About the fellowship
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 is two years in duration with the first year focused on clinical, basic and translational research, organ procurement and liver transplantation and the second year focused on hepato-pancreatico-biliary surgery. Graduates complete 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 HPB fellowship 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.
HPB fellows are 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 are a part of the fellowship curriculum. While the program is not aimed to train liver transplant surgeons, the fellows benefit from broad exposure to organ retrieval, recipient hepatectomy and liver transplantation. Fellows are expected to develop independent clinical and translational research skills.
HPB fellows are required to attend clinic according to faculty schedules and assume primary responsibility for diagnostic work-up and treatment plans.
The HPB fellows are a part of the surgical team and thus will interact with general surgery residents and medical students. The fellows are expected to participate in teaching opportunities surrounding the daily care of surgical patients.
Conferences include the biweekly periampullary and pancreatic oncology conference, weekly multi-disciplinary HCC tumor conference, GI/Oncology Conference, weekly surgical grand rounds, and weekly Morbidity & Mortality conference.
Salary is based upon PGY level coming into the program.
There are no outside rotations in the fellowship. There is a research year, combined with procurement and transplant coverage.
Fellows will be expected to develop independent clinical and translational research skills. Under faculty guidance fellows are expected to design and complete a research project, with presentation at local, national and international HPB conferences, and publication of their work.
Susan Orloff, M.D., F.A.C.S., F.A.A.S.L.D., is the Program Director for the HPB fellowship, as well as the Division Head of Abdominal Organ Transplantation/Hepatobiliary Surgery. She is a UCSF Medical School graduate in General Surgery and Abdominal Organ Transplantation, and is internationally recognized as a leader in hepatobiliary surgery and liver transplantation. Dr. Orloff has particular experience in the management and surgical treatments of benign and malignant liver and biliary diseases, while her clinical research interests center around the epidemiology and outcomes of resection and transplantation for hepatocellular carcinoma, as well as the genomics of CMV infection and accelerated rejection, affording her with a unique clinical and translational perspective.
C. Kristian Enestvedt, M.D. is the Program Co-Director for the HPB fellowship and Assistant Professor of Surgery with the Division of Abdominal Organ Transplantation. A graduate of Northwestern University, Dr. Enestvedt completed his Internship, General Surgery Residency, and Fellowship in HPB Surgery at OHSU, and his Fellowship in Abdominal Organ Transplantation at the Hospital of the University of Pennsylvania and Children's Hospital of Philadelphia. Dr. Enestvedt has interests in clinical and basic science research related to ischemia/reperfusion, complications in transplantation, new techniques in hepatic surgery, and outcome analyses.