“Today, Metabolic Syndrome and its most important components

…Obesity and Type 2 Diabetes have reached pandemic proportions which made people aware that present treatment options were not sufficient. That is why alternative options were sought and Metabolic and Bariatric Surgery came out as the answer.

Of course, it is hard to claim that Metabolic and Bariatric Surgery is the perfect solution, but it is the most effective treatment we have at the moment. It is an ever evolving field, new procedures, publications coming out every day and its demand, along with its popularity, increases as well. And where is demand, there is supply. This led to an increase in the number of people and clinics/centers/hospitals which offer services in this field. It might be easier for people who work in the field of metabolic and bariatric surgery to differentiate the procedures from each other, understand and interpret their outcomes, and but can the same be said for common people? It might be known to professionals that which centers/doctors offer high quality healthcare services, but what about the patients? Also, for clinics and doctors in this field, how can they improve their outcomes? What mortality rate is acceptable and what should be accepted as excellent? What can be done to improve the performance of clinical personnel, how should their training be organized, how to organize a clinical pathway? Do we have to repeat the mistakes of our predecessors until we can find the right answer?

The answer to this question is of course; ‘’NO’’. There are standards laid for us, standards that have been founded on facts, tested again and again in time and evolved with experience. And this is where accreditation programs come in.

Accreditation programs, which are administered by independent, international institutions around the world are shaped by these standards. Program participants which can fulfill these standards earn recognition as Center/Surgeon of Excellence both among the public and patients, payers (government and insurance companies) and scientific community. Which means everyone wins, so to speak. Of course there are many different aspects of this process, but what I can tell of is our own experience.

During the process, the most remarkable thing I observed was that the program brought the entire team together. In-service trainings, weekly pre-op patient discussions and multi-disciplinary meetings made everyone realize that each one of them is a crucial part of the team. Every one came to know what other people do, learn from their experience, understand their difficulties. This strengthened their respect toward each other and feel that they are an integral part of a bigger group. Not only that, but regular multidisciplinary meetings and weekly pre-op evaluation meetings greatly improved our patient selection, which overall improved our statistics regarding complication rates, post-operative hospitalization, etc. In-service trainings increased the awareness of our nurses towards complication symptoms. This also improved their confidence, knowing that they are our first line of defense as they are responsible for the monitorization of the patients. Regular patient meetings helped us understand what each patient expects of the operation, their difficulties, their opinions. We also received positive feedback from them, as they said that these meetings made them feel unique, which is exactly what we want because we know each patient is different. All in all, the program integrated each member, and truly made us a team.

Therefore, it would be fitting to say that Center and Surgeon of Excellence designations and the program process were truly a milestone both for me and my staff.

In conclusion, it is my firm belief that Center of Excellence and Surgeon of Excellence accreditation programs are indispensable for Metabolic and Bariatric Surgery and I would strongly recommend it to any institution, team and surgeon working in this field. It was really a remarkable experience.”  

-Dr. Alper Celik, Turkey

“I have enjoyed working in the bariatric surgery field

…since the late 90s, and our group was a pioneer in performing bariatric surgery in Southern Brazil. Our practice has always sought to be fully informed and up to date with the latest surgery techniques and certifications and has worked to create an optimally qualified staff. We performed one of the first gastric bypass surgery by laparoscopy in May 2001. In 2011, we began SRC’s Center of Excellence in Bariatric Surgery, and at that time, the hospital started an internal qualification process to become a Center of Excellence.”

-Bariatric Surgeon, Brazil

“Achieving the COEMIG designation validates our dedication

…to caring for our patients with advanced practices, and it reinforces our role as a national and international leader in innovative healthcare for women. The designation process compelled us to formalize our clinical pathways and provide ongoing surgeon and staff education, which continues to enhance our drive toward optimal clinical outcomes. Our surgeons who are not yet designated recognize the value and are actively pursuing it. Through the COEMIG program, we are leading minimally invasive gynecological surgery at our hospital to new levels of excellence.”

-Gynecological Surgeon, Florida

“I wanted to say thank you

…for SRC’s ability to put us at ease during our COEMIG site visit. The site inspector had a wonderfully calming way about her. We appreciate assistance in preparing for the survey and the understanding of our special circumstances with our system outages. The entire team is so very excited about this next part of our journey. I wish SRC well with the growth of the program and hope we can see them again in 3 years.”

“We have experienced an increase in volume

…in MIG surgery since the Seal and title was added to our website. We get many calls for referrals to COEMIG doctors as well. This was a good thing since some of our gynecologists have taken off some time to have babies. Some gynecologists have joined our staff because of our mentoring program. They want to learn to be better MIG surgeons and plan to pursue COE gynecologist status as soon as appropriate.”