The Surgical Oncology Department at the University of Texas MD Anderson Cancer Center is accepting applications for a one-year advanced training fellowship in Advanced Colon and Rectal Surgical Oncology (ACRSO). The ACRSO fellowship provides an in-depth clinical experience focused on the multidisciplinary management of patients with colon, rectal and anal cancer, including primary and recurrent disease.
Operatively, the fellows actively participate in open, laparoscopic and robotic surgeries in a high-volume, dedicated academic cancer center. The operative experience includes multivisceral and exenterative resections. The clinical experience includes exposure to advanced imaging, medical and radiation oncology, with additional exposure to surgical pathology and advanced therapeutic endoscopy available.
In addition, fellows will learn to manage premalignant conditions as well as the tailored treatment of patients with hereditary colorectal cancer syndromes. They participate in weekly multidisciplinary treatment-planning conferences that include the colorectal multidisciplinary tumor board as well as a dedicated rectal cancer multidisciplinary planning conference.
The curriculum is designed around competency-based objectives rooted in the ACGME core competencies. To achieve the objectives, the fellow will participate in nine designated colorectal surgery service rotations, one medical oncology/radiation oncology rotation and one elective rotation.
To supplement the academic development of the fellow, one month of protected research time will also be provided. The entirety of the curriculum will be conducted over a 12-month period. The ACRSO fellows are integrated into the research program of the section of Colon and Rectal Surgery. There are abundant research opportunities, including exposure to clinical trials and cancer registry based large data outcomes research.
The format of the clinical rotations will be a mix of apprenticeship experiences with 1:1 fellow to faculty ratio and colorectal service rotations with a 1:2-3 fellow to faculty ratio. This combination allows for comprehensive and immersive exposure to the inpatient and outpatient colorectal oncology practice of the 8 faculty in the section of Colon and Rectal Surgery in the Department of Surgical Oncology.
In both the clinical and operative environments, the faculty will supervise the trainee’s progression toward independence. To support the clinical experience, additional educational sessions will occur through didactic lectures, journal clubs, grand rounds, multidisciplinary conferences and one-on-one teaching sessions with faculty.
The combination of clinical exposure and interactive educational opportunities will provide for a comprehensive experience in colorectal oncology for the advanced surgical fellow. At the completion of the fellowship, the trainee will have gained technical experience in minimally invasive colon and rectal surgical oncology including low and complex rectal cancer, intersphincteric resections for low rectal cancer and multivisceral resections.
In addition, the trainee will gain experience in traditional open resection for locally advanced and recurrent cancers, including partial, total, and extended pelvic exenterations, lateral pelvic compartment resection and sacral resection. The trainee will also be exposed to multidisciplinary reconstruction techniques.
Completion of prior advanced surgical training within a 1-2 year Colon and Rectal Surgery fellowship (e.g. ABSCRS, CSSANZ, or equivalent), or two-year Complex General Surgical Oncology fellowship are pre-requisite as well as board eligibility or certification in General Surgery or the equivalent in the applicant’s home country.
This fellowship is available to both U.S. domestic and International trainees who have successfully completed and passed the USMLE parts 1 and 2.
Applications should be emailed to the director, associate director or program coordinator.
George J. Chang, M.D., M.S.
Professor of Surgical Oncology
Chief, Colon and Rectal Surgery
Brian K. Bednarski, M.D.
Associate Professor of Surgical Oncology
Tina N. Nguyen
Department of Surgical Oncology
The University of Texas MD Anderson Cancer Center
1400 Pressler Street, Unit 1484
Houston, Texas 77030
MD Anderson Cancer Center is committed to encouraging good health and staying true to our mission to end cancer. If you are applying for a GME fellowship or residency program starting on or after July 1, 2016, please be advised that MD Anderson will have instituted a tobacco-free hiring process as part of its efforts to achieve these goals. If you are offered an appointment, you will be subject to a Pre-Employment Drug Screen for tobacco compounds in compliance with applicable state laws. If you do not pass the urine drug screening which includes testing for tobacco compounds, you CANNOT be appointed at MD Anderson. Should you fail to meet this contingency, MD Anderson will withdraw your offer of appointment for the academic year. You may reapply for the following academic year, but there are no guarantees that you will be offered a position as many of our programs are already filled for several years out.