title: The adequacy of hepatopancreatobiliary training: How does operative exposure and perceived readiness in fellowship translate into subsequent practice?
abstract: Over the last 3 decades, expansion in the scope and complexity of hepatopancreatobiliary (HPB) surgery has resulted in significant improvements in postoperative outcomes. As a result, the importance of dedicated fellowship training for HPB surgery is now well established, and the definition of formal program requirements has been actively pursued by a collaboration of the 3 distinct accrediting bodies within North America. While major advances have been made in defining minimum case volume requirements, qualitative assessment of the operative experience remains challenging. Our research collaborative (HPB Manpower and Education Study Group) has previously explored the perceived case volume adequacy of core HPB procedures within fellowship programs. We conducted a 1-year follow-up survey targeting the same cohort to investigate the association between operative case volumes and comfort performing HPB procedures within initial independent practice.
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Aubin
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Alexsander K
authors.initials: AK
authors.lastname: Bressan
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Janet P
authors.initials: JP
authors.lastname: Edwards
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Sean C
authors.initials: SC
authors.lastname: Grondin
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Elijah
authors.initials: E
authors.lastname: Dixon
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Minter
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: D Rohan
authors.initials: DR
authors.lastname: Jeyarajah
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Paul
authors.initials: P
authors.lastname: Hansen
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Amanda B
authors.initials: AB
authors.lastname: Cooper
authors.affiliation: From the University of Calgary, Calgary, Alta. (Aubin, Bressan, Edwards, Grondin, Dixon, Ball); the University of Texas Southwestern Medical Centre, Dallas, TX (Minter); the Methodist Dallas Medical Center, Dallas, TX (Jeyarajah); the Providence Medical Center, Portland, OR (Hansen); and the Penn State Hershey Medical Center, Hershey, PA (Cooper).
authors.forename: Chad G
authors.initials: CG
authors.lastname: Ball
mesh_terms: D001662:Biliary Tract Surgical Procedures / Q000193:education / Q000706:statistics & numerical data; D003479:Curriculum; D013505:Digestive System Surgical Procedures / Q000193:education* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration* / Q000706:statistics & numerical data