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Training Paradigms in Hepato-Pancreatico-Biliary Surgery: an Overview of the Different Fellowship Pathways

Journal of Gastrointestinal Surgery volume 25, pages 2119–2128 (2021)Cite this article

Abstract

Hepato-pancreatico-biliary (HPB) surgery, and the training of HPB surgeons, has evolved significantly over the last several decades. The current state of training in HPB surgery in North America is defined through three main pathways: the Complex General Surgical Oncology (CGSO) ACGME fellowship, the American Society of Transplant Surgeons (ASTS) fellowship, and the Americas Hepatopancreaticobiliary Association (AHPBA) fellowship. These fellowships offer variable experiences in pancreas, liver, and biliary cases, and each pathway offers a unique perspective on HPB surgery. The CGSO ACGME, ASTS, and AHPBA fellowships represent decades of work by the three major surgical leadership stakeholders to improve and ensure quality training of future HPB surgeons. The best care is provided by the HPB surgeon who has been trained to understand the importance of all available treatment options within the context of a multidisciplinary setting. The three fellowship pathways are outlined in this paper with the nuances and variations characteristic of the different training programs highlighted.

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Acknowledgements

The authors wish to thank Muhammad Darwish for his help with formatting and editing.

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Authors and Affiliations

  1. Department of Surgery, TCU/UNTHSC School of Medicine, Methodist Richardson Medical Center, Richardson, TX, USA

    D. Rohan Jeyarajah

  2. Henry Ford Health System, Henry Ford Transplant Institute, Detroit, MI, USA

    Marwan Abouljoud

  3. Department of Surgery, University of California San Francisco, San Francisco, CA, USA

    Adnan Alseidi

  4. Department of Surgical Oncology, New York University Langone, New York City, NY, USA

    Russell Berman

  5. Memorial Sloan Kettering Cancer Center, Weill Medical College, Cornell University, New York City, NY, USA

    Michael D’Angelica

  6. Department of Surgery, Hackensack Meridian School of Medicine, Nutley, NJ, USA

    Ellen Hagopian

  7. Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA

    Timothy M. Pawlik

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  1. D. Rohan Jeyarajah
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Correspondence to D. Rohan Jeyarajah.

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Marwan Abouljoud on behalf of the ASTS HPB Workgroup: Chris Sonnenday MD, Sunil Geevarghese MD, Wendy Grant MD, Ryo Hirose MD, Andre Dick MD, Ty Diwan MD, and Chelsey Gordon Farkosh CHES

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Jeyarajah, D.R., Abouljoud, M., Alseidi, A. et al. Training Paradigms in Hepato-Pancreatico-Biliary Surgery: an Overview of the Different Fellowship Pathways. J Gastrointest Surg 25, 2119–2128 (2021). https://doi.org/10.1007/s11605-021-05019-9

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  • DOI: https://doi.org/10.1007/s11605-021-05019-9

Keywords

  • Hepatopancreaticobiliary (HPB)
  • Fellowship training
  • Education and training