St Joseph Mercy Ann Arbor

History

The Colon and Rectal Surgery Residency at St Joseph Mercy Health System 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 St Joseph Mercy Health System 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 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 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 for comprehensive descriptions of our program. Go to Health Professionals and then Colon and Rectal Surgery.

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) Lily Maguire MD

Recent Fellow Placement

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 Galveston, TX

Recent Fellow Publications

1) Hsu J, Sevak S. Management of Malignant Large Bowel Obstruction. Dis Colon Rectum 2019

2) 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

3) 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

4) 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

5) 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

6) 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

7) 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

8) 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

9) 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

10) 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

11) 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

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

Robert K Cleary MD
Erin Madden
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 13/14 14/15 15/16 16/17 17/18
Segmental Colectomy 113 92 83 113 103
Laparoscopic Resection 80 88 71 149 148
Low Anterior Resection 35 23 25 37 55
Abdominoperineal Resection 9 14 12 13 11
Proctocolectomy Total 9 18 20 9 3
Proctocolectomy w/Ileostomy 1 6 13 2
Proctocolectomy w/Ileoanal Reservoir 8 12 7 7 8
Prolapse Repair Total 8 12 15 12 26
Prolapse Repair Abdominal 3 5 3 9 16
Prolapse Repair Perineal 5 7 12 3 10
Stomas Total 77 84 12 96 88
Stomas Complications 8 12 6 7 13
Pelvic Dissections 56 56 58 59 79
Abdominal Procedure Total 259 235 227 239 279
Endoscopy/Pelvic Floor 13/14 14/15 15/16 16/17 17/18
Proctoscopy/Anoscopy 32 33 40 42 53
Colonoscopy Total 153 182 154 157 174
Colonoscopy Diagnostic 113 146 113 109 129
Colonoscopy w/Intervention 40 36 41 48 45
Pelvic Floor Evaluation 44 15 27 16 15
Endoscopy/Pelvic Floor Total 273 271 240 256 332
Anorectoal Procedure 13/14 14/15 15/16 16/17 17/18
Hemorrhoidectomy 53 37 28 36 44
Fistulotomy 27 38 23 23 31
Endorectal Advancement Flap 3 4 12 23 18
Fecal Incontinence Procedures 7 5 9 2 7
Internal Sphincterotomy 6 10 4 10 5
Transanal Excision 14 16 12 20 26
Anorectoal Procedure Total 176 151 124 129 150