Curriculum

Clinical

The focus of the transplant fellowship will be to provide a solid clinical training in the areas of liver and kidney transplantation, vascular access surgery and clinical research opportunities with the potential for laboratory research. The fellow will have the opportunity to interact intimately with members of other teams like transplant infectious disease, hepatology, pathology, interventional radiology, cardiology, pulmonary medicine, psychiatry and make appropriate clinical decisions.

Research

Available opportunities locally. Research infrastructure of the program.

  • Extensive prospective database
  • Coordination
  • Clinical outcome research
  • Clinical trial

Fellows encouraged to participate, although not required.

Basic Science Research

  • Mark Orloff, M.D. research lab.
  • Martin Zand, M.D. research lab.

Administrative Growth and Development

In today’s complex world of transplant administration with extensive local, state, and federal oversight of transplant programs, it is increasingly important for transplant trainees to be more and more familiar with administration, financial, and regulatory aspects of transplantation. The program, in conjunction with long-term goals of training future leaders of the transplamt community will provide ample opportunity to familiarize, experience, teach, and train in these very vitally important areas.

Fellow Clinical Responsibilities

Clinic

The transplant fellow will be expected to evaluate patients for transplantation in the appropriate transplant clinic. He will be assigned to a transplant clinic for 2 half days a week, covering both liver and kidney transplant patients.

Inpatient

The fellow will conduct multidisciplinary rounds on the inpatient service including ER and SICU and is expected to be involved with the daily clinical decision-making, immunosuppression management and discharge planning. The transplant service is a surgical service and the fellow would be the most senior surgical trainee with supervision responsibilities over the surgical residents rotating on the service.

Operative

Donor surgeries

The fellow will be expected to perform at least half of all cadaver and living donor organ procurements during his training period.

Recipient Surgeries

  • Liver: The fellow is expected to be involved with all liver transplant procedures, depending on his availability. Operative strategy and technique will be emphasized and it is expected that the fellow will be the primary surgeon on most primary liver transplants by the 2nd or 3rd month after the start of the fellowship.
  • Kidneys: The fellow would be expected to perform kidney transplants with the senior staff surgeon from the outset. It is expected that the fellow will perform well over 30 kidney transplants as a primary surgeon during his training period.

Research

The fellow will be encouraged to conduct original clinical research and the work would be submitted for the American Transplant Congress and potentially ILTS and AASLD. It would be a requirement that the fellow submit his original work to and be accepted by peer-reviewed journals. The fellow will also be involved in some capacity in other clinical research conducted by the division senior staff. The fellow will also be asked to participate in the yearly transplant fellow symposium sponsored by ASTS.

Completion

At the completion of the fellowship, for certificate purpose, fellows should have completed at least 45 liver transplants and 30 kidney transplants as principle surgeon.

Fellow should be familiar with key areas of transplantation by the end of fellowship.

  1. Immunobiology and Transplantation Research
  2. Pharmacology and Immunosuppression
  3. Organ Procurement
  4. Medical Complications of Transplantation
  5. Kidney Transplantation
  6. Liver Transplantation
  7. Public Policy and Organ allocation
  8. Ethics
  9. Economics of Transplantation