HPB Surgery

Program Overview

The HPB Surgery Fellowship Program at FAHZU’s Qingchun Campus offers a distinctive setting for outstanding candidates seeking advanced training in hepato-pancreatico-biliary (HPB) surgery.

During your training, your responsibilities will grow in alignment with your experience, ability, and performance. You’ll develop expertise in the interdisciplinary management of HPB diseases and gain extensive experience with the clinical and research tools essential for a successful academic career in this field.

As soon as you arrive on campus, you’ll experience our unique approach to care that prioritizes people above all. Our unwavering commitment to the needs of the patient come first is the cornerstone of a vibrant culture that unites every healthcare provider, scientist, student, and trainee in a shared mission: to bring hope and healing to the world.

We genuinely value your unique background and aspirations. Our commitment is to empower you through tailored mentorship in medical research and patient care, enabling you to achieve the profound impact you’ve always envisioned. Join us to transform your potential into reality.

Program Highlights

• Observation and/or participation in both common (e.g. cholecystectomy) and complex (e.g. hepatic and pancreatic resections) procedures with the faculties.

• Participation in clinical rounds each morning with a medical team.

• Observation in outpatient clinics (HPB surgery and liver transplant surgery).

• Observation and/or participation in clinical research (e.g. retrospective studies, prospective clinical trials) and laboratory research (e.g. basic cancer studies).

• Daily morning education programs, including a weekly morbidity and mortality conference as well as a daily journal club.

Training Objectives

Our program aims to prepare trainees for excellence in multidisciplinary clinical care for both simple and complex HPB diseases, encompassing inpatient management and various procedures. By connecting trainees with a diverse group of researchers involved in clinical, translational, and basic HPB research, we seek to equip them with a solid foundation in clinical investigation, paving the way for successful careers in academic medicine. Dedicated research time and resources will empower trainees to conceive and implement independent research projects effectively, with the guidance of our experienced faculty members.

Program Duration

The program offers a full-time training experience ranging from two weeks to six months. In special circumstances, alternative training durations can be arranged based on your needs and interests.

Target Audience & Qualifications

• Fellows:

Qualified applicants for the Hepato-Pancreatico-Biliary Fellowship must have completed a general surgery residency program at an accredited institution.


• Residents:

To be eligible for the Hepato-Pancreatico-Biliary residency, you must have successfully completed a board-approved program in general surgery. 


• Students:

1. You must be a final-year medical student when scheduled for the rotation. This indicates that all your core or required clerkship rotations should be completed by the time of the clinical rotation elective.

2. Medical School Approval - Letter of good standing from the dean’s office of your medical school, indicating that you are in your final year with an expected graduation date, maintaining good academic standing, and fulfilling all requirements to complete an elective for academic credit. 

Focus Areas & Skills

Focus Areas & Subspecialties:

1. Pancreatic cancer

2. Gallbladder cancer

3. Liver cancer

4. Radical resection combined with intestinal autotransplantation for locally advanced pancreatic cancer

5. Living donor transplantation (liver)

6. Deceased donor liver transplantation

7. Pediatric transplantation

8. Multidisciplinary team management

9. Multi-organ transplantation

10. Surgical management of benign and malignant HPB diseases

11. Laparoscopic HPB surgeries

12. Robotic-assisted HPB surgeries

13. Multidisciplinary management of malignant HPB malignancies

 

Skills:

1. Basic surgical skills: Puncture, catheterization, gastric tube, etc.

2. Laparoscopic skills: Resection, sealing and cutting, delicate dissection, suturing, bowel handling, etc.


Program Agenda

Monday

1st Week: Introduction & Welcome, Program Overview and Objectives, Department Introduction

Weekly: MDT Conferences, Complicated Case Study

Weekly Lectures:

-Topics:

1. Clinical Genomics

2. Radiation Oncology

3. Acute Pancreatitis

4. Biliary Tract Disease

 

Tuesday

Weekly: Outpatient Observation, Intervention Center Observation, Academic Lecture, Basic Surgical Skills Training

Biweekly: Research Training:

-Major Themes:

1. Risk Assessment for HBP Malignancies

2. Genetic Epidemiology of HBP Malignancies

3. Early Detection of HPB Malignancies

4. Management of HPB Malignancies

5. Endoscopic Interventions, TACE, and Other Interventions

 

Wednesday

Weekly: Clinical Rounds, HBP Surgery Observation (Including Laparoscopic/Robotic-Assisted/Transplant Surgeries), Case-based Discussion, Teaching Rounds

Biweekly: Simulated Surgery Training

Weekly: Lectures:

-Topics:

1. Interpretation of Liver Disease Imaging

2. Multidisciplinary Management of HBP Diseases

 

Thursday

Weekly: Surgical Skills Training:

1. Suturing, Knot Tying, Hemostasis

2. Puncture, Catheterization, Gastric Tube,

3. Square Knot, Surgical Knot

Biweekly: Surgery Hands-on

 

Friday

Weekly: Journal Club, Clinical Rounds, Clinical Skills Training, Special Task Training

Last Week: Wrap-up & Reflection, Participant Presentations or Discussion of Key Takeaways, Feedback Session


Evaluation and Feedback

After each rotation, faculty members evaluate each fellow based on core competencies such as patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice. Faculty members meet with fellows individually to provide verbal feedback and evaluations. For surgical skills, technical competence is assessed using specifically designed evaluation forms, a simulator laboratory, and a semiannual skills assessment program. Monthly, an aggregate evaluation of each fellow's clinical progress is conducted by a clinical competency faculty committee.

Fees

The program is free of charge.