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Introduction to AHPBA fellowship training strength, weaknesses, opportunities, and threats (SWOT) analysis

Published:September 17, 2022DOI:https://doi.org/10.1016/j.hpb.2022.09.006
      Surgical fellowships refine skills for sub-specialty practice. While formal and informal Hepato-Pancreato-Biliary (HPB) fellowships have long been a part of HPB surgery, only since 2005 has the Americas Hepatopancreatobiliary Association (AHPBA) offered a certificate of accreditation. The original point of the AHPBA certificate was to establish minimum case volume standards for successful HPB surgical training. In recent years, the number of training programs eligible for AHPBA certificates have increased significantly. This has paralleled continued growth of two additional training tracks (Transplant and Surgical Oncology) that can produce skilled HPB surgeons with or without an additional AHPBA certificate. Thus, a significant number of variably trained aspiring HPB surgeons are supplied to the North American job market without commensurate demand. Due to growing concern that an over-trained but under-experienced HPB workforce is detrimental to optimal patient care, and in acknowledgement of an impending if not already present HPB surgery workforce surplus, AHPBA executive leadership has undertaken the difficult but necessary task of self-examination.
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