Unit 1 – Understanding Morbid Obesity
The fellow will obtain an in-depth understanding of obesity and its related diseases, including the surgical and non-surgical treatment of these modalities.
- The epidemiology of obesity, including adolescent and geriatric obesity
- The physiologic and interactive mechanisms of morbid obesity
- The psychological issues associated with morbid obesity
- Identification and management of nutritional deficiencies related to surgery
- Outcomes of bariatric surgery
- Fellow is expected to participate in Abington Memorial Hospital institutional multidisciplinary conference held quarterly and attended by nutrition staff, psychologists or psychiatrist, and non-surgical specialists. The fellow will be expected to participate in M&M conferences, quality improvement and perioperative management conferences.
- Fellow must attend at least one bariatric surgery patient support group meeting during the fellowship year.
- Fellow is expected to contribute to the advancement of knowledge of obesity surgery and treatment of obesity and related diseases. Fellow is expected to submit an abstract and complete at least one clinical and/or research manuscript or research project (poster) during the fellowship year. The goals are achieved through a specially designated bariatric textbook review sessions, journal club, peer-review conferences, and resident teaching rounds.
Textbook review topics include the following:
- Epidemiology of Obesity
- 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
- The fellow will evaluate obese patients for appropriate management.
- The fellow will understand appropriate evaluation of the obese patient including end-organ by-products of the disease in the following systems:
- Cardiac disease
- Pulmonary disease
- Musculoskeletal disease
- Psychological disease
- Metabolic diseases
- The fellow will provide patients with the information needed to choose appropriate management options.