MIS / Bariatric Fellowship
Advanced GI MIS/Bariatric Fellowship Program
At Indiana University Health North Hospital
The aim of the Indiana University Health Advanced Minimally Invasive and Bariatric Surgery Fellowship is to produce leaders in the field of modern surgery. As the only allopathic academic and quaternary healthcare institution in the state, Indiana University School of Medicine receives referrals from a catchment area in excess of six million people. Our fellow works directly with faculty of the Indiana University School of Medicine (IUSOM).
Based at the IU Health North Hospital in Carmel, the fellow performs procedures in state-of-the-art operating rooms outfitted with boom-mounted equipment and high definition imaging and recording. The operating rooms, outpatient clinic, and endoscopy suite are located under one roof within 100 feet of one another. The bariatric clinic employs a multidisciplinary team approach to the care of morbid obesity. In addition, a surgical skills lab, located on the campus of IUSOM, is used for both educational and academic endeavors including the teaching of laparoscopic skills prior to arrival in the operating room. The Skills Lab houses dry and wet lab opportunities including a GI Mentor and LapSim simulator. This, coupled with porcine and cadaveric labs, provides the fellow with an opportunity to teach residents advanced laparoscopic techniques.
Today, it is absolutely necessary to possess advanced skills in laparoscopy on which one can rely implicitly. Without these skills, a surgeon is like an archer without a quiver of arrows. Many residents feel a need to explore fellowship training to reach a level of comfort and confidence that will allow them to practice in this environment. Fellowship is a time when one should reflect on the past, look toward the future, and mature as an expert clinician and scientist. It will be, undoubtedly, the pivotal phase of your career. Our fellowship provides an opportunity to obtain these skills with which you will build a successful practice of surgery and help chart the course of our discipline.
On average, the fellow spends one day a week in the outpatient clinic and 3 days operating. The fellow will be involved in all stages of the management of the surgical and bariatric patient, including preoperative evaluation, postoperative management and follow up of patients. For those interested, there will be ample opportunities to learn the requisites for developing and maintaining a busy, comprehensive bariatric program. In addition to diagnostic and interventional endoscopy, fellows are mentored in the following laparoscopic procedures: antireflux fundoplications, paraesophageal hernia repair, Heller myotomy, inguinal hernia repair, ventral hernia repair, colon resections, adrenalectomy, splenectomy, gastric bypass, adjustable gastric band, and sleeve gastrectomy. Cutting edge techniques including single incision surgery and endoluminal procedures foster various research initiatives. There are also ample opportunities to learn esophageal manometry, pH testing/ impedance, and endolumenal management of GERD.
Participation in educational and academic pursuits will be strongly supported with adequate limitations on clinical duties to foster these activities. Fellows participate in an organ-centered didactic schedule with regular journal clubs and weekly educational meetings that adhere to the published training curricula. These meetings are regularly attended by mentors, residents and medical students. In addition, fellows will be provided an opportunity to travel and attend industry supported educational events. With the remaining fifth day of each week, it is anticipated that fellows devote time to these educational opportunities and research projects that can lead to presentations at local, regional, or national meetings. Fellows are reimbursed for travel to meetings in which they present.
Finally, it is imperative that we make the most of this year in preparing the fellow for the practice of surgery. Along these lines, the fellow initially focuses all efforts on learning the clinical and technical aspects of MIS and bariatric surgery. However, during the second half of the year-long fellowship, the fellow will begin a "transition to practice" process that includes the initiation of office hours, an operative day, and attending call responsibility for the emergency department. Throughout this process, the fellow will receive support from the fellowship faculty.