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Curriculum

During the first year, you will learn to manage patients with end-stage organ failure. First-year fellows rotate for three months in kidney/pancreas transplantation, learning kidney transplantation, as well as laparoscopic living donor nephrectomy.

You will also rotate on the donor service for three months; spend three months on the Liver Transplant service; and three months in the outpatient clinic.

During the second year, fellows rotate for four months on the Liver Transplant service; three months on the Kidney/Pancreas Transplant service; three months on the donor rotation and two months in the outpatient clinic.

Clinical Training

During your clinical training, you will become experienced with:

  • Organ procurement from deceased and living donors
    • Donation after brain death
    • Donation after cardiac death
    • Living kidney and liver donation
    • Laparoscopic living donor nephrectomy
  • Evaluation of the transplant donor to understand primary considerations of donor and organ quality
  • Evaluation of the pre-kidney, pre-liver, and pre-pancreas transplant candidate
  • Care of the pre-transplant liver candidate
    • Inpatient management of acute liver failure and decompensated chronic liver disease
    • Pre-transplant management of HCC
  • Transplant operations (adult and pediatric patients)
    • Back-table organ preparation of the kidney, liver, and pancreas
    • Ex vivo reconstruction of complex anatomy
    • Liver, kidney, and pancreas transplantation
  • Inpatient care of peri- and post-transplant recipients
    • Assessment and management of allograft dysfunction
    • Management of post-transplant medical and surgical complications
  • Immunosuppression
    • Understanding basic mechanisms of immunosuppression
    • Ability to appropriately prescribe (individualized) regimens for induction, maintenance, and rejection immunosuppression
  • Basic understanding of expected outcomes after kidney, pancreas, and liver transplantation
    • Awareness of how donor, recipient, transplant, and post-transplant factors affect outcomes
  • Histocompatibility and crossmatching
  • Outpatient follow-up of transplant recipients
  • Familiarity with ethical dilemmas of transplantation
  • Transplant Pathology

Didactic Training

We have a strong didactic program with many weekly meetings, including:

  • Transplant Mortality and Morbidity Conference
  • Meetings of the Kidney and Liver Selection Committees
  • Transplant Laboratory Group Meeting
  • Liver Transplant Pathology Conference
  • Transplant Seminar Series
  • ART455616