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Colon and Rectal Surgery

This specialty was called proctology (derived from the Greek word proktos, meaning anus) until 1961 when the name was changed to colon and rectal surgery to reflect a broader scope of interest. Physicians in this field are defined by the American Board of Colon and Rectal Surgery as surgeons who have demonstrated detailed knowledge and skill in surgery of the intestinal tract, rectum, anal canal, and perianal area. They are able to deal surgically with contiguous organs and tissues secondarily involved by primary intestinal disease. Their training and experience have resulted in the development of special skills in the performance of endoscopic procedures of the rectum and colon.

Interest in and knowledge of this surgical subspecialty is rare among medical students. There are only a small number of academic training programs so there is little student exposure to physicians in this field until surgical residency training years.

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Key Facts

Core Focus: Diseases of colon, rectum, and anus

Number of Physicians: Very Small (~1,500–2,000)

Training Length: 5 years surgery + 1 year fellowship

Subspecialties: Colon and Rectal Surgery Fellowship

Job Progression: Academic surgery, specialized clinics

Gender Distribution: 25% female, 75% male

Job Outlook: Stable

Work Environment: Hospitals, surgical centers

Patient Relationship: Pre/post-op care, some follow-up

Schedule: Structured with potential emergencies

Common Procedures: Colorectal resections, anorectal surgery

Residency Length: 6 years

Fellowship Required: Yes

Average Annual Income: ~$487,000

Average Weekly Hours: 60 hours/week

Burnout Percentage: 55%

Match Competitiveness: High

Common Work Settings: Hospitals, colorectal surgery centers

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❤️ Values and Personality Comparison

Colon and Rectal Surgery Top Values

  • Decision making
  • Taking care of people
  • Working with my hands
  • Working with people

Colon and Rectal Surgery Do Not Value

  • Decision making
  • Feedback from others
  • Good income
  • Prestige
  • Sufficient time off
  • Variety

🧠 Colon and Rectal Surgery Personality Traits

  • Prefer a planned schedule
  • Be comfortable doing the same activity repeatedly
  • Be energized by people
  • Enjoy taking care of people
  • Enjoy being an 'expert'
  • Need to see tangible results of their efforts quickly
  • Be easygoing
  • Act decisively
  • Have manual dexterity
  • Value independence highly