Curriculum

Transplant Rotation Overview

During your 24 months of training, you are likely to do:

• 100 kidneys
• 100 livers
• 20 Pancreas
• 50 HPB cases
  
  

Our fellows rotate through three primary roles for eight months each. There are two clinical rotations, the Kidney/Pancreas and the Liver Transplant Services, and a Donor / Research rotation. Typically, fellows spend two to three continuous months on a rotation and then switch. There is no predetermined order for the rotations.

A typical fellow would rotate for three months each between liver/HBP service and kidney/pancreas service.  

• 1st month – Donors with back table expectation and research papers. HPB residents will take over OR responsibilities.
• 2nd month – OR and floor rounds. Paper rounds start at 9:30am with nurse practitioners. Physical rounds start at 10:30am with attendings except Thursday which is post-transplant clinic day.
• 3rd month - OR and ICU rounds.  Fellows will be expected to know the ICU the details of the ICU patients early before the 9am rounds.
  
  

Clinic Expectations
Wednesday: Hepatobiliary Clinic at 2:30pm
Thursday:  Post-transplant clinic at 8:30am

Conference Expectations
Wednesday: 12p-2pm – Radiology/Tumor Board 
Thursday:  12p-2pm – Medical Review Board
Monthly: M&M/Journal Club

Kidney/Pancreas Service 
(3 months)

When on the Kidney/Pancreas rotation, you can chose 1 month on each of the following electives; vascular, pathology/immunology and urology. Kidney/Pancreas service usually has a senior resident who will take over the fellow’s role when on the elective month. 

Kidney table rounds start at 8:30am with the attending and physical rounds to follow. Tuesday and Wednesday are living donor kidney transplant days which usually start at 9:30am and therefore fellows will be expected to round early. Fellows are expected to be in the OR with attendings whenever there is a case. There is almost always a kidney transplant every day.  Whenever there is the possibility of going for a donor, you will be expected to go with the designated attending. You will likely be ASTS certified for pancreas (in addition to liver and kidney) at the end of the fellowship. 

Clinic Expectations
Monday: 1p-4pm – Post-Transplant Clinic
Wednesday & Thursday: 10am-12pm – Pre-Transplant Clinic

Conference Expectations
Monday: 12pm-1pm – Pathology
Thursday: 7am-8am – Medical Review Board
Monthly: M&M/Journal Club