American Society of Colon & Rectal Surgeons News
ASCRS Web Site
In This Issue
Dr. Steven Wexner, Weston, FL, ASCRS President; Dr. Alan Thorson, Omaha, NE, President-elect
Vancouver Annual Meeting sets attendance record
Presidential Address:
Outgoing President Dr. David Back outlines value of “Choosing your Goals”
ASCRS retains AMA House of Delegates seat

High quality drives DC&R’s Impact Factor to 2.819

Results of Operative Competency Evaluation Committee’s first technical skills assessment exam “very exciting”
ASCRS awards three National Media Awards; two special media and advocacy awards
Awards honor accomplishments, papers, presentations, posters, videos
2011 International Scholar Report: Memorable ASCRS Fellowship experience will enhance delivery of colorectal surgery services in Bangladesh
2010 International Scholar Report: Fellowship experience will enhance delivery of colorectal care in Jamaica
Health policy scholarship prepared Dr. Robert Cima to take leadership role in shaping U.S. healthcare system
Society extends CBS HealthWatch™ Campaign, Participates in Final 4 “Coaches Huddle”
Great Comebacks® honors Chuck Wielgus, Heidi Cross, RN
ASCRS Premier Partners
ASCRS Committee Chairs, 2011-12
ASCRS Welcomes New Fellows, Members, Candidates
Call for abstracts, 2010 Annual Meeting, San Antonio, June 2-6
Working models of Society’s own case log system for MOC reviewed in Vancouver
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In This Issue
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Annual Meeting Information
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ASCRS Website
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ASCRS Research Foundation
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Annual Meeting Information
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ASCRS Facebook Page
2011 International Scholar Report:
Memorable ASCRS Fellowship experience will enhance delivery of colorectal surgery services in Bangladesh

Dr. Haq and Dr. Goldberg
Dr. Haq in Dr. Goldberg’s surgical suite

By Zahidul Haq, MBBS, FCPS, FRCS, MS, FICS
Colorectal Surgeon, Bangladesh

Let me first express my gratitude and thanks to ASCRS and ICCP for nominating me as an international fellowship award winner for 2011.

It was one of the greatest and most memorable experiences of my life and helped me immensely to upgrade my knowledge and surgical skill in the field of colorectal surgery. This award allowed me to attend the 2011 ASCRS Annual Meeting in Vancouver, British Columbia, Canada, and to visit two world-class centers of excellence in colorectal diseases in the U.S. (University of Minnesota and Cleveland Clinic, Ohio). The hospitality of American people, the cooperation of the world renowned colorectal surgeons, their helping and teaching attitude made my experience extremely valuable.

The Vancouver conference offered the opportunity of meeting with different internationally reputed colorectal surgeons with whom I had interactive discussion on updated management of complicated colorectal diseases. This was a rare opportunity.

On the first day of the conference, I spent a very busy and useful time by attending a daylong workshop on endorectal ultrasound. The course was well conducted with lectures on practical aspects and hands-on training. It was a very useful experience and will help me start using endorectal ultrasound in my department in Bangladesh.

Dr. Haq and Dr. Newstead
Dr. Zahidul Haq and Dr. Graham Newstead

In the afternoon, I attended the meeting of ICCP where I met with Drs. Graham Newstead, David E. Beck, Bruce P. Waxman, Stanley Goldberg, Michael Spencer, Dean Koh, and many others. In the meeting, I presented a paper on “Colorectal Diseases Status in Bangladesh”. We had a good discussion on how to organize the service delivery and training to the general surgeon interested in colorectal surgery. In Bangladesh, this is not yet established as a separate specialty, and we have only very few colorectal surgeons.

I kept very busy attending different scientific sessions on the remaining days of the conference. The topics covered were wide-ranging and informative. The sessions on rectal malignancy, inflammatory bowel diseases, and Fistula in Ano were especially interesting and useful to me. I also enjoyed the video sessions on new surgical techniques, particularly robotic surgery and SILS.

Dr. Haq and Dr. Newstead
Dr. Haq at the University of Minnesota

Following the ASCRS meeting, I spent a week at the University of Minnesota. My special thanks to Lisa Newstrom, program coordinator, who took trouble in chalking out my weeklong program. On arrival at 1055 Westgate Drive, Minneapolis, I attended the morning session, where Dr. Stanley Goldberg received me. He introduced me to the faculty members. I found the session very interesting and was especially impressed by the teaching techniques of Dr. Judith Trudel.

After the sessions, Dr. Stanley Goldberg took me in his car to see different parts of the beautiful Twin Cities and around the many lakes full of natural beauty. After that, I attended his clinic at the Fairview physician building, where I learned the advantages of examining all patients in prone jack knife position and some of the interesting small operative procedures done under local anesthesia.

The following day, I attended Dr. Goldberg’s operating session, where I observed with interest the new LIFT technique for complex Fistula in ano. Indeed, by attending Dr. Goldberg’s session, I learned to appreciate the advantages of jack knife position for examining and operating at anorectal regions.

In the evening, I attended a dinner hosted by Dr. Goldberg at the prestigious LaFayette restaurant. The following days, I spent very useful time with Drs. Michael Spencer and Ann Seltman in the operating room and at the clinics. I also had some discussions with Dr. Elizabeth Raskin, who took the trouble to drop me from my hotel to the Fairview physicians building, where I met with Susan Ness, biofeedback therapist. She taught me many new things and gave me much information and documents on biofeedback therapy. Certainly, this will help me in establishing a biofeedback center in our hospital.

I also spent a day with Dr. Anders F. Mellgren at the pelvic floor center, where I observed with interest the different ultrasound applications on complicated anorectal and pelvic floor disorders. We discussed the key points of diagnosis with ultrasound and management of different pelvic floor disorders.

On the last day, after attending the complication meeting in the morning session, I met with Dr. David Rothenberger in the surgery department at the University of Minnesota. We went around the different surgical wards. I was impressed with the latest facilities available there and the research being conducted by the department on innovation of new techniques. Finally, I want to express my gratitude and thanks to all the fellows of the colorectal department, particularly Drs. Patrick Tawadros and Brian R. Swenson, for their help and cooperation and the trouble they took to take me from my hotel to different hospitals to attend operating sessions.

The second institution I visited as a fellowship award winner was Cleveland Clinic, Ohio. I spent several days there observing the world-class facilities and meeting with world-renowned outstanding individuals in the field of colorectal surgery. My thanks to Ms. Diler Bolgi, for help and cooperation and her preplanned chalked out programme for me. It allowed me to enter the operating theatre on the first day. I met with Drs. Feza Remzi, P Ravi Kiran, Ian Lavery, Lusa Stocchi, and Jon Vogel in different operating sessions. All are talented, superb surgeons. Dr. Vogel took special interest to teach me the important points in laparoscopic surgery. I observed with interest some difficult and complicated operative procedures. I learned many new techniques and updated my knowledge in the diagnosis and management of some complicated colorectal diseases like recurrent rectal malignancy and complex fistula in ano. I also participated in the very useful interactive morning sessions.

My most memorable time at the Cleveland Clinic was meeting with world-renowned and respected colorectal surgeon Dr. Victor Fazio. I was very pleased by his interest in knowing about the status of colorectal disease treatment in Bangladesh. I explained to him that colorectal disease still is not considered as a subspecialty in Bangladesh, and all general surgeons deal with colorectal patients. But the most important thing is that there is increasing interest in colorectal surgery among younger general surgeons in Bangladesh.

My discussion with Dr. Fazio mainly centered on the present status of colorectal disease in Bangladesh and present and future training of surgeons in colorectal surgery. He was kind enough to show his keen interest to help and cooperate in organizing such a training program in Dhaka. I am grateful to Dr. Fazio for his invitation to luncheon and the book and video (operative procedure) he presented to me. Indeed, I was little bit nervous before visiting world renowned Cleveland Clinic, but the friendly, helping and cooperative team of Dr. Remzi made me feel quite at home there.

In summary, I would say that the International Fellowship Award allowed me to have an insight on clinical practice, research facilities and training programs in the U.S. I have learned many new techniques, gathered the latest information about advanced technologies, especially robotic surgery and Doppler ultrasound in hemorrhoid treatment, and upgraded my knowledge about management of complicated colorectal diseases from the most talented, outstanding, dedicated colorectal surgeons of the world. All of this will certainly inspire me further and have great impact in my service delivery to the deprived, neglected patients of Bangladesh suffering from colorectal diseases.