Master Surgeon in Colorectal Surgery
The Master Surgeon in Colorectal Surgery (MSCS) program offers leading surgeons around the world the opportunity to earn an individual certification without requiring that they partner with a hospital. The MSCS program is ideal for surgeons who:
- Perform surgeries at multiple hospitals
- Desire an individual accreditation separate from or in addition to their hospital’s accreditation
- Want to earn accreditation now, but their hospital is not ready to move forward
The MSCS program is an excellent way for patients to identify world-class colorectal surgeons who hold themselves to a higher standard.
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1: Surgical Experience
The applicant has served as the primary surgeon for at least 125 colorectal surgery procedures in their lifetime and performs at least 100 procedures annually.
Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.
Each procedure used for volume must be thoroughly documented to enable a medical chart review.
Volume waivers may be approved in some circumstances.
The following procedures are the only primary procedures that qualify:
- Anal Fistula Repair (including Anal Fistula Plug and Endorectal Advancement Flap)
- Enterostomal Therapy
- Ileal-anal (Pelvic) Pouch Surgery, J-Pouch, and K-Pouch
- Laparoscopic Proctosigmoidectomy
- Laparoscopic Ileocolectomy
- Laparoscopic Fecal Diversion
- Single Incision Laparoscopic Surgery
- Single-Port Laparoscopic Colectomy
- Surgical treatment of fecal incontinence
- Transanal endoscopic microsurgery
- Turnbull-Cutait Procedure
- Stomal and /or pouch revision
- Complex ischiorectal abscess
- Small bowel and/or colon procedure related to Crohn’s Disease
Procedures that do not qualify include:
- Antegrade Colonic Enema for chronic constipation
- Doppler-Guided Hemorrhoid Ligation
2: Equipment and Instruments
The applicant performs colorectal surgery in a facility that has a full line of equipment and surgical instruments to provide appropriate perioperative care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.
3: Surgeon Dedication
The applicant spends a significant portion of their effort in the field of colorectal surgery and has active, full privileges in colorectal surgery at the facility participating in their inspection.
The applicant is board-certified or an active candidate for board certification in colorectal surgery by the highest certifying authority available.
The applicant completes at least 12 hours of continuing medical education (CME) focused on colorectal surgery every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or three national or international meetings qualify.
4: Clinical Pathways and Standardized Operating Procedures
The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for colorectal surgery procedures. The following pathways are required:
- Anesthesia, including monitoring and airway management
- Perioperative care, including monitoring, pain management and airway management
- Deep vein thrombosis (DVT) prevention and management
- Instructions for identification, evaluation and management of early warning signs of complications.
- Preoperative patient preparation, evaluation, patient education, bowel preparation, consent and plan of action for discharge
- Evaluation and plan of action for patients at high risk for malignancy, including when a malignancy is detected
- Post-operative patient education (includes stoma care and management, wound care management, plan of action for discharge that includes follow-up and any necessary patient education
The first three pathways will be deemed satisfied if the facility undergoing the site inspection has accreditation from The Joint Commission (formerly known as JCAHO), DNV-GL or an equivalent healthcare organization approved by SRC.
Each applicant surgeon performs each surgical procedure in a standardized manner as allowed by variations in operative circumstances.
Each applicant surgeon uses a template for operative note dictation that ensures proper collection of data for surgical procedures.
5: Surgical Team and Support Staff
The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs colorectal surgery in a facility that has an operative team trained to care for colorectal surgery patients.
The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff education in-services to ensure they have a basic understanding of colorectal surgery and the appropriate management of the colorectal surgery patient. In-service topics must include:
- Signs and symptoms of common postoperative complications
- Equipment and surgical instruments
- Clinical pathways
6: Patient Education
The applicant must provide all colorectal surgery patients with comprehensive preoperative patient education.
The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.
The applicant provides information and education about support groups to all patients who may undergo or have undergone colorectal surgery and require ongoing support (stoma, ostomy and oncology patients).
7: Continuous Quality Assessment
The applicant must collect prospective outcomes data on all patients who undergo colorectal surgery procedures in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.
Application Fee: $1,650 USD
- Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
- Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.
Site Inspection Fees
Site Inspection: $1,175 USD
- Inspections for Master Surgeon accreditations are performed on site at the surgeon’s location.
- The site inspection fee covers a one-day inspection with one site inspector and includes one Master Surgeon. A day will be added to the site inspection for every additional co-applicant surgeon. Each additional day is $925.
- Applicants are responsible for arranging and paying for the site inspector’s hotel, ground transportation and, if needed, an interpreter/translator. These items are not included in the standard site inspection fee.
- Renewal inspections are required every three years to ensure ongoing program compliance.
Annual Fee: $1,650 USD
- Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.
Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.