Program Director(s):
Lauren Wancata
Thomas Biehl
Description:
Virginia Mason Medical Center (VM) is a 300 bed teaching hospital in downtown Seattle staffed by a multispecialty group of 500 full-time employed physicians. VM has been a leader in the care delivered to patients with complicated HPB for over 30 years. The volume of HPB cases consistently has been high so that VM’s surgical residents have graduated with all their numbers in the HPB category. In addition to a strong HPB-surgery group, VM's Center for Digestive Health hosts internationally recognized groups of academic gastroenterologists, interventional radiologists, thoracic surgeons and medical oncologists, who all specialize in digestive disease and together fall under one umbrella. This multidisciplinary team approach ensures the best care for the HPB patient and intuitively creates a setting that is ripe and ideal for an HPB fellowship and for comprehensive HPB clinical research. The fellow is sure to have a tremendous clinical experience, as well as participate in clinical research.
This HPB fellowship will follow the American Hepato-Pancreato-Biliary Association & Fellowship Council curriculum and will fulfill the requirements set forth by these organizations. In response to the evolving HPB landscape of HPB positions available, as well as the increasing role of minimally invasive techniques in HPB, the fellowship progam moved to a 2-year format (2018). The 2-year fellowship begins with a detailed learner's (fellow) needs assessment and, subsequently, the educational design and structure of the fellowship will be molded as to fulfill the learner's gaps and to help the learner achieve their long-term goals.
Comprehensively, the two years will focus on fellow development in all the following areas:
1. Clinical competence (outpatient, operative and inpatient)
2. Research and academic productivity
3. Career development and system building/leadership education
4. Advanced minimally invasive and open psychomotor training.
Year 1 will focus on advanced minimally invasive psychomotor training, professional development, clinical research and teaching while at the same time operating and participating in clinic. The fellow will rotate with 3 HPB faculty.
Year 2 will be an intensive clinically busy year spent in the operating room, on the in-patient floor and in the clinics. In addition, the fellow will spend 6 weeks on an away rotation on the liver transplant service at OHSU.
The clinical focus of the The VM HPB Fellowship will fall under four categories: 1) Independent & detailed preoperative evaluation and decision making training 2) Meticulous intra-operative skills training (open and laparoscopic) 3) Independent & thorough postoperative HPB-patient care training 4) Comprehensive multidisciplinary care systems design and management training.
Please visit our webpage. The webpage also has our fellowship poster.
Basic Program Information:
- Location: Seattle, Washington
- Primary Program Site: Virginia Mason Medical Center
- Primary Hospital: Total bed size, # OR's, # Surgical ICU beds: Virginia Mason: 270 beds: 21 operating rooms, 20 ICU beds
- Secondary Program Site: Not applicable
- Secondary Hospital: Total bed size, # OR's, # Surgical ICU beds:
- Clinic locations and schedule:
Downtown Seattle at Virginia Mason Medical Center
- University Affiliation: None
- School of Medicine Affiliation: University of Washington
- Year Program and/or Designation Established: 2011
- Number of Faculty: Three
- % of Program Clinical: 80
- % of Program Research: 20
Additional Program Information:
- Interaction with Residents: Some cases shared
- Is there a General Surgery Residency at the Primary Institution? Yes
- Is there a General Surgery Residency at the Secondary Institution? No
- Is there a curriculum in place for fellowship? Yes
- Is there a skills lab at the institution with fellow access? Yes
- Are there teaching conferences available for the fellow? Yes
- Is there an evaluation tool for fellow by faculty in place? Yes
- Is there an evaluation tool for faculty by fellow in place? Yes
- Papers Accepted For Publication where PD was an author: 0
- Publications that Involved Input from the Fellow: 2
- Are funds available for the Fellow to attend conferences? Yes
Malpractice Insurance Information:
- The fellow(s) is also required to have attending privileges (insurance coverage must also include all activities for their work while they act as a fellow and an attending) and the program provides the following:Claims-based malpractice coverage including a tail for the statute of limitations
Contact Information For Questions:
Mindy Vu
Phone: 206-341-1257
Fax: 206-341-0048
Email: [email protected]
Web: https://www.vmfh.org/
Facilities
Dry Lab
Library
Administrative Support
Clinical Research
Simulation Lab
Citizenship and Visa Requirements:





Medical School Requirements:

Examinations and Certifications:






Licensure Requirements and Information:
Virginia Mason Medical Center’s HPB Fellowship supports U.S. and Canadian fellows in their clinical training. All U.S. applicants must be board eligible/board certified and qualify for independent medical licensing in the state of Washington. Canadian applicants must be eligible for the H1-B Visa and show proof of completion of the USMLE 1, 2 and 3. At this time, we are unable to sponsor graduates of residency programs outside the U.S. or Canada.
Accreditation Status | Accreditation Period | Length of Accreditation | Accredited for HPB | 2025-2028 | 3 |
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Fellowship Opportunity # 1
- Number of Positions Available: 1
- Type of Fellowship: HPB
- Duration: 2 year
- Start Day: Aug 1st
- End Day: July 31
- Is this a salaried position? Yes
- It is a requirement that the salary must be commensurate to a PGY 6 or greater in the same city. Does your program meet this requirement? Yes
- Is the salary guaranteed for the year? Yes
- Is there funding available beyond salary for meeting attendance, research, etc? Yes
- Is the salary dependent on call? No
- Is the Fellow on call?
Yes
What are the on call requirements? - What are the estimated fellow weekly work hours?
- It is a requirement that Health Insurance be provided. Do you provide health insurance to your fellows? Yes
- Teaching Responsibilities: Yes
- Courses/Academic Presentations: Yes
- Does reimbursement for the above make up part of the salary? No
- Does the fellowship contract include a non-compete clause? No
Clinical Outpatient Experience
Clinical Outpatient experience is essential. Independent and detailed preoperative evaluation and decision making training is part of the fellowship
Research/Scholarship Resources
Year ONE of the 2-year fellowship will emphasize clinical research skills, career and leadership development, and psychomotor laparoscopic (advanced) skills development.
Emphasis in Year TWO will be on continued development of leadership skills and advanced laparoscopic psychomotor skills.
Program Director(s) Detailed Information
Lauren Wancata MD
- At Institution Since: 2020
- Program Director Since : 2024
- Board Certification: Board Certified
Society Memberships
ACS
AHPBA
Areas of Expertise
HPB surgery, Hospice and Palliative MedicineTeaching Qualifications
Summary of Qualifications
Thomas Biehl
- At Institution Since: 0
- Program Director Since : 0
- Board Certification:
Society Memberships
Areas of Expertise
Teaching Qualifications
Summary of Qualifications
Division of Time
Percentage of Time Spent in Clinical Activity:
80%
Percentage of Time Spent in Research
Activity:20%
Case Load as Reported By Fellow(s)
1 Fellow(s) performed 110 cases with 191 procedures during the 2024-2025 Fellowship Year.
1 Fellow(s) performed 138 cases with 258 procedures during the 2023-2024 Fellowship Year.
List of Contributing Faculty
Scott Helton MD | 40% |
Area of Expertise HPB, Reoperative Surgery, Complex Abdominal Reconstruction |
|
Role in Training Director |
|
Thomas Biehl MD | 30% |
Area of Expertise HPB |
|
Role in Training Associate Director |
|
Lauren M Wancata MD | 30% |
Area of Expertise HPB, Hospice and Palliative Medicine |
|
Role in Training Faculty |
|
Clancy Clark MD | 30% |
Area of Expertise HPB |
|
Role in Training System wide director of HPB |
|
C. Kristian Enestvedt MD | 6% |
Area of Expertise Transplant and HPB Surgery |
|
Role in Training Program Director at OHSU, oversees fellow when at OHSU |
|
Accreditation History
Director | Program | Length | Start | End | |
---|---|---|---|---|---|
Lauren Wancata | HPB | 3 | 2025 | 2028 |