There are currently two fellowship positions available for the 2019-2020 fellowship year. Please see below for further details on each position.
MIS Fellowship Position at Preston Memorial Hospital starting August 2019
This is a clinical hands on one-year fellowship program comprising a broad range of Bariatric, Minimally Invasive, Endoscopic and Cosmetic Surgical Procedures.
We are proud to offer the first MIS Fellowship program in West Virginia. This program offers the fellow a wide variety of procedures and is run through a private practice setting. The fellow will have the advantage of not having residents or other fellows to compete over cases. We expect the fellow to act as a junior staff in the practice. The program provides comprehensive advanced training in the management of obesity including pre, intra and postoperative care. The curriculum also provides a broad, high volume clinical practice in non-Bariatric Laparoscopic, Cosmetic and Body Contouring surgeries. Clinical research, academic and administrative activities are strongly emphasized.
Objectives: The fellowship curriculum enables the fellow to:
- Obtain experience in the pre-operative workup of surgical candidates with focus on decision making, procedure selection and the practice of evidence-based medicine.
- Acquire advanced laparoscopic operative skills.
- Manage the patients in and out of the hospital.
- Establish continuity of care by evaluating the patients in a clinic setting pre and postoperatively.
- Submit papers for publication in peer reviewed journals and present in regional / national meetings
- The fellow will be expected to acquire full spectrum of managing the Bariatric patient including Body Contouring Cosmetic procedures after weight loss
This is a hand on training program where the fellow is expected to perform high volume of cases including:
- Laparoscopic primary Bariatric procedures (Lap Band, Sleeve, Roux-Y Gastric Bypass)
- Revisional Bariatric surgeries
- Endoscopic Gastric Balloon
- Foregut procedures, including laparoscopic hiatal hernia repair with different fundoplications (Nissen, Dor, Toupet), Heller myotomy and revisional foregut procedures.
- Interpretation of pH monitoring and esophageal motility studies for pre-operative work up of esophageal motility disorders, hiatal hernia, GERD
- High volume endoscopy (upper and lower) including diagnostic and therapeutic procedures (balloon dilation, submucosal injection, tattooing, endoscopic stenting, biopsy, polypectomy)
- Laparoscopic colon resection
- Laparoscopic abdominal wall hernia repair
- Basic laparoscopy
- The fellow will also learn post Bariatric Body Contouring including chest lift, thigh lift, abdominoplasty, brachioplasty.
- The fellow will learn injectables (e.g. Botox, dermal fillers)
- The fellow will be able to learn other Cosmetic procedures as Breast Augmentation, Reduction, Mastopexy, Liposuction, FaceLift, Neck Lift and others
- The fellow will learn office based procedures including endoscopy, Cosmeric Surgeries, airway management and IV sedation
Basic Program Information:
- Location: Kingwood, WV
- Primary Program Site: Preston Memorial Hospital
- Secondary Program Site: Akkary Surgery Center
- University Affiliation:
- Year Program Established: 2018
- % of Program Clinical: 90
- % of Program Research: 10
Additional Program Information:
- Interaction with Residents: No residents
- Is there a General Surgery Residency at the Primary Institution?: No
- Is there a General Surgery Residency at the Secondary Institution?: No
- Is there a curriculum in place for fellowship?: Yes
- Are there teaching conferences available for the fellow?: Yes
- Is there an evaluation tool for fellow by faculty in place?: Yes
- Is there an evaluation tool for faculty by fellow in place?: Yes
- Papers Accepted For Publication where PD was an author: 3
- Publications that Involved Input from the Fellow: 0
- Dry Lab
- Administrative Support
- Clinical Research
Contact Information For Questions:
Ehab Akkary MD FACS FASMBS
Advanced GI MIS Fellowship Program at UF Health Jacksonville – August 1, 2019- July 31, 2020
This is a one year fellowship program that is available for candidates desiring additional training in advanced minimally invasive and gastrointestinal surgery that will lead to certification by the Fellowship Council. The overall goal of the fellowship is to develop academic general surgeons with interest in advanced gastrointestinal surgical management and techniques. The program will teach advanced operative skills and patient management. It will further develop clinical research and teaching skills.
The objectives of the fellowship are as follows:
Develop and enhance operative technique and clinical skills in the pre and postoperative management in advanced gastrointestinal, hernia and hepatopancreatobiliary surgery with a major emphasis on minimally invasive techniques and emerging technology.
Development and implementation of research projects related to the content areas of the fellowship. Obtain experience in techniques and application of basic and clinical science in the field of minimally invasive surgery, hernia surgery, malignancies of the GI track, hepatopancreatobiliary surgery, flexible endoscopic techniques, and nutritional management. Manuscript preparation, poster preparation, oral presentation, and/or book chapter preparation are expected.
Obtain experience in development and application of advanced surgical technologies within the University of Florida Center for Simulation Education & Safety Research (CSESaR). A major programmatic focus of the fellowship will allow the unique opportunity to obtain experience in the development and application of simulation and other skills training techniques in CSESaR.
Expectations include: teaching and rounds with residents, medical student lectures, presentation and coordination of general surgery conferences, and the development and implementation of research projects related to the content areas of the fellowship.
The accepted fellow will gain significant experience in laparoscopic upper GI, colorectal, hernia, solid organ, and thoracic procedures (optional). The fellow will also learn techniques in robotic assisted laparoscopic and thoracoscopic operations. The fellow will also be exposed to complex open gastrointestinal and hepatopancreaticobiliary procedures.
The fellow will participate in all of the major teaching conferences of the Department of Surgery and will obtain experience in educational methods for describing and teaching techniques related to the content areas of the fellowship. This includes teaching basic laparoscopy to junior residents in the OR and laboratory setting, and assistance with GI surgical, laparoscopic, and endoscopic courses and conferences hosted by the Department of Surgery. The delivery of one surgical grand rounds presentation during the academic year of training is required. During the course of the year, the fellow will function in a supervisory role, with attending back-up, for some general surgery cases.
Operative experience will take place at UF Health Jacksonville, a 695 bed teaching hospital affiliated with the University of Florida College of Medicine – Jacksonville (UFCOM-J) with 20 operating rooms including four state-of-the-art videoscopic designated rooms with endoscopic integration. Two of the rooms are also configured for robotic surgery. The fellow will be appointed as an Instructor in Clinical Surgery. Salary and benefits will be equivalent to ACGME regional standards appropriate for the PGY-6 level of training. Benefits, insurance, and other fringe benefits are per UFCOM guidelines. Parking is free. Call will be taken from home and will average one day out of five and one weekend each month. Fellows always have attending backup. The management of assigned patients and assistance with emergencies is expected. Routine rounding on all patients with whom the fellow has had direct involvement is required. Support services and systems are in place to assure that fellows do not spend an inordinate amount of time in non-educational activities that can be conducted properly by other personnel. Work hours will be limited according to the institutional guidelines as mandated by the ACGME. The fellowship is approved by the UFCOM-J Graduate Medical Education program.
For further information please contact:
Ziad T. Awad, M.D., FACS
Chief, Division of General Surgery