A Roadmap From Feasibility to Reality: Can Greece Establish and Sustain a Transplant-Hepatopancreatobiliary (HPB) Fellowship?

  • 0Department of Surgery, Duke University Medical Center, Durham, USA.

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Summary

This summary is machine-generated.

Greece has the expertise for a national Hepatopancreatobiliary (HPB) and transplant surgery fellowship. Establishing this program will retain surgeons and create a regional training hub.

Area Of Science

  • Hepatopancreatobiliary (HPB) and Transplant Surgery
  • Surgical Education
  • Healthcare Workforce Development

Background

  • Greek HPB and transplant surgery centers achieve international standards.
  • A lack of structured fellowship programs leads to surgeon attrition and emigration.

Purpose Of The Study

  • To assess the feasibility of a national transplant-HPB fellowship in Greece.
  • To define the structural requirements for such a program.

Main Methods

  • Review of national HPB and transplant surgery case volumes and outcomes.
  • Benchmarking against international standards.
  • Identification of systemic barriers to fellowship development.
  • Development of a framework for a national consortium fellowship.

Main Results

  • Barriers identified: lack of accreditation, fragmented cases, limited faculty time, and low adoption of advanced technologies.
  • Proposed roadmap: national consortium, competency-based curricula (IHPBA/ASTS aligned), diversified funding, and faculty repatriation.
  • Greece has sufficient case volume and expertise to support an accredited fellowship.

Conclusions

  • A national transplant-HPB fellowship is feasible in Greece.
  • Program implementation requires resource consolidation, diversified funding, and international collaboration.
  • This initiative can mitigate brain drain and establish Greece as a regional training hub.