Minimally invasive fellowship

[maverick_pkg]

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Is there a website with list of case logs/ breakdown of typical cases that a MIS fellow does? Is MIS primarily bariatric?

 

[Winged Scapula]

Is there a website with list of case logs/ breakdown of typical cases that a MIS fellow does? Is MIS primarily bariatric?

In most programs yes. I am not aware of a centralized website that lists typical cases but here are some that our fellows did:

bariatrics (Roux plus Lap Band)
Hellers
Hernia
Nissen
Lap colons (although they would split with Colorectal fellow)
Nephrectomy
Adrenals
and a couple thyroids (mostly just playing around to see if they could do it).

 

[ESU_MD]

be careful because some of this data is highly buffed and self reported.

who knows how many cases were holding camera or double scrubbed fighting with the gen surg chief, colon rectal fellow, etc...

on the MIS website for their match there used to be a breakdown from each program

 

[maverick_pkg]

on the MIS website for their match there used to be a breakdown from each program

which website is this? I am thinking about MIS but not too fond of bariatrics. Are there enough other cases for it to be worthwhile? Are the case logs very program dependent with no RRC requirements like they have for general surgery?

Is there any MIS fellow/attending here with a sample case log including number/percentage of each case?

also are all MIS fellowships 1 year?

 

[SocialistMD]

SAGES has information on their website as well as a link to the Fellowship Council's website that can direct you to information about each MIS/Advanced Laparoscopy fellowship and the percent breakdown of each type of procedure performed at each respective institution.

As an aside, the two chiefs here who are doing MIS fellowships next year both matched at Legacy in Portland, and they both said it was their number one choice because of the variety of cases performed.

 

[Bruingirl6]

You should check the Fellowship Council website, it breaks the cases down by program. Some programs are 100% bariatric, the rest are some combination....it's highly variable. Some do minimally invasive colorectal cases, some do not. Some do esophagus, some do not. Even the bariatric portion is variable - some to RYGB, some do bands, some do sleeves, and most do some combination of the above.

 

[ESU_MD]

I have a feeling that MIS is morphing into bariatrics as more residents feel comfortable doing nissens & basic lap colons right out of training.

I would bet that there are not many places, even at a MIS fellowship to get any more than a handful of the rare cases- like adrenals.
-lap esophagus are few in number except at a few high end places and they have their own thoracic residents and super-fellows to do these cases

the colon rectal guys are going to make sure THEIR fellows do the complex lap colons, lap APRs.

What you want is a place where there are no colon rectal, or thoracic, or endocrine fellows AND no senior general surgery residents AND with lap surgeons who do more than lap ventral hernia, bands and roux en-y. not many of these situations around!!

 

[maverick_pkg]

Thanks guys...found the case logs for individual programs and yeah there is huge variation among programs. Does this site also provide data on the match like NRMP does i.e., how many spots, percentage filled, filled by whom - US grads, seniors, Foreign grads etc. Trying to assess how competitive MIS is. Is it below peds, plastics, surg onc, vascular, colorectal (order of decreasing competitiveness from what I am told)?

 

[maverick_pkg]

I have a feeling that MIS is morphing into bariatrics as more residents feel comfortable doing nissens & basic lap colons right out of training.

I would bet that there are not many places, even at a MIS fellowship to get any more than a handful of the rare cases- like adrenals.
-lap esophagus are few in number except at a few high end places and they have their own thoracic residents and super-fellows to do these cases

the colon rectal guys are going to make sure THEIR fellows do the complex lap colons, lap APRs.

What you want is a place where there are no colon rectal, or thoracic, or endocrine fellows AND no senior general surgery residents AND with lap surgeons who do more than lap ventral hernia, bands and roux en-y. not many of these situations around!!

precisely!! Does anyone know of such places? Legacy as mentioned comes close.

 

[SocialistMD]

precisely!! Does anyone know of such places? Legacy as mentioned comes close.

It appears no one is safe from my bad mood today.

We've told medical students and premeds who have come to this forum the benefit of doing their own research. It appears residents are guilty of the same trends...

You asked a question. I have no interest in doing an MIS fellowship, but I knew where I could probably find the information you sought (something I would think someone interested in MIS would know). I then went a step further and actually I gave you the link to where you could find the information you seek, should you spend the time doing it yourself. I even gave you the name of (and link to) what my friends who are interested in MIS told me was the best program out there. Yet you still want other people to tell you at what programs you should look, rather than just searching through the 125 or so listed on the fellowship council's website.

I don't enjoy lecturing colleagues, but Jesus. This is your career we're talking about, not mine or anyone else's. Take the hour or so it will take to look through the programs I've already given you and figure out which programs have what you want rather than continuing to ask others to do your work for you. You are the only person who knows what you want from a program (variety of cases, location, call schedule, etc.). If I tell you that my program's fellowship is great but you don't want to live in the midwest and would never consider it, you've wasted my time that I spent trying to help you, much as this post has...

 

[maverick_pkg]

It appears no one is safe from my bad mood today.

We've told medical students and premeds who have come to this forum the benefit of doing their own research. It appears residents are guilty of the same trends...

You asked a question. I have no interest in doing an MIS fellowship, but I knew where I could probably find the information you sought (something I would think someone interested in MIS would know). I then went a step further and actually I gave you the link to where you could find the information you seek, should you spend the time doing it yourself. I even gave you the name of (and link to) what my friends who are interested in MIS told me was the best program out there. Yet you still want other people to tell you at what programs you should look, rather than just searching through the 125 or so listed on the fellowship council's website.

I don't enjoy lecturing colleagues, but Jesus. This is your career we're talking about, not mine or anyone else's. Take the hour or so it will take to look through the programs I've already given you and figure out which programs have what you want rather than continuing to ask others to do your work for you. You are the only person who knows what you want from a program (variety of cases, location, call schedule, etc.). If I tell you that my program's fellowship is great but you don't want to live in the midwest and would never consider it, you've wasted my time that I spent trying to help you, much as this post has...

thanks....guilty as charged. am not usually like this, but am a 2nd year so still some way to go so not actually applying, just getting an idea of the specialty. Even then, you are correct.