1. science
2. medicine
3. 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:
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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.