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Goals and Objectives

Hepato-Pancreato-Biliary (HPB) Fellowship

The Hepato-Pancreato-Biliary (HPB) General Surgery Elective was established with the intention of enhancing core knowledge, expertise, and mastery of technical skills. Pre-requisite training is necessary for all candidates and is most suitable to those trainees who have completed a surgical residency in good standing. 


Fellows work with experts in the surgical management of hepatobiliary and pancreatic diseases through a multidisciplinary team approach that focuses on comprehensive high-quality patient care, research, and evidence-based practices.

The goals and objectives of the HPB Surgery Fellowship Program are tailored to those set forth by the International Hepato-Pancreato-Biliary Association(IHPBA) and the Americas Hepato-Pancreato-Biliary Association (AHPBA), as enlisted below:

  • ​Knowledge, clinical experience and technical skills to provide comprehensive, state-of-the-art care to HPB patients. 

  • Knowledge and experience in the interpretation of HPB imaging studies, including ultrasound, computerized tomography, magnetic resonance imaging, cholangiography, pancreatography, and angiography. 

  • Knowledge and experience to determine disease stage and natural history as well as treatment options for individual HPB patients at the time of diagnosis and throughout the course of the disease. 

  • Broad knowledge of nonsurgical treatment options including: endoscopic, interventional radiologic, oncologic and medical therapies. This requirement includes an understanding of disease biology, indications for and complications of multimodality therapy. 

  • Experience and technical skill in performing complex HPB operations, including new techniques. 

  • Experience and technical skill in performing palliative surgical procedures and knowledge of nonsurgical palliative options. 

  • Knowledge of HPB tumor biology, epidemiology, tumor markers, and tumor pathology.

  • The clinical curriculum involves direct patient care within the outpatient clinic, inpatient setting, and operating room.  

  • The fellow is expected to actively participate in all activities of patient care within a multidisciplinary scheme that puts the patient’s best interests first.  

  • Research is a requirement to complete the fellowship training program. Clinical and basic science models are acceptable forms of research with an emphasis on publication in peer-reviewed journals and presentations at national or international society meetings.

  • The fellow will provide supervision of patient care under the direction of the attending physician or faculty member and is responsible for patient care, communicating patient assessments and plan of care to the attending surgeon, and coordination of patient care among multiple disciplines.    

  • The clinical procedural requirements and didactic curriculum has been tailored to those set forth by the IHPBA and AHPBA regarding standards of fellowship training.  

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