Analysis of Early Job Market Experiences and Perceptions Among Bariatric Surgery Fellowship Graduates and Bariatric Surgery Program Directors.

Abstract:

PURPOSE:Over the past decade, an increasing number of bariatric surgeons are trained in fellowships annually despite only a modest increase in nationwide bariatric surgery volume. The study surveys the bariatric surgery job market trend in order to inform better career-choice decisions for trainees interested in this field. MATERIALS AND METHODS:A national retrospective cohort survey over an 11-year period was conducted. Bariatric surgery fellowship graduates from 2008 to 2019 and program directors (PDs) were surveyed electronically. Univariate analysis was performed comparing responses between earlier (2008-2016) and recent graduates (2017-2019). RESULTS:We identified a total of 996 graduates and 143 PDs. Response rates were 9% and 20% respectively (n = 88, 29). Sixty-eight percent of graduates felt there are not enough bariatric jobs for new graduates. Seventy-nine percent of PDs felt that it is more difficult to find a bariatric job for their fellows now than 5-10 years ago. Forty-eight percent of PDs felt that we are training too many bariatric fellows. Seventy-seven percent of all graduates want the majority of their practice to be comprised bariatric cases; however, only 42% of them reported achieving this. In the univariate analysis, recent graduates were less likely to be currently employed as a bariatric surgeon (64% vs. 86%, p = 0.02) and were less satisfied with their current case volume (42% vs. 66%, p = 0.01). CONCLUSIONS:The temporal increase in bariatric fellowship graduates over the past decade has resulted in a significant decline in the likelihood of employment in a full-time bariatric surgical practice and a decline in surgeons' bariatric case volumes.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Lu Y,Juo YY,Martin MJ,Dan AG,Banerjee A,Jones DB,Dakin GF,Jain-Spangler K,Chen Y

doi

10.1007/s11695-020-05150-7

subject

Has Abstract

pub_date

2021-01-06 00:00:00

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-020-05150-7

pub_type

杂志文章
  • Incidence of cancer following bariatric surgery: systematic review and meta-analysis.

    abstract::Obesity is linked to the development of cancer. Previous studies have suggested that there is a relationship between bariatric surgery and reduced cancer risk. Data sources were from Medline, Embase, and Cochrane Library. From 951 references, 13 studies met the inclusion criteria (54,257 participants). In controlled s...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-014-1276-0

    authors: Casagrande DS,Rosa DD,Umpierre D,Sarmento RA,Rodrigues CG,Schaan BD

    更新日期:2014-09-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: transoral or transgastric anvil placement?

    abstract:BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321629139

    authors: Scott DJ,Provost DA,Jones DB

    更新日期:2000-08-01 00:00:00

  • Sleep quality and duration before and after bariatric surgery.

    abstract:BACKGROUND:Shortened sleep duration causes hormonal and metabolic changes that favor fat accumulation and weight gain. Obesity, in turn, may reduce sleep quality and contribute to sleep loss. The purpose of this study was to evaluate the sleep durations of individuals with morbid obesity, compared to their nonobese cou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0541-8

    authors: Toor P,Kim K,Buffington CK

    更新日期:2012-06-01 00:00:00

  • Perforator-sparing abdominoplasty technique in the presence of bilateral subcostal scars after gastric bypass.

    abstract:BACKGROUND:The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated with previous transverse surgical scars in the upper abdomen. Ofte...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9007-4

    authors: Rieger UM,Aschwanden M,Schmid D,Kalbermatten DF,Pierer G,Haug M

    更新日期:2007-01-01 00:00:00

  • HIV Infection Is Not a Contraindication to Laparoscopic Sleeve Gastrectomy for Morbid Obesity.

    abstract:BACKGROUND:The efficacy of antiretroviral therapy has made HIV a chronic condition. The prevalence of obesity in HIV positive patients has subsequently risen and is present in 6-34% of men and 21-30% of women (Keithley et al. J Assoc Nurses AIDS Care 20(4):260-74, 2009). Sleeve gastrectomy is a safe and effective proce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2865-5

    authors: Panko N,Dunford G,Lutfi R

    更新日期:2018-02-01 00:00:00

  • Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: a Randomized, Double-Blinded, Controlled Trial of Nasal Cannula Oxygen Administration.

    abstract:BACKGROUND:Obese patients have a propensity to desaturate during induction of general anesthesia secondary to their reduced functional residual capacity and increased oxygen consumption. Apneic oxygenation can provide supplemental oxygen to the alveoli, even in the absence of ventilation, during attempts to secure the ...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-019-04077-y

    authors: Moon TS,Tai K,Kim A,Gonzales MX,Lu R,Pak T,Smith K,Chen JL,Minhajuddin AT,Nnamani N,Fox PE,Ogunnaike B

    更新日期:2019-12-01 00:00:00

  • Laparoscopic vertical banded gastroplasty--an effective long-term therapy for morbidly obese patients?

    abstract:BACKGROUND:Vertical banded gastroplasty (VBG) has previously been documented as an effective treatment for morbid obesity. We have described a laparoscopic technique to perform this operation. Follow-up data are now presented. METHODS:A consecutive series of 139 morbidly obese patients were operated on with laparoscop...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/09608920160558669

    authors: Olbers T,Lönroth H,Dalenbäck J,Haglind E,Lundell L

    更新日期:2001-12-01 00:00:00

  • Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery.

    abstract::Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of l...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04132-8

    authors: Zaarour M,Zaharia R,Bretault M,Jublanc C,De Marcellus C,Bouillot JL,Lefebvre H,Oppert JM,Aron-Wisnewsky J,Raffin-Sanson ML

    更新日期:2020-04-01 00:00:00

  • Stapled Roux-en-Y anastomosis: an illustrated technique.

    abstract::A technique is described to create a wide enteroenterostomy or Roux-en-Y anastomosis. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203765887822

    authors: Keshishian A,Zahriya K

    更新日期:2003-06-01 00:00:00

  • A Population-Based Study of Early Postoperative Outcomes in Patients with Heart Failure Undergoing Bariatric Surgery.

    abstract:BACKGROUND:Weight loss following bariatric surgery can improve cardiac function among patients with heart failure (HF). However, perioperative morbidity of bariatric surgery has not been evaluated in patients with HF. STUDY DESIGN:The National Surgical Quality Improvement Project (NSQIP) database for 2006-2014 was que...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3174-3

    authors: Strong AT,Sharma G,Tu C,Aminian A,Young JB,Rodriguez J,Kroh M

    更新日期:2018-08-01 00:00:00

  • Comparison of hand-sewn, linear-stapled, and circular-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:There is no consensus on the ideal gastrojejunostomy anastomosis (GJA) technique in laparoscopic Roux-en-Y gastric bypass (LRYGB). We reviewed our experience with three GJA techniques (hand-sewn (HSA), linear-stapled (LSA), and 25-mm circular-stapled (CSA)) to determine which anastomosis technique is associa...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0470-6

    authors: Bendewald FP,Choi JN,Blythe LS,Selzer DJ,Ditslear JH,Mattar SG

    更新日期:2011-11-01 00:00:00

  • Sleep apnea: is routine preoperative screening necessary?

    abstract:BACKGROUND:Because perioperative complications of unrecognized obstructive sleep apnea (OSA) can be severe, many bariatric surgery programs routinely screen all patients. However, many obese non-bariatric surgery patients do not get screened. We wanted to evaluate the need for routine preoperative OSA screening. METHO...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0806-x

    authors: Nepomnayshy D,Hesham W,Erickson B,MacDonald J,Iorio R,Brams D

    更新日期:2013-03-01 00:00:00

  • Changes in Health-Related Quality of Life After Gastric Bypass in Patients With and Without Obesity-Related Disease.

    abstract:BACKGROUND:A substantial proportion of severely obese patients undergoing bariatric surgery have not developed disease as a consequence of obesity. Little is known about the effects of bariatric surgery on health-related quality of life (HRQL) in this patient group. In a prospective study at a public hospital, we compa...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1717-4

    authors: Risstad H,Søvik TT,Hewitt S,Kristinsson JA,Fagerland MW,Bernklev T,Mala T

    更新日期:2015-12-01 00:00:00

  • Optimization of access-port placement for the lap-band system.

    abstract:BACKGROUND:The technical aspects of access-port (AP) placement are not generally described in Lap-Band series. METHODS:From November 2000 to April 2002, we performed Lap-Band procedures laparoscopically on 180 patients. A retrospective review was conducted of 3 consecutive AP-placement techniques in nonselected and de...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322618759

    authors: Spivak H,Gold D,Guerrero C

    更新日期:2003-12-01 00:00:00

  • A technique for prevention of port complications after laparoscopic adjustable silicone gastric banding.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202762552791

    authors: Fabry H,Van Hee R,Hendrickx L,Totté E

    更新日期:2002-04-01 00:00:00

  • Influence of Bariatric Surgery on Salivary Flow: a Systematic Review and Meta-Analysis.

    abstract::Bariatric surgery is the most effective treatment for morbid obesity, but it can cause numerous adverse effects. This systematic review and meta-analysis aimed to evaluate whether bariatric surgery changes patient salivary flow. We searched for articles in the Web of Science, Pubmed/MEDLINE, and Scopus databases using...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-019-03784-w

    authors: Farias TMCP,Vasconcelos BCDE,SoutoMaior JR,Lemos CAA,de Moraes SLD,Pellizzer EP

    更新日期:2019-05-01 00:00:00

  • Jejunoileal Bypass Operations With a Side-to-side Anastomosis in the Treatment of Morbid Obesity.

    abstract::In order to avoid a stagnant loop syndrome in intestinal bypass operations for morbid obesity, we have tried a jejunoileal bypass with a side-to-side anastomosis in a pilot study. Seven patients were operated on with this method, which resulted in a very high incidence of liver damage. The study puts a question mark t...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089291765561187

    authors: Stockeld D,Backman L,Granström L

    更新日期:1991-06-01 00:00:00

  • Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Patients undergoing either Roux-en-Y gastric bypass (RYGBP) or biliopancreatic diversion (BPD) with RYGBP are at risk of developing metabolic sequelae secondary to malabsorption. We compared the differences in nutritional complications between these two bariatric operations. METHODS:A retrospective analysis...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089202762252334

    authors: Skroubis G,Sakellaropoulos G,Pouggouras K,Mead N,Nikiforidis G,Kalfarentzos F

    更新日期:2002-08-01 00:00:00

  • Surgical Management of a Chronic Sleeve Gastrocolic Fistula with Near Total Gastrectomy and Roux-en-Y Reconstruction.

    abstract:BACKGROUND:Management of the leak is determined by the duration of the leak from the initial surgery. Acute leaks occurring less than 72 hours after surgery are best managed with reoperation and primary repair. Intermediate leaks, greater than 72 hours but less than 12 weeks, can be managed with non-operative managemen...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04689-9

    authors: Dugan N,Nimeri A

    更新日期:2020-09-01 00:00:00

  • Liposculpturing by Syringe Technique in Obesity.

    abstract::The author recommends liposuction by syringe technique instead of by the lipoaspirator machine. This technique has been applied to obese patients who were further stimulated to lose weight by dieting. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089293765559386

    authors: Felicio Y

    更新日期:1993-08-01 00:00:00

  • Management of anastomotic ulcers after Roux-en-Y gastric bypass: results of an international survey.

    abstract:BACKGROUND:Anastomotic ulcers (AUs) after Roux-en-Y gastric bypass (RYGB) occur in up to 16% of patients. In an international survey among members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), current preventative and therapeutic strategies in AU were analyzed. METHODS:An I...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1152-3

    authors: Steinemann DC,Bueter M,Schiesser M,Amygdalos I,Clavien PA,Nocito A

    更新日期:2014-05-01 00:00:00

  • Laparoscopic Sleeve Gastrectomy in the Postpartum Period: Increased Risk of Bleeding, a Challenging Situation.

    abstract::The female population represents three-fourths of patients undergoing a bariatric procedure and could be scheduled for surgery in their postpartum period. We report a difficult case of a female patient who underwent a laparoscopic sleeve gastrectomy 6 weeks postpartum. The postpartum period is accompanied by pronounce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2154-8

    authors: Abouzahr O,Garofalo F,Garneau PY

    更新日期:2016-06-01 00:00:00

  • Glycemic Control after Sleeve Gastrectomy and Roux-En-Y Gastric Bypass in Obese Subjects with Type 2 Diabetes Mellitus.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (LRYGB) has weight-independent effects on glycemia in obese type 2 diabetic patients, whereas sleeve gastrectomy (LSG) is less well characterized. This study aims to compare early weight-independent and later weight-dependent glycemic effects of LRYGB and LSG. METHODS:Eighteen LRYGB...

    journal_title:Obesity surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11695-017-3061-3

    authors: Wallenius V,Dirinck E,Fändriks L,Maleckas A,le Roux CW,Thorell A

    更新日期:2018-06-01 00:00:00

  • Impact of laparoscopic adjustable gastric banding on obesity co-morbidities in the medium- and long-term.

    abstract:BACKGROUND:The authors evaluated the impact of laparoscopic adjustable gastric banding (LAGB) on obesity-associated diseases in a series at 3 to 8 years postoperatively, namely diabetes, pulmonary disease, hypertension and knee joint pain. METHODS:145 morbidly obese patients underwent LAGB with mean age 38 years and p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9118-y

    authors: Korenkov M,Shah S,Sauerland S,Duenschede F,Junginger T

    更新日期:2007-05-01 00:00:00

  • A Multimodal Analgesic Protocol Reduces Opioid-Related Adverse Events and Improves Patient Outcomes in Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed procedures for the treatment of obesity. Patients with obesity are more prone to experience opioid-related adverse events (ORAE). OBJECTIVES:The objective of this study is to determine if a multimodal analgesia protocol (MAP) reduce...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-017-2790-7

    authors: Ng JJ,Leong WQ,Tan CS,Poon KH,Lomanto D,So JBY,Shabbir A

    更新日期:2017-12-01 00:00:00

  • Utilization of intensive care resources in bariatric surgery.

    abstract:BACKGROUND:Obese patients occasionally require either elective or emergency critical care services following bariatric surgery. We describe this subgroup of patients. METHODS:From July 1, 1991 to July 31, 2004, we performed 1,279 bariatric operations; 241 (19%) required admission to the surgical critical care service....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089205774512681

    authors: Cendán JC,Abu-aouf D,Gabrielli A,Caruso LJ,Rout WR,Hocking MP,Layon AJ

    更新日期:2005-10-01 00:00:00

  • Impact of Routine 12 mm Epigastric Trocar Site Closure on Incisional Hernia After Sleeve Gastrectomy: a Prospective Before/After Study.

    abstract:BACKGROUND:Recent studies have reported trocar site hernia (TSH) rates after bariatric surgery ranging from 0 to 45.2% based on imaging assessment. The objective of this study was to evaluate the TSH rate after sleeve gastrectomy (SG) comprising routine 12 mm epigastric trocar site closure (TSC). MATERIAL:Prospective ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03971-9

    authors: Rebibo L,Demouron M,Dembinski J,Dhahri A,Yzet T,Regimbeau JM

    更新日期:2019-11-01 00:00:00

  • Relation of childhood sexual abuse and other forms of maltreatment to 12-month postoperative outcomes in extremely obese gastric bypass patients.

    abstract:BACKGROUND:The prognostic significance of sexual abuse for extremely obese patients who undergo bariatric surgery is uncertain. This study examined self-reported childhood sexual abuse and other forms of childhood maltreatment in relation to preoperative presentation and to 12-month postoperative outcomes in gastric by...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776327288

    authors: Grilo CM,White MA,Masheb RM,Rothschild BS,Burke-Martindale CH

    更新日期:2006-04-01 00:00:00

  • Does the Size of the Upper Pouch Affect Weight Loss after Vertical Banded Gastroplasty.

    abstract::BACKGROUND: The importance of creating a small 10-20 ml upper pouch when performing a vertical banded gastroplasty (VBG) is often stated in the literature. In order to test the hypothesis that weight loss is superior in patients with a small upper pouch, we examined the weight loss curves for three different pouch siz...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089295765557430

    authors: Näslund E,Backman L,Granström L,Stockeld D

    更新日期:1995-11-01 00:00:00

  • Increased Free Testosterone Levels in Men with Uncontrolled Type 2 Diabetes Five Years After Randomization to Bariatric Surgery.

    abstract::Hypogonadism frequently occurs in male patients with type 2 diabetes (T2DM) and is linked to insulin resistance and inflammation. Testosterone levels rise acutely in obese patients following bariatric surgery, though long-term changes have not been investigated in a randomized controlled trial. This study evaluated ob...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-017-2881-5

    authors: Pham NH,Bena J,Bhatt DL,Kennedy L,Schauer PR,Kashyap SR

    更新日期:2018-01-01 00:00:00