Open AccessTraining Paradigms in Hepato-Pancreatico-Biliary Surgery: an Overview of the Different Fellowship Pathways
Author(s) -
D. Rohan Jeyarajah,
Marwan Abouljoud,
Adnan Alseidi,
Russell S. Berman,
Michael I. D’Angelica,
Ellen J. Hagopian,
Timothy M. Pawlik
Publication year - 2021
Publication title -
journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.168
H-Index - 126
eISSN - 1873-4626
pISSN - 1091-255X
DOI - 10.1007/s11605-021-05019-9
Subject(s) - medicine , context (archaeology) , multidisciplinary approach , multidisciplinary team , general surgery , nursing , paleontology , social science , sociology , biology
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.