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Minimally Invasive Surgery
Fellowship

About the Minimally Invasive Surgery Fellowship

This is an all-inclusive fellowship that includes robotic and laparoscopic general (hernia, colons), foregut, endoscopic and bariatric surgery.

The fellowship has been accredited by the Fellowship Council in both advanced minimally invasive surgery and minimally invasive bariatric surgery. The fellowship has been graduating fellows on a yearly basis since 2008. The mix of cases in the fellowship is quite varied but is equally split between advanced minimally invasive non-bariatric surgery (hernias, colons, Nissens, etc.) and minimally invasive bariatric surgery.

The fellow will achieve the required number of cases for the advanced minimally invasive non-bariatric portion of the fellowship (150 MIS cases) and also achieve the required number of cases for the minimally invasive bariatric surgery portion of the fellowship (50 gastric bypasses, 10 restrictive – Lap-Bands and sleeves, and 5 revisions for a total of 100 cases). Historically, previous fellows have completed this fellowship with over 400 cases.  

The fellow will have some home call responsibility and weekend rounding responsibility, shared with the senior residents on the service.  The fellow will spend at least one to two half days per week of clinic responsibilities.

The average fellow will graduate with approximately 400 cases and nearly  500 procedures. This is a very hands-on minimally invasive fellowship from the start. The fellow will learn how to set up a bariatric practice. At the end of the year, the fellow will be able to manage bariatric patients throughout all stages of surgery, i.e., pre-operative, peri-operative and post-operative. The fellow will graduate feeling practice-ready in a variety of minimally invasive procedures.

Duration of fellowship: one year, from August 1 – July 31

Vacation: three weeks


Prospective Fellows

Program Coordinator

Lori McParlane
lmcparlane@med.wayne.edu

313-577-5319 

Curriculum

Fellows will be expected to perform preoperative assessment of patients and demonstrate an understanding of the management options, indications, contraindications, and complications associated with the recommended procedure.

Fellows should demonstrate understanding of and ability to order, integrate and interpret perioperative testing and evaluation of all organ systems as related to advanced GI surgery.

Fellows will demonstrate intraoperative decision-making that minimizes complications and demonstrates an awareness of the limitations of his/her technical skills.

Fellows will demonstrate knowledge of anatomy of the GI tract and the abdominal cavity, including as viewed through MIS access, both normal and abnormal.

Fellows will demonstrate knowledge of a variety of approaches (both operative and non-operative) to a given GI tract disease and exhibit reasoning to arrive at the correct procedure for a given patient.

Fellows will demonstrate expertise in interpreting anatomic and physiologic studies of the GI tract and abdominal cavity relevant to their areas of expertise.

Fellows will demonstrate fundamental MIS competency relevant to their area of expertise.

Fellows will acquire skill in diagnostic flexible endoscopy relevant to their area of expertise.

There is a dry lab and our hospital is a FACS, SAGES site for FLS.

Fellows will demonstrate fundamental MIS competency relevant to their area of expertise. These would include some or all of the following:

Basic Skills:

  1. exposure
  2. retraction
  3. tissue handling
  4. camera navigation
  5. two-handed manipulation
  6. port-site placement
  7. alternative access techniques
  8. use of angled scopes
  9. FLS completion (if not completed during residency)
  10. vascular control and algorithm for
  11. control of bleeding
  12. knot-tying ability, both hands, intracorporeal and extracorporeal
  13. decision to convert a laparoscopic procedure to an open operation

Fellows will demonstrate fundamental MIS competency relevant to their area of expertise. These would include some or all of the following:

Advanced Skills:

  1. suturing
  2. stapling
  3. intracorporeal anastomosis
  4. adhesiolysis
  5. running of bowel
  6. demonstrates knowledge of energy sources
  7. placement and fixation of prosthetic material

Fellows will be expected to demonstrate understanding of the anatomy, physiology and pathologic conditions of the entire GI tract, abdominal cavity, abdominal wall, and solid organs in the abdominal cavity and retroperitoneum.

Fellows will demonstrate an understanding of the surgical and nonsurgical options for managing pathologic conditions of the entire GI tract, abdominal cavity, abdominal wall, and solid organs in the abdominal cavity and retroperitoneum.

Fellows are expected to be able to appropriately order, read, and interpret diagnostic tests and images.

Fellows are expected to have basic FLS certification (now a requirement for graduating chief residents); to have knowledge of two or more journals delving into Advanced GI Tract Surgery and MIS

Advanced MIS cases (non-bariatric) = 150

  1. Colon = 40
  2. Nissen = 15
  3. Inguinal hernia = 40
  4. Ventral Hernia = 60

Bariatric cases = 100

  1. Laparoscopic Roux-en-Y gastric bypass = 50
  2. Lap-Band = 40
  3. Laparoscopic sleeve gastrectomy = 10

2024-2025 Benefits – Stipends

DMC Eligibility policies 2024-2025

DMC Sample Contract 2024-2025

MIS Acknowledgement by Candidate 2025

MIS Acknowledgement by Candidate 2025-1

Remote Interview attestation

Our Current Fellows

Our Past Fellows

Goal of Fellowship

To provide fellows with an immersion in the study and practice of diseases of the GI tract and abdominal cavity such that knowledge and skill-based confidence will achieve expert status by the end of the experience.

This Curriculum for Advanced GI Surgery Fellowships describes the goals and objectives of the core competencies that are common to and required by all Fellowships in Advanced GI Surgery including: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice.

Fellowship Directors

Program Director

David Edelman, MD, MSHPEd, FACS
General, Bariatric, Minimally Invasive Surgery

Associate Director

Roozbeh Mansour, MD, FACS
General, Trauma, Bariatric,
and Minimally Invasive Surgery