The Hepato-Pancreatico-Biliary (HPB) Fellowship at Mayo Clinic's campus in Rochester, Minnesota, is specifically designed to train future leaders in academic HPB surgery. We are committed to teaching both fundamental and advanced clinical HPB surgery, and we support each fellow's clinical research interests in preparation for their academic career.

Our aim is to ensure that upon completion of the program, each fellow successfully obtains Americas Hepato-Pancreato-Biliary Association (AHPBA) training certification, obtains an academic faculty position and passes board examinations if established. The fellowship is designed for two years.

In general, clinical experiences include exposure to:

• Surgical management of benign and malignant HPB diseases
• Laparoscopic HPB surgery
• Multidisciplinary management of non-HPB malignancies involving the HPB tract
• Liver transplantation
• HPB intraoperative ultrasonography
• Endoscopic ultrasonography
• Operative ablative therapy
• Intraoperative radiation therapy relevant to HPB malignancies

The fellowship also includes didactic components and a strong emphasis on clinical research, as all HPB faculty members are engaged in clinical research. There also is an opportunity to obtain a postdoctoral diploma in clinical and translational science.

Conferences include:

• HPB Education Conference
• HPB Journal Club
• HPB Tumor Board
• HPB Lecture Series

Program history

The Hepato-Pancreatico-Biliary Fellowship began at Mayo Clinic's campus in Rochester in 1994 as the GI Scholar Program (complex foregut surgery). Because the major surgical emphasis was HPB surgery and other GI surgical fellowships precluded a broad GI surgical expertise, the GI Scholar Program was replaced by the HPB Fellowship in 2009. Since inception, one fellow has completed the program each year, and we expect the same going forward.