During the two years of clinical training, the surgical fellows spend approximately 6 months on the liver transplant service and 6 months on the kidney pancreas service. The remaining 12 months are spent on the donor rotation. During these 12 months, the fellows may also choose to perform an elective rotation at another Mayo Clinic Transplant Center (Scottsdale or Jacksonville) or on a hepatobiliary surgery service.
The Liver Transplant Service
The goal of this rotation is to gain significant experience with liver transplantation, including the pre- and post-operative management of adult and pediatric recipients. In addition, the fellows become proficient in performing multi-organ 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, SBP, intractable ascites, addiction issues, and fulminant hepatic failure. Procedures such as large volume paracentesis and liver biopsies are also part of the training. Lastly, the fellows are exposed to innovative treatments, including transplantation, for extrahepatic cholangiocarcinoma.
The Kidney Pancreas Transplant Service
The goal of this rotation is to gain experience in kidney transplantation (living and deceased donors) and pancreas transplantation. The major emphases of this rotation are surgical experience as well as the post-operative management of these patients and their complications. The surgical fellows become familiar with the pre-transplant evaluation of potential recipients, operative planning, immunosuppressive management and the medical complications of transplant recipients. Unique aspects of the Mayo Clinic – Rochester kidney transplant program include positive crossmatch and ABO incompatible kidney transplantation. In addition, the fellow will gain experience with kidney transplantation for the pediatric recipient.
The aim of this rotation is to provide the fellow experience with multi-organ abdominal procurements and living donor nephrectomy. The fellow also will gain additional experience with central venous line placement and hemodialysis access procedures during this rotation.
We have 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 General 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.