Enhanced General Surgery Fellowship: Advanced Laparoscopic & Robotic Foregut, Hernia and Colorectal Fellowship
Florida Surgical Specialists Enhanced General Surgery Fellowship: Advanced Laparoscopic and Robotic Foregut, Hernia and Colorectal Fellowship
Location: Florida Surgical Specialists; Bradenton, Fl
Program Director: Paul Toomey, MD, FACS
Program Co-Director: Riva Das, MD
Application process opens: August 1, 2020
Application process closes: February 15, 2021
The Society of Laparoscopic & Robotic Surgery (SLS) presents an EXCLUSIVE one year post Graduate fellowship. This fellowship will include training in all facets of General Surgery with a focus in minimally invasive surgery. The fellowship will feature Laparoendoscopic Single-Site (LESS) operations, including LESS cholecystectomies and LESS/robotic anti-reflux operations. We will also have a strong focus on robotic operations with a focus on robotic inguinal hernia repairs and robotic colorectal operations. A lower frequency of multiple additional complex operations will be undertaken, including gastrectomies, esophagectomies, adrenalectomies, distal pancreatectomies and splenectomies.
This will also be a true General Surgery experience. We will address all common benign diseases, General Surgical emergencies and complex Surgical Oncology, including, but not limited to, appendectomies, management of diverticulitis, adrenalectomies, anti-reflux operations for gastroesophageal reflux disease, hernia operations, pancreatectomies, melanoma excisions, lymph node biopsies, lumpectomies/mastectomies, small bowel resections, anorectal disease and complex gastrointestinal/colorectal operations. The Fellow will also gain additional extensive experience with upper endoscopy as well as colonoscopy.
The fellowship started 2019-2020 with one fellow and increased to two fellowship positions 2020-2021. The fellowship will continue with two fellowship positions per year. Intuitive has graciously agreed to sponsor one of the fellowship positions for the 2020-2021 year.
The primary training goal of this post Graduate fellowship is to improve patient care and teach advanced robotic/laparoscopic/endoscopic operative skills to individuals who are interested in propagating the field of minimally invasive surgery, while honing skills regarding complex General Surgery.
The Florida Surgical Specialists Enhanced Gastrointestinal Surgery Fellowship is based upon a very busy clinical practice of General Surgery, especially foregut, hernia and colorectal surgery with intensive clinical research. There will be strong focus on minimally invasive and robotic surgery.
We have a very high volume practice and at the forefront of technology/innovation for both minimally invasive and open operations. Dr. Paul Toomey, program director, is a pioneer in Laparoendoscopic Single-Site (LESS) and robotic surgery with experience in over 400 LESS operations and 400 robotic operations in the last five years. Dr. Riva Das, co-program director is a colorectal specialist focused on minimally invasive robotic, laparoscopic and endoluminal approaches to common colorectal diseases.
We will offer two positions each year, beginning for one fellow July 1st and the second fellow August 1st of the academic year, for graduates of accredited General Surgery training programs in the United States. This one-year program is designed for surgeons who want to increase their knowledge and technical skills in advanced laparoscopic/robotic operations and advanced GI Surgery, including HPB and Colorectal Surgery. The program includes clinical, academic, and research components.
The goals of the one-year fellowship are:
Train fellows in the application of the following techniques of advanced GI Surgery for foregut, abdominal wall and colorectal diseases:
Laparoendoscopic Single-Site (LESS) Surgery
“Open”, complex GI Surgery
Prepare fellows to be leaders in Surgery and for careers in Surgery by:
Providing guidance for the development of independent research
During the fellowship, extensive experience is gained in flexible endoscopy, including diagnostic, therapeutic, and advanced upper/lower endoscopy of the GI tract.
The clinical activity of the fellowship is undertaken at all training facilities served by Florida Surgical Specialists. Florida Surgical Specialists serve four hospitals in Manatee and Sarasota Counties: Blake Medical Center (383-bed hospital in Bradenton, FL), Manatee Memorial Hospital*** (319-bed hospital in Bradenton, FL), Doctors Hospital of Sarasota*** (155-bed all private room facility in Sarasota, FL) and Lakewood Ranch Medical Center*** (120-bed hospital in Bradenton, FL) and Manatee Surgery Center. The mission of Florida Surgical Specialists is to present Southwest Florida patients with the industry’s most ground-breaking surgical solutions for digestive disorders, cancer treatment and general surgery needs.
The Fellow is fully engaged in both clinical and research activities throughout the year. Clinical activities include inpatient and outpatient care. The outpatient clinical experience includes patients seen in a state of the art outpatient facility. Outpatient clinics are on Monday and Friday. About 80-100 patients are seen per week in the clinic. The fellows aid attending faculty in the clinic, along with medical students and physician assistant students.
Three days per week fellows’ activities focus on operative experience and in-patient care. The operative experience includes a spectrum of operations ranging from minimally invasive and robotic surgery to “maximally invasive” complex intra-abdominal and thoracic procedures. The operating schedule is very busy; the two attendings run approximately eight full operating rooms per week. There are no surgical residents competing for attention from the faculty.
The research activities are undertaken almost daily throughout the year. The clinical research work involves collecting and analyzing data primarily from different databases including LESS cholecystectomies, gastroesophageal reflux disease, pancreatic cancer, melanoma, robotic inguinal hernias and LESS surgery outcomes and techniques. We run both investigator initiated and industry sponsored clinical trials, and the Fellow will be involved with the writing and/or implementation of these clinical trials. In addition, the fellow is involved in educating advanced LESS surgery techniques to both pre-medical students and practicing visiting surgeons in the operating room.
Research Expectations and Responsibilities
Participate in ongoing research activities.
Identify research projects of interest.
Send abstracts to regional, national and international meetings.
Complete preparation for presentations at regional, national and international meetings.
Complete manuscripts covering research projects chosen by the Fellow.
Initiate and maintain a registry for all procedures done in the fellowship, including outcomes.
Participate in accrual, evaluation, and data management of various clinical protocols sponsored by the supervising surgeons.
Education and Teaching
Educational activities are a focus of the fellow. The fellow is responsible for informal teaching and for the organization and “running” of conferences, especially Monday afternoon conference where members of the service meet and discuss patient care. At this conference, we discuss all upcoming operations for the week and interesting patients we care for; the Fellow is actively involved in this conference. The Fellow is also engaged in the teaching of undergraduate students, particularly in the summer, in conjunction with a summer student education and research program.
The Fellow will also attend and present at Surgical Grand Rounds, and cancer conference. Conferences with the attendings on clinical care and research occur daily.
Fellow’s Weekly Activities
Monday 8 AM – 4 PM and Friday alternating 8 AM – 12 PM
Fellow is mentored by two surgical attendings:
Tuesday, Wednesday, & Thursday 7:15 AM – 5 PM
Didactic Weekly Activities:
Mondays 4 PM – 5 PM: Monday Case Conference
Fridays 7 AM – 8 AM: Research meeting
Cancer Conferences: 7 AM – 8 AM every other Thursday
Supervision & Evaluation
The fellow will undergo written evaluations by all faculty of the fellowship quarterly during the year, and the fellowship director will discuss the evaluations directly with the fellow. The fellow should expect close contact with and mentoring by the faculty with daily exposure. The purpose of the evaluations will be to measure the fellow’s progress in achieving his or her goals (self-defined at the initiation of the Fellowship) and to facilitate achievement of these goals. The fellow will receive constructive criticism regarding his or her performance and a progress report on the chosen research project will be discussed. To obtain the certificate of completion, a unanimous decision on the part of the faculty will be required; this decision will be based on the written evaluations submitted by the faculty each quarter. Innumerable opportunities for feedback will exist for fellow and faculty on a day-to-day basis. Full encouragement for feedback is given. Frank and honest, especially constructive, criticism is encouraged.
Basic Program Information:
Interaction with Residents: No surgical residents
Is there a General Surgery Residency at the Primary Institution?: No
Is there a General Surgery Residency at the Secondary Institution?: No
Is there a curriculum in place for fellowship?: Yes
Are there teaching conferences available for the fellow?: Yes
Is there an evaluation tool for fellow by faculty in place?: Yes
Is there an evaluation tool for faculty by fellow in place?: Yes
Citizenship and Visa Requirements:
US Permanent Residents (Green Card)
Canadian Permanent Residents
Non U.S. Citizens eligible for/with planned H-1B Visa during their fellowship (For U.S. Fellowship Programs)
We do not accept J-1 Visas as we are not eligible to sponsor J-1 visas.
Medical School Requirements:
We accept graduates of U.S. or Canadian Medical Schools and Foreign Medical Schools
We accept graduates of Foreign Medical Schools only if ECFMG Certified
We accept graduates of Foreign Medical Schools only if listed in the FAIMER Directory (https://imed.faimer.org/)
Examinations and Certifications:
Applicants must have passed the USMLE/COMLEX Step 1, 2, & 3 exams
Applicants must have passed the USMLE/COMLEX Step 1 & 2 exams or the Medical Council of Canada Evaluation Exam (MCCEE)
Applicants must have had at least 2 years of prior training in an ACGME accredited residency or fellowship (or Canadian equivalent) or in an AOA (American Osteopathic Association) accredited residency or fellowship
Applicants who are ABS or Canadian Board Eligible or Certified or AOBS (American Osteopathic Board of Surgery) eligible or certified
Applicants who hold a General Surgery specialty certificate from a Board or College outside of U.S. or Canada at the beginning of the fellowship
Contact Information For Questions:
Scot Cranston, Chief Operating Officer
How To Apply
To apply, please visit: http://sls.org/sls-fellowship-programs/sls-fellowship-application/
Apply Now↑ Return to Listings