title: Consensus Conference on North American Training in Hepatopancreaticobiliary Surgery: A Review of the Conference and Presentation of Consensus Statements.
abstract: The findings and recommendations of the North American Consensus Conference on Training in HPB Surgery held October 2014 are presented. The conference was hosted by the Society for Surgical Oncology (SSO), Americas Hepatopancreaticobiliary Association (AHPBA), and the American Society of Transplant Surgeons (ASTS). The current state of training in HPB surgery in North America was defined through three pathways-HPB, Surgical Oncology, and Solid Organ Transplant fellowships. Consensus regarding programmatic requirements included establishment of minimum case volumes and inclusion of quality metrics. Formative assessment, using milestones as a framework and inclusive of both operative and non-operative skills, must be present. Specific core HPB cases should be defined and used for evaluation of operative skills. The conference concluded with a focus on the optimal means to perform summative assessment to evaluate the individual fellow completing a fellowship in HPB surgery. Presentations from the hospital perspective and the American Board of Surgery led to consensus that summative assessment was desired by the public and the hospital systems, and should occur in a uniform but possibly modular manner for all HPB fellowship pathways. A task force comprised of representatives of the SSO, AHPBA, and ASTS are charged with implementation of the consensus statements emanating from this consensus conference.Copyright © 2016 The American Society of Transplantation, the American Society of Transplant Surgeons, and the Society of Surgical Oncology. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without written permission by The American Society of Transplantation, the American Society of Transplant Surgeons, or the Society of Surgical Oncology.
authors.affiliation: Department of Surgery, Methodist Dallas Medical Center, Dallas, USA. rohanjeyarajah@gmail.com.
authors.forename: D Rohan
authors.initials: DR
authors.lastname: Jeyarajah
authors.affiliation: Department of Surgery, Division of Surgical Oncology, New York University, New York, USA.
authors.forename: Russell S
authors.initials: RS
authors.lastname: Berman
authors.affiliation: Department of Abdominal Transplantation, Washington University School of Medicine, St. Louis, USA.
authors.forename: Majella
authors.initials: M
authors.lastname: Doyle
authors.affiliation: Division of Hepatobiliary Surgery and Liver Transplantation, Vanderbilt University Medical Center, Nashville, USA.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Geevarghese
authors.affiliation: Section of General Surgery and Surgical Oncology, University of Chicago Medicine, Chicago, USA.
authors.forename: Mitchell C
authors.initials: MC
authors.lastname: Posner
authors.affiliation: Department of Transplantation, UCLA Medical Center, Los Angeles, CA, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Farmer
authors.affiliation: Division of Hepatopancreatobiliary Surgery, Department of Surgery, University of Texas Southwestern, Dallas, USA.
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Minter
mesh_terms: D001662:Biliary Tract Surgical Procedures / Q000193:education*; D002983:Clinical Competence; D003226:Congresses as Topic; D003245:Consensus Statements as Topic; D013505:Digestive System Surgical Procedures / Q000193:education*; D005762:Gastroenterology / Q000193:education*; D006801:Humans