Clinical Experience

Our clinical practice is a high-volume surgical oncology and hepatobiliary practice with incorporation of both benign and malignant pathology, including but not limited to:

• Pancreatic cancer
• Pancreatic cysts
• Acute and chronic pancreatitis and associated pancreatic duct/biliary strictures and pseudocyst management
• Primary and Metastatic Neuroendocrine tumors
• Complex gallstone disease
• Cholangiocarcinoma
• Hepatocellular carcinoma
• Benign liver masses and cysts
• Metastatic colon cancer
• Gastric cancer
• Retroperitoneal and extremity sarcoma
• Locally advanced adrenal cell carcinoma and renal cell carcinoma
• Duodenal cancer
• Gastrointestinal stromal tumor (GIST)

Fellows are expected to accumulate clinical experience of 250+ advanced HPB and GI surgeries upon completion of our program. The fellow will interact with surgical residents but has the first right of refusal on all HPB cases.

Year One

The first year of fellowship predominantly focuses on clinical experience with an emphasis on inpatient management of the HPB service and obtaining required case numbers for completion of the fellowship. The fellows will also have research and administrative projects during this year as time allows.

Year Two

The second year is more flexible, allowing for specialization and focus on advanced minimally invasive techniques, additional adjunctive surgical experience (foregut, colorectal, general surgery, surgical oncology), basic science and clinical research opportunities, and multi-disciplinary rotations (medical oncology, advanced endoscopy, interventional radiology, and transplant).

Clinical Rotations

OHSU Hepatobiliary and Pancreatic Transplant Rotation

Tumor Boards, M&M, and Grand Rounds

Weekly Multi-disciplinary Hepatobiliary and Biliopancreatic Tumor Boards

Fellows will present and actively participate in the discussion of challenging cases and determination of the best possible treatment plan.

Additionally, there is a weekly Gastrointestinal tumor board attended by the HPB faculty focused on complex gastrointestinal cancers and colorectal cancer that the fellows are welcome to attend as well.

HPB Morbidity and Mortality

Fellows will attend monthly morbidity and mortality conferences allowing fellows to join program and clinical faculty in discussing ways to improve all aspects of care based on actual patient experiences.

Monthly AHPBA Grand Rounds

Fellows will attend virtual “Grand Rounds” hosted by HPB training centers across Northern America, showcasing pertinent topics, challenges and debates within the HPB surgical field.

Conferences

• AHPBA Annual Meeting
• Annual ultrasound course

Schedules

First Year Fellow

Monday – Admin/OR

Tuesday – OR

Wednesday – HPB Multi-disciplinary Tumor Board/Clinic

Thursday – BP Conference/Academic/OR

Friday – GI Multi-disciplinary Tumor Board /OR

Weekends – 1 in 3 on call rotation, 2 fellows, 2 attendings

Second Year Fellow

Research – Primary responsibility

OR – Index/selected cases

HPB School – Run agenda

Weekends – 1 in 3-6 on call rotation, 2 fellows, 2 attendings

Moonlighting – 2nd year only, 1-2x monthly (*subject to Program Director approval)