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Unit 3 - Primary Operative Management of Morbid Obesity

Objectives

Fellow will develop surgical competence through experience with bariatric operations. Fellows will develop the skills and knowledge to evaluate and care for patients preoperatively and postoperatively.

Content

  1. Fellow will be exposed to more than one type of weight loss operation:
    • Restrictive operations, such as bands and vertical sleeve gastrectomies
    • Gastric bypass
    • Malabsorptive procedures BPD/DS
  2. Fellow will be exposed to the following surgical techniques:
    • Laparoscopic
    • Open
    • Robotic
    • Single Site surgery
    • Diagnostic and therapeutic endoscopic surgery/procedures
  3. Since surgical skill improves with experience, fellow will participate in at least 100 weight loss operations, a minimum of 50 stapling/anastomotic operations, and at least 10 purely restrictive operations, and five open procedures. The fellow will also participate in 50 patient preoperative evaluations, 100 postoperative in-patient management encounters, and 100 postoperative outpatient evaluations. There will be a fellow performance assessment interview conducted at least twice a year.
  4. Preoperative evaluation and postoperative management of the bariatric patient, including obesity related conditions.

Clinical Skills

  1. Fellows will participate in weight loss operations. Fellow is projected to perform 400 - 500 procedures per year. Accurate tabulation and recording of the operative logs must be done by the fellow in the Fellowship Council case log system. Duty hours log is not required.
  2. The fellow will assume the role of primary surgeon in 51% of cases, defined as having performed key components of the operation.
  3. Fellows will participate in preoperative evaluations:
    • Order and interpret appropriate testing
    • Consult with non-surgical specialists when needed
    • Evaluate most appropriate surgical options
    • Educate patient on benefits and risks of each option.
  4. Fellows will participate in postoperative patient encounters, (including hospital rounds) and postoperative outpatient evaluations.

To Apply

All applications are accepted strictly through Fellowship Council.

For more information:
Elaine Crotty
215-441-6825