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Description:

University of Wisconsin Clinical Fellowship – Advanced GI/MIS/Bariatrics/Foregut

The Division of MIS and Bariatric Surgery within the Department of Surgery at the University of Wisconsin School of Medicine and Public Health offers a one-year Clinical Fellowship.

The Division has eight full time faculty members with extensive clinical and research expertise in gastrointestinal, advanced laparoscopic, endoscopic, and robotic surgery. Within our faculty group there are experts in minimally invasive techniques to diagnose and treat esophageal and gastric diseases (esophageal achalasia, GERD, Barrett’s Esophagus, hiatal and para-esophageal hernias, gastroparesis, esophageal motility disorders, among others), experts in primary and revisional bariatric surgery, and experts in Abdominal wall reconstruction including laparoscopic and robotic techniques. Our Division spearheads multiple multi-disciplinary endeavors including a fully accredited MBSAQIP COE, the UW Comprehensive Hernia Center, and the Esophageal Motility Lab.

Fellows will have in-depth experience with a large variety of disease processes and cases:

- Bariatric surgery: laparoscopic gastric bypass, sleeve gastrectomy, laparoscopic revisions, conversions, endobariatrics, and reversals.

- Foregut surgery: laparoscopic para-esophageal hernia repair (including complex revisions), Heller myotomy, gastric stimulator, LINX, laparoscopic fundoplication, laparoscopic gastrectomy, and other gastric and small bowel resections. Our Division also runs its own esophageal motility lab and the fellow will participate in reading/interpreting esophageal pH and manometry studies.

- Diagnostic and therapeutic endoscopy: POEM, POP, endoscopic fundoplication, esophageal dilation and stenting, endoscopic mucosal and submucosal resection, and endoluminal drainage procedures including internal drain and EVAC.

- Abdominal wall reconstruction: comprehensive management of hernias are taught in our fellowship including all components of abdominal core health ranging from primary inguinal and ventral hernias to complex abdominal wall reconstruction. The fellow will have exposure to laparoscopic TEP, TAPP, open primary and mesh based inguinal hernia repairs as well as sports hernias. Management of complications of inguinal herniorrhaphy and chronic inguinodynia.  Ventral, flank, and parastomal hernias are repaired with open, laparoscopic, and robotic techniques. The fellowship has a strong robotic abdominal wall reconstruction component utilizing transabdominal and total extraperitoneal techniques.

Research/Education: The Fellow will have 10-20% protected time to participate in clinical research projects during the year and is expected to present at a national meeting. Multiple ongoing studies are available in which the fellow can participate. To facilitate the production of academic videos, the fellow is provided with access to professional quality video recording and editing equipment. Numerous opportunities to write review articles and book chapters are available. The fellow plays an active role in the education of UW Madison residents and medical students. These teaching responsibilities include, but are not limited to, assisting junior residents in lower complexity laparoscopic cases and leading teaching, education, and evaluation sessions at the University of Wisconsin Simulation Center.

Below is a brief synopsis of the faculty within our division:

Dr. Anne Lidor is a Professor of Surgery, the Chief of the MIS Division, and the Program Director of the MIS Fellowship. She is fellowship trained in MIS and Bariatric Surgery. Dr. Lidor has expertise in complex/revisional Foregut surgery as well as Bariatric Surgery. Her research interests are in health services outcomes--primarily related to benign and malignant foregut disease as well as in bariatric surgery.

Dr. Amber Shada is an Associate Professor of Surgery and is the Associate Program Director of the MIS Fellowship. She is fellowship trained in Minimally Invasive and Endoscopic Surgery. Her clinic interests include laparoscopic foregut surgery, gastroparesis, and advanced therapeutic endoscopic procedures (POEM, POP, stenting, resections). She is also the director of the Department of Surgery Esophageal Motility Lab and performs esophageal diagnostic testing, including manometry/pH testing.

Dr. Luke Funk is a Professor of Surgery. He is fellowship trained in Minimally Invasive Surgery and Bariatric Surgery. His clinical interests include bariatric surgery and hernia surgery. Dr. Funk's research focuses on national patterns of, access to, and improving the quality of surgical care.

Dr. Michael Garren is a Clinical Professor of Surgery and has expertise in Minimally Invasive Bariatric Surgery as well as other advanced laparoscopic procedures, including antireflux, and hernia surgery. Dr. Garren is the Chief Medical Officer at UW at East Madison Hospital as well as the Medical Director of the UW Health Medical and Surgical Weight Management Program.

Dr. Michael Sloan is a Clinical Professor of Surgery. He has clinical expertise in abdominal wall reconstruction and laparoscopic general surgery. Dr. Sloan is the Senior Medical Director of the UW Specialty Care.

Dr. Ryan Juza is an Associate Professor of Surgery and the Director of the UW Comprehensive Hernia Center. He is fellowship trained in Minimally Invasive Surgery and Advanced Endoscopy. His clinical practice involves laparoscopic, robotic, and open inguinal/incisional hernia repair as well as abdominal wall reconstruction surgery. He also has expertise in advanced therapeutic endoscopic procedures, with a focus in endoscopic management of GI surgical complications. Additionally, he has an interest in surgical innovation.

Dr. David Harris is an Assistant Professor of Surgery. He is fellowship trained in Minimally Invasive Surgery and Bariatric Surgery. Dr. Harris' clinical interests include Bariatric and foregut surgery. He runs a basic science laboratory focused on the intersection of metabolic surgery, metabolism, and aging. He is an Associate Director of the UW-Madison Mouse Phenotyping and Surgery Core and an Affiliate Member of the Division of Endocrinology, Diabetes, and Metabolism.

Dr. Toria Rendell is an Assistant Professor of Surgery. She is fellowship trained in Minimally Invasive/Advanced GI Surgery at Penn State. Her clinical interests include complex abdominal wall reconstruction and advanced surgical endoscopy. Her research/academic focuses include the development of an outcomes centered research program focused on building quality initiatives to improve hernia outcomes.

Basic Program Information:

• Location: Madison, Wisconsin
• Primary Program Site: University of Wisconsin School of Medicine and Public Health
• Primary Hospital: Total bed size, # OR's, # Surgical ICU beds: 614 beds, 30 ORs, 36 SICU (plus additional specialty-specific)
• Secondary Program Site: University of Wisconsin at East Madison Hospital
• Secondary Hospital: Total bed size, # OR's, # Surgical ICU beds: 83 beds, 14 ORs, 0 SICU
• Clinic locations and schedule:

  Clinics at EMH and UH at minimum once a week 

• University Affiliation: University of Wisconsin School of Medicine and Public Health
• School of Medicine Affiliation: University of Wisconsin School of Medicine and Public Health
• Year Program and/or Designation Established: 2014
• Number of Faculty: 8
• % 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? Yes
• 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: 64
• Publications that Involved Input from the Fellow: 35
• 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:

Michaela Gombar
Phone: 608-263-9419
Fax: 608-263-7652
Email: gombar@surgery.wisc.edu
Web: https://www.surgery.wisc.edu/education-training/fellowships/mis-foregut-and-bariatric-surgery-fellowship/

Facilities

Dry Lab
Library
Administrative Support
Basic Science Research
Clinical Research
Simulation Lab
Clinical Trials Office