Curriculum

We follow the ASMBS curriculum for certification of bariatric surgeons that include the following 18 subject areas:

  • Epidemiology of obesity
  • History of bariatric surgery
  • Physiology and interactive mechanisms in morbid obesity
  • Preoperative evaluation of the bariatric patient
  • Psychology of the morbidly obese patient
  • Essentials of a bariatric program
  • Postoperative management of the bariatric patient
  • Laparoscopic versus open
  • Laparoscopic adjustable banding
  • Other restrictive operations
  • Gastric bypass
  • Biliopancreatic diversion/duodenal switch
  • Revisional weight loss surgery
  • Managing postoperative complications
  • Nutritional deficiencies
  • Obesity in childhood and adolescence
  • Outcomes of bariatric surgery
  • Role of endoscopy in bariatric surgery

Education

  • Weekly resident teaching rounds
  • Monthly thoracic oncology conference
  • Weekly benign esophageal diseases conference
  • Biweekly tumor board

Focus procedures

  • Non bariatric/gastric procedures
    • Benign esophageal disorders
      • Laparoscopic Heller myotomy for achalasia
      • Laparoscopic repair of giant paraesophageal hernia
      • Laparoscopic resection of esophageal diverticulum
      • Laparoscopic antireflux surgery (Nissen, Toupet, Dor)
      • Laparoscopic Collis gastroplasty
      • Laparoscopic resection of esophageal leiomyoma
      • Endoscopic cricopharyngotomy for Zenker’s diverticulum

    • Esophageal cancer
      • Laparoscopic/VATS  esophageal mobilization and esophagogastrectomy with lymph node removal
      • VATS/Laparoscopic staging of esophageal cancer
      • Endoscopic esophageal stent placement

    • Laparoscopic Gastric resection with reconstruction
    • Transgastric/intragastric resection of gastric masses
    • Laparoscopic Gastrostomy Tube

  • Bariatric procedures
    • Laparoscopic RYGB
    • Laparoscopic BPD/DS
    • Laparoscopic LSG
    • Laparoscopic adjustable gastric banding
    • Laparoscopic revisional bariatric procedures
    • Laparoscopic access for ERCP after bariatric surgery

     

  • Endoscopic procedures
    • Endoscopic procedures
    • Stenting
    • Dilation
    • Biopsy
    • Polypectomy 

     

  • Less common procedures the fellows may have exposure to
    • Laparoscopic feeding jejunostomy
    • Laparoscopic splenectomy
    • Laparoscopic adrenalectomy
    • Laparoscopic distal pancreatectomy
    • Laparoscopic gastrectomy with lymph node dissection
    • Laparoscopic truncal and highly selective vagotomy
    • Laparoscopic pyloroplasty/pyloromyotomy
    • Laparoscopic ventral hernia repair
    • Laparoscopic colon resection
    • Laparoscopic small bowel resection
    • Laparoscopic small bowel harvest for urologic reconstructive procedures
    • Thoracic sympathectomy for hyperhydrosis