During the two years of clinical training in the Abdominal Transplant Surgery Fellowship, the surgical fellows spend approximately six months on the liver transplant service and six months on the kidney-pancreas service. The remaining 12 months are spent on the donor rotation. During these 12 months, fellows may also choose to perform an elective transplant rotation at another Mayo Clinic campus — Jacksonville, Florida, or Phoenix/Scottsdale, Arizona — or on a hepatobiliary surgery service.
Liver transplant service
The goal of this rotation is to provide significant experience with liver transplantation, including the pre- and postoperative management of adult and pediatric recipients. In addition, fellows become proficient in performing multiorgan procurements as the operative surgeon.
The surgical fellows also become familiar with common medical issues in liver transplant patients, such as the management of hyponatremia, spontaneous bacterial peritonitis, intractable ascites, addiction issues and fulminant hepatic failure. Procedures such as large-volume paracentesis and liver biopsies also are part of the training.
Lastly, fellows are exposed to innovative treatments, including transplantation, for extrahepatic cholangiocarcinoma.
Kidney-pancreas transplant service
The goal of this rotation is to provide experience in kidney transplantation — both living and deceased donors — and pancreas transplantation. The major emphases of this rotation are surgical experience as well as the postoperative management of these patients and their complications.
The surgical fellows become familiar with pretransplant evaluation of potential recipients, operative planning, immunosuppressive management and medical complications of transplant recipients.
Unique aspects of the kidney transplant program at Mayo Clinic's campus in Rochester, Minnesota, include positive crossmatch and ABO-incompatible kidney transplantation. In addition, the fellow gains experience with kidney transplantation for pediatric recipients.
The aim of this rotation is to provide experience with multiorgan abdominal procurements and living-donor nephrectomy. The fellow also gains additional experience with central venous line placement and hemodialysis access procedures during this rotation.
The Abdominal Transplant Surgery Fellowship has a strong didactic program with many weekly meetings, including:
- Transplant mortality and morbidity conference
- Transplant Grand Rounds
- Meetings of the kidney and liver candidate selection committees
- Transplant laboratory group meeting
- Liver transplant pathology conference
- Kidney biopsy conference
Additional didactic opportunities include Surgery Grand Rounds and innumerable basic science lectures complementing the Mayo Clinic academic atmosphere.
Your research opportunities at Mayo Clinic are outstanding. You are encouraged to participate in research projects with the consulting staff, which include opportunities for clinical studies and laboratory-based projects.