Surgical Endoscopy

, Volume 32, Issue 6, pp 2613–2619 | Cite as

SAGES’s advanced GI/MIS fellowship curriculum pilot project

  • Joshua J. Weis
  • Matthew Goldblatt
  • Aurora Pryor
  • Brian J. Dunkin
  • L. Michael Brunt
  • Daniel B. Jones
  • Daniel J. Scott
SAGES Pilot Project



The American health care system faces deficits in quality and quantity of surgeons. SAGES is a major stakeholder in surgical fellowship training and is responsible for defining the curriculum for the Advanced GI/MIS fellowship. SAGES leadership is actively adapting this curriculum.


The process of reform began in 2014 through a series of iterative meetings and discussions. A working group within the Resident and Fellow Training Committee reviewed case log data from 2012 to 2015. These data were used to propose new criteria designed to provide adequate exposure to core content. The working group also proposed using video assessment of an MIS case to provide objective assessment of competency.


Case log data were available for 326 fellows with a total of 85,154 cases logged (median 227 per fellow). The working group proposed new criteria starting with minimum case volumes for five defined categories including foregut (20), bariatrics (25), inguinal hernia (10), ventral hernia (10), and solid organ/colon/thoracic (10). Fellows are expected to perform an additional 75 complex MIS cases of any category for a total of 150 required cases overall. The proposal also included a minimum volume of flexible endoscopy (50) and submission of an MIS foregut case for video assessment. The new criteria more clearly defined which surgeon roles count for major credit within individual categories. Fourteen fellowships volunteered to pilot these new criteria for the 2017–2018 academic year.


The new SAGES Advanced GI/MIS fellowship has been crafted to better define the core content that should be contained in these fellowships, while still allowing sufficient heterogeneity so that individual learners can tailor their training to specific areas of interest. The criteria also introduce innovative, evidence-based methods for assessing competency. Pending the results of the pilot program, SAGES will consider broad implementation of the new fellowship criteria.


Compliance with ethical standards


Joshua J. Weis, Matthew Goldblatt, Aurora Pryor, Brian J. Dunkin, L. Michael Brunt, Daniel B. Jones, and Daniel J. Scott have nothing to disclose.


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2018

Authors and Affiliations

  • Joshua J. Weis
    • 1
  • Matthew Goldblatt
    • 2
  • Aurora Pryor
    • 3
  • Brian J. Dunkin
    • 4
  • L. Michael Brunt
    • 5
  • Daniel B. Jones
    • 6
  • Daniel J. Scott
    • 1
  1. 1.University of Texas Southwestern Medical Center at DallasDallasUSA
  2. 2.Medical College of WisconsinMilwaukeeUSA
  3. 3.Department of SurgeryStony Brook UniversityStony BrookUSA
  4. 4.Houston Methodist HospitalHoustonUSA
  5. 5.Washington University School of MedicineSt. LouisUSA
  6. 6.Beth Israel Deaconess Medical CenterBostonUSA

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