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Conclusions and recommendations of an AHPBA-commissioned assessment of strengths, weaknesses, opportunities, and threats facing fellowship training in HPB surgery

  • Susanne G. Warner
    Affiliations
    Department of Surgery, Mayo Clinic, Rochester, MN, USA
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  • Michele Babicky
    Affiliations
    The Oregon Clinic, Providence Portland Medical Center, Portland, OR, USA
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  • Adnan Alseidi
    Affiliations
    Department of Surgery, University of California San Francisco, San Francisco, CA, USA
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  • Brendan Visser
    Correspondence
    Correspondence: Brendan Visser, Department of Surgery, Section of Surgical Oncology, Stanford University School of Medicine, 300 Pasteur Drive, H3680, Stanford, CA 94305-5655, USA.
    Affiliations
    Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
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  • Author Footnotes
    a AHPBA SWOT Taskforce: 1 Jin He, M.D., PhD., (Division of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA). 2 Erin C. Maynard, M.D., (Division of Abdominal Organ Transplantation, Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 3 Nitin Katariya, M.D., (Division of Transplant and HPB, Department of Surgery, Mayo Clinic Arizona, Alix School of Medicine, Phoenix, AZ, USA). 4 Kimberly Washington, M.D., (Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 5 Chad G. Ball, M.D., MSc., (Division of Hepato-Pancreato-Biliary, Department of Surgery, University of Calgary, Alberta, Canada). 6 Carol-Anne Moulton, M.D., (Department of Surgery, University of Toronto, Toronto, Canada).
    AHPBA SWOT Taskforce
    Footnotes
    a AHPBA SWOT Taskforce: 1 Jin He, M.D., PhD., (Division of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA). 2 Erin C. Maynard, M.D., (Division of Abdominal Organ Transplantation, Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 3 Nitin Katariya, M.D., (Division of Transplant and HPB, Department of Surgery, Mayo Clinic Arizona, Alix School of Medicine, Phoenix, AZ, USA). 4 Kimberly Washington, M.D., (Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 5 Chad G. Ball, M.D., MSc., (Division of Hepato-Pancreato-Biliary, Department of Surgery, University of Calgary, Alberta, Canada). 6 Carol-Anne Moulton, M.D., (Department of Surgery, University of Toronto, Toronto, Canada).
    Authors List
  • Author Footnotes
    a AHPBA SWOT Taskforce: 1 Jin He, M.D., PhD., (Division of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA). 2 Erin C. Maynard, M.D., (Division of Abdominal Organ Transplantation, Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 3 Nitin Katariya, M.D., (Division of Transplant and HPB, Department of Surgery, Mayo Clinic Arizona, Alix School of Medicine, Phoenix, AZ, USA). 4 Kimberly Washington, M.D., (Department of Surgery, Oregon Health & Science University, Portland, OR, USA). 5 Chad G. Ball, M.D., MSc., (Division of Hepato-Pancreato-Biliary, Department of Surgery, University of Calgary, Alberta, Canada). 6 Carol-Anne Moulton, M.D., (Department of Surgery, University of Toronto, Toronto, Canada).
Published:September 27, 2022DOI:https://doi.org/10.1016/j.hpb.2022.09.004
      Surgical fellowships eligible for an Americas Hepato-pancreato–biliary Association (AHPBA) certificate have non-centralized curricula offering widely varied clinical experiences and thus disparate preparedness for independent practice. This variability obscures general understanding of what AHPBA-trained surgeons are prepared to do in practice. The impact of this educational variation is compounded by a surplus of surgeons wishing to perform hepatopancreatobiliary (HPB) cases in North America. Challenged by a desire to maintain consistent quality in HPB surgical care in North America, AHPBA sought to critically appraise and then strengthen the value of the AHPBA certificate. Thus, the AHPBA commissioned a taskforce to analyze perceived Strengths, Weaknesses, Opportunities, and Threats (SWOT) facing HPB fellowship programs and stakeholders surrounding them.
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