Pediatric Pelvic Reconstruction Fellowship
The Pediatric Pelvic Reconstruction Fellowship is a one-year program intended for candidates who seek additional training in complex and rare procedures.
The Pediatric Pelvic Reconstruction Fellowship is a one-year program intended for candidates who received prior training in pediatric surgery, pediatric urology and/or pediatric gynecology but seek additional training in complex and rare procedures.
In April 2014, Nationwide Children’s Hospital formed The Center for Colorectal and Pelvic Reconstruction, one of the first centers in the world to formally integrate all specialties involved in providing complete care of the colon and rectum in kids. This environment provides a unique experience for Pelvic Reconstruction fellows, providing access to a large number of pediatric reconstruction cases: particularly reoperations and collaborative operations involving colorectal, urology and gynecology.
The enormous patient volume at Nationwide Children’s; the anticipated increase in volume of colorectal, urologic, gynecologic and reconstructive cases; the tremendous basic science, clinical, translational and outcomes research opportunities that exist at Nationwide Children’s Hospital and The Ohio State University; and the unique clinical services offered make Nationwide Children’s an ideal location to receive advanced pelvic reconstruction training.
What You Need to Know
Clinical Components and Supervisory Responsibilities
The Pediatric Pelvic Reconstruction fellow will receive experience in advanced pelvic reconstruction surgery and collaborating specialties, including gynecology and urology. The Fellow will spend time on pelvic reconstruction cases, including time in the Center for Colorectal and Pelvic Reconstruction clinic.
The fellow will be able to second assist on any pediatric urology, pediatric gynecology or pediatric surgery case.
Didactic Sessions and Teaching Methods
The Pelvic Reconstruction fellow will participate in the robust teaching conferences offered in the pediatric surgery, urology and gynecology programs, including the morbidity and mortality conference and the complex case planning meeting. The fellow will participate in weekly meetings with the reconstructive teams, in which case presentations and discussion will be utilized to demonstrate case selection, operative planning, medical management and identification of complications and pitfalls in order to identify optimal approaches to solving colorectal problems.
Research and Scholarly Activity
In addition to clinical duties, the Pelvic Reconstruction fellow will spend time conducting research. Research includes:
- Developing and studying surgical techniques and evaluating outcomes
- Developing training modalities to determine best practices in colorectal surgical education
- Basic science work in this field
The fellow will have dedicated research time, ongoing participation in data collection and QI projects focused on pelvic reconstruction surgery in pediatric patients, as well as involvement in a study of optimal curriculum development for pediatric surgical education in the area of pelvic reconstruction. If there is interest, collaboration with our basic science colleagues in the area of tissue engineering would be encouraged and fostered. The trainee is expected to submit at least three papers for publication.
The reconstructive fellow will be evaluated on a quarterly basis by the Program Director and on a semi-annual basis by all pediatric surgery faculty members.
Education & Training
Goal: To understand how to evaluate and treat patients with pediatric pelvic reconstruction problems.
- Understand the newborn assessment of associated malformations and anorectal malformations
- Recognize the different types of anorectal malformations
- Understand the proper newborn radiologic evaluation for anorectal malformations and Hirschsprung disease
- Develop expertise in the surgical management of the index colorectal reconstructive conditions, particularly as they relate to the indications for reoperative surgery
- Develop expertise in the surgical management of ARM and HD cases requiring reoperations for male (rectobulbar, rectoprostatic and no fistula)
- Understand the medical management for the variety of colorectal problems
- Understand the surgical interventions for fecal incontinence/functional constipation
- Understand the assessment of complex Hirschsprung disease with postoperative soiling or obstructive symptoms
- Describe the physiology of normally functioning lower urinary tract
- Understand how to perform and interpret complex urodynamic studies
- Read and interpret uroradiologic studies
- Describe the relationship between bladder dysfunction and renal injury
- Detail the medical and behavioral treatments for urinary incontinence
- Develop expertise in complex urologic reconstruction
- Develop expertise in genital (male and female) reconstruction in children with anorectal malformations
- Radiographic evaluation and management of vesicoureteral reflux
- Radiographic evaluation and management of hydronephrosis
- Interpret urodynamic studies
- Evaluate urinary tract infections
- Understand factors in renal injury
- Understand treatment of urinary incontinence
- Evaluate genital abnormalities
- Understand normal vs abnormal perineal anatomy
- Understand physiology of female pubertal change, indications and management of menstrual suppression and assessment of the outflow track
- Develop tools to recognize and best assess anomalies associated with pelvic floor, vagina and muellerian structures
- Attain skills to surgically correct gynecological anomalies
- Gain skills to counsel patients regarding long term gynecologic outcomes, including sexual functioning and obstetrical risks, outcomes and best mode of delivery
Application & Selection
Eligible candidates should have completed at least 3 years of general surgery or urology, or 4 years of gynecological training at an ACGME-approved (or equivalent) residency.
- Be fully licensed physicians in good standing in their home country
- Have current clinical responsibilities in the field that would be enhanced by the additional Nationwide Children’s Hospital training
- Commit to returning to their home country to practice for at least two years
- Demonstrate a need in their home country for the clinical services for which this program will train
- Possess the knowledge, skills and academic achievements to be successful
- Possess the support of their home institution and will be able to implement change upon return
- Have the potential for ongoing collaboration and engagement of fellow/institution and Nationwide Children’s
Interested applicants should send the following:
- Curriculum Vitae
- Two letters of recommendation from pediatric surgeons with whom you have worked
Center for Colorectal and Pelvic Reconstruction
Department of Pediatric Surgery
700 Children’s Drive, ED377
Columbus, Ohio 43205