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
- Jackson Memorial Hospital
- University of Miami Hospital
- University of Miami Hospital and Clinics
- 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
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.
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.
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:
- Epidemiology of Obesity and Medical Management
- History of Bariatric Surgery
- Physiology and Interactive Mechanisms in Morbid Obesity
- Preoperative Evaluation of the Bariatric Patient
- Psychology of the Morbidly Obese Patient
- Essentials of a Bariatric Program
- Postoperative Management of the Bariatric Patient
- Laparoscopic versus Open
- Laparoscopic Adjustable Banding
- Other Restrictive Operations
- Gastric Bypass
- Biliopancreatic Diversion/Duodenal Switch
- Revisional Weight Loss Surgery
- Managing Postoperative Complications
- Nutritional Deficiencies
- Obesity in Childhood and Adolescence
- Outcomes of Bariatric Surgery
- Role of Endoscopy in Bariatric Surgery
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.
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.