Hepato-Pancreato-Biliary (HPB) Surgical Oncology Fellowship at the University of Toronto and Toronto General Hospital

The Toronto Transplant & HPB Fellows 2016-2017

Left to Right: Dr. Carlo Pulitano, Dr. Nathan Zilbert, Dr. Benjamin Loveday, Dr. Juan Echeverri, Dr. Nicolas Goldaracena,  Dr. David Al-Adra, and Dr. Joshua Shaw

Welcome and thank you for your interest in the University of Toronto HPB Surgical Oncology Fellowship Program.

Every year we have the privilege of meeting some of the best and brightest graduates from top universities around the world, and each year we are challenged with the task of selecting just one to train. It’s a responsibility we take seriously, not only as the Directors, but also as educators and scientists in the field of surgical training. Of course, we are not the only ones making choices. I hope that the information on this site helps you weigh your academic options and gives you some insight into who we are, what we do, and what we have to offer. Since 1983 the Toronto HPB program has recruited, trained, and graduated over 40 surgeons; alumni that continue to shape the future of HPB surgical oncology globally. I invite you to consider how our program can help shape your future and how you, in turn, can help shape the future of HPB surgery and cancer care.

Greig_homepagePaul Greig, MD
Program Director

Distinguishing Features of the Fellowship

Clinical Experience

Hepato-Pancreato-Biliary Surgery

During the first year, the HPB and Transplant Fellowships are integrated. The AHPBA required case volumes are exceeded through:

6-8 elective HPB ORs per week (10 HPB & Transplant Surgeons)
150+ liver resections, 100+ major pancreas, 80% oncology
  • Vascular resections & reconstruction, includiing in-situ cooling
  • Laparoscopic HPB Surgery
  • Intraoperative Ultrasound
  • Pre-operative planning & volumetric measurements using Myrian software
  • 3-month assignments with HPB & Transplant surgeons for elective surgery & Surgical Oncology Clinics
  • Medical & Radiation Oncology Clinics & Multidisciplinary Tumor Boards
During the second year, the HPB Fellow focuses on: Complex HPB Surgery (Klatskins, in-situ cooling procedures, vascular resections and reconstructions, re-resections), Multidisciplinary HPB Oncology, and Clinical Research Projects.

 

Transplant

During the first year, the HPB Fellow is integrated into the Transplant Program (deceased donor organ procurement and liver transplantation):

  • Institutional volume of 200+ liver, 40-50 pancreas, 150+ kidney per year: The HPB Fellow can anticipate approximately 25 liver transplants and 50 muti-organ donors
  • Largest living donor liver transplantation program in North America (40+ per year)
  • Pediatric liver transplantation: Approximately 25 per year
  • Shared on-call responsibilities for MOT ward, donors, and liver & kidney transplantation (1:6 for each)

Education

The Fellowship program offers multiple opportunities for additional learning through:

  • SSO Seminar Series
  • HPB Conference, Hepatoma Review Board, and GI Surgical Oncology Board
  • AHPBA curriculum-based seminars
  • Surgical oncology seminars
  • Journal Club and Multidisciplinary Liver Conference (Faculty Club)
  • HPB Grand Rounds
  • Attendance at 1 meeting per year plus any meetings with presentations
  • Fellow Exchange program (second year) – Fellow’s choice of institution

Research Opportunities

For Clinical and Outcomes Research, Fellows can expect one project in the first year, and multiple projects in their second year of study. There are Basic Science opportunities for laboratory-based research on the topics of:

  • Ischemia/reperfusion
  • Genomics/proteomics
  • Dendritic cells
  • Tolerance
  • Stem cell biology

Research in education is also offered.

Lifestyle

Fellows will experience the advantages of a “large” Fellowship program with 7 to 8 Transplant and HPB Fellows:

  • Focus on the RUQ!
  • On-call scheduling and cross-coverage
  • Facilitates time off without compromising clinical experience
  • Camaraderie

Upcoming Events

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News & Announcements

Dr. Markus Selzner Examines Risk- benefit Maximization of Steatotic Donor Livers at the 2017 AASLD/ILTS Transplant Course

Toronto Abdominal Organ Transplant Fellowship Director, Dr. Markus Selzner, will be speaking in Washington DC this Friday at the annual AASLD/ILTS Transplant Course. As part of the 2017 discussion on Maximizing the Allograft Function, he will present on “Steatotic Donor Livers: Where is the Risk- benefit Maximized?” For more information visit the AASLD... read more

Toronto PD, Markus Selzner, to Speak at CST CTRMS Joint Meeting

Toronto Abdominal Organ Transplant Fellowship Director, Dr. Markus Selzner, will participate in several events at the upcoming 2017 Canadian Society of Transplantation and Cell Transplant and Regenerative Medicine Society Joint Scientific Meeting. This year’s conference takes place in Halifax, Nova Scotia, September 26 – 29, but Dr. Selzner will give his first talk Wednesday morning at the Transplant Fellows Symposium:  Monday, September 25 – CST- CLTN Transplant Fellows Symposium 9:15AM-10:00AM Title: Expanding the Donor Pool: The Evolving Field of Organ Preservation and Resuscitation Wednesday, September 27 – CNTRP Session (1:00PM-3:30PM) 1:50PM Joint Presentation: How does the CNTRP translate knowledge into action: Predicting organ function before transplantation – Mélanie Dieudé, Eric Boilard and Markus Selzner 5:30-6:00PM Title: Normothermic Ex Vivo Liver Perfusion for the Storage, Assessment and Repair of Marginal Liver Grafts – Markus Selzner 6:00-6:30PM Title: Normothermic Ex Vivo Kidney Perfusion for the Storage, Assesment and Repair of Marginal Kidney Grafts – Markus Selzner Conference details are available at the following link: http://www.cst-transplant.ca/2017_CST-CTRMS.html... read more