HPB Fellowship Registry - Asia / Pacific

MONASH MEDICAL CENTRE: DEPARTMENT OF UPPER GI AND HPB SURGERY Overview: Monash Health is Victoria’s largest healthcare service, we are a multi site service with more than 2000 beds. The HPB unit is located at Clayton which has 640 beds and consists of three streams – HPB service, OG service and an Acute Surgical Service. We perform a wide range of complex HPB operations as well as bariatric procedures. We run a HPB Molecular Tumour Board once a month for precision medical treatment of HPB cancers. We have weekly HPB and UGI Cancer MDT’s, fortnightly Hepatoma MDT and fortnightly HPB Radiology meetings. Number of Fellows: 1/year. 12 month position. Minimum requirements: FRACS or equivalent. Post accredited by ANZHPBA for post-fellowship training in HPB Surgery. Team Structure: There are 13 supervising consultants. HPB- Roger Berry, Dan Croagh, Mark Cullinan, Dean Spillias, Mithra Sritharan, Travis Ackermann UGI- Paul Cashin, Liang Low, John Gribbin, Zdenek Dubrava, Hamish Shilton, Dan Foley There is one registrar and 2 interns on each of the HPB and UGI streams and 3 registrars, 1 resident and 2 interns on the Acute Surgical service. The unit is supported by a surgical liaison nurse, quality improvement and data manager and cancer care nurse. Unit Activity: The unit is very busy providing both elective and acute surgical inpatient services plus outpatient services. There are 8-9 UGI/HPB theatre lists per week plus a dedicated afternoon ASU Operating Theatre 6 days a week. The fellow also regularly assists with HPB surgical procedures in the private sector. On-call: The fellow participates in the consultant on call roster covering 1 weekday per week and 1:7 weekends. Operative case-load: Over the 12 month attachment the expected caseload would be • Pancreatic resections- 40 • Liver resections- 50 • Complex biliary procedures- 20 Endoscopy: Training in endoscopy including ERCP and EUS is potentially available. The Fellow should be accredited in upper gastrointestinal endoscopy by the Conjoint Committee of the RACS and GESA prior to obtaining hands-on ERCP training. Approximate case-load per year performed by surgical endoscopists is ERCP 150 EUS 250 Teaching: Key teaching activities include a weekly multidisciplinary cancer meeting, weekly clinical meeting, fortnightly HPB radiology meeting, weekly gastroenterology meeting and monthly journal club. Research: Extensive research opportunities exist in both clinical and basic sciences. There are also opportunities at the completion of the fellowship year for research leading to higher degrees for those with an interest. We currently have 1-2 PHD students on the unit as well Medical Science and Masters students. Training not offered: No transplant experience.