University of Southern California

History

Case mix/number of cases: anorectal – 170 (60 required), endoscopy – 170 (140 required), colon/rectal resections – 200 (75 required). The anorectal and colon cases include a broad mix of both routine and complex procedures as well as laparoscopic versus open procedures. The resident is expected to identify the problems, arrive at a diagnosis, perform the surgical procedure and follow the patient postoperatively. Unlike many programs in which the fellowship is primarily preceptorial, the resident has primary responsibility for running the colorectal services at the Los Angeles County+USC Medical Center, with in-house supervision from the faculty.

Strengths of program: This is an academically oriented program that offers broad experience in continence-preserving colonic procedures.
The program offers the breadth of colorectal surgery and its affiliating institutions. Its training facilities consist of a large county hospital, a university referral center hospital and a cancer center, and a state of the art endoscopy lab. The program is characterized by comprehensive surgical management, multidisciplinary tumor boards, continence preserving management for primary and recurrent rectal cancer, and bowel-preserving advanced endoscopic techniques. In addition, the program has an integrated research program that includes health sciences quality and outcomes research, colonic physiology and oncology, microbiome, and laparoscopic and robotic cancer investigations.

Clinic and/or office experience: There is a weekly clinic at LAC+USC in which 70 patients are seen. There are also several weekly academic clinics where patients are seen at Keck Medicine of USC. Office exposure is provided to allow the resident broad experience in preoperative, postoperative and outpatient care.

Interaction with general surgery residents: There is a full general surgical residency program at the University of Southern California. The colorectal fellow supervises the colorectal service at LAC+USC. The service is supported by surgical residents, a physician assistant and a nurse for ancillary support, and medical students are also part of the program. The academic practice rotation includes a physician assistant, resident and an intern. The colorectal trainee is expected to be active in the teaching of residents and students. No in-house night call is required for the colorectal fellow.

Conferences: Conference subjects include weekly colorectal case review conference, multidisciplinary tumor board and pathology review, colorectal journal clubs, IBD multidisciplinary conference, research conference, general surgical M&M conference weekly, general surgical grand rounds weekly. There is the option to meet in a small group with visiting professors for colorectal symposiums several times a year.

Elective rotation: Available upon request.

Research year: Available; research year can be coupled with being the anorectal physiology fellow.

Requirement for paper: All residents are expected to participate in scholarly activity, which is a requirement for graduation. Scholarly activity includes a research or review paper, a book chapter, literature review and presentation at local or national meetings.

Opportunity to attend meetings: The division funds attendance to the annual ASCRS Meeting and any other meetings at which a paper is presented. The division also funds participation in courses sponsored by the program directors association, such as the robotics and advanced endoscopy courses.

Faculty Listing

Sang Lee, MD (Faculty and Division Chief)
Kyle Cologne, MD (Faculty and Program Director)
Glenn Ault, MD, MSEd (Faculty)
M. Phillip Duldulao, MD (Faculty)
Christine Hsieh, MD (Faculty and Associate Program Director)
Sarah Koller, MD (Faculty)
Erik Noren, MD (Faculty)
Adrian Ortega, MD (Faculty)
Joongho Shin, MD (Faculty)

Recent Fellow Placement

Research, University of Southern California - Los Angeles, CA
Private Practice - Kansas City, MO
Private Practice - Helena, MT
Kaiser Permanent - Woodland Hills, CA
Private Practice - Olympia, WA
Private Practice - Connecticut
Torrance Memorial - Torrance, CA
Tulane University - New Orleans, LA
University of Southern California - Los Angeles, CA
University of Miami - Miami, FL
Weill Cornell Medicine - New York, NY
University of Southern California - Los Angeles, CA
Kaiser Permanente - Northern California

Recent Fellow Publications

Kyle Colgne, MD
Alejandra Orozco
1520 San Pablo St., Ste. 4300

Los Angeles, CA 90033
alejandra.orozco@med.usc.edu
(323)442-9064
(323)442-6887

Number of Positions Offered:

  • Clinical: 2
  • Research: 1

Accreditation Status
1

Next Scheduled (Self-Study) Visit
March 1, 2023

Case Numbers – Past Five Years

Abdominal Procedure 15/16 16/17 17/18 18/19 19/20
Segmental Colectomy 149 154 160
Laparoscopic Resection 159 178 189
Low Anterior Resection 61 74 103
Abdominoperineal Resection 32 19 25
Proctocolectomy Total
Proctocolectomy w/Ileostomy
Proctocolectomy w/Ileoanal Reservoir
Prolapse Repair Total 23 19 23
Prolapse Repair Abdominal 17 10 16
Prolapse Repair Perineal 6 8 7
Stomas Total 213 160 187
Stomas Complications 12 13 10
Pelvic Dissections 112 110 147
Abdominal Procedure Total 514 420 474
Endoscopy/Pelvic Floor 15/16 16/17 17/18 18/19 19/20
Proctoscopy/Anoscopy 102 82 65
Colonoscopy Total 312 324 313
Colonoscopy Diagnostic 242 249 227
Colonoscopy w/Intervention 70 75 86
Pelvic Floor Evaluation 35 35 35
Endoscopy/Pelvic Floor Total 544 516 439
Anorectoal Procedure 15/16 16/17 17/18 18/19 19/20
Hemorrhoidectomy 69 65 69
Fistulotomy 80 70 80
Endorectal Advancement Flap
Fecal Incontinence Procedures 14 8 5
Internal Sphincterotomy 8 15 6
Transanal Excision 39 41 38
Anorectoal Procedure Total 437 364 345