Global goals to be attained by the completion of the Bariatric fellowship
Be able to independently evaluate, diagnose and plan operative strategy for complex bariatric patients.
Perform complex laparoscopic procedures independently and instruct residents within appropriate cases.
Develop an understanding of how to manage and perform clinical and basic science research.
Become comfortable with currently available simulation and education tools, and understand how to incorporate this into new programs.
Clinical responsibilities
Discuss with residents the case assignment for the upcoming week.
Attend all service clinics except when in the OR performing a case with an attending.
The fellow is in charge of rounds on the bariatric service and will delegate rounding duties to the residents.
The fellow will see all patients when the residents on the bariatric service are PGY-1 and PGY-2.
It is up to the fellow’s discretion whether a mid-level resident is responsible enough to round on patients without the fellow on the bariatric service.
See patients in pre-op for cases on which you will be scrubbed on.
Attend all surgeon courses.
Attend a bariatric seminar and be prepared to participate in local seminars.
Round on all bariatric surgery patients on weekends.
Be on call as attending with senior attending as back-up.
Help give lectures for the skills lab and surgeon courses.
Be available for the resident labs and attending courses.
Forward all consults, H&P, admission, clinic progress notes, OP notes, discharge summaries to the attending.
Call routing procedures
All in house patient calls go to the resident, including ER calls.
All outpatient bariatric phone calls go to the fellow.
All physician calls go to the attending.
If the resident cannot resolve the patient problem, he/she should call the fellow and from there, the fellow can call the attending if necessary.
Conferences
Grand Rounds attendance is mandatory.
M&M conference attendance is mandatory.
M&M conference is held every Wednesday morning at 7:00am except for instances when Grand Rounds is also presented. On those days M&M will be at 6:00am.
All cases are to be presented in a PowerPoint format with pertinent films. Your presentation should be knowledgeable in regards to the patient’s hospital course.
Fellows should present the complication unless an appropriate level resident performed the case.
Complications should be put on the list within 1-2 weeks of the complication unless the patient has a prolonged hospital course.
Please arrive to the designated meeting space PRIOR to the start of the conference to load your presentation on the computer.
Please ensure deletion of the presentation from the computer desktop after the M&M conference.
Research Meeting (q 3 months) is mandatory.
MBS Committee Meeting (monthly) is mandatory for the fellow.
Journal Club (monthly) is mandatory for the fellow.
Topics will be chosen ahead of time and it will be the fellow’s responsibility to choose the appropriate article.
Research expectations
Complete IRB, ACUC, HIPAA training as appropriate prior to beginning any research projects.
Fellows are expected to work on at least 1 project during their fellowship year.
New projects may be initiated with the approval of the supervising attending.
Manuscripts for any project that is to be presented at a national/international conference either in poster or presentation form must be completed and submitted to the other authors prior to the conference.
All posters/presentations/abstracts need to be presented to the attending prior to submission.
Bariatric fellow curriculum
Practice suturing and knot tying in the dry lab.
One on one sessions will be arranged with attending’s during the first month and then as needed.
Complete FLS preparation and testing within the first month of fellowship.
Read about operative approach ahead of time and arrive prepared. Roux-en-Y gastric bypass has been standardized in this program and detailed operative technique will be provided in written form.
Informal discussion will be had at 3 months with the fellowship director regarding the fellows progress, his/her concerns and identify any areas that can benefit from improvement.
Formal 6 month evaluation will be given.
Attend labs as an opportunity to practice skills and teach residents.