Abstract
Background
The objective of this project is to document the history of the Fellowship Council (FC) and report its current impact on surgical training. The need for advanced training in laparoscopic surgery resulted in the rapid development of fellowships for which there was no oversight. Fellowship program directors began meeting in the 1990s and formally created the FC in 2004 to provide that oversight.
Methods
To obtain information with which to create a narrative of the history of the FC, the authors performed a detailed review of all available minutes from the meetings of the various iterations of the council and its committees between 2001 and 2012. Information about fellowships and meetings of the directors of fellowships prior to 2001 are based on information included in minutes of meetings after 2001.
Results
Minimally invasive surgery fellowship program directors in collaboration with surgical societies created the FC to bring order to the application process for residents and program directors. It has evolved into an organization with mature, reliable processes for application, matching, curriculum development, accreditation, and reporting. It now receives applications from more than 30 % of graduating chief residents in general surgery. It has 223 accredited fellowship positions in the following disciplines: Minimally invasive surgery, bariatric/metabolic surgery, Flexible endoscopy, hepato-pancreato-biliary Surgery, colorectal surgery, and Thoracic surgery.
Conclusions
The FC provides a reliable, fair process for matching residents with fellowship programs and has successfully expanded its oversight of such programs with mature processes for accreditation, curriculum development, and reporting.
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Notes
In this document, this council is interchangeably referred to as the Tri-Society Council, Intersociety Group, or the Tripartite Council. Minutes from various MISFC committee meetings use all three of these names in reference to the same council.
References
Bell RH Jr, Banker MB, Rhodes RS, Biester TW, Lewis FR (2007) Graduate medical education in surgery in the United States. Surg Clin North Am 87(4):811–823
Numann PJ (2011) Presidential address: stewardship of our profession. Bull Am Coll Surg 96(12):24–28
Swanstrom LL, Park A, Arregui M, Franklin M, Smith CD, Blaney C (2006) Bringing order to the chaos: developing a matching process for minimally invasive and gastrointestinal postgraduate fellowships. Ann Surg 243(4):431–435
Hunter JG (2002) Fellowships in minimally invasive surgery: a fait accompli. Semin Laparosc Surg 9(4):216–217
Park A, Kavic SM, Lee TH, Heniford BT (2007) Minimally invasive surgery: the evolution of fellowship. Surgery 142(4):505–511 discussion 511-503
Tichansky DS, Taddeucci RJ, Harper J, Madan AK (2008) Minimally invasive surgery fellows would perform a wider variety of cases in their “ideal” fellowship. Surg Endosc 22(3):650–654
Acknowledgment
The authors thank Ms. Yumi Hori for her assistance in obtaining pertinent historical records regarding MISFC and FC.
Disclosures
Hogle and Fowler have no conflict of interest.
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Fowler, D.L., Hogle, N.J. The Fellowship Council: a decade of impact on surgical training. Surg Endosc 27, 3548–3554 (2013). https://doi.org/10.1007/s00464-013-3007-3
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DOI: https://doi.org/10.1007/s00464-013-3007-3