Ring In
The New Year With The FSF
President's
Message FSF
Generations: Fellowships Continue To Transform FSF Fellow Testimonial: From Residency to
Fellowship Fellows
Talk Fellowships: Did My Fellowship Make An Impact? Recognizing Partners The Generations
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Funding Fellowships – Who is Responsible?
The
mission of the Foundation for Surgical Fellowships (FSF) is to provide
essential financial support for sustaining non-ACGME accredited
fellowships. The FSF acknowledges and thanks all who donated to the FSF in
2014. More than ever before, the FSF has received broad-based support. In
addition to support from industry, more individuals and more societies
donated to the FSF in 2014 than ever before. Specifically, we want to
express our gratitude to the SAGES, ASMBS, ASCRS, and the AHPBA for
their contributions to the funding of these fellowships in 2014. These
donations make a strong statement about the importance of the
fellowships. In addition, a special thanks goes to the Fellowship
Council for advocating on our behalf.
Funding of these fellowships is at a crossroads, despite the
broad-based support in 2014. For economic and political reasons, some of
the large donors from industry have significantly reduced support for
future years. As previously disclosed, support for academic year 15/16 was
significantly less than in previous years, and now that support has been
further reduced for academic year 16/17. Our industry partners continue to
work in a volatile and uncertain economic environment, and the level of
support from industry in the future is unclear.
Despite that, the need for fellowship training is clear. More than 80%
of graduating general surgery chief residents pursue fellowship training.
In some cases the additional training is to meet a career goal, in other
cases the fellowship training simply enables the surgeon to complete her
skill set and develop mastery in her clinical areas of interest. The
Fellowship Council oversees more than 180 non-ACGME accredited fellowships
that provide advanced surgical training in Minimally Invasive Surgery,
Bariatric Surgery, Flexible Endoscopy, Colorectal Surgery, HPB Surgery,
and Thoracic Surgery. Most of these fellowships seek funding from the FSF,
which has developed and implemented objective, arms-length, merit-based
distribution of the available funding.
Going forward, funding for these fellowships requires the support of
the entire surgical community. Additional donors and additional methods
for funding these fellowships are urgently required.
Sincerely,
Dennis Fowler, MD, MPH President Foundation for Surgical
Fellowships

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FSF Generations: Fellowships Continue To
Transform
FSF Generations: Ensuring That Future Physicians Receive
The Same Opportunities
Written by Michele Riordon, MD,
FRCSC
 Dr. Michele Riordon is the newest member to join the
Foundation for Surgical Fellowships Board of Directors. Dr. Riordon is
the first board member who is a former fellow in a program funded by the
FSF. Her fellowship experience demonstrates the value of postgraduate
surgical training opportunities supported by the Foundation. Over the
past two years, she has been working at the Royal Victoria Regional
Health Centre just North of Toronto, Canada to develop a
minimally invasive surgery program. Dr. Riordon joins a prestigious list
of physicians who make up the board of directors at the FSF. Board
President Dennis Fowler, MD said “Year after year, I’m astounded at the
level of experience and knowledge we’re able to access with our board.
We have a strong leadership foundation in place and we couldn’t be more
pleased with the addition of Dr. Riordon to our board. Each of our
individual board member’s deep professional background and passionate
commitment to advanced surgical education has brought insightful
perspectives to our board.” Dr. Riordon hopes to play a pivotal
role in helping to provide future surgeons just starting out on their
career path with the same opportunities that were given to her. ”Until
graduating residents are comfortable with providing complex surgery
using minimally invasive techniques, there will be a role for my
involvement and FSF funded fellowships.”
Dr. Riordon, a 2011 Gold Star Award recipient for excellence in
teaching medical students, completed her MIS/Bariatric fellowship at
Weill Cornell Medical College – The Methodist Hospital in Houston under
the guidance of Dr. Patrick Reardon. Her fellowship experience prepared
her to embark on her current tasks of developing a MIS program, an
enhanced recovery program and initiate department wide morbidity and
mortality rounds, while also continuing to perform procedures and teach
residents. When asked what inspires her as a surgeon she said, “I’m
committed to minimizing the effects of surgery and getting patients back
to enjoying their life as soon as possible. All the extra committees
that I’m involved with are to improve patient care and patient
experience.”
In her spare time, Dr. Riordon is a bit of an adrenaline junkie
with a passion for outdoor activities such as water and downhill skiing.
She especially enjoys back-country skiing, leaving the resorts and
chairlifts behind. She also loves to travel and is plannning a trip
to Canada's Yukon Territory and to the Galapagos
Islands.
The Foundation for Surgical Fellowships looks forward to Dr.
Riordon’s involvement, especially as she brings a unique perspective to
help the Foundation provide and sustain post-residency fellowships for
future fellows to come.
FSF Generations: The Most Important Year Of My Career
Written by Dennis Fowler, MD,
MPH
Although  I have had a long career as a surgeon, the most important
year in my entire career was my fellowship. My training as a
fellow enabled most of what followed. In 1979, against the
recommendations of numerous mentors in my residency, I chose to pursue a
fellowship in “Surgical Endoscopy”. This was no small decision,
because it meant that I would not be in the operating room as a surgeon
for the first year after completing my chief resident year. Like
every graduating chief resident, I wanted to operate and take care of
patients. However, my fellowship year was focused on upper GI
endoscopy, colonoscopy, ERCP, and diagnostic laparoscopy. The
program was at the Massachusetts General Hospital, where, because he was
active as an endoscopist, even my mentor was questioned about his
commitment to surgery.
The fellowship year was transformative in several ways.
First, I learned endoscopic techniques that gave me skills most surgeons
at the time did not have. I completed hundreds of each type of
endoscopy during that year and I also learned the techniques of
diagnostic laparoscopy 10 years or more before therapeutic laparoscopy
became routinely possible (who knew). Second, it gave me better
insight into the diseases of the GI tract. Third, I was immersed
in a focused learning environment for a significant but finite period of
time. My only responsibility was to learn endoscopy and staff
resident endoscopy cases for the ward service. Fourth, I
befriended my mentor at a level not usually achievable during the
shorter rotations during residency.
In mid-career I became a program director for minimally invasive
surgery (MIS) fellowships. Between 1998 and 2008, I was program
director for 15 MIS fellows in Pittsburgh and New York. In almost
every case, I developed a close relationship with the individual.
In that role, it was very satisfying to enable great people to achieve
their potential by sharing patient care every day and by providing an
immersive learning environment. Many have advanced to positions of
leadership in fine institutions, in part because of the training they
received during fellowship. To this day, they are among my best
friends.
As the structure of surgical education evolves, the role of
fellowship training should not be underestimated. Whether it is a
focused year near the end of resident training or whether it is a
separate program, the year can transform the career of the fellow and
provide enormous life-long satisfaction to the mentors. Funding
for the non-ACGME accredited fellowships is being significantly reduced
and fellowships are at risk. Please join us in supporting the
mission of the FSF to sustain fellowship training.
Written by Caitlin Halbert, MD
 Deciding to pursue an MIS/Bariatric fellowship
was certainly not easy for me. While professionally, it seemed an
obvious choice, I was leaving my husband and family and moving states away
for a year. Within days of coming to Stony Brook University in New
York, I realize that my experience will be well worth the sacrifice.
The transition to fellowship was infinitely easier than going from
medical school to internship. I was warmly welcomed and quickly
integrated into the Stony Brook Bariatric team. The residents, nurse
practitioners, dietitians, and administrative staff have already become my
new family, united in the care of a grateful patient population.
As the weeks pass by, I recognize that this is much different than
residency. I am studying the art of bariatric and advanced MIS
surgery. I realize that despite having been exposed to a great deal
of bariatric surgery in residency, I am learning something new every day
about the variations within the procedures and new innovative
techniques.
Having the opportunity to train at Stony Brook University with two
remarkable role models, Dr. Pryor and Dr. Telem, is humbling. My
education extends beyond the operating room, learning about how to build a
practice and maintain a fellowship program, and even balance a busy career
with a personal life. I am very thankful to the Foundation of
Surgical Fellowships for providing such an amazing opportunity to enrich
my career.
- "The interaction and experience that
I received instilled in me confidence in my skill set and clinical
skills. I was blessed to work with great surgeons and mentors."
-Former MIS Fellow from Amarillo, TX.
- "My entire surgical career will be
based on MIS procedures."
-Former MIS Bariatric Robotic Fellow
from Atlanta, GA.
- "I cannot say enough good things
about the training I received. Worth it every minute!"
-Former
Bariatric Fellow from Stamford, CT.
- "The learning curve during fellowship
was much steeper than during residency. Fellowship allowed me to
develop skills that I wouldn't otherwise have today. My current career
is defined by MIS and the fellowship training I received. Fellowship
also helped me to advance the academic side of my career."
-Former
MIS Bariatric Fellow, Dallas, TX.
- "My fellowship was in advanced
foregut MIS and HPB. I'm now finishing my last years of residency. It
has made me much more skilled inside and outside of the operating
room. It has opened opportunities for work down the road."
-Former
HPB Fellow from Tampa, FL.
- "Fellowship strengthened my skills
which were inadequate following residency. I was able to introduce new
procedures in several hospitals"
-Former Flexible Endoscopy Fellow
from Great Falls, MT.
- "The fellowship included both MIS and
open procedures, including thoracic and esophageal work. This allowed
me to be more 'polished' prior to starting a job."
-Former
Thoracic Fellow from Tulsa, OK.
Recognizing Partners: ASMBS
 The
American Society of Bariatric and Metabolic Surgery (ASMBS) is the steward
of care for obesity by creating awareness, improving access, supporting
critical research, and educating medical, surgical and allied healthcare
professionals who take care of severely obese patients. As a result of the
ongoing efforts, bariatric surgery has evolved to become one of the most
popular and safest surgical procedures performed in the USA. In
conjunction with the American College of Surgeons and the Fellowship
Council, the ASMBS has implemented strict accreditation and certification
guidelines to ensure the at proper training is delivered to those surgeons
who will perform bariatric surgery. The Foundation for Surgical
Fellowships (FSF) was created in an effort to secure funding that can
support this surgical training. Though a blinded and peer review
application process, the FSF has distributed funds to qualified
institutions based on criteria of excellence. Since its inception, the FSF
has been responsible for supporting the fellowship training of many
Bariatric surgeons. The ASMBS is thankful to the FSF and it board members
for their role in helping ASMBS maintain bariatric surgical training and
ensure the best outcome in the care of severely obese patients.
Recognizing Partners:
SAGES
 Society of American Gastrointestinal and Endoscopic Surgeons
(SAGES) role in the training of fellows is integral to both The Fellowship
Council and the establishment of the Foundation for Surgical Fellowships.
From the beginning of this important initiative for post-graduate training
it has been our role to assure the continuation of both organizations by
helping to secure the resources needed to keep them healthy.
Recognizing Partners:
ASCRS
 The
American Society of Colon and Rectal Surgeons is the premier society for
colon and rectal surgeons and other surgeons dedicated to advancing and
promoting the science and treatment of patients affected by colon and
rectal disease. The ASCRS is dedicated to assuring high quality patient
care by advancing the science through research and education. We are proud
to partner with the Foundation for Surgical Fellowships in initiatives
supporting the vision of the surgical community.
Recently there has been a vastly increased usage of minimally
invasive surgery in the field of colon and rectal surgery. With the
frequency with colorectal cancer being the third most common malignancy,
with the pervasive incidence of diverticulitis, and with the highly
complex management of inflammatory bowel disease, including Crohn’s and
ulcerative colitis, surgical fellowships as well as colon and rectal
surgical residency has become extremely important. In addition, the use of
robotic surgery in rectal cancer has vastly increased recently.
The ASCRS is very much involved in this training effort, and
therefore is supportive of the efforts of the Foundation for Surgical
Fellowships. The ASCRS’s commitment to supporting fellowships funded by
the Foundation helps move the surgical community forward realizing the
vision of a surgical community that is better educated with the ultimate
goal of improving patient care.
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JOIN THE GENERATIONS
CAMPAIGN by contributing to the Foundation for
Surgical Fellowships
Your gift will help ensure that tomorrow’s generations of surgeons
have the training they need and that future generations of patients will
have access to the care they deserve.
The demand for advanced surgical training grows with each generation
of progress. Sustaining these fellowships is the only answer to this
demand.
Tomorrow’s patient and physicians are depending on you. Please give,
and give generously.
Visit the FSF website to make your tax deductable donation.
Checks can also be made out to the FSF and mailed to 11300 W.
Olympic Blvd., Suite 600, Los Angeles, CA 90064
THANK YOU! Celebrating
the Generosity of FSF Donors
2014
Honor Roll of Donors
Platinum
Benefactors 
Applied Medical Intuitive
Surgical KARL-STORZ Endoscopy-America, Inc. Olympus
America Society of American Gastrointestinal and Endoscopic Surgeons
(SAGES) SAGES Foundation
Ambassador Pon Satitpunwaycha Titus
Duncan
Patron Ravi S. Chari Eugene Cho Edward
Felix Dennis Fowler Muhammad Jawad Anthony Senagore Bruce
Schirmer Greg Stiegmann Bruce G. Wolff Ajay Upadhyay
Friend Maurice Arregui Michael Brunt James Bittner Ibrahim
Daoud Kenneth Forde James Luketich Rebecca Minter Michele
Riordon Harvey Sugerman Morris Franklin, Jr. Alice
Wei
Supporter Ralph Aye Elizabeth & Thomas D’Amico Marcelo
Hinojosa Moises Jacobs J. Patrick O’Leary Andrew
Resnick Donald Risucci Richard Satava Steven Wexner
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