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Young-IFSO Bariatric/Metabolic Surgery Training and Education Survey

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Abstract

Background

This international Young-IFSO survey aims to address variations, trends, and obstacles in bariatric/metabolic surgery (BMS) training globally, since expectations and resources differ among young surgeons.

Methods

The Young-IFSO scientific team designed an online confidential questionnaire with 50 questions analyzing the individual BMS training. The survey link was sent to all IFSO/ASMBS members and was shared in social media. All Young-IFSO members (age up to 45 years) were invited to participate between 16 December 2022 and 4 February 2023.

Results

A total of 240 respondents from 61 countries took the survey. Most respondents (70.24%) described their current position as a consultant surgeon with an average of 5.43 years’ experience working in BMS, and 55% are working in a bariatric center of excellence. More than 50% of the respondents performed none or less than 10 BMS during residency. Preparation of the stomach and stapling during sleeve gastrectomy (SG) were the first steps performed, and SG was the first BMS completed as a first operating surgeon by most of the respondents (74%). In total, 201 (84.45%) surgeons reported to perform scientific work. Most respondents (90.13%) reported that surgical mentorship had improved their surgical skills.

Conclusion

This international experts’ survey underlines the lack of a standardized global surgical curriculum of BMS during residency. It shows that SG is the single most performed procedure by young surgeons. These data might underline the importance of advancing surgical education in BMS, and accredited fellowship programs should be offered globally to maintain and raise quality of BMS.

Graphical Abstract

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Data Availability

Survey data is available by contacting the corresponding and co-corresponding author.

Abbreviations

IFSO:

International Federation for the Surgery of Obesity

BMS:

Bariatric/metabolic surgery

ASMBS:

American Society for Metabolic and Bariatric Surgery

SG:

Sleeve gastrectomy

RYGB:

Roux-en-Y gastric bypass

OAGB:

One anastomosis gastric bypass

SADI-S:

Single anastomosis duodeno-ileal bypass + sleeve gastrectomy

OR:

Operating room

LAGB:

Laparoscopic adjustable gastric banding

CUSUM:

Cumulative sum

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Acknowledgements

Thanks to Chief Operating Officer of IFSO Manuela Mazzarella and IFSO Membership manager Stefanie D´Arco for the help with creating the survey and this article

Young-IFSO Collaborative Group

Daniel Fonseca Rohrs

Haval Sabir

Silvana Leanza

Miljana Vladimirov

Muhammad Umar Younis

Ng Ka Kei Stephen

Michael Gale

Saif Mundher Ismael

Adelina E Coturel

Rocío González López

Costantino Voglino

Usman Mohammed Bello

Evert-Jan G. Boerma

Abdullah Almunifi

Ali Ediz Kivanc

Seymur Abdullayev

George Balalis

Seren A Yaseen

Gabriel Alejandro Molina

Jakob Eichelter

Magdalena Mairinger

Nicoletta Basile

Suleiman Aldibaybi

Piotr Kalinowski

Mostafa Refaie Elkeleny

Kotaro Wakamatsu

Tarig A Samarkandy

Marleen Romeijn

Aaron L Sabbota

Luis F Zorrilla-Nuñez

Morgan Pomeranz

Abdullah Al Jabri

Kathriena Greenwell

Loic Tchokouani

Derek Rogalsky

Gerardo Davila

Huzifa Haj Ibrahim

Sebastian Arana

Tina Thomas

Juan Ortega Puy

Gabriel Carrizo

Rodolfo Oviedo

Emmanouil Onoufrios Sgouromallis

Ala Wafa

Napolitano errichetta

Felipe Martin Bianco Rossi

Cem Emir Guldogan

Hosam Elghadban

Tiago Ferreira Paula

Masoud Rezvani

Omar Quiroz

Midhat Abu Sneineh

Nadia De Falco

Abdullahi Ibrahim

Paul Cromwell

Raghav Garg

El bouyousfi

Fatih can Karaca

Zhou Fuqing

Gustavo Adolfo Us De Paz

Elena Ruiz-Úcar

Ahmed Borhamy

Tamer Abdelbaki

Farooq Khan

Shiliang Dong

Arpád Panyko

Sjaak Pouwels

Alaaddin

Cihan Şahan

Ahmet Türkoğlu

Muhammed Rasid Aykota

Sercan Yuksel

Suleyman Caglar Ertekin

Mehmet Celal Kizilkaya

Jerry Dang

Muhammad Umar

Mohammed Abdullah Alawad

Odd Bjørn Kjeldaas Salte

Eleftherios Spartalis

Michael Spartalis

Saeed Safari

Oguzhan Fatih Ay

Francesca Abbatini

Zatir Soufiane

Arshad Ali

Shan Xiaodong

Gianluca Vanni

Marco Materazzo

Guccione Fabio

Shlomi Rayman

Anna Carolina Hoff

Dimitri J Pournaras

Farbod Emami Yeganeh

Hamed Atarodi

Giuseppe Marincola

Hany Takla

Amir H Davarpanah Jazi

Jose Gilberto Romero Lozano

Taryel Omarov

Yentl Lodewijks

Anne Freund

Ambar Banerjee

Christopher Dawoud

Giorgi Zurabashvili

Yingxu Li

Marko Kraljevic

Erick Rodrigo Conde Cadena

Mahir Gachabayov

Michael de Cillia

Abdulellah Niyaz

Antonio Vitiello

Abdulrahman Rudwan

Adrian Marius Nedelcu

Julian Süsstrunk

Ivan Kristo

Ioannis I. Lazaridis

José Antonio Soria

Julia Jedamzik

Samuel Wanjara

Zaher Toumi

Anna Carolina Batista Dantas

Guanhua Lu

Lukas Altmann

Mayte Wimber Arellano

Salvatore Tolone

Zhouqi Wei

Omar Ghazouani

Ricardo Lopez Osorio

Abd-Elfattah Kalmoush

Marco Pellicciaro

Andrei Sarmiento

Carlo Gazia

William Peña

Alfonso Bosco

Abdullah AlMunifi

Sirvjo Dhimolea

Piotr Major

Lorenza Beomonte Zobel

Maxim Madalina

Zhengrong Wen

Xavier de Sousa

Bruno sensi

Gancho Kostov

Fakuan Zhao

Huiqi Li

Tay Kon Voi

Usman Mohammed Bello

Mohammed Abd Al-fattah

Andrew G Robertson

Snoekx Rob

Elia Carolina Centeno Ríos

Kurt Devroe

José Fernando Escoto González

Gennaro Martines

Serhii Sorochan

Cosimo Saviello

Laurentiu Stefan Grecu

Ahmed Abdelsalam

Damiano Pennisi

Nawaf mahmood dagher

Mohammadtaghi Rezaei

André Costa Pinho

Carlo Nagliati

Ismail Calikoglu

Katrina Lolas Tornquist

Matteo Uccelli

Attaullah Mahar

Silvana Alexandra Valencia Valverde

Bassem Amr

Youssef Sleiman

Bakhtiyar Yelembayev

Jonathan Sivakumar

Dirceu Felipe Valentini Junior

Claudia Mulas

Khalid M. Alzahrani

Soroceanu Radu-Petru

Artur Silva

Michael Joseph Baluda

Barbara Jacobi

Maria Lapeña-Rodriguez

Antonio Buondonno

Maria Spagnuolo

Adisa Poljo

Federica Alicata

Claudio Arcudi

Mohammad Kermansaravi

Pier Paolo Cutolo

Natalie Vock

Paula Richwien

Rahmatullah Athar

Giovanni Fantola

Lorenzo Petagna

Sara Ingallinella

Bekkhan Khatsiev

Leandro Siragusa

Adam Abu-Abeid

Domenico Di Nardo

Kira Keller

Angelo Iossa

Panagiotis Lainas

Giovanni Merola

Vincenzo Schiavone

Koshish Nandan Pokharel

Author information

Authors and Affiliations

  1. Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria

    Daniel M. Felsenreich

  2. Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

    Wah Yang

  3. Bariatric Surgery Center, Department of Surgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey

    Halit E. Taskin

  4. General Surgery Department, Alexandria University, Faculty of Medicine, Alexandria, Egypt

    Tamer Abdelbaki

  5. Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Surgery Research Center, Rasool-E Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

    Shahab Shahabi

  6. Department of Upper GI Surgery, University College London Hospital NHS Foundation Trust, London, UK

    Roxanna Zakeri

  7. Bariatric Surgery Minimally Invasive and Robotic Surgery, St. Joseph’s University Medical Center, Paterson, USA

    Toghrul Talishinskiy

  8. Department of Surgery and Transplantation, University Hospital Zurich, University of Zurich, Zurich, Switzerland

    Daniel Gero

  9. Almazov National Medical Research Centre, Saint-Petersburg, Russia

    Alexandr Neimark

  10. Bariatric and Metabolic Surgery Unit, Department of General Surgery, Ospedale Evangelico Betania, Via Argine 604, 80147, Naples, Italy

    Sonja Chiappetta

Authors
  1. Daniel M. Felsenreich
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  2. Wah Yang
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  3. Halit E. Taskin
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  4. Tamer Abdelbaki
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  5. Shahab Shahabi
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  6. Roxanna Zakeri
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  7. Toghrul Talishinskiy
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  8. Daniel Gero
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  9. Alexandr Neimark
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  10. Sonja Chiappetta
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Consortia

on behalf of Young IFSO Collaborative Group

  • Daniel Fonseca Rohrs
  • , Haval Sabir
  • , Silvana Leanza
  • , Miljana Vladimirov
  • , Muhammad Umar Younis
  • , Ng Ka Kei Stephen
  • , Michael Gale
  • , Saif Mundher Ismael
  • , Adelina E. Coturel
  • , Rocío González López
  • , Costantino Voglino
  • , Usman Mohammed Bello
  • ,  Evert-Jan
  • , G. Boerma
  • , Abdullah Almunifi
  • , Ali Ediz Kivanc
  • , Seymur Abdullayev
  • , George Balalis
  • , Seren A. Yaseen
  • , Gabriel Alejandro Molina
  • , Jakob Eichelter
  • , Magdalena Mairinger
  • , Nicoletta Basile
  • , Suleiman Aldibaybi
  • , Piotr Kalinowski
  • , Mostafa Refaie Elkeleny
  • , Kotaro Wakamatsu
  • , Tarig A. Samarkandy
  • , Marleen Romeijn
  • , Aaron L. Sabbota
  • , Luis F. Zorrilla-Nuñez
  • , Morgan Pomeranz
  • , Abdullah Al Jabri
  • , Kathriena Greenwell
  • , Loic Tchokouani
  • , Derek Rogalsky
  • , Gerardo Davila
  • , Huzifa Haj Ibrahim
  • , Sebastian Arana
  • , Tina Thomas
  • , Juan Ortega Puy
  • , Gabriel Carrizo
  • , Rodolfo Oviedo
  • , Emmanouil Onoufrios Sgouromallis
  • , Ala Wafa
  • , Napolitano errichetta
  • , Felipe Martin Bianco Rossi
  • , Cem Emir Guldogan
  • , Hosam Elghadban
  • , Tiago Ferreira Paula
  • , Masoud Rezvani
  • , Omar Quiroz
  • , Midhat Abu Sneineh
  • , Nadia De Falco
  • , Abdullahi Ibrahim
  • , Paul Cromwell
  • , Raghav Garg
  • ,  El bouyousfi
  • , Fatih can Karaca
  • , Zhou Fuqing
  • , Gustavo Adolfo Us De Paz
  • , Elena Ruiz-Úcar
  • , Ahmed Borhamy
  • , Tamer Abdelbaki
  • , Farooq Khan
  • , Shiliang Dong
  • , Arpád Panyko
  • , Sjaak Pouwels
  • ,  Alaaddin
  • , Cihan Şahan
  • , Ahmet Türkoğlu
  • , Muhammed Rasid Aykota
  • , Sercan Yuksel
  • , Suleyman Caglar Ertekin
  • , Mehmet Celal Kizilkaya
  • , Jerry Dang
  • , Muhammad Umar
  • , Mohammed Abdullah Alawad
  • , Odd Bjørn Kjeldaas Salte
  • , Eleftherios Spartalis
  • , Michael Spartalis
  • , Saeed Safari
  • , Oguzhan Fatih Ay
  • , Francesca Abbatini
  • , Zatir Soufiane
  • , Arshad Ali
  • , Shan Xiaodong
  • , Gianluca Vanni
  • , Marco Materazzo
  • , Guccione Fabio
  • , Shlomi Rayman
  • , Anna Carolina Hoff
  • , Dimitri J. Pournaras
  • , Farbod Emami Yeganeh
  • , Hamed Atarodi
  • , Giuseppe Marincola
  • , Hany Takla
  • , Amir HDavarpanah Jazi
  • , Jose Gilberto Romero Lozano
  • , Taryel Omarov
  • , Yentl Lodewijks
  • , Anne Freund
  • , Ambar Banerjee
  • , Christopher Dawoud
  • , Giorgi Zurabashvili
  • , Yingxu Li
  • , Marko Kraljevic
  • , Erick Rodrigo Conde Cadena
  • , Mahir Gachabayov
  • , Michael de Cillia
  • , Abdulellah Niyaz
  • , Antonio Vitiello
  • , Abdulrahman Rudwan
  • , Adrian Marius Nedelcu
  • , Julian Süsstrunk
  • , Ivan Kristo
  • , Ioannis I. Lazaridis
  • , José Antonio Soria
  • , Julia Jedamzik
  • , Samuel Wanjara
  • , Zaher Toumi
  • , Anna Carolina Batista Dantas
  • , Guanhua Lu
  • , Lukas Altmann
  • , Mayte Wimber Arellano
  • , Salvatore Tolone
  • , Zhouqi Wei
  • , Omar Ghazouani
  • , Ricardo Lopez Osorio
  • , Abd-Elfattah Kalmoush
  • , Marco Pellicciaro
  • , Andrei Sarmiento
  • , Carlo Gazia
  • , William Peña
  • , Alfonso Bosco
  • , Abdullah AlMunifi
  • , Sirvjo Dhimolea
  • , Piotr Major
  • , Lorenza Beomonte Zobel
  • , Maxim Madalina
  • , Zhengrong Wen
  • , Xavier de Sousa
  • , Bruno sensi
  • , Gancho Kostov
  • , Fakuan Zhao
  • , Huiqi Li
  • , Tay Kon Voi
  • , Usman Mohammed Bello
  • , Mohammed Abd Al-fattah
  • , Andrew G. Robertson
  • , Snoekx Rob
  • , Elia Carolina Centeno Ríos
  • , Kurt Devroe
  • , José Fernando Escoto González
  • , Gennaro Martines
  • , Serhii Sorochan
  • , Cosimo Saviello
  • , Laurentiu Stefan Grecu
  • , Ahmed Abdelsalam
  • , Damiano Pennisi
  • , Nawaf mahmood dagher
  • , Mohammadtaghi Rezaei
  • , André Costa Pinho
  • , Carlo Nagliati
  • , Ismail Calikoglu
  • , Katrina Lolas Tornquist
  • , Matteo Uccelli
  • , Attaullah Mahar
  • , Silvana Alexandra Valencia Valverde
  • , Bassem Amr
  • , Youssef Sleiman
  • , Bakhtiyar Yelembayev
  • , Jonathan Sivakumar
  • , Dirceu Felipe Valentini Junior
  • , Claudia Mulas
  • , Khalid M. Alzahrani
  • , Soroceanu Radu-Petru
  • , Artur Silva
  • , Michael Joseph Baluda
  • , Barbara Jacobi
  • , Maria Lapeña-Rodriguez
  • , Antonio Buondonno
  • , Maria Spagnuolo
  • , Adisa Poljo
  • , Federica Alicata
  • , Claudio Arcudi
  • , Mohammad Kermansaravi
  • , Pier Paolo Cutolo
  • , Natalie Vock
  • , Paula Richwien
  • , Rahmatullah Athar
  • , Giovanni Fantola
  • , Lorenzo Petagna
  • , Sara Ingallinella
  • , Bekkhan Khatsiev
  • , Leandro Siragusa
  • , Adam Abu-Abeid
  • , Domenico Di Nardo
  • , Kira Keller
  • , Angelo Iossa
  • , Panagiotis Lainas
  • , Giovanni Merola
  • , Vincenzo Schiavone
  •  & Koshish Nandan Pokharel

Contributions

All authors performed substantial contributions to conception and design of the article and to acquisition, analysis, and interpretation of data. All authors reviewed the manuscript for important intellectual content and approved the final version for publication. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Daniel M. Felsenreich or Sonja Chiappetta.

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Key Points

• BMS education globally varies among different geographic locations.

• More than 50% of the respondents performed less than 10 bariatric surgeries during residency.

• Preparation of the stomach during SG is the most performed surgical step, and SG is the most performed BMS during residency.

• All types of gastric bypass are rarely performed during residency.

• More than half of the residents are trained in BMS centers of excellence.

• Laparoscopic training courses, cadaver courses, and wet lab training are the most preferred surgical training options.

Daniel M. Felsenreich, Wah Yang, Halit E. Taskin, Tamer Abdelbaki, Shahab Shahabi, Roxanna Zakeri, Toghrul Talishinskiy, Daniel Gero, Alexandr Neimark, and Sonja Chiappetta are members of the Young IFSO Collaborative Group.

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Felsenreich, D.M., Yang, W., Taskin, H.E. et al. Young-IFSO Bariatric/Metabolic Surgery Training and Education Survey. OBES SURG 33, 2816–2830 (2023). https://doi.org/10.1007/s11695-023-06751-8

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