Icahn School of Medicine at Mount Sinai Program

The Colon and Rectal Surgery Fellowship at the Icahn School of Medicine at Mount Sinai offers a comprehensive training program through its Division of Colorectal Surgery, which has a rich history in the surgical treatment of gastrointestinal disorders. The fellowship provides an intensive experience in managing complex colorectal cases, in conjunction with a highly esteemed department of Gastroenterology, creating a leading center for inflammatory bowel disease (IBD) care in the tristate area.

Eligible trainees are presented with a diverse clinical exposure that includes significant surgical volume, including 30-40 ileal pouch-anal anastomosis (IPAA) procedures, 90-100 ileocolic resections, and over 100 additional resections for Crohn's disease every year. The fellowship program currently accepts two ACGME-approved fellows annually, reflecting a commitment to providing personalized education and mentorship.

Historical Context

The fellowship was officially established in 1998 and has evolved through the merger of training programs with a distinguished legacy. This history includes notable advancements in colorectal surgery techniques and a dedication to academic excellence, with approximately half of the graduates pursuing careers in academic medicine and the other half in private practice. The program prides itself on its integrated curriculum that combines both clinical and research training across various affiliated hospitals.

Training Sites

The fellowship allows rotations through four hospitals within the Mount Sinai Health System, exposing fellows to varied patient demographics and clinical scenarios:

• Mount Sinai Hospital: A 1,134-bed tertiary care center renowned for its innovative surgical techniques.
• Mount Sinai West: A 505-bed facility offering robust operative experience alongside endoscopic procedures.
• Mount Sinai Morningside: This 495-bed Level 2 trauma center emphasizes robotic surgery.
• Mount Sinai South Nassau: Provides experience in a private practice setting with access to a newly-accredited office-based surgery suite, enhancing outpatient care.

Curriculum and Conferences

The fellowship curriculum aims to expand fellows' knowledge through engaging educational experiences, including:

• A basic science conference and a variety of invited lectures.
• Regularly organized Journal Clubs and outcomes-based morbidity and mortality conferences.
• Robotic surgery lectures and board review sessions integrated into the weekly schedule.

Fellows can participate in various courses and meetings such as the Colorectal Career Course and the Advanced Endoscopy Course, ensuring a well-rounded education in contemporary approaches to colorectal surgery.

Research Opportunities

The Division is actively engaged in innovative clinical research with a dedicated team that includes 1-2 research fellows. Current research initiatives encompass a prospective IBD database and collaborative therapeutic trials for colorectal conditions. There is a significant emphasis on developing clinical outcomes and advancing treatment techniques through cutting-edge studies.

Application Process

The fellowship utilizes the National Resident Match Program through the Electronic Residency Application Service (ERAS). Applicants must submit the following: three letters of recommendation (one from the residency program director), American Board of Surgery In-Training Examination scores, and a personal statement. Selection interviews are conducted in September and October annually.

Visa Support

The program provides sponsorship for various visa types, including J-1 and H-1B visas, facilitating opportunities for international medical graduates to train effectively in the United States.

Competitiveness and Eligibility

The fellowship is considered highly competitive, attracting strong candidates globally. There are specific application criteria, such as a requirement for the year of graduation and acceptable performance metrics on significant licensing examinations, contributing to a rigorous selection process.

Faculty and Mentorship

The fellowship is supported by a diverse faculty of experienced colorectal surgeons dedicated to fostering a mentorship-driven environment. Faculty members engage in both clinical practice and active research, providing fellows with invaluable exposure to the latest advancements in the field.

Facilities and Simulation Center

The Mount Sinai Surgical Simulation Center is a state-of-the-art facility that complements educational training, allowing fellows to engage in realistic surgical scenarios. It offers advanced laparoscopic training and interactive learning environments that encourage the development of refined surgical skills.