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CREST® Core Subject - EMR and ESD

This module will describe the techniques of EMR and ESD.

Upon completion of this module, participants will be able to:

  1. Describe the technique of EMR and ESD.
  2. Identify the role of EMR and ESD for colorectal pathology.
  3. Identify which patients would benefit from these procedural techniques.

As a Weekly Curriculum module, it is eligible for 1 AMA PRA Category 1 Credit™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.

Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

CREST® Core Subject - Endorectal Ultrasound

Learn the techniques and clinical applications of endorectal and endoanal ultrasound, including staging of rectal cancer and assessment of fecal incontinence and fistula.

At the conclusion of the module, participants should be able to:

  1. Describe the basic principles of endorectal ultrasound physics.
  2. List the clinical indications for use of endorectal and endoanal ultrasound.
  3. Set up common ultrasound equipment and troubleshoot any problems.
  4. Interpret ultrasound images for rectal cancer staging.
  5. Interpret ultrasound images of fistula anatomy and fecal incontinence workup.

As a Core Subject, it is eligible for 2 AMA PRA Category 1 Credits™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.


Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

CREST® Core Subject - Foreign Bodies

This module describes the safe techniques for the extraction of foreign bodies that are retained after transanal insertion.

Upon completion of this module, participants should be able to:

  • Approach the work-up for a patient with a retained rectal foreign body.
  • Determine which approach is optimal: transanal versus transabdominal.
  • Utilize safe techniques for transanal extraction.

As a Core Subject, this module is eligible for 3 AMA PRA Category 1 Credits™. This module serves as an update on foreign bodies for colorectal surgeons.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center. Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

CREST® Core Subject - Management of Stage IV Colorectal Cancer

This module provides an overview of current trends and controversies in the management of patients with stage IV colorectal cancer.


Upon completion of this module participants should be able to:

  1. Define the challenges associated with the management of patients with stage IV colorectal cancer and outline the overall survival statistics.
  2. Discuss the value of chemotherapy in the treatment of metastatic disease.
  3. Evaluate the quality of data to support removing the primary tumor in the setting of stage IV colorectal cancer.
  4. Examine colon first vs. liver first vs. combined approaches to managing liver metastases, and assess the potential role of radiofrequency ablation.
  5. Review the data regarding the benefit pulmonary metastatectomy.
  6. Discuss the emergence of cytoreductive surgery plus HIPEC, as well as the data to support this technique.
  7. Determine the benefit of endoscopic stent placement for palliation.

As a Core Subject, this module is eligible for 2 AMA PRA Category 1 Credits™. This module serves as an update on foreign bodies for colorectal surgeons. To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.


Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

CREST® Core Subject - Medical Management of IBD

This is a comprehensive overview of the medical management of inflammatory bowel disease. A review of the classes of medications used, as well as other non-operative adjuncts and looking into the newer classes of medications coming out.

As a CORE Subject, it is eligible for 2 AMA PRA Category 1 Credits™.

To access this module, log in at the top of this page, click on MY ACCOUNT, then follow the link to the CREST® Online Learning Center.


Not a member of ASCRS? Learn more about the benefits of membership in the American Society of Colon and Rectal Surgeons.

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