulance specially designed to transport critically ill newborns. Surgical g Research Programs g • In addition to providing state-of-the-art surgical care, members of our health care team also educate future health care providers and conduct important research. Facultyy members of the Department p of Surgery g y are activelyy involved in a wide array of clinical and basic research aimed at conquering disease and improving quality of life. • The department department'ss leading edge research efforts are nationally recognized for excellence. The research program includes participation in national cooperative clinical trials to advance surgical practice and improve health care. Advanced medical informatics research is another important area of faculty endeavor. State-of-the-art surgical facilities, laboratories, and computer technology support these research activities activities. Life Sciences Center Dalton Research Center Inventing the Future of Patient i Care C • The University of Missouri - Columbia recognizes the growing need to improve patient care through the invention and development of new medical technologies. The MU Biodesign and Innovation Program (MUBIP) purpose is to meet this need in health care and invent the future of patient care through g two tiers, multidisciplinary p y facultyy collaboration within the University of Missouri - Columbia and formal education training in the biodesign process. Collaborative efforts between the Department of Surgery and College of Engineering faculty through research bring new innovations in biodesign to meet the growing needs of health care. The educational goal of the fellowship program is to produce high-quality high-quality, innovative professionals with the desire and knowledge to continue producing successful medical technologies. • MUBIP offers a one year fellowship for 3 individuals individuals, from July1 to June 30. 30 The 3 member fellowship team is comprised of a physician, engineer and business person. MOCATS Mi i ll Invasive Minimally I i Surgery S Center C t • The surgeons at University Hospital perform a large percentage of their general surgery procedures using minimally invasive surgery. Below are the procedures performed by our general MIS surgeons. Diagnostic g laparoscopy p py Laparoscopic p p jejunostomy j j y Laparoscopic adrenalectomy Laparoscopic live donor nephrectomy Laparoscopic appendectomy Laparoscopic nephrectomy Laparoscopic biliary enteric bypass Laparoscopic nissen fundoplication for GERD Laparoscopic cholecystectomy Laparoscopic pancreatic surgery Laparoscopic colostomies/ileostomies Laparoscopic placement of peritoneal dialysis Laparoscopic common bile duct exploration Laparoscopic pyeloplasty Laparoscopic esophagectomy Laparoscopic repair of perforated duodenal ulcer Laparoscopic esophageal myotomy for achalasia Laparoscopic Roux-en Y gastric bypass Laparoscopic gastrectomies Laparoscopic small bowel surgery Laparoscopic gastro-enterostomy Thoracoscopic/laparoscopic diaphragmatic repair Laparoscopic gastrostomy Laparoscopic ventral hernia repairs Laparoscopic liver procedures Laparoscopic inguinal hernia repairs Laparoscopic management of gastric secretion disorders Robotic Assisted Minimally i i ll Invasive i Surgery S • University of Missouri Health Care is the first health system in midmid Missouri to offer robotic minimally invasive surgery using the da Vinci® Surgical System. • The da Vinci surgical robot will assist University of Missouri Health Care surgeons in performing complex minimally invasive procedures. Initially it will be used for prostate cancer, Initially, cancer hysterectomy and gastrointestinal surgery. The Chairman Jerry B. Rogers, M.D. Chairman Associate Professor of Surgery Medical School George Washington University School of Medicine Washington, DC Residency General Surgery Washington Hospital Center Washington, DC Board Certification American Board of Surgery Department of Surgery Di i i off Division General Surgery General Surgery g y Facultyy Roger de la Torre, M.D. Chief, Division of General Surgery Cli i l Assistant Clinical A i t t Professor P f off Surgery S Associate Program Director, General Surgery Medical School Indiana University School of Medicine Indianapolis, Indiana Residency y Mount Sinai Medical Center Miami Beach, Florida Board Certification American Board of Surgery General Surgery Faculty Arthur Rawlings, M.D. Assistant Professor of Surgery Program Director Director, General Surgery Medical School University of Illinois Peoria IL Peoria, Residency University of Illinois Peoria, IL Additional Study Fellowship, Minimally Invasive Surgery Washington University St. Louis, MO Board Certification American Board of Surgery Surgical Oncology Faculty D b K Debra Koivunen, i M M.D. D Associate Dean, Graduate Medical Education Associate Professor of Surgery Associate Program g Director,, General Surgery g y Medical School University of Michigan Ann Arbor Michigan Residency University of Missouri-Columbia Columbia, Missouri Additional Study Fellowship in Surgical Endocrinology The Milton S. Hershey Medical Center Hershey, y, Pennsylvania y Board Certification American Board of Surgery Acute Care Surgery Faculty Stephen Barnes, M.D. Chief, Acute Care Surgery Medical ed ca School Sc oo University of Alabama-Birmingham Birmingham, Alabama Residency General Surgery University of Kentucky – Lexington, KY Fellowships Trauma & Surgical Critical Care Fellowship University of Kentucky – Lexington, KY Advanced Laparoscopic & GI Surgery Fellowship U i University it off Cincinnati Ci i ti – Cincinnati, Ci i ti OH Board Certification American Board of Surgery with Added Qualifications in Surgical Critical Care Acute Care Surgery Faculty Jeff Coughenour, M.D. Clinical Assistant Professor of Surgery Medical Director Director, Surgical Intensive Care Unit Medical School University of Missouri- Kansas City School of Medicine K Kansas City, Cit Missouri Mi i Residency University of Missouri- Kansas City School of Medicine Kansas City, City Missouri Fellowship Surgical Critical Care & Trauma Fellowship University of Kentucky - Lexington, Lexington KY Board Certification American Board of Surgery Acute Care Surgery Faculty J James K Kessel, l M M.D. D Associate Professor of Surgery Medical Director, Trauma Services Medical School Jefferson Medical College Philadelphia, Pennsylvania Residency Mercy Catholic Center Philadelphia, Pennsylvania Virginia University Charleston Medical Center - Charleston, Charleston West Virginia Additional Study Trauma Fellowship Maryland Institute of Emergency Medical Services University of Maryland - Baltimore, Baltimore Maryland Board Certification American Board of Surgery Acute Care Surgery Faculty Nick Meyer, M.D. Associate Professor of Surgery Medical School University of Wisconsin Medical School Madison Wisconsin Madison, Residency Medical College of Wisconsin Additional Study Burn Fellowship - University of Washington, Seattle NIH Research Fellowship - Shriners Burn Institute, Galveston, Texas Board Certification American Board of Surgery Acute Care Surgery Faculty Christopher Nelson, M.D. Assistant Professor f off Surgery Medical School University of North Dakota Residency University of Missouri-Columbia Columbia, Missouri Additional Study Surgical Critical Care Fellowship Columbia, Missouri Board Certification American Board of Surgery Acute Care Surgery g y Faculty y Sandra Wanek, M.D. Assistant Professor of Surgery g y Medical School Wayne State University School of Medicine Residency Oregon Health Sciences University Additional Study Surgical Critical Care Fellowship Oregon Health Sciences University Burn Fellowship U it d State United St t A Army IInstitute tit t off S Surgical i lR Research h Board Certification American Board of Surgery General Surgery g y Faculty y Sharon Bachman, M.D. Assistant Professor of Surgery Medical School University of Massachusetts Medical School Worcester, MA Residency University of Connecticut Health Center Farmington, CT Additional Study Research Fellowship Johns Hopkins University Minimally Invasive Fellowship University of Missouri-Columbia Board Certification American Board of Surgery General Surgery Faculty Brent W. Miedema, M.D. Associate Professor of Surgery Medical School Cornell University New York, New York Residency R id New York Hospital New York, New York Additional Study y Research Fellowship in Gastrointestinal Surgery Mayo Clinic Digestive Center - Rochester, Minnesota Board Certification American Board of Surgery General Surgery g y Faculty y Archana Ramaswamy, M.D. Assistant Professor of Surgery Medical School McGill University School of Medicine Montreal, Quebec Residency General Surgery McGill University Montreal, Quebec Additional Study Fellowship, Minimally Invasive Surgery Emory University Atlanta, Georgia Board Certification American Board of Surgery General Surgery Faculty Venkataraman Ramachandran, M.D. Assistant Professor of Surgery Pediatric Surgery g y Medical School Jawaharlal Institute of Postgraduate Medical Education & Research – Pondicherry, India Residency Jawaharlal Institute of Postgraduate Medical Education & Research - Pondicherry, India Additional Study Pediatric Surgery Fellowship Royal College of Physicians and Surgeons Glasgow Pediatric Surgery Fellowship Children’s Mercy Hospital – Kansas City, MO Transplant Fellowship Barnes Hospital – Washington University St. Louis, Missouri General Surgery Faculty Donna Richardson, M.D. Assistant Professor of Surgery Medical School University of Kansas Kansas City, KS Residency R id Wesley Medical Center Wichita, KS Board Certification American Board of Surgery General Surgery Faculty Norbert Richardson, M.D. Assistant Professor of Surgery Medical School University of Missouri Kansas City, MO Residency R id University of Kansas Wichita, KS Board Certification American Board of Surgery General Surgery Faculty Guy Rosenschein, M.D. Associate Professor of Pediatric Surgery Medical School Universite de Paris Paris, France Residency Internat des Hopitaux de Paris Paris, France Board Certification French Board of General Surgery French Board of Pediatric Surgery Surgical Oncology Faculty Paul S. Dale, M.D. Chief, Division of Surgical Oncology Associate Professor of Surgery g y Program Director, Bio-design Fellowship Medical School Universityy of Alabama School of Medicine Birmingham, Alabama Residency Mercer University of Medicine Macon Georgia Macon, Additional Study Fellowship, Surgical Oncology John Wayne Cancer Institute Santa Monica, CA 90404 Board Certification American Board of Surgery Surgical Oncology Faculty Michael Nicholl, M.D. Assistant Professor of Surgery Medical School MCP Hahnemann School of Medicine Philadelphia, p , PA Residency Medical College of Wisconsin Milwaukee, WI Additional Study Fellowship, Surgical Oncology John Wayne Cancer Institute, Santa Monica, CA Board Certification American Board of Surgery Surgical Oncology Faculty Zihao Wu, M.D. Assistant Professor of Surgery Medical School Sun Yat-Sen University of Medical Sciences Guangzhou, China Residency St. Agnes Hospital Baltimore Maryland Additional Study Colon & Rectal Fellowship, Saint Vincent Health Center, Erie, PA Board Certification American Board of Surgery The General Surgery g y Residency y Program g Accreditation Status The University of Missouri-Columbia General Surgery residency program underwent our last ACGME site review in July 2010. We received Continued Accreditation with two citations and review again g in October 2014. Our citations were as follows: #1 Program Director Qualifications. Qualifications of the program director must include scholarly activity in at least one of the areas of scholarly activity delineated in Section II.B.5 of the program requirements. At the time of the site visit, it was confirmed that the program director has only one peer reviewed publication published within the last five years. #2 Program Evaluation. At least annually, the program must evaluate faculty performance as it relates to the educational program. These evaluations should include a review of the faculty’s clinical teaching abilities, biliti commitment it t tto th the educational d ti l program, clinical li i l knowledge, k l d professionalism, and scholarly activities. At the time of the site visit it was confirmed that the program evaluations do not document a review of faculty scholarly activities. American Board of Surgery Certification • The ABS certification exam is given in two parts. The first exam is the written or qualifying exam. exam The second is the oral or certifying exam. • The ACGME requires that all accredited general surgery programs maintain a 60% pass rate for the written and oral boards. • Currently our program graduate pass rate for the written and oral examination exceeds the ACGME requirement. requirement American Board of Surgery I S i Exam In-Service E (ABSite) (ABSi ) • All categorical general surgery residents are expected to score at the 50th% on the annual i in-service i exam. • A Any resident id t scoring i att or above b the th 90th percentile receives a text book of their choice as an a a acknowledgment a o dg of o their educational du a o a accomplishment. Our Graduates Name Graduated Type of Practice/Fellowship Silvie Harrington, MD 2011 Private Practice – Atlanta, GA Michael Simonson, MD 2011 Private Practice – Kearny, NE Jim Speicher, MD 2011 Thoracic Fellowship ‐ Iowa City, IA Atif Iqbal, MD 2010 Colon & Rectal Fellowship – Washington University, St. Louis, MO Tim Mayfield, MD 2010 Minimally Invasive Fellowship ‐ Kansas City, MO Chris Nelson, MD 2010 Critical Care Fellowship – University of MO‐Columbia Tim Geiger, MD 2009 Colon & Rectal Fellowship – Boston, MA Mario Morales, MD 2009 Bariatric Fellowship – St. Louis, MO Mark Kiefer, MD 2008 Colon & Rectal Fellowship – Louisville, KY Joe Anthony Olivi, MD 2008 Private Practice – Springfield, MO James Wooldridge, MD 2008 Minimally Invasive GI Surgery Fellowship – Irvine, CA Chuck Dugal, MD 2007 Cardiothoracic Surgery Fellowship–Denver, CO Esteban Gambaro, MD 2007 Private Practice–Kennett, MO Rob Hoppes, MD 2007 Surgical Critical Care Fellowship–University of MO‐Columbia Current General Surgery Residents Kevin Bartow, MD Chief Resident Medical School: University of MO-Columbia Andrew Wheeler, MD Chief Resident Medical School: University of MO-Columbia Current General Surgery Residents Christopher Cooper, MD 4th Year Resident Medical School: Brody School of Medicine Edgar Galinanes, MD 4th Year Resident Medical School: Boston University Wei Wei, MD 4th Year Resident Medical School: Tonji Medical University, China Current General Surgery Residents Jeremy Berger, MD 3rd Year Resident Medical School: State University of New York, Syracuse Jeremy Jensen, MD 3rd Year Resident Medical School: Ohio State University Nicole Tuve-Nelson, DO 3rd Year Resident Medical School: Nova Southeastern Current General Surgery Residents Parker Hu, MD 1stt Year Resident d Medical School: University of Missouri-Columbia Jared Konie, MD 1st Year Resident Medical School: University of Kansas Meghan Reicks, MD 1st Year Resident Medical School: University of Iowa Current General Surgery Residents Luke Beffa, MD 1st Year Resident Medical School: University of Missouri-Columbia Nick Boston, MD 1st Year Resident Medical School: University of Ohio Sid Kudav, MD 1st Year Resident Medical School: University of Ohio Structure of Our Surgical Residency Program PGY 1 3 Categorical General Surgery Residents 4-5 Preliminary Surgery Residents 5 Pre-Orthopedic Surgery Residents 2 Pre-Otolaryngology Pre Otolaryngology Surgery Residents 1 Pre-Neurosurgery Resident 2 Pre-Urology Resident(s) 2 Integrated g Plastic Surgery g y Residents PGY 2 3 Categorical General Surgery Residents 1–2 Preliminary Surgery Residents 2 Integrated Plastic Surgery Residents PGY 3 3 Categorical General Surgery Residents 2 Integrated Plastic Surgery Residents PGY 4 3 Categorical General Surgery Residents PGY 5 3 Categorical General Surgery Residents Typical Rotations for Categorical Residents PGY 1 Year Rotations may include 1 month of : Bariatrics Burn, Cardiothoracic Surgery, ER, Neurosurgery, Orthopedic Surgery, Otolaryngology, Pediatric Surgery Surgery, Surgical Oncology Oncology, Acute Care Surgery, Surgery Urology and Vascular Surgery. Plus 4 months of General Surgery UMC/VA. PGY 2 Year 1 month: Bariatrics and Neurosurgery 2 months: Surgical Critical Care (ICU) 2 – 3 months: General Surgery UMC, General Surgery VA, Vascular Surgery, Pediatric Surgery and Acute Care Surgery PGY 3 Year Rotations in Bariatrics, Bariatrics General Surgery UMC UMC, General Surgery VA VA, Surgical Oncology, Vascular Surgery and Trauma PGY 4 Year Rotations in Bariatrics, General Surgery UMC, General Surgery VA, Surgical Su g ca Oncology, O co ogy, a and d Acute cute Ca Care e Surgery Su ge y PGY 5 Year General Surgery UMC and General Surgery VA Resident Operative Experience Category g y RRC Min 20011 & 2010 Chiefs SH MS JS AI TM CN Skin, Sot Tissues & Breast (excluding breast biopsies) 25 103 82 97 119 113 68 Head & Neck (excluding tracheostomies) 24 46 61 51 92 111 77 Alimentary 72 264 347 263 400 312 225 Abdomen (excluding exploratory laparotomies and hernias) 65 334 297 358 258 274 234 Liver 4 7 25 10 21 16 13 Pancreas 3 7 11 10 9 7 12 V Vascular l (excluding ( l di vein i stripping, ti i vascular l access procedures) d ) 44 65 83 57 94 90 65 Endocrine 8 24 44 15 57 65 45 Trauma – Operative 10 37 32 38 52 87 52 Trauma – Nonoperative 20 57 85 63 58 47 62 Th Thoracic i 15 47 66 102 21 23 24 Pediatrics 20 23 32 21 32 33 21 Plastic Surgery 5 25 29 33 51 36 38 Endoscopies (excluding rigid & flexible sigmoidoscopy) 29 213 269 213 344 359 171 Laparoscopic Lapa oscopic B Laparoscopic C 34 0 164 166 178 225 124 161 136 226 174 124 131 94 TOTAL Major Cases 750 949 1046 1026 1131 1075 795 TOTAL – ALL cases (Major & Minor) As Chief Surgeon 200 296 274 312 271 259 191 80 Hour Work Week • The University of Missouri-Columbia Hospital & Clinics take the 80 hour work week seriously and continue to implement the appropriate measures to ensure that we are in compliance with this new standard. • We utilize the night float system for residents in all PGY levels. Simulation Training All categorical general surgery residents participate in a monthly simulation & laparoscopic training curriculum taught by our nationally recognized minimally invasive faculty in the new Sheldon Simulation Center. In addition we will be participating in the Fundamentals of Laparoscopic Surgery training program in association with SAGES. Sharon Bachman, MD Director, MIS Education Sheldon Simulation Center State of the Art Training Mannequins in monitored simulation operating rooms and an outpatient clinic setting Teleconference Room Laparoscopic Trainers Laparoscopic Training • Labs are held monthly and include lectures, journal reviews,, dryy Lab practice p stations and animal Labs. • Curriculum areas currently include: hernia repair, small bowel large bowel bowel, bowel, hepatobiliary hepatobiliary, solid organ, organ vascular, vascular trauma and cardiothoracic. Resident Research • All categorical general surgery residents are required to complete one research project prior to graduation graduation. Your work will be submitted for a poster or podium presentation at a national meeting or for publication. • All residents will always have the opportunity to participate p p in as manyy research projects p j as their schedule will allow. Resident Stipends p • The stipend schedule for all residents & Fellows as of July 1 1, 2011 2011. Residency Year Annual Salary PGY 1 $47 501 $47,501 PGY 2 $49,243 PGY 3 $50,944 PGY 4 $53,021 PGY 5 $55,270 PGY 6 $57,353 PGY 7 $59,004 Resident Vacation PGY 1 PGY 2 Three Weeks (21 Days) Three Weeks (21 Days) PGY 3 Three Weeks (21 Days) PGY 4 Four Weeks (28 Days) PGY 5 Four Weeks ((28 Days) y ) Surgical Meetings • Any resident who has a paper or poster accepted for presentation by a recognized surgical society will be attend the meeting. • D During i your PGY 4 and/or d/ PGY 5 year you will ill h have th the choice of one Regional and one National meeting to attend. Why y Relocate to Columbia? • Columbia is a great place to live for many reasons. We have an excellent school system, state-of-the-art healthcare facilities, entertainment opportunities galore, low cost of living living, a clean environment and much, much much more. more • The book 50 Fabulous Places to Raise Your Family has this to say: “Columbia is a fast-growing city, valued for this highly educated work force, low cost of living living, favorable government attitude toward business business, award-winning award winning schools and nationally recognized quality of life.” • Columbia’s centralized location offers quick access to St. Louis and Kansas City, as well as the State Capitol, p , Jefferson City, y, and the beautiful vacation getaway, g y, the Lake of the Ozarks. Columbia is also minutes away from a host of historic towns and state parks featuring boating, fishing, hiking, biking and more. • Columbia has 13 major shopping areas including the region’s largest mall and a Downtown area featuring restaurants and unique shopping experiences highlighted several times in Southern Living Magazine. Where to Live • Abundant and affordable housing is also available in Columbia. If you g majestic j estate,, a condo on the golf g course or the are seeking traditional family neighborhood, Columbia has something to fit both your lifestyle and your pocketbook. • For further detailed information on the city of Columbia and available housing please visit the websites listed below: www.columbiamochamber.com Columbia Chamber of Commerce www.gocolumbiamo.com City of Columbia website www.realator.com (Local zip codes: 65201, 65202 & 65203) www.apartmentfinder.com p Apartment p Finder www.columbiahl.com/index.php Columbia Home & Lifestyle Magazine City of Columbia Fast Facts • • • • • • • • Local & Student Population: 164,283 Median Age of Population: 30.7 30 7 Number of Households: 33,689 Average Household Income: $56,368 Unemployment Rate: 4.4 4 4 (April 2009) Police Department: 149 sworn employees, 1 station Fire Department: 120 full-time employees, 8 stations Hospitals: osp ta s 8 with t 1,213 , 3 beds • • • • Annual Rainfall is approximately 39 inches per year. Annual Snowfall is approximately 22 inches per year. year Warmest month and average (July – 78.4 degrees) Coolest month and average (January – 29.3 degrees) Climate Education Columbia Public Schools have national reputations. They have earned the highest possible rating in Missouri and continue to receive national honors both from the students and teachers alike. The school district graduates one of the highest percentages of Merit Scholars in the country country. Columbia also prides itself with having two private colleges and one university from which to receive extended education. • • • • • • • • • • Total Public School Enrollment Elementary Schools Middle Schools Junior High Schools Senior High Schools Vocational Schools Non-Public Schools Stephens College Enrollment Columbia College Enrollment Univ. of Mo-Columbia Enrollment 17,550 17 550 20 3 3 3 1 10 800 8,000 26,000 Community of Columbia For being a relatively small town, Columbia has “Big Town” amenities. You will find a variety of local business, several hospitals, numerous radio stations and several hotels/motels and restaurants. Recreational Facilities • 15 Athletic & Health Clubs • 23 Baseball/Softball Fields • 2 Bowling Alleys • 2 Country Clubs (Private) • 8 Golf Courses (Municipal, College & Private) • 1 Frisbee Golf Course • 40 Public Parks • 4 State Parks • 13 Pools (Public & Private) • 23 Public Tennis Courts, 2 Private • 4 Public Golf Courses, 3 Private • 300 R t Restaurants t • 1 Roller Rink • 13 Shopping Centers, Major Downtown area • 1 Skate Park • 1 Regional Shopping Mall • 2 Roller Hockey Facilities • 27 Soccer Fields • 35 Tennis Courts • 22 Volley Ball Courts Community Parks Missouri Outdoors College Town Life Columbia is a college town that has a lot to offer everyone everyone. – College Sporting Events – Museums M – Theater – Concerts – Unique Restaurants – Festivals – Shopping Mizzou Sports Museums & Art Galleries Theater Concerts Columbia attracts top quality live entertainment each and every year. Some recentt performers f iinclude l d the Rolling Stones, Tech N9ne, Brad Paisley and Gavin DeGraw. Comedy The DeJaVu Comedy club is home to many outstanding Comedians. Greg Morton Kathleen Madigan Michael Winslow Fine Dining in the District Missouri Parks & Caves Rock Bridge State Park Katy Trail State Park Cathedral Cave Onondaga Cave Elephant Rocks State Park Camping Bed & Breakfast Inns Explore Missouri Wine Country University of Missouri-Columbia Department of Surgery On behalf of the faculty and residents of the Department of Surgery at the University of Missouri-Columbia Health Care System, we would like to thank you for your interest in our program.
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