Educational Goals and Objectives for Training
To understand how to evaluate and treat patients with pediatric colorectal problems.
- Understand the newborn assessment of associated malformations and anorectal malformations
- Urologic
- Spinal
- Sacral
- Gastrointestinal
- Gynecologic
- Recognize the different types of anorectal malformations
- Rectoperineal fistula
- Rectourethral fistula
- Rectovestibular fistula
- No fistula
- Cloacal malformation
- Understand the proper newborn radiologic evaluation for anorectal malformations
- AP Spine
- Sacral xrays
- Abdominal ultrasound
- Renal ultrasound
- Spinal ultrasound
- Cross-table lateral xray
- Determine the correct newborn surgical intervention in anorectal malformations
- Anoplasty
- Colostomy
- Need for hydrocolpos drainage
- Understand the newborn assessment and treatment of Hirschsprung’s disease
- Radiologic evaluation
- Irrigations
- Primary pull-through
- Colostomy
- Develop expertise in the surgical management of index colorectal conditions
- PSARP for male (rectobulbar, rectoprostatic and no fistula)
- PSAP for male (rectoperineal fistula)
- PSARP + laparoscopy/laparotomy for male wit rectobladderneck fistula
- PSARP for female (rectovestibular fistula)
- PSAP for female (rectoperineal fistula)
- PSARVUP for cloacal malformations
- Pull-through for Hirschsprung’s (transanal techniques, laparoscopic techniques)
- Understand multidisciplinary medical and surgical management for the variety of colorectal problems
- Management of idiopathic constipation
- Management of constipation in anorectal malformation
- Management of constipation in Hirschsprung disease
- Management of hypermotility in anorectal malformations
- Management of hypermotility in Hirschsprung disease
- Management of entercolitis
- Management of fecal incontinence
- Understand surgical interventions for fecal incontinence
- Sigmoid resection
- Malone procedure
- Understand the assessment of complex Hirschsprung’s disease with postoperative soiling or obstructive symptoms
- Medical management
- Rectal biopsy
- Indications for re-operation
- Understand the medical and surgical management of intractable idiopathic constipation
- Laxative trial
- Colonic resection therapies
- Motility evaluation
