Duration: One year
Prerequisite: Fellows must have a North Carolina medical license.
The Duke Department of Surgery is pleased to support three clinical laparoscopic fellowship positions, providing clinical and academic training in advanced laparoscopic surgery and bariatric surgery. We also have a two-year position, combining an in-depth research focus with the one-year clinical program.
The Duke Minimally Invasive and Bariatric Surgery Fellowship is a one-year program (July 1 to June 30) designed to expand the skills and knowledge of participants -- both clinically and scientifically -- and to empower them to become leaders in this evolving and exciting field of surgery. A two-year fellowship to allow significant concentration in basic and clinical research in laparoscopic surgery or obesity treatment is also available.
Although the primary focus of the fellowship is general (foregut, hernia, colon, solid organ, etc.) and bariatric laparoscopic surgery, the fellow may also have the opportunity to be involved in other areas of endosurgical application, including thoracic, urological, and pediatric surgery. The involvement in these various fields is based on the fellow's interest and desire to seek participation with the faculty in these areas.
A key component of the training program is bariatric surgery, which provides an endosurgical training opportunity with a high-volume focus on the minimally invasive approach to bariatrics as well as endoscopy. The fellow works closely with several bariatric surgeons who perform up to 25 bariatric cases per week with a dedicated, multidisciplinary bariatric clinic for workup and support. The fellow spends at least half of the training period working within this high-volume service, gaining a tremendous experience with techniques for laparoscopic intestinal anastomosis (Roux-en-Y gastric bypass, robotic duodenal switch) as well as sleeve gastrectomy, gastric banding, and revisional weight loss surgery, which have application to a wide variety of laparoscopic procedures.
Program Special Features
The fellowships are aligned with a very active and productive endosurgery basic science research program that includes PhD researchers, residents, and research fellows. The lab has several areas of scientific inquiry, including GERD, the immunology and physiology of laparoscopy, the impact of surgical stress on the elderly, and fetal/maternal effects of surgical intervention. Clinical research activity is also encouraged and enhanced with access to extensive clinical database records.
Begun in 1993, the Minimally Invasive and Bariatric Surgery Fellowship has trained many individuals
whose accomplishments and continuing contributions to the field of endosurgery are well recognized and have served to further build the reputation of this program.
The opportunities for fellows at Duke University Medical Center are limited only by the motivation and ingenuity of the fellow. Though one year is a short period of time, it is our hope that those individuals who train at the Duke Center for Surgical Innovation
will establish a base on which to build their future and become leaders in the field of minimally invasive surgery.
Sherolyn L. Patterson
Durham, NC 27710