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- W2890609541 abstract "Background: HPB training programs in Latin America have no formal accreditation process. The aim of this work is to assess the status of HPB surgery training in Latin America as to aid in starting an education and research consortium. Methods: Thirteen of the 17 AHPBA Latin American chapters identified representative HPB training centers. A 35 points survey was used to assess fellows perception of training in these dedicated HPB programs. The survey was applied by direct phone call (37%) or web based (63%), to fellows graduated from 7 different centers between 2011 and 2014. Results: Thirty -nine fellows from Argentina, Brazil, Chile and Mexico were eligible, with a response rate of 64% (27/39). Only 22% (6) were female. Most fellows (88%) shared cases with more than one co-fellow but only 13% reported conflicts with general surgery residents. Scrubbing with chief residents was reported by 78% of fellows and the majority rated autonomy between 50 and 75%. Median number of major hepatectomies per year was 6 (1–100), Whipple procedures 6 (3–40), and major bile duct repair 6 (0–80). A minimally invasive approach was performed in 25 to 50% of cases. Limited funding was the main reason to avoid HPB training outside the country of origin. Conclusion: HPB training in Latin America is variable and needs are different from accredited AHPBA programs. Financial burden is the main limitation to pursue training overseas. A multinational fellowship that takes advantage of each center, may overcome differences in volume and type of cases, improving the educational experience." @default.
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- W2890609541 date "2018-03-01" @default.
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- W2890609541 title "The Latin American HPB consortium of education and research (LAHCER): a pilot survey of hepatopancreatobiliary training in Latin America" @default.
- W2890609541 doi "https://doi.org/10.1016/j.hpb.2018.02.338" @default.
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