St Joseph Mercy Hospital/University of Michigan Ann Arbor

History

Our program places high priority on recruiting diverse trainees and faculty members.

Check out the Resident Guide to Program and Ann Arbor and go to https://www.stjoeshealth.org/graduate-medical-education/st-joseph-mercy-ann-arbor/colon-and-rectal-surgery-fellowship/ to learn more about our program and the fun and unique city of Ann Arbor!

The Colon and Rectal Surgery Residency at St Joseph Mercy Hospital Ann Arbor is ACGME-accredited to match one Fellow for one clinical year. We participate in the National Resident Matching Program.

Our program emphasizes ACGME Core Competency, Evidence-based, and Best-Practice Parameters education, and 360-degree milestone evaluations. The strength of our program includes an ambitious educational curriculum, a wide variety of operative and endoscopic procedures, and an emphasis on quality and outcomes-based clinical research with the expectation of presentation at regional and national meetings, to include the American Society of Colon and Rectal Surgeons Annual Meeting. Our colon and rectal surgery faculty perform 775 abdominal cases a year to include open, laparoscopic, hand-assist laparoscopic, and robotic colorectal operations. Our clinical volume also includes over 600 anorectal cases, 275 colonoscopies, 500 inpatient and Emergency Department consults, and over 1800 Outpatient clinical office visits per year.

The Program Director is Co-Lead for the National Colorectal Surgery Residency Robotic Training Program, President of the Association of Program Directors for Colon and Rectal Surgery, and the Director of Research for the Department of Surgery. He is also a member of the ACGME Residency Review Committee and serves on several committees in the American Society of Colon and Rectal Surgery and the Michigan Surgical Quality Collaborative, including the Lead for the Enhanced Recovery Pathway Committee. The colon and rectal surgery resident will have the opportunity to work with residents in other fully accredited residency programs in good standing, including general surgery. Medical students from the University of Toledo and Physician Assistant students from the Eastern Michigan University rotate on our dedicated Enhanced Recovery Pathway Colon and Rectal Surgery Service.

We have partnered with the Division of Colon and Rectal Surgery at the University of Michigan to enhance fellowship training, especially with respect to pelvic floor disorders and complex IBD. The University of Michigan adds significant breadth and variety to the program, and provides an outstanding university experience. The Program Director for the University of Michigan 3-month rotation is John C Byrn, MD.

We take institutional and program requirements seriously and expect our colon and rectal surgery resident to meet and supersede experiences with essential disorders and procedures, as well as having substantial familiarity with anal physiology and pelvic floor disorders. Our program highlights several Quality and Patient Safety initiatives and research opportunities. The resident has an opportunity to present at several regional and national meetings. We are in full compliance with duty hour restrictions.

Application to the St. Joseph Mercy Hospital Ann Arbor Colon and Rectal Surgery Residency Program may be made through the Electronic Residency Application Service (ERAS). For more information on the ERAS application process, please visit their website at www.aamc.org. Please note the following NRMP numbers when selecting our program:

Program NRMP number is 1292060F0

Program ACGME Number is 0602512075

For further information regarding the application process or the Colon and Rectal Surgery program, please contact:

Erin Madden
Residency Coordinator
Phone: 734-712-7352
Email: Erin.Madden@stjoeshealth.org

Visit our website at http://www.stjoesannarbor.org/colon-and-rectal-surgery-fellowship and see program details at www.apdcrs.org for comprehensive descriptions of our program.

Faculty Listing

St Joseph Mercy Hospital Ann Arbor

1) Robert K Cleary MD, Program Director
2) Beth-Ann Shanker MD, Assistant Program Director
3) John C Eggenberger
4) Amanda M McClure MD
5) Melissa I Chang MD

University of Michigan

1) John C Byrn MD
2) Samantha Hendren MD
3) Scott E Regenbogen MD
4) Gifty Kwakye MD

Recent Fellow Placement

2019-20 Rebecca F Brown MD University of Maryland
2018-19 June Hsu MD White Plains, NY
2017-18 Warqaa Akram MD East Carolina University
2016-17 David Disbrow MD Fresno, CA
2015-16 Stephanie Pannell MD University of Toledo
2014-15 Anuradha Bhama MD Cleveland Clinic
2013-14 Michael Tam MD Los Angeles, CA
2012-13 Annie Lin MD Fort Worth, TX

Recent Fellow Publications

1) Stapler SJ, Brockhaus KK, Mahoney ST, McClure AM, Cleary RK. A single institution analysis of targeted colorectal surgery enhanced recovery pathway strategies that decrease readmissions. Dis Colon Rectum 2021

2) Mahoney ST, Irish W, Strassle PD, Schroen AT, Freischlag JA, Tuttle-Newhall JEB, Brownstein MR. Practice characteristics and job satisfaction of private practice and academic surgeons. JAMA Surg. 2021 Mar 1;156(3):247-254

3) Brown RF, Cleary RK. Intracorporeal versus Extracorporeal Anastomosis for Minimally Invasive Hemicolectomies. J Gastrointest Oncol 2020;11:500-507

4) Brown RF. Postoperative Pain After Enhanced Recovery Pathway Robotic Colon and Rectal Surgery: Does Specimen Extraction Site Matter? Accepted ASCRS poster and Dis Colon Rectum

5) Lee YF, Brown RF, Battaglia MA, Cleary RK. Laparoscopic versus Open Emergent Sigmoid Resection for Perforated Diverticulitis. J Gastrointest Surg. 2019 Dec 16. doi: 10.1007/s11605-019-04490-9. [Epub ahead of print] PMID: 31845141

6) Hsu J, Sevak S. Management of Malignant Large Bowel Obstruction. Dis Colon Rectum 2019;62:1028-1030

7) Martin R, Hsu J, Soliman MK, Bastawrous AL, Cleary RK Incorporating a detailed case log system to standardize robotic colon and rectal surgery resident training and performance evaluation. J Surg Ed 2019;76(4): S1931-7204(18)30877-8

8) Cleary RK, Morris AM, Chang GJ, Halverson AL. Controversies in Surgical Oncology: Does the minimally invasive approach for rectal cancer provide equivalent oncologic outcomes when compared to the open approach? Ann Surg Oncol 2018;25(12):3587-3595

9) Al Natour RH, Obias V, Albright J, Wu J, Ferraro J, Akram WM, McClure AMM, Shaker BA, Cleary RK. A Propensity Score-Matched Comparison of Intracorporeal and Extracorporeal Techniques for Robotic-Assisted Sigmoidectomy in an Enhanced Recovery Pathway:. J Robotic Surg 2018; DOI 10.1007/s11701-018-00910-1

10) Cleary RK, Kassir A, Johnson CS, Bastawrous AL, Soliman MK, Marx DS , Giordano L, Reidy TJ, Parra-Davila E, Obias VJ, Carmichael JC, Pollock D, Pigazzi A. Intracorporeal versus extracorporeal anastomosis for minimally invasive right colectomy: a multi-center propensity score-matched comparison of outcomes. PLoS One. 2018 Oct 24;13(10):e0206277

11) Akram WM, Al-Natour RH, Albright J, Wu J, Ferraro J, Shanker BA, McClure AM, Cleary RK. A propensity score-matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted right colectomy in an Enhanced Recovery Pathway. Am J Surg 2018;216:1095-1100

12) Lee YF, Albright J, Akram WM, Wu J, Ferraro J, Cleary RK. Unplanned robotic-assisted conversion to open colorectal surgery is associated with adverse outcomes. J Gastrointestinal Surg 2018

13) Disbrow D, Seelbach CL, Albright J, Ferraro J, Wu J, Hain JM, Shanker BA, Cleary RK. Statin medications are associated with decreased risk of sepsis and anastomotic leaks after rectal resections. Am J Surg. 2018 Jan 31 PMID: 29428155

14) Disbrow D, Pannell S, Shanker BA, Albright J, Wu J, Bastawrous A, Soliman M, Ferraro J, Cleary RK. The impact of formal robotic residency training on the utilization of minimally invasive surgery by young colorectal surgeons. J Surg Educ 2017 Oct 17 PMID 29054345

15) Bhama AR, Batool F, Collins S, Ferraro J, Cleary RK. Risk factors for postoperative complications following diverting loop ileostomy takedown. J Gastrointest Surg 2017;21:2048-2055

16) Bhama AR, Wafa AM, Ferraro J, Collins SD, Mullard AJ, Vandewarker JF, Krapohl G, Byrn JC, Cleary RK. Comparison of risk factors for unplanned conversion from laparoscopic and robotic to open colorectal surgery using the Michigan Surgical Quality Collaborative (MSQC) database. J Gastrointestinal Surg 2016;20:1223-60 26847352

17) Bhama AR, Cleary RK. Set up and positioning in robotic colorectal surgery. Semin Colon Rectal Surg 2016; 27:130-133

18) Tam MS, Kaoutzanis C, Mullard AJ, Regenbogen SE, Franz MG, Hendren S, Krapohl G, Vandewarker JF, Lampman RM, Cleary RK. A population-based study comparing laparoscopic and robotic outcomes in colorectal surgery. Surg Endosc 2016;30:455-463; DOI 10.1007/s00464-105-4218-6 PMID: 25894448

Robert K Cleary MD
Emily Smith
PO Box 995

Ann Arbor, MI, 48106
Robert.Cleary@stjoeshealth.org
734-358-9730

Number of Positions Offered:

  • Clinical: 1
  • Research: none

Accreditation Status
1

Next Scheduled (Self-Study) Visit
January 1, 2026

Case Numbers – Past Five Years

Abdominal Procedure 15/16 16/17 17/18 18/19 19/20
Segmental Colectomy 83 113 103 112 95
Laparoscopic Resection 71 149 148 125 101
Low Anterior Resection 25 37 55 26 30
Abdominoperineal Resection 12 13 11 6 11
Proctocolectomy Total 20 9 3 ACGME no longer records this number ACGME no longer records this number
Proctocolectomy w/Ileostomy 13 2 ACGME no longer records this number ACGME no longer records this number ACGME no longer records this number
Proctocolectomy w/Ileoanal Reservoir 7 7 8 6 5
Prolapse Repair Total 15 12 26 21 14
Prolapse Repair Abdominal 3 9 16 18 11
Prolapse Repair Perineal 12 3 10 3 3
Stomas Total 92 96 88 89 109
Stomas Complications 6 7 13 9 9
Pelvic Dissections 58 59 79 40
Abdominal Procedure Total 227 239 279 270 251
Endoscopy/Pelvic Floor 15/16 16/17 17/18 18/19 19/20
Proctoscopy/Anoscopy 40 42 53 56 82
Colonoscopy Total 154 157 174 154 162
Colonoscopy Diagnostic 113 109 129 99 126
Colonoscopy w/Intervention 41 48 45 55 36
Pelvic Floor Evaluation 27 16 15 20 23
Endoscopy/Pelvic Floor Total 240 256 332 269 302
Anorectoal Procedure 15/16 16/17 17/18 18/19 19/20
Hemorrhoidectomy 28 36 44 35 37
Fistulotomy 23 23 31 46 45
Endorectal Advancement Flap 12 23 18 ACGME no longer records this number ACGME no longer records this number
Fecal Incontinence Procedures 9 2 7 4 4
Internal Sphincterotomy 4 10 5 4 4
Transanal Excision 12 20 26 24 26
Anorectoal Procedure Total 124 129 150 123 156