This one year clinical program offers an applicant the opportunity to develop his/her laparoscopic skills under the direction of highly trained surgeons performing the full spectrum of weight loss procedures.

The fellow will also gain experience in comprehensive weight management providing the expertise to establish or fully integrate into a comprehensive weight loss program after training completion. The focus of the fellowship is on bariatric and advanced foregut surgery. A fellow will develop proficiency in Laparoscopic Gastric Bypass, Vertical Sleeve Gastrectomy, and Laparoscopic duodenal switch surgery. Due to the high volume and long-standing nature of the program, a high volume of revisional surgery both for weight loss and complications secondary to procedures will be performed. Experience in robotic weight loss surgery will also be provided. Additionally, there is a substantial volume of flexible endoscopy during the fellowship both of a diagnostic and interventional nature. The University of Missouri at Columbia is a busy tertiary referral hospital and offers a clinical experience that is unsurpassed. In addition to the high volume of initial surgical procedures, fellows get an exceptional experience managing the numerous complicated or revisional bariatric cases, as well as other foregut operations which are sent from surrounding institutions.

As a result of collaborative relationships with both industry and basic and clinical scientists within the School of Medicine and around the University of Missouri campus, research opportunities are abundantly available to the extent that the fellow wishes to become involved.

This fellowship offers the applicant both the case volume and expert instruction necessary to become a superior general laparoscopic surgeon and laparoscopic bariatric surgeon. Our objective is to produce surgeons eminently well prepared for the next phase of their professional life whether in academic or in private practice. Program Highlights: 60% gastric bypass, complex weight loss procedures, integrated comprehensive weight loss program, opportunities for clinical and basic science research and publications.

Clinical Outpatient Experience

The Fellows have outpatient clinic two days per week. They help manage patients from the earliest preoperative assessment, through the immediate postoperative visit, as well as several visits within the first postoperative year and yearly for five years.

Case Mix

  • Gastric Bypass: 60%
  • Sleeve Gastrectomy: 20%
  • Duodenal Switch: 5%
  • Revisional Surgery: 15%

Conferences

Weekly: Morbidity and Mortality Conference

Monthly: clinical committee discussing difficult cases, policies and procedures for the practice of bariatric surgery, current guidelines from ASMBS as these are incorporated into the practice, and discussion of quality improvement data from MBSAQIP

Additional Conferences: Alternating: Journal Club, research conference, didactics to include current literature on relevant topics to improve decision making in bariatric surgery

Research/Scholarship Resources

Because of the large volume of patients in our program, and the variety of procedures offered to our patients, the Fellows are able to initiate randomized prospective studies, or perform meaningful retrospective analysis. The University has a formal IRB with specific protocols that must be followed. Protected time for research is guaranteed, and assistance with presentations/publications is available through research nurses within the surgery department.

Accredited by The Fellowship Council.

How to Apply

Applicants may apply through The Fellowship Council.

Prerequisites

Citizenship and Visa Requirements

  • US Citizens
  • US Permanent Residents (Green Card)

Medical School Requirements

  • We accept graduates of U.S. or Canadian Medical Schools and Foreign Medical Schools
  • We accept graduates of Foreign Medical Schools only if ECFMG Certified

Examinations and Certifications

  • Applicants must have passed the USMLE/COMLEX Step 1, 2, & 3 exams
  • Applicants must have passed the USMLE/COMLEX Step 1 & 2 exams or the Medical Council of Canada Evaluation Exam (MCCEE)
  • Applicants must have had at least 2 years of prior training in an ACGME accredited residency or fellowship (or Canadian equivalent)
  • Applicants who are ABS or Canadian Board Eligible or Certified
  • Applicants who hold a General Surgery specialty certificate from a Board or College outside of U.S. or Canada at the beginning of the fellowship
  • Applicants must have had at least 2 years of prior training in an AOA (American Osteopathic Association) accredited residency or fellowship
  • Applicants must be AOBS (American Osteopathic Board of Surgery) eligible or certified

Licensure Requirements and Information

Must be able to be licensed and credentialed in the United States. Must be able to obtain a permanent Missouri license. The fellows at the University of Missouri will have Attending status at the University. Fellow must have completed an ACGME accredited General Surgery Residency, be Board eligible or certified with the American Board of Surgery, and meet all requirements to obtain a full unrestricted Missouri Medical License and obtain a DEA license.