Feasibility of an international multicentric HPB fellowship training program in Latin America.

IF 2.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Hpb Pub Date : 2025-08-28 DOI:10.1016/j.hpb.2025.08.014

Jose D de Meira Junior, Gabriela Del Angel-Millán, Gabriela Ochoa, Morgan Bonds, Nicolas Jarufe, Carlos Chan, Brendan Visser, Adnan Alseidi, Martin Dib, Wellington Andraus, Paulo Herman, Ismael Dominguez-Rosado

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引用次数: 0

Abstract

Background: Hepatopancreatobiliary (HPB) surgery is a complex subspecialty requiring high-volume centers and structured training. In Latin America (LA), comprehensive training programs are scarce, leading many surgeons to seek education abroad, often limited by financial, certification, or migration barriers. This study describes the development and implementation of the first multinational, multicentric HPB fellowship in LA, established through collaboration among institutions in Brazil, Chile, and Mexico, and accredited by the Fellowship Council and the Americas Hepato-Pancreato-Biliary Association (AHPBA).

Methods: This two-year program consists of three 8-month rotations, allowing fellows exposure to diverse surgical environments. Each center offers complementary strengths, including minimally invasive techniques, living donor liver transplantation, and complex biliary reconstruction. Program outcomes were evaluated using case logs, structured exit interviews, and faculty reports. Fellows were also assessed on educational activities, research participation, adaptability, and cultural integration.

Results: All inaugural fellows exceeded surgical volume requirements and engaged in academic activities, simulation training, and research. Challenges such as migration, certification, and language barriers were eased by institutional support and peer collaboration.

Conclusion: The LA HPB Fellowship shows that a multinational, multicenter rotational model can provide high-quality, accredited training in resource-limited settings, fostering professional growth and regional collaboration.

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拉丁美洲国际多中心HPB研究金培训计划的可行性。

背景：肝胆胰（HPB）外科是一个复杂的亚专科，需要大容量的中心和结构化的培训。在拉丁美洲（LA），全面的培训项目缺乏，导致许多外科医生寻求国外教育，往往受到经济、认证或移民障碍的限制。本研究描述了洛杉矶第一个跨国、多中心HPB奖学金的发展和实施，该奖学金是由巴西、智利和墨西哥的机构合作建立的，并得到了奖学金委员会和美洲肝胆胰协会（AHPBA）的认可。方法：这个为期两年的项目包括三个8个月的轮岗，让研究员接触不同的外科环境。每个中心都有互补的优势，包括微创技术、活体供肝移植和复杂的胆道重建。项目结果通过案例记录、结构化的离职面谈和教师报告进行评估。研究人员还在教育活动、研究参与、适应性和文化融合方面进行了评估。结果：所有的首届研究员都超过了手术容量的要求，并参与了学术活动、模拟训练和研究。机构支持和同行协作缓解了迁移、认证和语言障碍等挑战。结论：LA HPB奖学金表明，在资源有限的环境下，跨国、多中心的轮岗模式可以提供高质量、经认可的培训，促进专业成长和区域合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hpb GASTROENTEROLOGY & HEPATOLOGY-SURGERY

CiteScore

5.60

自引率

3.40%

发文量

244

审稿时长

57 days

期刊介绍： HPB is an international forum for clinical, scientific and educational communication. Twelve issues a year bring the reader leading articles, expert reviews, original articles, images, editorials, and reader correspondence encompassing all aspects of benign and malignant hepatobiliary disease and its management. HPB features relevant aspects of clinical and translational research and practice. Specific areas of interest include HPB diseases encountered globally by clinical practitioners in this specialist field of gastrointestinal surgery. The journal addresses the challenges faced in the management of cancer involving the liver, biliary system and pancreas. While surgical oncology represents a large part of HPB practice, submission of manuscripts relating to liver and pancreas transplantation, the treatment of benign conditions such as acute and chronic pancreatitis, and those relating to hepatobiliary infection and inflammation are also welcomed. There will be a focus on developing a multidisciplinary approach to diagnosis and treatment with endoscopic and laparoscopic approaches, radiological interventions and surgical techniques being strongly represented. HPB welcomes submission of manuscripts in all these areas and in scientific focused research that has clear clinical relevance to HPB surgical practice. HPB aims to help its readers - surgeons, physicians, radiologists and basic scientists - to develop their knowledge and practice. HPB will be of interest to specialists involved in the management of hepatobiliary and pancreatic disease however will also inform those working in related fields. Abstracted and Indexed in: MEDLINE® EMBASE PubMed Science Citation Index Expanded Academic Search (EBSCO) HPB is owned by the International Hepato-Pancreato-Biliary Association (IHPBA) and is also the official Journal of the American Hepato-Pancreato-Biliary Association (AHPBA), the Asian-Pacific Hepato Pancreatic Biliary Association (A-PHPBA) and the European-African Hepato-Pancreatic Biliary Association (E-AHPBA).