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Description:

The OHSU hepato-pancreato-biliary fellowship program is designed to draw from the multidisciplinary strengths of faculty members in abdominal organ transplant/hepato-pancreato-biliary surgery, surgical oncology, and general surgery. The fellowship is aimed to complete the specialty training of well-trained general surgeons. The program is two years in duration with a new fellow matriculating yearly.  The fellows alternate between the Surgical Oncology and Transplant/HPB services. The program is clinically focused and includes the fundamentals of hepato-pancreato-biliary surgery, liver transplantation and the evaluation of benign and malignant HPB conditions as well as liver failure patients. 

While the fellowship focuses on learning the operative management, clinical practices and treatment planning related to HPB, several important components of the fellowship warrant further mention.  First, an important goal of the fellowship is to develop clinical research experience.  At minimum fellows will produce 2 projects annually with a faculty mentor(s) for presentation at national or international meetings followed by manuscript publication.  Second, fellows are expected to grow into leadership roles as they develop into confident faculty.  Finally, participation in didactic instruction for residents and students makes up another element of the fellow role at OHSU, as well as training surgical residents in the operating room.

Graduates will be expected to finish the program with substantial technical expertise in liver resection, complex biliary reconstruction, pancreas resection, liver transplantation, organ procurement, and minimally invasive liver and pancreatic surgery and techniques of liver tumor ablation. Robotic curriculae are currently being developed and fellows are participating in robotic cases with formal recognition and future certification.  Trainees will be thoroughly trained in the evaluation and clinical decision making for patients with benign liver masses, primary liver, bile duct and gall bladder cancer, management of metastatic cancer to the liver, complex biliary diseases that need reconstruction such as bile duct injuries sustained during gall bladder surgery and biliary strictures after liver transplantation, straight forward liver transplantation, abdominal organ procurement, and neoplastic and non-neoplastic diseases of the pancreas and duodenum. In addition, experience in hepatic artery infusion techniques will be a part of the fellowship curriculum. While the program is not aimed to train liver transplant surgeons, the trainee will benefit from broad exposure to organ retrieval, recipient hepatectomy and liver transplantation. Trainees will be expected to develop independent clinical and translational research skills. Under faculty guidance graduates will be expected to design and complete a research project, with presentation at local, national and international HPB conferences, and publication of their work.

Ultimately the program is designed to produce superb technical surgeons with a thorough understanding of the clinical and translational aspects of HPB disease.  The OHSU HPB fellowship aims to provide a structured mentorship environment tailored to the strengths and needs of each fellow.  Ultimately, we expect the fellows to graduate the program as confident leaders in HPB surgery.

Basic Program Information:

• Location: Portland, Oregon
• Primary Program Site: Oregon Health & Science University
• Primary Hospital: Total bed size, # OR's, # Surgical ICU beds: 576 licensed beds, 36 ORs in four separate OR suites, 21 bed Trauma/General Surgery ICU unit
• Secondary Program Site: Portland VA Medical Center
• Secondary Hospital: Total bed size, # OR's, # Surgical ICU beds: 303 licensed beds, 10 ORs, 25 ICU beds
• Clinic locations and schedule:

  Center of Health and Healing - OHSU Monday - Friday 8-5 PM (Surgical Oncology) 

  Physician's Pavilion - OHSU Monday-Friday 8-5 PM (Abdominal Transplant)

• University Affiliation: Oregon Health & Science University
• School of Medicine Affiliation: Oregon Health & Science University School of Medicine
• Year Program and/or Designation Established: 2010
• Number of Faculty: 8
• % of Program Clinical: 70
• % of Program Research: 30

Additional Program Information:

• Interaction with Residents: Some cases shared
• Is there a General Surgery Residency at the Primary Institution? Yes
• Is there a General Surgery Residency at the Secondary Institution? Yes
• Is there a curriculum in place for fellowship? Yes
• Is there a skills lab at the institution with fellow access? 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: 26
• Publications that Involved Input from the Fellow: 2
• Are funds available for the Fellow to attend conferences? Yes

Malpractice Insurance Information:

• The fellow(s) is also required to have attending privileges (insurance coverage must also include all activities for their work while they act as a fellow and an attending) and the program provides the following:
  
  Claims-based malpractice coverage including a tail for the statute of limitations

Contact Information For Questions:

Kate Manelis
Phone: 503-418-1257
Fax: 503-494-1121
Email: [email protected]
Web: http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/surgery/residency-and-fellowships/non-acgme-fellowships/hepatobiliary.cfm

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Clinical Research
Simulation Lab
Primate Center