Transplant Hepatology

The inpatient experience involves rotations on the primary liver service and the hepatology consult service.

The primary liver service is a multidisciplinary team dedicated to the care of patients with chronic liver disease, including both liver transplant candidates and recipients. Patients in the ICU are managed by our expert critical care team, with close collaboration from the hepatology team. Our fellows work hand in hand with inpatient advanced practice providers (APPs), RN coordinators, case managers, and social workers to deliver comprehensive care for patients on the primary liver service. Additional responsibilities of the transplant hepatology fellow include leading rounds, supervising and educating trainees, participating in transplant selection meetings and care conferences, performing endoscopic procedures, and coordinating overall patient care.

The liver consult service is tasked with delivering hepatology consultative services across the hospital. At times, medicine residents and gastroenterology fellows may also be part of the service. The transplant hepatology fellow will have opportunities to perform endoscopic procedures, collaborate with primary service teams, and educate other trainees while on the consult service.

The outpatient experience offers a rich array of clinical opportunities, including outpatient liver transplant evaluations, immediate and long-term post-transplant management, general hepatology continuity clinic, and endoscopic procedures. Research periods and elective weeks are integrated into the ambulatory experience. This experience can be customized to align with individual goals, as a variety of electives across numerous subspecialty practices are available.

Sample Outpatient Schedule

Didactic Curriculum

Our transplant fellows benefit from a dedicated curriculum delivered by our esteemed faculty, who possess extensive research and clinical expertise. Weekly conferences are attended by all trainees in hepatology rotations, along with advanced practice providers (APPs), registered nurses (RNs), and faculty. In addition, multidisciplinary transplant selection meetings and care conferences take place twice a week. Tumor board conferences are held biweekly, once with our transplant team and once with our hepatobiliary surgery colleagues. A weekly pathology conference further enriches the educational experience.

Fibroscan: Didactic sessions led by hepatology faculty will educate fellows on performing and interpreting Fibroscans. Additionally, fellows will have the opportunity to receive hands-on training in conducting Fibroscans while working in the general hepatology clinic.

POCUS: The hepatology clinics are incorporating Point-of-Care Ultrasound into clinical practice, providing our fellows with the opportunity to learn and train in this advanced technique.

Liver biopsy: Most liver biopsies are conducted by our interventional radiology colleagues, and fellows will have the opportunity to observe these procedures. If any biopsies are performed by hepatology faculty, fellows will also have the chance to learn from those experiences.