title: Constructing a competency-based bariatric surgery fellowship training curriculum.
abstract: BACKGROUND
  Bariatric fellowship training after general surgery has historically been time based and competence was determined at completion based on a minimum number of cases during the fellowship. Graduate medical education is moving toward competency-based medical education where learners are evaluated during the course of their training and competence assessment occurs throughout.
  
  
  OBJECTIVE
  The Executive Council of the American Society of Metabolic and Bariatric Surgery (ASMBS) at the direction of the American Board of Surgery wanted to transition the bariatric surgery fellowship curriculum from its traditional format to a competency-based curriculum using competency-based medical education principles.
  
  
  METHODS
  The ASMBS Education and Training Committee established a task force of 9 members to create a new curriculum and all of the necessary evaluation tools to support the curriculum, and initiate a pilot program.
  
  
  RESULTS
  A competency-based curriculum consisting of 6 modules with cognitive and technical milestones, and the innovative evaluation tools needed to evaluate the learners, was created. A pilot program consisting of 10 programs and 19 fellows has been undertaken for the 2016-2017 academic year.
  
  
  CONCLUSIONS
  The Education Committee of the ASMBS is leading the charge in curriculum development for competency-based medical education for bariatric fellowship.
authors.affiliation: Department of Surgery, University of Nebraska Medical Center, Omaha, NE. Electronic address: clmcbride@unmc.edu.
authors.forename: Corrigan L
authors.initials: CL
authors.lastname: McBride
authors.affiliation: Department of General Surgery, Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL.
authors.forename: Raul J
authors.initials: RJ
authors.lastname: Rosenthal
authors.affiliation: Department of Surgery, Cleveland Clinic, Cleveland, OH.
authors.forename: Stacy
authors.initials: S
authors.lastname: Brethauer
authors.affiliation: Bon Secours Health System, St. Mary's Hospital, Richmond, VA.
authors.forename: Eric
authors.initials: E
authors.lastname: DeMaria
authors.affiliation: Department of Surgery, UMassMemorial Medical Center, Worcester MA.
authors.forename: John J
authors.initials: JJ
authors.lastname: Kelly
authors.affiliation: Department of Surgery, Stanford School of Medicine, Stanford, CA.
authors.forename: John M
authors.initials: JM
authors.lastname: Morton
authors.affiliation: Bariatric and Metabolic Institute, Digestive Disease Institute, Cleveland Clinic Florida, Weston, FL.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Lo Menzo
authors.affiliation: Moore Metabolics, New Orleans, Louisiana.
authors.forename: Rachel
authors.initials: R
authors.lastname: Moore
authors.affiliation: Department of Surgery, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY.
authors.forename: Alfons
authors.initials: A
authors.lastname: Pomp
authors.affiliation: Department of Surgery, University of California Irvine Medical Center, Orange, CA.
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
mesh_terms: D050110:Bariatric Surgery / Q000193:education* / Q000592:standards; D002983:Clinical Competence / Q000592:standards*; D003162:Competency-Based Education / Q000379:methods*; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D005257:Fellowships and Scholarships; D006801:Humans; D014481:United States
keywords: Bariatric fellowship; Competency-based medical education; Entrustable professional activities; Milestones