Fellowship in Minimally Invasive Surgery
Curriculum
July, 2011
T. Paul Singh, M.D.
Director of Minimally Invasive Surgery
Assistant Professor of Surgery
Department of Surgery
Division of Minimally Invasive Surgery
47 New Scotland Avenue, MC-61
Albany, NY 12208
Phone: (518) 262-5374 Fax: (518) 262-6397
Table of Contents
Introduction
3
Eligibility
4
Faculty
5
Goals and Objectives
6
Components of the Program and Weekly Schedule
7
Clinical Experience
8
Research
9
Educational Responsibilities
10
Conference Schedule
10
Evaluation Process
11
Vacation
13
Leave of Absence
13
Moonlighting Policy
13
Medical students: Policy on Harassment
14
The General Surgery Residency
15
405 Resident Supervision
17
Clinical Resources
18
Professional Resources
19
2
Introduction
Welcome to the Minimally Invasive Surgery Fellowship at Albany Medical
College! The following manual is intended to outline your goals and objectives
for the next 12 months. We anticipate that you will have a challenging yet
momentous experience during your training.
T. Paul Singh, M.D.
Director of Minimally Invasive Surgery
Assistant Professor of Surgery
Brian Binetti, M.D.
Assistant Professor of Surgery
3
Eligibility
Successful candidates for the position of Clinical Fellow must have completed a Residency In
General Surgery. Candidates must have also graduated from a Liaison Committee on Medical
Education (LCME) accredited medical school or possess certification from the Educational
Commission for Foreign Medical Graduates (ECFMG). In addition, candidates must be eligible
for medical licensure in the State of New York. Additional information regarding the requirements
for New York State licensing can be obtained by contacting the Medical Board at the address
below. Privileges as Attending Surgeon must be obtained at Albany Medical Center Hospital
once a New York State medical license is obtained.
This program participates in the Minimally Invasive Surgery match process, governed by The
Fellowship Council. Applications for fellowship may be obtained through The Fellowship Council
website (see below).
New York State Education Department
Office of the Professions
State Education Building – 2nd Floor
89 Washington Avenue
Albany, NY 12234
Phone: (518) 474-3817
Website: www.op.nysed.gov/med.htm
The Fellowship Council
11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
Phone: (310) 437-0555
Fax:
(310) 437-0585
Email: info@fellowshipcouncil.org
Website: www.fellowshipcouncil.org
4
Faculty
Steven C. Stain, M.D.
Neil Lempert Professor and Chairman of Surgery
TRANSPLANT SURGERY
David J. Conti, M.D.
Program Director, Surgery Residency
Chief, General Surgery
Anthony J. DeLuca, M.D.
Professor of Surgery
Associate Program Director, Surgery Residency
Michael Gallichio, M.D.
Associate Professor
COLORECTAL SURGERY
Edward C. Lee, M.D.
Associate Professor
Director, Section of Colorectal Surgery
TRAUMA SURGERY
Hashim M. Hesham, M.D.
Assistant Professor
Brian Valerian, M.D.
Assistant Professor
Associate Professor
Carl Rosati, M.D.
Associate Professor
David J. Kuehler, M.D.
Assistant Professor
Jonathan C. Canete
Assistant Professor
Sharon Samuels, M.D.
Assistant Professor
CRITICAL CARE
Joseph L. Pfeifer, III, M.D.
Associate Professor
Daniel Bonville, D.O.
Assistant Professor
Dan R. Thompson, M.D.
Associate Professor
Sophia Socaris, M.D.
Associate Professor of Surgery and Anesthesiology
BREAST AND ENDOCRINE SURGERY
Todd D. Beyer, M.D.
Assistant Professor
Donna M. Pietrocola, M.D.
Associate Professor
PEDIATRIC SURGERY
Thomas R. Weber, M.D.
Professor of Surgery
PLASTIC SURGERY
Jerome D. Chao, M.D.
Assistant Professor
James Dolph, M.D
Assistant Professor
James D. Koumanis, M.D.
Assistant Professor
Stephane Braun, M.D.
Program Director
SURGICAL ONCOLOGY
Ankesh Nigam, M.D.
Associate Professor
Muhammad Hena, M.D.
Associate Professor
5
Goals and Objectives
The goal of the MIS Fellowship is to provide the Fellow with the necessary training and education
to be comfortable in the performance of a wide variety of minimally invasive operations. The
Fellow will be exposed to the broad applications of minimally invasive surgery, including bariatric
surgery, surgery for gastroesophageal reflux disease (GERD), hernia surgery, and solid organ
surgery. The Fellow will have ample opportunity to participate in both basic science and clinical
research, and scholarly activity with presentations in national and international symposia is
expected. The Fellow will be provided with the necessary stimuli to pursue a successful career in
either private practice or academic surgery upon completion of the Fellowship.
6
Components of the Program
The activities of the fellow will be a blend of clinical experience, research, and teaching
responsibilities for medical students and General Surgery residents. Clinical experience is to
include both operative time and clinic hours. Prior fellows have performed both basic science
research, as well as clinical research. Topics have varied from surgical education to virtual reality
simulation. Teaching responsibilities will range from formal Grand Rounds presentations for the
Department of Surgery to informal clinical instruction in the operating room and surgical clinic.
The activities will be divided as follows:
Clinical
Research
Teaching/Education
60%
20%
20%
Weekly Schedule
Monday:
AM: Operating Room
PM: Operating Room
Tuesday:
AM: Endoscopy
Clinic
PM: Clinic
Wednesday:
AM: Operating Room
Research
Training Laboratory
PM: Operating Room
Research
Medical Student Didactic Lectures
Thursday:
AM: Clinic
Training Laboratory
PM: Clinic
Research
Training Laboratory
Friday:
AM: Operating Room
Research
PM: Operating Room
Research
7
Clinical Experience
The Fellowship offers a broad clinical experience which may be tailored to the needs or goals of
the specific Fellow. As a tertiary referral center, we are provided with a broad range of surgical
pathology. The Fellow will be exposed to a large volume and array of this surgical pathology and
learn the minimally invasive applications to treating these diseases:
GENERAL SURGERY
Bariatrics
Gastroesophageal reflux disease
Paraesophageal hernia
Achalasia
Ventral hernia
Inguinal Hernia
Hematologic disorders
Hepatobiliary disorders
COLORECTAL SURGERY
Diverticulitis
Colon cancer
PEDIATRIC SURGERY
Gastroesophageal reflux disease
Hematologic disorders
ENDOCRINE SURGERY
Disorders of the adrenal gland
TRANSPLANT SURGERY
Living donor nephrectomy
SURGICAL ONCOLOGY
Disorders of the adrenal gland
Hepatobiliary disorders
OPERATIVE EXPERIENCE
The Fellowship operates with a mentor system. The Fellow will act as the assistant surgeon early
during the training period. As the Fellow’s skill increases, she or he will graduate to the role of
Primary Surgeon under supervision, and assist the Surgery Resident in performing procedures.
The Fellow will also be responsible for teaching the Surgery Resident in open general surgery
cases and minor surgical operations. In addition, the Fellow will become familiar with roboticassisted surgery, and eventually perform operations as Primary Surgeon using the robot.
ENDOSCOPY
The Fellow will perform both upper and lower endoscopy under the supervision of Attending
Surgeons from Minimally Invasive Surgery and Colorectal Surgery. The Fellow will also
supervise resident performed endoscopy.
CLINIC
Office hours are to be attended on a regular basis. This will include follow-up on existing
patients, as well as the evaluation of new patients. Minor procedures (e.g. adjustable gastric
band fills) are occasionally performed in the clinic.
8
Research
The Fellow is expected to actively engage in research throughout the Fellowship. There is ample
opportunity to initiate both basic science and clinical research projects. The Fellow is required to
complete Albany Medical Center Institutional Review Board (IRB) Certification for Investigator
Training during the first month of Fellowship. This is an online course which may be completed
within a few hours. All research efforts must include at least one General Surgery resident.
The Division of Minimally Invasive Surgery actively collaborates with the Department of
Mechanical, Aerospace, and Nuclear Engineering at Rensselaer Polytechnic Institute and the
Adirondack Area Network. Additional collaborative research efforts are encouraged.
Prior areas of investigation:
Natural Orifice Translumenal Endoscopic Surgery (NOTES)
Robotic surgery outcomes
Gastric bypass outcomes
Surgical virtual reality simulation
Methods of laparoscopic training
REQUIREMENTS
Scientific abstracts must be submitted for oral or poster presentation to the following societies’
annual meetings:
1. Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
2. Society of Laparoendoscopic Surgeons (SLS)
In addition, the Fellow is encouraged to submit abstracts to other nationally recognized symposia,
such as the American College of Surgeons, American Society for Bariatric Surgery, Digestive
Disease Week, Minimally Invasive Robotic Association, and Southwestern Surgical Conference,
to name a few.
It is expected that the Fellow see to it that scientific abstracts eventually lead to manuscript
publication in peer-reviewed journals.
RESOURCES
STATISTICS
Ashar Ata, M.P.H., Statistician, Department of Surgery
Phone:
Email: AtaA@mail.amc.edu
IRB and INVESTIGATOR TRAINING OPTIONS
Phone: (518) 262-5182
Website: accessible via AMC Intranet
INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC)
ANIMAL RESOURCE FACILITY
Phone: (518) 262-5389
Website: accessible via AMC Intranet
9
Educational Responsibilities
It goes without saying that the Fellow will be expected to intellectually engage both medical
students and residents in clinical settings. The Fellow will also be responsible for weekly
interactive Problem-Based Discussions with the medical students during an eight-week period.
These topics are presented in the “Surgery III Course Book” for medical students.
The Fellow will also be responsible for a one-hour Minimally Invasive Surgery presentation for
Grand Rounds for the Department of Surgery.
DIDACTIC CONFERENCES
The Department of Surgery holds the following required conferences for Faculty on Thursdays.
The Fellow is expected to attend these conferences.
7:00 AM
Grand Rounds
ME-700
Includes Departmental Grand Rounds, invited guests, faculty lectures, Senior and Chief
Resident presentations, and Journal Club.
5:00 PM
Morbidity & Mortality
Hyuck Auditorium
Deaths and complications from the previous week are reviewed. The Senior Resident
from each service is responsible for case presentation.
MIS TRAINING LABORATORY
The Minimally Invasive Surgery training laboratory is located in J-407. The Fellow has access via
ID-Swipe, and a key to the office will be given to the Fellow. The laboratory contains box trainers,
videoscopic equipment, re-usable and disposable instruments, virtual reality simulators, and open
surgery training equipment.
The Fellow will have designated time to supervise General Surgery residents in the acquisition of
Minimally Invasive Surgical skills. This is an excellent opportunity to perfect her or his own skills.
Laparoscopic tasks are derived from the McGill Inanimate System for Training and Evaluation of
Laparoscopic Skills (MISTELS). Senior residents will receive certification in Fundamentals of
Laparoscopic Surgery (FLS).
TEXTBOOK READING
One of the following textbooks is recommended:



Mastery of Endoscopic and Laparoscopic Surgery. Nathaniel Soper, Lee Swanstrom,
Steve Eubanks.
Laparoscopic Surgery of the Abdomen. Bruce MacFadyen, Maurice Arregui, Steve
Eubanks, Doulgas Olsen.
Laparoscopic Surgery: Principles and Procedures. Daniel B. Jones
10
Evaluation Process
The Fellow will be evaluated by the Director of Minimally Invasive Surgery on a quarter-annual
basis. Evaluation criteria are based on the Accreditation Council for Graduate Medical Education
(ACGME) six general competencies:






Patient Care
Medical knowledge
Practice-Based Learning and Improvement
Interpersonal and Communication Skills
Professionalism
Systems-Based Practice
The Albany Medical College fellowship program in Minimally Invasive Surgery requires the fellow
to develop competencies in the 6 areas listed above to the level expected of a new practitioner.
Toward this end, the fellowship defines the specific knowledge, skills, and attitudes required and
provides educational experiences in order for the fellow to demonstrate the following
competencies.
PATIENT CARE
Fellows must be able to provide patient care that is compassionate, appropriate, and effective for
the treatment of health problems and the promotion of health. Fellows are expected to perform
the following:
1. Communicate effectively and demonstrate caring and respectful behaviors when
interacting with patients and their families
2. Gather essential and accurate information about their patients
3. Make informed decisions about diagnostic and therapeutic interventions based on patient
information and preferences, up-to-date scientific evidence, and clinical judgment
4. Develop and carry out patient management plans
5. Counsel and educate patients and their families
6. Use information technology to support patient care decision and patient education
7. Perform competently all medical and invasive procedures considered essential for the
area of practice
8. Provide health care services aimed at preventing health problems or maintaining health
9. Work with health care professionals, including those from other disciplines, to provide
patient-focused care
MEDICAL KNOWLEDGE
Fellows must demonstrate knowledge about established and evolving biomedical, clinical, and
cognitive (epidemiological and socio-behavioral) sciences and the application of this knowledge
to patient care. Fellows are expected to perform the following:
1. Demonstrate an investigatory and analytic thinking approach to clinical situations
2. Know and apply the basic and clinically supportive sciences which are appropriate to
their discipline
PRACTICE-BASED LEARNING AND IMPROVEMENT
Fellows must be able to investigate and evaluate their patient care practices, appraise and
assimilate scientific evidence, and improve their patient care practices. Fellows are expected to
perform the following:
1. Analyze practice experience and perform practice-based improvement activities using a
systematic methodology
2. Locate, appraise, and assimilate evidence from scientific studies related to their patients’
health problems
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3. Obtain and use information about their population of patients and the larger population
from their patients are drawn
4. Apply knowledge of study designs and statistical methods to the appraisal of clinical
studies and of information on diagnostic and therapeutic effectiveness
5. Use information technology to mange information, access on-line medical information,
and supplement their own education
6. Facilitate the learning of students and other health professionals
INTERPERSONAL AND COMMUNICATION SKILLS
Fellows must be able to demonstrate interpersonal and communication skills that result in
effective information exchange and teaming with patients, their patients’ families, and
professional associates. Fellows are expected to perform the following:
1. Create and sustain a therapeutic and ethically sound relationship with patients
2. Use effective listening skills and elicit and provide information using effective nonverbal,
explanatory questioning, and writing skills
3. Work effectively with others as a member or leader of a health care team or other
professional group
PROFESSIONALISM
Fellows must demonstrate a commitment to carrying out professional responsibilities and
sensitivity to a diverse patient population. Fellows are expected to perform the following:
1. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of
patients and families that supercedes self-interest; accountability to patients, society, and
the profession; and a commitment to excellence and ongoing professional development
2. Demonstrate a commitment to ethical principles pertaining to provision or withholding of
clinical treatment, confidentiality of patient information, informed consent, and business
practices
3. Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and
disabilities
SYSTEMS-BASED PRACTICE
Fellows must demonstrate an awareness of and responsiveness to the larger context and system
of health care and the ability to effectively call on system resources to provide care that is of
optimal value. Fellows are expected to perform the following:
1. Understand how their patient care and other professional practices affect other health
care professionals, the health care organization, and the larger society and how these
elements of the system affect their own practice
2. Know how types of medical practice and delivery systems differ from one another,
including methods of controlling health care costs and allocating resources
3. Practice cost-effective health care and resource allocation that does not compromise the
quality of care
4. Advocate for quality patient care and assist patients in dealing with system complexities
5. Know how to partner with health care managers and health care providers to assess,
coordinate, improve health care and know how these activities can affect system
performance
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Vacation
The Fellow will be entitled to 4 weeks of vacation. Prior approval is required by the MIS Program
Director and Chairman by submitting the form entitled “Department of Surgery Record of Absence
for Faculty Members and Mid-Levels”. One week of vacation should be reserved for your final
month of training to accommodate time needed for packing, moving, etc.
Leave Of Absence
A brief leave of absence for illness, family or personal reasons can be arranged with the MIS
Director. Formal and significant leave of absence must be arranged in advance (if possible) with
the Program Director.
FMLA is available for a total of 12 weeks. This is unpaid leave for a family medical situation.
Benefits continue during this period.
Moonlighting
Moonlighting is permitted with permission by the MIS Program Director and Chairman. This is not
to interfere with normal clinical duties and/or call responsibility.
13
Policy on Harassment of Medical Students
The rules of good behavior should guide all activities: with faculty, with students, with nursing
staff and, of course, with patients and families.
Medical students pay dearly for the privilege of working with you on clinical services. This gives
you the opportunity to think and act as an educator and to develop discursive knowledge of
surgery. Inattention to medical students will not be tolerated.
Although correction and criticism is an integral part of the students learning experience, we must
all be careful to avoid any behavior that could be considered harassing. Treat others as you
would like to be treated. Mentoring is an important aspect of all professions. Your opportunity to
mentor students is a privilege.
Any student complaint regarding harassing behavior will be taken with great concern by the
Course Director and the Chairman. Students are instructed to bring any complaint of substance
to the Course Director, in private, for discussion. If both agree, the issue will be brought forward
to the Chairman and the College’s Committee on Harassment, if appropriate.
Be aware that harassing behavior will not be tolerated and may be cause for summary dismissal.
14
General Surgery Residency
Introduction
The Department of Surgery of the Albany Medical Center shares the tripartite goals of the Albany
Medical Center, Albany, New York - Education, Patient Care and Medical Research.
Located in the capital city of New York State the Albany Medical Center Hospital, a 631 bed
tertiary care facility and New York State designated level one trauma center performs over
30,000 surgical procedures each year. Training programs exist in General Surgery as well as the
surgical specialties of Neurological Surgery, Orthopedic Surgery, Otolaryngology and Urology.
Advanced training is offered in Cardiothoracic Surgery, Minimally Invasive Surgery
(including Bariatric Surgery), Plastic Surgery, Transplantation and Vascular Surgery. An
Integrated Training Program in Plastic Surgery is also offered for medical student applicants. All
of the training programs have full ACGME accreditation.
The General Surgery Training Program at the Albany Medical Center dates back to the
concluding years of World War II when Dr. Eldridge Campbell formalized the residency in
Surgery. Under Drs. Charles Eckert and Samuel Powers the program prospered, training a
generation of General Surgeons who became board certified and carried their mentors' skills and
talents to serve the wider geographic area of the Northeast.
The faculty of the Division of General Surgery now number 27 with representation from all of the
principle, secondary and tertiary areas of General Surgery. These include breast, endocrine,
gastrointestinal and colorectal, oncologic, pediatric, trauma, transplantation and vascular
surgery. Our residents work with all of our faculty, gaining experience in all areas of General
Surgery. Over 10,000 General Surgery cases were performed in 2006 with resident participation
in virtually every case. Graduating Chief Residents have completed over 1100 major cases
representing an experience that places them in the 90th percentile of national resident case
experience. Chief residents generally complete over 350 cases during the final year of residency
training. Rotations to the Samuel Stratton Veterans Affairs Medical Center (a 158 bed facility
adjacent to the Albany Medical Center) and to St. Peter's Hospital (a 452 bed general
hospital) round out the resident's clinical experience.
Resident Opportunities
There is ample opportunity for residents to join our faculty in their clinical research endeavors.
With the adjacent medical college, New York State Wadsworth Laboratories and Ordway
Research Center there is a great opportunity to participate in both basic science and translational
research proximate to the Medical Center campus. The Center's association with Rensselaer
Polytechnic Institute, The State University at Albany School of Public Health and a score of local
colleges and universities provide additional opportunities for creative research opportunities with
advanced degree options available at these institutions. Each resident at the PGY-3 and PGY-4
levels is required to prepare and present a scholarly research project at the annual Research
Paper Day in June. We expect that many of these projects will eventually be presented or
published regionally or nationally.
Residents are involved with medical students at all levels of training. We hope that in teaching
others there is an inestimable benefit to the resident. All resident participate in daily work rounds,
weekly teaching rounds and in student tutorial sessions. A close working relationship of faculty,
residents and students creates an environment that fosters dynamic learning by all.
Graduates of our training program have uniform success in completing the certification process of
the American Board of Surgery. Most go on to fellowship training in the subspecialty areas of
surgery - usually achieving their first choice of training program.
Resident Duties
The On-Call duties of residents have been adjusted as part of the implementation of New York
State regulation 405.4 and the recent ACGME mandate on work hours of trainees. These
regulations are seen as an asset to the program and do not hamper the proper clinical experience
of our surgical residents. Chief residents generally take call from home, except when covering
15
the Acute Care Surgery service (every third night). Senior and junior residents generally cover,
on average, every 5th night throughout the year (varying from every third on Acute Care Surgery
and at the Veterans Hospital). There is a board eligible/certified surgeon in house at all times for
immediate resident consultation.
Evaluation of resident performance by faculty and peers occurs during and at the completion of
each rotation assignment. The faculty and Chief Residents meet quarterly to formally evaluate
resident performance. A letter of evaluation is generated and provided to the resident.
Subsequent to this meeting the Program Director meets with each resident to review the
evaluation and discuss remediation. A yearly in-training examination is used to assess strengths
and weaknesses in both basic and clinical science. An oral examination (mimicking the exam of
the American Board of Surgery) is provided for all residents at the PGY-3 level and above.
Residents have the opportunity to evaluate the rotations, faculty and program in general in an
anonymous way. These comments, as well of those of a resident's committee are provided to the
faculty at the quarterly faculty meeting.
Accreditation
The General Surgery Residency Program is fully accredited by the Accreditation Council for
Graduate Medical Education and the American Board of Surgery through its Residency Review
Committee. There are 4 residents in each year of postgraduate training. The residency is 5 years
in length. Positions in PGY-1 are available for residents who have been accepted into a surgical
specialty which requires preliminary experience in general surgery.
16
Policy on 405.4 Staff Supervision
It is a New York State requirement that residents receive direct supervision of their activities. A
board eligible or board certified surgeon will be in house 24 hours a day, every day. This surgeon
serves as the surgical resident supervisor.
The surgical supervisor is expected to be available to supervise the activities of all in-house
surgical (general and specialty) residents. Should an emergent situation arise and the attending
surgeon not be immediately available, the supervisor is expected to participate in the immediate
care of this patient as supervisor of the resident involved and as a surrogate for the attending
surgeon of record. The supervisor and resident must communicate with the attending of record
such an event immediately following resolution of the event. This role includes resident activities
in the Critical Care Unit, on patient care units, and in the Emergency Room.
17
Clinical Resources
The Albany Medical Center is equipped with an Intranet, accessible from any hospital computer
with internet access.
http://intranet/
“Clinical resources” may be found on the Intranet homepage, right side of the screen. Resources
include Sorian® Clinicals to view current and prior medical records and laboratory data, Stentor
iSite® to view radiographic studies, Micromedex, and Physician Orders in pre-printed form.
Intranet access may be obtained from your home computer via Citrix web client by contacting
Robert Bashaw, the Citrix administrator, at BashawR@mail.amc.edu.
18
Professional Resources
Below is a compilation of web resources that may be helpful to you throughout your fellowship
year.
EDUCATIONAL REFERENCES
Fundamentals of Laparoscopic Surgery (FLS) www.flsprogram.org
National Cancer Institute www.cancer.gov
Natural Orifice Surgery Consortium for Assessment and Research www.noscar.org
WebSurg www.websurg.com
MEDICAL BOARDS
American Board of Surgery
1617 John F. Kennedy Boulevard
Suite 860
Philadelphia, PA 19103
Phone: (215) 568-4000
Fax:
(215) 563-5718
www.absurgery.org
New York State Education Department
Office of the Professions
State Education Building – 2nd Floor
89 Washington Avenue
Albany, NY 12234
Phone: (518) 474-3817
www.op.nysed.gov/med.htm
SURGICAL SOCIETIES
American College of Surgeons (ACS)
633 N. Saint Clair Street
Chicago, IL 60611-3211
Phone: (800) 621-4111
Fax:
(312) 202-5001
www.facs.org
American Society for Bariatric Surgery (ASBS)
100 SW 75th Street, Suite 201
Gainesville, FL 32607
Phone: (352) 331-4900
Fax:
(352) 331-4975
www.asbs.org
Minimally Invasive Robotics Association (MIRA)
C/O Arnold Byer, M.D. Executive Director
Department of Surgery,
Hackensack University Medical Center
30 Prospect Avenue
Hackensack, NJ 07601
Fax:
(201)-996-2021
E-mail : abyer@humed.com
www.teleroboticsurgeons.com
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Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
11300 West Olympic Boulevard
Suite 600
Los Angeles, CA 90064
Phone: (310) 437-0544
Fax:
(310) 437-0585
www.sages.org
Society of Laparoendoscopic Surgeons (SLS)
7330 SW 62nd Place, Suite 410
Miami, FL 33143-4825
Phone: (800) 446-2659
Fax:
(305) 667-4123
www.laparoscopy.org
Society for Surgery of the Alimentary Tract (SSAT)
900 Cummings Center
#221-U
Beverly, MA 01915
Phone: (978) 927-8330
Fax:
(978) 524-8890
www.ssat.com
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