Table 5: Components of a Three-Part Metabolic Bariatric Surgery Curriculum Target MBS Fundamentals All surgical residents MBS RotaSon General Surgical Residents PGY 2-4 MBS EPA General Surgical Residents PGY 5-6, MBS fellows Goal Knowledge acquisiSon Skills acquisiSon Procedure cerSficaSon (EPA) Entry-level None - Basic laparoscopic skills training with VR or hands-on course - Laparoscopic experience in basic procedures (appendectomy, cholecystectomy) - Advanced laparoscopic skills training with SBME or hands-on course General aspects - Aâtude towards pa~ents with obesity - Knowledge on obesity - Anatomical knowledge - MBS indica~ons - Metabolic consequences - Treatment of surgical complica~ons - Advanced procedural knowledge - Technical piäalls - Management of surgical and other complica~ons Technical aspects First assistant Trocar placement Suturing - Individual sbtches - Running sbtch GJ - Running sbtch JJ Endoscopic stapling - LRYGB: GJ and JJ - LSG Omental dissec~on (LSG) Closure of mesenteric defects (LRYGB) Run small bowel LRYGB - Gastrojejunostomy (and BPL) - Pouch - Jejunojejunostomy (and AL) - Combine steps LSG - Dissecbon greater curvature - Stapling - Combine steps AL = alimentary limb, BPL = biliopancreatic limb, EPA = entrustable professional activity, GJ = gastrojejunostomy, JJ = jejunojejunostomy, LRYGB = laparoscopic Roux-en-Y gastric bypass, LSG = laparoscopic sleeve gastrectomy, MBS = metabolic bariatric surgery, PGY = postgraduate year, SBME = simulation-based medical education 8 165 General discussion and future perspectives
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