Cross-fellowship inter-institutional exchange: Answering the call for hepatopancreatobiliary training standardization Journal Article


Authors: Hill, A. L.; Cullinan, D. R.; Panni, R. Z.; Ahmed, O.; Olumba, F.; Yu, J.; Khan, A. S.; Chapman, W. C.; D'Angelica, M. I.; Jarnagin, W. R.; Doyle, M. B. M.
Article Title: Cross-fellowship inter-institutional exchange: Answering the call for hepatopancreatobiliary training standardization
Abstract: Objective: General surgery trainees interested in performing hepatopancreatobiliary (HPB) surgery can choose from multiple fellowship pathways, namely HPB, surgical oncology (SO), and abdominal transplant-HPB (TXP-HPB). Although focused on similar operations, each program offers distinct clinical and technical emphases. Design: An annual inter-institutional exchange between TXP-HPB and SO fellowships, starting in 2014. Setting and Participants: TXP-HPB fellows from Washington University in St. Louis (WUSTL) and SO fellows from Memorial Sloan Kettering Cancer Center (MSKCC). Results: About 14 fellows have participated in the exchange so far, 13 of whom responded to our survey. At MSKCC, TXP-HPB fellows performed a median of 24 cases, including 6 major pancreatic resections, 3 major hepatectomies, 4 hepatic artery infusion pump insertions, and 1 major biliary case. At WUSTL, SO fellows performed a median of 16 cases, including 5 liver transplants, 2 major pancreatic resections, 2 major hepatectomies, and 2 major biliary cases. About 92.3% of respondents stated they would repeat the rotation, with SO fellows emphasizing the exposure to vascular anastomoses and transplant-HPB fellows appreciating the oncologic focus. Conclusions: A monthlong inter-institutional exchange offers a unique opportunity to standardize and improve HPB education. © 2024 Association of Program Directors in Surgery
Keywords: nephrectomy; fellowship; medical education; fellowships and scholarships; education; curriculum; clinical competence; pancreatectomy; liver surgery; living donor; hepatectomy; abdominal surgery; education, medical, graduate; general surgery; digestive system surgical procedures; kidney graft; liver graft; organ transplantation; procedures; gastroenterology; surgical oncology; humans; human; male; female; article; apprenticeship; abdominal transplant; hpb surgery; deceased donor
Journal Title: Journal of Surgical Education
Volume: 81
Issue: 8
ISSN: 1931-7204
Publisher: Elsevier Science, Inc.  
Date Published: 2024-08-31
Start Page: 1094
End Page: 1098
Language: English
DOI: 10.1016/j.jsurg.2024.05.009
PUBMED: 38824089
PROVIDER: scopus
PMCID: PMC11320746
DOI/URL:
Notes: Article -- Source: Scopus
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  1. William R Jarnagin
    903 Jarnagin
  2. Roheena Z Panni
    2 Panni