A Roadmap From Feasibility to Reality: Can Greece Establish and Sustain a Transplant-Hepatopancreatobiliary (HPB) Fellowship?
- 1Department of Surgery, Duke University Medical Center, Durham, USA.
- 21st Department of Surgery and Transplantation, Evangelismos General Hospital, Athens, GRC.
- 3Surgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.
- 0Department of Surgery, Duke University Medical Center, Durham, USA.
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View abstract on PubMed
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.
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