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Program Description
The aim of the Transplantation Surgery Fellowship Program at Mayo Clinic in Rochester, Minn., is to provide our fellows with the best possible foundation for a career in transplantation surgery. The American Society of Transplant Surgeons has accredited Mayo Clinic for training in liver, kidney and pancreas transplantation. Each year, we perform 75-110 liver transplants, more than 200 kidney transplants, and approximately 20 pancreas transplants. The fellowship program is overseen by the Mayo Graduate School of Medicine under the supervision of the Graduate Education Committee. Therefore, Fellows at Mayo are considered trainees and comply with all regulations regarding trainees including the 80-hour work week as stipulated by the Mayo Graduate School of Medicine and the Accreditation Council for Graduate Medical Education (ACGME).
The Mayo Clinic transplantation surgical fellowship consists of two different tracks. One fellow is selected yearly for each track. The first, designed for individuals who wish to pursue a career in academic transplant surgery, includes a year of laboratory-based research prior to the two clinical years. The second position consists only of two clinical years.
The research experience includes opportunities for research in endothelial cell biology, immunology, artificial liver support devices, and other basic research projects in all facets of transplantation. This year can also include training in human pancreas islet transplantation. Our fellows have been productive in the laboratory year and have presented at both national and international meetings. In addition, most fellows have completed a clinically oriented manuscript during this year. We feel strongly that a year of research is an important beginning to a career in transplantation surgery.
Program Structure
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.
Donor Service
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.
Program Objectives/Expectations
The goal of the fellowship is to train competent transplant surgeons who readily find employment following graduation. To this end, each fellow is assigned a mentor during the program. In addition, each fellow is provided with ample opportunity to complete clinical research projects and to present at national meetings.
MSGME ONLINE APPLICATION PROCESS
MSGME uses a third-party online application service to process certain program applications (this does not pertain to programs using other electronic application systems, such as ERAS).
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Applying to MSGME
MSGME uses a third-party application service - Apply Yourself - to process applications to all other residencies and fellowships (those not listed above under ERAS or SFMatch), including Dental specialties.
To use this application service, you will need certain materials, either stored on your personal computer or scanned into a file.
Materials You Will Need to Apply to MSGME
The following materials will be required as supporting documentation to your MSGME application - whether you apply through ERAS, SFMatch or the Apply Yourself service.
All applications to MSGME must include:
- Completed online application.
- Curriculum vitae. Describe your activities with professional societies, publications, and any other relevant information about your education or experience.
- Personal statement of professional goals.
- Copy of graduate school and or medical/dental school diploma.
Postdoctoral fellowship applications should also include:
- Official transcripts. Upload a scanned copy of official transcripts from each graduate school, and/or medical school you attended. Provide certified or notarized English translations of documents written in a language other than English.
- Three letters of recommendation from faculty members, including your thesis advisor, who are thoroughly familiar with your work. Each letter should include the writer's opinion of your professional, academic, and personal qualifications, as well as his/her opinion on your potential for success in the field for which you are applying.
Other residency and fellowship program applications should also include:
- Dean's letter. Ask your medical/dental school to send a letter directly to MSGME.
- Official transcripts. Upload a scanned copy of official transcripts from each graduate school, dental school, and/or medical school you attended. Provide certified or notarized English translations of documents written in a language other than English.
- Official test transcripts for all applicable examinations (USMLE, LMCC, COMLEX, NBOME, FMGEMS, FLEX, or NBME).
- Valid ECFMG certificate. Required if you graduated from a medical school outside the United States or Canada.
- Three original letters of recommendation, as specified in your program description, from physicians or faculty members who are thoroughly familiar with your work. If you have had prior residency training, ask your program director for a letter of recommendation. Each letter should include the writer's opinion of your professional, academic, and personal qualifications, as well as his/her opinion of your potential success in the field for which you are applying. Click here for Recommendations
PLEASE NOTE: You may apply to only one categorical residency or fellowship program. However, you may apply to the same categorical residency or fellowship program at more than one Mayo Clinic campus. For example, you may apply to the Hematology/Oncology Fellowship at Mayo Clinic in Rochester and the Hematology/Oncology Fellowship at Mayo Clinic in Jacksonville.
Program Contact
For more information please contact Mollie Luhman at luhman.mollie@mayo.edu.
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