OHSU

Hepato-Pancreatico-Biliary (HPB)

The OHSU hepato-pancreatico-biliary (HPB) fellowship program is designed to draw from the multidisciplinary strengths of faculty members in abdominal organ transplant/hepato-pancreatico-biliary surgery, surgical oncology, and general surgery. The fellowship is aimed to complete the specialty training of well-trained general surgeons. The program will be two years in duration with one year focusing on clinical, basic and translational research, organ procurement and liver transplantation, the other year would focus on hepato-pancreatico-biliary surgery. Graduates will be expected to finish the program with substantial technical expertise in liver resection, complex biliary reconstruction, pancreas resection, liver transplantation, organ procurement, and minimally invasive liver and pancreatic surgery and techniques of liver tumor ablation.

Ultimately the program is designed to produce superb technical surgeons with a thorough understanding of the clinical and translational aspects of HPB disease and who will be poised to provide leadership and mentoring in the advancement of HPB surgery in coming years in and outside the United States. For more information, visit our listing on the website of the Fellowship Council.

Fellowship Information

Program Director

Susan Orloff, M.D., F.A.C.S.

Program Co-Director

Kevin Billingsley, M.D.

Coordinator

Mark Valadez

Contact

Address
Oregon Health & Science University
3181 SW Sam Jackson Park Rd.
Mailcode: 590
Portland, OR 97239

Phone
503 494-4744

Fax
503 494-5292

Email

Number of Fellows (per year; July 1 to June 30)

2

Application process

Apply for our fellowship through the Fellowship Council.

Number of Faculty

3

Salary/Year

Dependent upon PGY level; 2011-2012 range: $62,200 to $68,200.

Case mix/number of cases

See Fellowship Council.

Strengths of program

Trainees will be thoroughly trained in the evaluation and clinical decision making for patients with benign liver masses, primary liver, bile duct and gall bladder cancer, management of metastatic cancer to the liver, complex biliary diseases that need reconstruction such as bile duct injuries sustained during gall bladder surgery and biliary strictures after liver transplantation, straight forward liver transplantation, abdominal organ procurement, and neoplastic and non-neoplastic diseases of the pancreas and duodenum. In addition, experience in portal HTN surgery with portasystemic shunts will be a part of the fellowship curriculum. While the program is not aimed to train liver transplant surgeons, the trainee will benefit from broad exposure to organ retrieval, recipient hepatectomy and liver transplantation. Trainees will be expected to develop independent clinical and translational research skills.

Clinic or office experience

Fellow is required to attend clinic according to faculty schedules and will assume primary responsibility for diagnostic work-up and treatment plans.

Interaction with general surgery residents

The HPB fellow will be part of the surgical team and thus will interact with general surgery residents and medical students. The fellow will be expected to participate in teaching opportunities of the daily care of surgical patients.

Conferences

Includes biweekly periampullary and pancreatic oncology conference, weekly multi-disciplinary HCC tumor conference, GI/Oncology Conference, weekly surgical grand rounds, weekly Morbidity & Mortality conference.

Outside rotations

No

Research year

Yes, combined with procurement and transplant coverage.

Requirement for paper

Trainees will be expected to develop independent clinical and translational research skills. Under faculty guidance graduates will be expected to design and complete a research project, with presentation at local, national and international HPB conferences, and publication of their work.

Fellowship Program Directors

Academic Faculty Susan Orloff, MD

Susan Orloff, M.D. is the program director for the HPB fellowship and is internationally recognized as a leader in hepatobiliary surgery and liver transplantation. She is the author of over 90 peer-reviewed scientific articles, 20 book chapters in the fields of microbiology, transplant immunology, liver transplantation and hepatobiliary surgery. Dr. Orloff is on the editorial board of 3 journals and is an invited reviewer for 16. She is an active member of several surgical societies including the prestigious American Surgical Association, serving on many national committees.

Kevin Billingsley, M.D.

Kevin Billingsley, M.D. is the program co-director for the HPB fellowship, as well as division chief of Surgical Oncology. Dr. Billingsley does surgery for tumors of the liver, bile ducts and pancreas. He also treats patients with colorectal cancer, gall bladder cancer, cancer of the stomach and digestive system and sarcoma (bone and soft tissue cancer). His background includes specialized training in cancer surgery from the National Cancer Institute and Memorial Sloan-Kettering Cancer Center in New York City.