We appreciate your interest in the Colorectal Surgery Residency training program at Cleveland Clinic Florida. Cleveland Clinic Florida's Department of Colorectal Surgery is a very busy clinical and research oriented department in which patients with a broad spectrum of colorectal pathology are treated. A one year comprehensive clinical colorectal residency is offered by our department. Four colorectal residents are chosen each year through the National Residency Matching Program. A preliminary optional research year is also offered for one of the four positions. In addition, there are between ten and twelve research residents whose appointments are on a staggered basis for six months to one year.
Patient and Surgical Volume
Approximately 5,200 patients were seen in the office clinic in 1997 and over 2,300 operations were done by the three full time, board certified faculty and staff colorectal surgeons, Drs. Steven D. Wexner, Juan J. Nogueras, Eric G. Weiss, Dana R. Sands, David Maron, Lester Rosen, and Giovanna Da Silva. Other staff includes nurse clinicians who facilitate patient care and help with the day-to-day patient management including assisting in the office and in the operating room. They also perform a preoperative history and physical examinations, handle patient phone calls, and calling in prescriptions. Their invaluable assistance allows the residents more time for interaction in the operating room, the endoscopy suite, office, and physiology lab. There are also three dedicated colorectal clinic nurses, two enterostomal therapists, one biofeedback therapist, and two research nurses.
Approximately 80-100 patients are seen in the office each week and evaluated for a wide gamut of colorectal complaints. Procedures such as rubber band ligation of internal hemorrhoids, excision of thrombosed external hemorrhoids, superficial fistulotomies, incision and drainage of abscesses, incision and drainage of pilonidal abscesses, rectal and perianal biopsies, and fulguration of lesions are performed in the clinic.
In addition, there are approximately 10-20 rigid proctoscopies and 15-25 flexible sigmoidoscopies performed in the clinic setting each week. In addition, approximately 15-20 colonoscopies are performed each week, approximately two-thirds of which are therapeutic, rather than diagnostic.
There are approximately 15-20 abdominal and anorectal surgeries performed in the hospital each week. The most frequently performed procedures are restorative proctocolectomy with J-pouch and ileoanal anastomosis and restorative proctectomy with colonic J-pouch and coloanal anastomosis. However, all major colorectal procedures are performed with regularity; a large portion of the practice includes reoperative surgery.
Why Choose Our Program
In 1991, Drs. Wexner and Jagelman became interested in the potential applications of laparoscopy to colorectal surgery. As a result, we now have one of the world’s largest series of laparoscopic colorectal surgical procedures. All residents gain intensive laparoscopic training. There is a heavy emphasis on anorectal procedures relating to disorders of evacuation such as sphincteroplasty for fecal incontinence and perineal rectosigmoidectomy with levatoroplasty for rectal procidentia.
Our surgeons have the largest U.S. experience with the stimulated gracilis neosphincter for fecal incontinence and are also utilizing the artificial sphincter for fecal incontinence. Our published series of sphincteroplasty for fecal incontinence and colectomy for constipation are among the largest homogeneous series in the world. In addition, the standard spectrum of anorectal operations is also performed. Overall, there are over 200 anorectal, 400 abdominal, and 800 endoscopic procedures performed each year.
The schedule is divided into thirteen 13, 4-week long rotations, including a rotation in Naples.
The Colorectal Surgery training program provides a robust, multi-disciplinary, academic environment.
- Core Curriculum Conference – This is a one-hour lecture every Monday morning given by an expert in the field.
- MDT – Multi-Disciplinary Team meeting occurs every Monday and it is a one-hour meeting with a multi-disciplinary team to discuss complicated cases.
- Journal Club – All clinical residents will present each month. Two research residents will be chosen each month to present as well. Review all articles prior to journal club. Timely submission of Journal Club articles and other professional responsibilities will be evaluated in the professional competencies. In addition quarterly, combined journal clubs with the University of Miami occur. The format is different as these occur offsite and two residents from each program present articles and there is a sponsored speaker & meal.
- Mortality & Morbidity
- Live IBD Conference
- Research Forum
- CARSEP – a preparation for CARSITE session. It occurs on Monday afternoons
- IBD Conference – Every fourth Thursday of the month
- Radiology Conference
- Academic Advancement Series
- Surgical M&M
- Innovations in Surgery
- Grand Rounds
- DDI Week
Cleveland Clinic Florida hosts and sponsors the Annual International Colorectal Disease Symposium each year in February in Fort Lauderdale. Having become one of the largest annual postgraduate colorectal courses in the world, approximately 1,000 registrants were in attendance during the 1998 symposium, approximately 60% of whom were from 61 foreign countries. This intensive three day symposium provides an in-depth analytical review of colorectal diseases. Popular areas covered include, but are not limited to, laparoscopy, colorectal carcinoma, inflammatory bowel surgery, and pouch surgery. A comprehensive review of both basic and advanced principles of diagnosis and management of a broad spectrum of commonly seen colorectal diseases will occur along with emphasis on controversial topics including pouch surgery, surgical emergencies, physiologic tests and applications, recurrent disease, and new diagnostic and therapeutic modalities.
In addition, support is provided for colorectal residents to attend a meeting(s) as a registrant or participant with the approval and/or direction of the department chairman.
How to Apply
The Colon & Rectal Surgery Training Program participates in the Electronic Residency Application Service (ERAS) for all positions. You must complete all components of the ERAS Application in order for your application to be considered complete and to be reviewed by the Selection Committee. The selection committee will review all the applications received and grant an interview based on the overall qualifications of the applicant.
Visa information – We sponsor J-1 and H-1B visas
Please refer to the table below for new salary rates, effective July 1, 2018:
|Grad Level||Current Pay Rate|
Paid Time Away: Vacation, Maternity, & Paternity
- Vacation: A total of 15 days is allocated to each resident for vacation annually. Any unused vacation is forfeited at the end of the academic year.
- Maternity: 6 weeks paid leave for natural childbirth or adoption; 8 weeks for cesarean section. Additional time off unpaid up to a maximum of 12 weeks under the Family Medical Leave Act.
- Paternity: 2 week paid leave. Additional time off unpaid up to a maximum of 12 weeks under the Family Medical Leave Act.
- Healthcare: Cleveland Clinic Florida covers 50% of annual Healthcare Plans for Clinical Trainees and their families. Effective on the first day of training with no waiting period.
- Dental and Vision Care: Cleveland Clinic Florida covers 100% of annual Dental and Vision Care Plans for Clinical Trainees.
- Maternity Care: 100% coverage is provided through the health care plan that you select within the plan's guidelines.
- Pharmaceuticals: As outlined by the Cleveland Clinic Florida Health Plan.
- Malpractice: Paid by the Cleveland Clinic Educational Foundation/Cleveland Clinic Florida. Limited to activities within the training program.
- Life Insurance: $25,000 term group policy.
Travel Privileges and Other Education Activities
Senior residents, chief residents, and fellows in ACGME and NON-ACGME programs that meet eligibly criteria as outlined in the Graduate Physicians Manual may be approved to attend academic meetings for the purpose of presenting or engaging in leadership roles within national societies will be eligible up to 5 days per academic year with a maximum reimbursement of $1,200 per academic year.
- Book Allowance: A $250 educational allowance per year is available to all clinical residents/fellows. Primary use is for textbooks.
- Membership: AAN membership paid for by the program
- Cell phones: Apple iPhone provided to all residents
- Uniforms: Supplied by Cleveland Clinic Florida.
Associate Program Director
Class of 2019
- Elliot Arsoniadis, MD
- Paul Kolarsick, MD
- Stephen Sharp, MD
- Paul Strombom, MD
- Marianna Zeichen, MD
Cleveland Clinic Florida
2950 Cleveland Clinic Boulevard
Weston, Florida 33331