Bariatric Surgery

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The objective of the Fellowship Training Program in Bariatric Surgery is to provide an academically and clinically rigorous training program to give the trainee outstanding skills in Bariatric Surgery as well as advanced training in Foregut Surgery. The aim of the program is to provide the trainee with the basic and clinical knowledge, procedural skills, clinical judgment, logistical understanding and interpersonal skills required as a specialist in Bariatric Surgery. The training will prepare our fellows to function not only as highly competent Bariatric Surgeons, but also as investigators in the field of obesity research.

ACGME Accredited: No – Accredited by The Fellowship Council
Residents or Fellows per year: 1
Duration: 1 year
Postgraduate Training Required: Post Graduate training must have been done in USA, Puerto Rico or Hawaii.
U.S. Citizenship Required: No – J1 Visa only offered

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at: 

  • University of Miami Miller School of Medicine - Miami, Florida
  • Doctors Hospital - Augusta Georgia
  • Northeast Georgia Medical Center – Gainesville, Georgia

Teaching Hospitals

  • Jackson Memorial Hospital
  • University of Miami Hospital
  • University of Miami Hospital and Clinics

Requirements

  • USMLE 1, 2, 3, National Board Exams or Flex examination results
  • ECFMG Certificate  if  foreign graduate
  • Medical School Certificate
  • Curriculum Vitae
  • BLS and ACLS
  • Copy of visa, work permit, or permanent residency
  • NPI Number
  • Letters of recommendation

Application Deadline
December through February
Apply for fellowship match at https://fellowshipcouncil.org/applicants-for-fellowship/

The program includes two trainees per year.  The program provides the minimum training, as dictated by ASMBS in all areas and additional training in advance foregut surgery.  The goals of the program specifically include achieving high quality training in each of the following areas as outlined by the American Society for Metabolic and Bariatric Surgery:

1. Laparoscopic, Open and Endoscopic Bariatric Surgeries/Procedures
2. Laparoscopic Adjustable Banding
3. Restrictive Operations
4. Malabsorptive Operations
5. Revisional Weight Loss Surgery
6. Management of postoperative complications
7. Management of nutritional deficiencies

Graduates of this program are expected to be able to screen candidates for bariatric surgery, carry out advanced laparoscopic operations independently, comfortably manage perioperative bariatric surgery patients, develop and manage a center for Bariatric Surgery, and to be able to teach the fundamental skills of laparoscopic surgery.

The curriculum is designed to provide the fellow with the opportunity to attain proficiency in patient selection, pre and postoperative care, operative skills, and perioperative care of patients undergoing minimally invasive procedures.

The fellow training experience will be spent primarily in general surgery and bariatric surgery procedures such as:

  • Hiatal hernia repair and fundoplication
  • Primary bariatric procedures and revisional procedures
  • Solid organ surgery
  • Upper endoscopy

Board Exam Requirements
Must be American Board of Surgery eligible.

Educational & Other Experience
Operative Experience/Technical Skill
The fellow will review the operative schedule daily.
The fellow will take the Primary Surgeon or Teaching Assistant role in all index cases.
The fellow will utilize the Surgical Skills Lab, both for laparoscopic skill improvement and in the teaching capacity. The Fellow will maintain a log of the time and skills practiced in the Lab.

Post-Operative Care
The fellow will have patient care responsibilities.
The fellow maintains a working relationship with the core general surgery residents and surgical attendings.
Any changes or suggestions by the fellow in the care plan will be discussed with the attending surgeon prior to implementation.

Didactic Training
The fellow must practice advanced skills regularly in the inanimate laboratory.
Review of current literature/textbooks/videos is encouraged. The Fellow will read and review SGRGS from the ACS throughout the year and discuss in a weekly conference.
The fellow will review operative videos, when available, with attending staff.
The fellow will participate/teach in weekly courses for residents and surgeons and attend scheduled Bariatric Surgery Conferences, Surgical Morbidity and Mortality conferences, General Surgery Educational Conference, and Surgical Grand Rounds.  Weekly conference includes journal club.  The topics listed below will be covered over the course of fellowship:

  1. Epidemiology of Obesity and Medical Management
  2. History of Bariatric Surgery
  3. Physiology and Interactive Mechanisms in Morbid Obesity
  4. Preoperative Evaluation of the Bariatric Patient
  5. Psychology of the Morbidly Obese Patient
  6. Essentials of a Bariatric Program
  7. Postoperative Management of the Bariatric Patient
  8. Laparoscopic versus Open
  9. Laparoscopic Adjustable Banding
  10. Other Restrictive Operations
  11. Gastric Bypass
  12. Biliopancreatic Diversion/Duodenal Switch
  13. Revisional Weight Loss Surgery
  14. Managing Postoperative Complications 
  15. Nutritional Deficiencies
  16. Obesity in Childhood and Adolescence
  17. Outcomes of Bariatric Surgery
  18. Role of Endoscopy in Bariatric Surgery

Research
The fellow will be involved in clinical and investigational research.The fellow will receive mentoring on study design and analysis, manuscript preparation, and research presentation.The fellow will be required to submit at least one manuscript for publication in peer-reviewed journals and at least one abstract submitted to a National Meeting.

Call
There will be some call in general surgery to allow for confidence development, interaction with the residents, expansion of teaching capabilities, and to manage patients in a quasi-independent fashion.

Nestor de la Cruz-Munoz, M.D.
Program Director

Lilliam Dana
Program Coordinador
Phone: 305-243-2424
Fax: 305-243-4670 

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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