Pediatric Colorectal Fellowship Application Process

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

Application Process

Eligible candidates should have completed at least 3 years of general surgery training at an ACGME-approved (or equivalent) general surgical residency.

International applicants must have completed their pediatric surgery training and have USMLE, ECFMG, and ability to secure a state of Ohio training license. According to Children’s policy, foreign medical graduates are expected to have a J1 visa. Exceptions to this requirement must be approved by the Designated Institutional Official, the Program Director, and the Senior Vice President - Human Resources in advance of the letter of offer.

Interested applicants should send the following;

1) Curriculum Vitae
2) Two letters of recommendation from pediatric surgeons with whom you have worked

Submit above by mail or e-mail attachment to Program Coordinator Vickie Leonhardt at Vickie.Leonhardt@NationwideChildrens.org or CCPR@NationwideChildrens.org.  

Mail to:
Vickie Leonhardt
Center for Colorectal and Pelvic Reconstruction
Department of Pediatric Surgery
700 Children’s Drive- ED377
Columbus, Ohio 43205

(614) 722-0449