Online Courses

Anorectal Specialty Skills for Advanced Practice Providers

Price: $125.00 CE: 4.00

This course is directed to Advanced Practice Providers (APPs) who currently have limited anorectal physical exam skills, limiting their scope of practice for anorectal pathology and the treatment for common anorectal conditions in the office setting. This lack of knowledge and skills could delay or limit access to care and adversely affect patient care and outcomes. Four of the top colorectal physicians from the AdventHealth Medical Group Colorectal Surgery Department have sequenced these learning modules beginning with anal anatomy and examination, disease processes, and how to perform necessary procedures to treat common anorectal conditions, including internal and external hemorrhoids, fissures, condyloma, perianal abscesses, pilonidal disease, and pruritus ani.

The purpose of this course is to provide Advanced Practice Providers full scope of practice enabling them to give standardized care, and the skill-set to access and treat anorectal pathology. Upon completion, the APPs will possess the clinical skills needed to treat common anorectal conditions in the office setting. This knowledge and skill will improve access to care, healthcare cost, and positively affect patient outcomes.  


AdventHealth University Division – echelon® is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

echelon® is an approved CE provider by the Florida Board of Nursing.

AdventHealth University Division echelon is approved by the California Board of Registered Nursing. Provider Number CPE16352.

ANCC Accredited Organization

This course reports to CE Broker

Module 1: Anatomy & Examination

  1. Define the anal anatomy.
  2. Describe normal anatomy.
  3. Describe the steps for DRE and anoscopy.

Module 2: Perianal Disease

  1. Identify perianal abscess.
  2. Describe perianal abscess treatment.
  3. Identify internal and external hemorrhoid.
  4. Describe hemorrhoid treatment.

Module 3: Abscesses and Fistula

  1. Describe pathology pilonidal disease.
  2. Discuss treatment for pilonidal disease.
  3. Discuss treatment for wound abscess.

Module 4: Condyloma

  1. Describe pathology of condyloma.
  2. Identify condyloma.
  3. Discuss treatment of condyloma.

Qualified Planners/Faculty

Daniel Galante, DO, MS

  • Colon and Rectal Surgery, General Surgery

Daniel Joseph Galante, DO, MS, is a board-certified colon and rectal surgeon. His areas of expertise include the use of minimally invasive technologies in colon and rectal cancer treatment, including TAMIS, robotic and laparoscopic surgery. He specializes in the surgical treatment of both Crohn's disease and ulcerative colitis, and is proficient treating all common anorectal diseases including hemorrhoids, fistulas and perianal abscesses. Dr. Galante has published numerous, peer-reviewed articles in medical publications and received the 2016 Gershon Efron, MD Resident of the Year Award from the Sinai Hospital Department of Surgery for commitment to patient care, safety, leadership and teamwork - as selected by faculty and staff of the department.


This author has disclosed there are no conflicts of interest, or commercial bias.

Norbert Garcia-Henriquez, MD, FACS

  • Board-Certified Colon and Rectal Surgeon – AdventHealth Medical Group

Norbert Garcia-Henriquez, MD is a board-certified colon and rectal surgeon. His areas of expertise include the use of minimally invasive surgery in the management of colon and rectal cancer, including advanced laparoscopy and transanal surgery. He has a special interest in the management of complex inflammatory bowel disease and he is proficient in the treatment of all common and complex anorectal disorders, including hemorrhoids, fistula in ano, and perianal/perirectal abscesses.


This author has disclosed there are no conflicts of interest, or commercial bias.

Kimberly Meacham, MDN, APRN, CWON

  • Surgical Services - Assisstant Nurse Manager

Kimberly Meacham, MSN, FNP-C, CWON, is a certified family nurse practitioner with additional certification in wound and ostomy care. As lead nurse practitioner at AdventHealth Medical Group's Colorectal Surgery practice in Orlando, she has broad experience managing the pre-surgical and postoperative care of patients. She has a reputation for initiating new measures to improve patient satisfaction and outcomes including Enhanced Recovery protocols. During her 30-plus years in nursing, she has held numerous administrative posts including, Vice President of Nursing Services, Director of Medical Surgical Nursing and Nurse Manager of Emergency Services. Kim joined the AdventHealth team from the University of Rochester Medical Center in New York. She is a current member of Wound, Ostomy & Continence Nurses Society, American Academy of Nurse Practitioners and American Society for Enhanced Recovery.


This author has disclosed there are no conflicts of interest, or commercial bias.

George Nassif, DO, FACS, FACRS

  • Attending Physician Florida Hospital Center for Colon & Rectal Surgery
  • Director of Medical Affairs CCRS
  • Medical Director, ERAS program Florida Hospital
  • Assistant Professor of Surgery, University of Central Florida COM
  • Assistant Professor of Surgery, Kansas City College of Osteopathic Medicine
  • Assistant Professor of Surgery, NOVA Southeastern COM
  • Assistant Professor of Surgery, Florida State University COM

George Nassif, Jr., DO, FACS, FASCRS is a board-certified colon and rectal surgeon with special training in minimally invasive and robotic-assisted techniques. A product of the colorectal surgery fellowship program at AdventHealth Medical Group, Dr. Nassif was invited to join the practice's esteemed medical team upon completion of his training. His many areas of specialty include, but are not limited to, pelvic 3-D endorectal ultrasound, transanal minimally invasive surgery (TAMIS), single-incision laparoscopic surgery, colonoscopy for both screening and treatment, colorectal cancer surgery, pelvic floor disorders, stomas and hernia issues. He is an award-winning graduate of the Lake Erie College of Osteopathic Medicine in Erie, PA, the Allegheny General Hospital General Surgery Residency program in Pittsburgh, and the Lankenau Medical Center's fellowship in minimally invasive laparoscopic colorectal cancer in Wynnewood, PA. Awards & Recognitions Fellow of American College of Surgeons, Fellow of American College of Colon and Rectal Surgeons, ASCRS Self-Assessment Committee, NAPRC Standard Committee. Differentiators Dr. Nassif brings award-winning technique and unparalleled compassion to his work every day. He is committed to patient-centered care that utilizes his skills in comprehensive treatments or minimally invasive surgery. Every pati


This author has disclosed there are no conflicts of interest, or commercial bias.

Bruce Orkin, MD

  • Colon and Rectal Surgery, General Surgery AdventHealth Celebration

Bruce A. Orkin, MD, is the Program Director of the Colorectal Fellowship Program and a board-certified colorectal surgeon. After earning his medical degree at the University of Minnesota, he was a general surgery resident at Mayo Clinic in Rochester, MN. He next completed fellowships in gastrointestinal research at the Mayo Clinic and in colon and rectal surgery at The Cleveland Clinic. An acknowledged authority on colorectal surgery, Dr. Orkin has published many articles and book chapters on topics including the role of surgery in constipation and functional anorectal disorders, anorectal disease, Crohn's disease and ulcerative colitis, construction and complications of ostomies, and minimally invasive surgery for colon and rectal cancer. He is a Fellow of the American College of Surgeons and of the American Society of Colon and Rectal Surgeons.


This author has disclosed there are no conflicts of interest, or commercial bias.

Mark K Soliman, MD, FACS, FASCRS

  • Program Medical Director, Colorectal Surgery | AdventHealth Digestive Health and Surgery Institute 
  • Department Chairman, Colorectal Surgery | AdventHealth Central Florida
  • Associate Program Director, Colorectal Surgery Residency 

Mark Soliman, MD, FACS, FASCRS is a board-certified colon and rectal surgeon. He is the Medical Director of Colorectal Surgery for the AdventHealth Digestive Health and Surgery Institute and also the Department Chairman for Colorectal Surgery. A Florida native and a proud graduate of the University of Florida, he was part of an elite junior medical program through which he earned both his undergraduate and medical degrees with honors by age 23. After serving as Chief Resident at Baptist Health System in Birmingham, AL, he obtained his advanced subspecialty training in Colorectal Surgery at the Colon and Rectal Clinic of Orlando. Dr. Soliman is one of the most recognized colorectal surgeons nationwide in robotic colorectal surgical operations and has written nearly 50 book chapters, scientific abstracts, and manuscripts on this and its related fields. He is proficient in the Arabic language.


This author has disclosed there are no conflicts of interest, or commercial bias.

Suite 400
8515 Georgia Avenue
Silver Spring, Maryland 20910-3492
Phone: 800-284-2378
Contact Hours: 4.00, Category: Specialty Practice, Expires: 6/1/2024

Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules
  • Participate and pass all learning checks
  • Pass the Post Test(s) with a minimum score of 80%
  • Complete and submit the on-line evaluation

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

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Educational Health Care Team Members and Course Author Conflict of Interest: There have been no conflicts of interest disclosed by planners, authors, or presenters; nor has there been disclosure of any relevant financial relationships with any commercial companies or their products pertaining to this activity.

Commercial Company Support: The content of this activity was not developed with support from any commercial companies nor are there any staff commercial affiliations.