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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
Additional didactic opportunities include General Surgery Grand Rounds and innumerable basic science lectures complementing the Mayo Clinic academic atmosphere.
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