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Abdominal Transplant Surgery Fellowship (Arizona)

Curriculum

A surgeon during an abdominal transplant case.

Rotation schedule

The two-year Abdominal Transplant Surgery Fellowship includes three rotations during each fellowship year:

RotationLength
Kidney-pancreas transplant service 4 months
Liver transplant service 4 months
Procurement and donor nephrectomy service (deceased donor procurement, living donor nephrectomy, academic development) 4 months

You may select a one-month elective rotation in each year of your fellowship at Mayo Clinic's campus in Jacksonville, Florida, or Rochester, Minnesota, for training in kidney and pancreas procurement and transplantation, liver procurement and transplantation, or both.

Rotation descriptions

Kidney-pancreas transplant service

On the kidney-pancreas transplant service, you become proficient in kidney transplantation surgery (living and deceased donor), pancreas transplantation (deceased donor), and postoperative management of transplant recipients and kidney donors. You will also work with faculty and PAs to assess patients in clinic.

You rotate on this service for four months during each year of your fellowship.

Liver transplant service

On the liver transplant service, you gain proficiency in liver transplantation (deceased donor and living donor) and the preoperative and postoperative management of liver recipients and living liver donors, as well as postoperative patients who have undergone liver, bile duct, or pancreas resections.

You rotate on the liver transplant service for four months during the first year of the fellowship and either four or six months during the second year, based on elective rotations. The curriculum is designed to provide training in medical and surgical management of liver transplant patients.

Procurement and donor nephrectomy service

On the procurement and donor nephrectomy service, you will learn all skills to perform multi-organ procurement from brain-dead and circulatory-death donors, with eventual progression to serving as an independent procurement surgeon within your training period. You will also become experienced in laparoscopic living-donor nephrectomy by performing the laparoscopic nephrectomy and participating in the preoperative evaluation of prospective living donors as well as postoperative care and follow-up of living kidney donors. You also perform backbench preparation of living-donor kidneys, including complex arterial, venous, and ureteral anatomy.

This rotation also affords the fellows an opportunity to develop academically by providing some time to participate in and conduct independent academic research projects, including clinical, translational, health services, or education-based research.

Each service is a high-volume service supported by advanced transplant providers (PAs and NPs).  Fellows will cross-cover services as needed. 

You may also select a one-month elective rotation in your fellowship at Mayo Clinic's campus in Jacksonville, Florida, or Rochester, Minnesota, for training in kidney and pancreas procurement and transplantation, liver procurement and transplantation, or both. This is arranged during the fellowship through the education office and the program director.

Didactic training

We have a strong didactic program with many weekly and biweekly meetings, including:

  • Liver Hepatocellular Carcinoma Conference
  • Transplant Grand Rounds
  • Transplant Surgery Journal Club
  • Kidney Academic Conference
  • Kidney Selection Conference
  • Liver Pathology Conference
  • Liver Selection Conference
  • Kidney Transplant Pathology Conference
  • Kidney/Pancreas and Liver Transplant Morbidity and Mortality Conference & Departmental Case Reviews
  • Organ Offer Review
  • Kidney/Pancreas & Liver Transplant QAPI Meetings
  • Pancreas Tumor Board
  • Colorectal Cancer Tumor Board
  • Department of Surgery Mortality and Morbidity Conference

Research training

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.

Call frequency

You are on call for each service to support the in-house PA/NPs and residents, and for transplant procedures and emergencies. Fellows divide call on the weekends. The Abdominal Transplant Surgery Fellowship is acutely aware of the effects of fatigue on trainee performance, and abides by the Managed Time Policy of the TACC. At Mayo Clinic, the program also falls under the authority of Accreditation Council for Graduate Medical Education duty-hour requirements.

Evaluation

You are evaluated by the supervising surgeon(s) after each rotation throughout the course of the Abdominal Transplant Surgery Fellowship. Each fellow also has the opportunity to evaluate his or her supervising surgeon(s). Evaluations and feedback are discussed with you on a regular basis throughout the fellowship and during the semiannual performance review.