Advanced Lung Disease and Lung Transplant Fellowship (Florida) - Residencies and Fellowships - Mayo Clinic College of Medicine & Science

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Overview

The one-year Advanced Lung Disease and Lung Transplant Fellowship at Mayo Clinic's Jacksonville, Florida campus offers a comprehensive training program in all facets of advanced lung diseases and lung transplant medicine. Applicants will benefit from our large volume program, which has expanded significantly over the past three years to include heart-lung, liver-lung, and lung-kidney transplants.

Our mission is to educate the next generation of transplant pulmonologists in the pathophysiological mechanisms and evidence-based management of advanced lung diseases and lung transplantation.

The training will encompass essential areas such as the indications and timing for lung transplantation, tissue typing, transplant infectious diseases, ECMO management pre- and post-transplant, donor selection, and the management of complications following lung transplantation. Upon completion, applicants will be well-positioned to qualify for UNOS primary physician certification and to pursue independent lung transplant practice.

year program

6:1

faculty-to-fellow ratio

weeks of protected research time

Overview

Key highlights of the program include:

A thoughtfully structured curriculum that balances pre-transplant evaluation, candidate selection, donor assessment, perioperative management of transplant recipients, and post-transplant care.
Opportunities for academic research focused on patient-centered studies in lung transplantation and advanced lung diseases.
Access to our expert quality improvement team, ensuring graduates are equipped to meet CMS QAPI regulatory expectations.
Participation in Ex Vivo Lung Perfusion (EVLP) evaluations on the campus, allowing hands-on experience with donor lung assessment.

The Division of Lung Failure and Transplantation was established in 2000 and has steadily expanded alongside growing lung transplant volumes. We have been utilizing Ex Vivo Lung Perfusion (EVLP) since 2015, with an in-campus EVLP facility established in 2020. Our program is recognized for performing lung transplantation in high-risk recipients and multi-organ transplant procedures.

Application process

Positions

Each year, one highly coveted position is available in the Advanced Lung Disease and Lung Transplant Fellowship program. This unique opportunity offers immersive training in the care of patients with advanced lung diseases, from transplant evaluation through peri- and post-transplant management, preparing fellows to become leaders in this complex and rewarding field.

Qualifications

To be eligible for the Advanced Lung Disease and Lung Transplant Fellowship, you must have completed a three-year ACGME-accredited pulmonary and critical care medicine program (or equivalent).

Also see general admissions requirements.

How to apply

The academic year begins July 1.

Our next position will be for July 2026. We will be offering interviews and potential positions on a rolling basis starting in July 2025, so it is recommended that you turn in your application materials promptly.

To apply to the program, create an account to begin the online Application for Admission.
All applications to Mayo Clinic School of Graduate Medical Education programs must include these application materials.
This fellowship requires that one of your three letters of recommendation be from your current (or most recent) fellowship director.

Applicants considered for an appointment will be invited to a personal interview with the program director and selected Mayo Clinic faculty.

Curriculum

Clinical training

The Advanced Lung Disease and Lung Transplant Fellowship provides comprehensive training in the evaluation and management of patients with advanced lung disease, mastery of specialized procedural techniques, and active engagement in teaching and scholarly research.

Rotation schedule

Rotation	Length
Lung transplant (outpatient)	8 weeks
Inpatient lung transplant (ICU including ECMO services)	12 weeks
Inpatient lung transplant (floor)	12 weeks
Interventional procedures	8 weeks
Research	4 weeks
Elective	4 weeks
Transplant immunology	2 weeks
Transplant pathology	2 weeks

The prospective fellows will have the opportunity to participate in donor organ offer evaluation, procurement process, assessment of organ via EVLP and transplant surgery during inpatient rotations.

Electives

Elective rotations in pulmonary hypertension, thoracic surgery, cardiovascular surgery, interstitial lung disease clinic, chronic obstructive lung disease clinic, cystic fibrosis, and adult congenital heart disease are also available.

An elective rotation at the Mayo Clinic campus in Rochester, Minnesota, could also be arranged on a case-by-case basis.

Didactic training

Didactic training is an integral part of the Advanced Lung Disease and Lung Transplant Fellowship. One-on-one instruction while rotating is an integral part of your fellowship education. In addition, you will attend the following:

Weekly selection committee conferences
Transplant core curriculum series
Transplant grand rounds
Lung Transplant Journal club

Procedures and conferences

Procedures

Our fellows have access to bedside procedures, including bronchoscopy, percutaneous tracheostomy, thoracentesis/intercostal chest tube drainage. You will also have access to bronchoscopic procedures in the interventional pulmonology suite, including surveillance and transbronchial cryobiopsies.

Conferences

Our fellows are eligible to attend conferences, including transplant conferences like ISHLT, WTC, and similar ones.

Research opportunities

There are abundant research opportunities to collaborate with faculty and their research teams, supported by dedicated biostatisticians, access to the institutional library, and internal databases. Fellows also have the opportunity to participate in bi-monthly departmental research meetings and to present their work at national and international conferences.

Call frequency and moonlighting

Call frequency

The fellow will provide weekend coverage once every six to eight weeks, conducted from home following completion of hospital rounds.

During inpatient rotations, the fellow will also take one weekly overnight donor call from home, which enhances the experience of donor offer evaluation. Work hours will remain in full compliance with the guidelines of the Accreditation Council for Graduate Medical Education (ACGME).

Moonlighting

This one-year fellowship is dedicated to focused training and research in advanced lung disease and lung transplant. Therefore, any moonlighting activities require discussion with and approval from the program director.

Evaluation

To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the program. You are evaluated formally by the supervising faculty member after each clinical rotation, and you will meet with the program director to review these evaluations. In addition, you will also regularly evaluate the faculty to ensure that your educational needs are being met.

Belonging

At Mayo Clinic, we're committed to recruiting a workforce reflective of our broader community in order to provide the best care for our diverse patient population.

You'll have the opportunity to be a part of:

Mayo Employee Resource Groups (MERGs) are employee-led affinity groups to promote belonging, increase cultural awareness, and foster an environment of respect and inclusivity. Any Mayo Clinic employee can join a group of interest and choose their level of involvement.
The OUTList, an internal resource created by the LGBTI MERG that promotes community, visibility, and mentoring among Mayo's faculty, staff, and trainees by identifying mentors within Mayo Clinic interested in being a resource for others. All Mayo employees are welcome to contact individuals on the OUTList for advice and networking.
The Student National Medical Association and National Medical Association conferences, which provide a place for you to share and learn belonging and inclusion best practices.
The Mayo Clinic Trainee Belonging Committee, a group that recruits and mentors applicants, including those from underrepresented backgrounds in medicine.

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From the program director

Francisco Alvarez, M.D. Welcome, and thank you for your interest in the Advanced Lung Disease and Lung Transplant Fellowship at Mayo Clinic Florida.

Few areas in medicine are as challenging—and as rewarding—as lung transplantation. Its practice requires exceptional skill, dedication, and a broad foundation of knowledge across multiple medical disciplines. At Mayo Clinic Florida, we are committed to providing our fellows with comprehensive, hands-on training in all aspects of patient care within a closely supervised academic environment that emphasizes both clinical excellence and professional development. Close collaboration with our surgical, critical care, and ECMO teams creates a dynamic and stimulating environment where ideas are openly shared and valued.

Our fellows are integral members of the transplant team, fully engaged in both academic and clinical activities. Training encompasses not only lung transplantation but also related fields such as immunology, ex vivo lung perfusion, interstitial lung disease, and pulmonary hypertension. Research is strongly encouraged and well supported, all within the friendly, respectful, and collaborative culture that defines Mayo Clinic.

We seek highly motivated physicians eager to challenge themselves in one of the most fascinating areas of medicine—organ transplantation. We warmly invite you to learn more about our fellowship program and look forward to connecting with you soon.

Francisco Alvarez, M.D.
Program Director
Assistant Professor of Medicine

Faculty and fellows in the Advanced Lung Disease and Lung Transplant Fellowship

Department and faculty

The Division of Lung Failure and Transplantation includes six full-time transplant pulmonologists, five dedicated lung transplant surgeons, and a large team of advanced practice providers and nurse coordinators.

Through the commitment of this dedicated team, we have achieved a high volume of lung transplants each year, with particular expertise in high-risk and multi-organ recipients, while consistently maintaining excellent post-transplant outcomes.

In addition to providing exceptional patient care, the faculty of the Division of Lung Failure and Transplantation at Mayo Clinic are deeply committed to education and advancing medical knowledge. Many have published extensively, delivered lectures nationally and internationally, and are widely recognized as leaders in their fields.

Meet the faculty

	Francisco Alvarez, M.D. Program Director Transplant immunology Education Global health View full profile
	Prasanth Balasubramanian, M.B.B.S., M.D. Associate Program Director ECMO Outcomes research Global health View full profile
	Maher Baz, M.D. Division Chair – Lung Failure and Transplant Infections in transplant population Quality improvement View full profile
	Remzi Bag, M.D. ECMO Pulmonary HTN Outcomes research View full profile
	Tathagat Narula, M.B.B.S., M.D. Transplant immunology AI in lung imaging View full profile
	Sadia Shah, M.D. Multi-organ transplant Quality improvement Remote monitoring post-lung transplant View full profile
	John Haney, M.D., M.P.H. Multi-organ and high-risk transplant Re-transplant ECMO CTEPH View full profile
	Ian Makey, M.D. Lung volume reduction Device innovation View full profile
	Mathew Thomas, M.B.B.S., M.D. Device innovation Education Minimally invasive surgeries View full profile
	Chris Scott, M.D. Minimally invasive surgeries CTEPH Esophageal surgeries /GERD View full profile

More faculty

	Christina Saikus, M.D., Ph.D. ECLS Valvular heart disease View full profile
	David Abia Trujillo, M.D. Airway complications post-lung transplant Biopsy techniques post-lung transplant View full profile
	Jorge Mallea, M.D. EVLP Device innovation Regenerative medicine Critical care View full profile
	Andras Khoor, M.D., Ph.D. Transplant pathology Lung cancer View full profile
	Mohamed Elrefaei, M.D., Ph.D. Transplant immunology Non-HLA antibodies in antibody mediated rejection Next generation sequencing View full profile
	Archer Martin, M.D. Transplant anesthesiology Peri-operative ECLS use in lung transplant Leadership roles within the ASA, SCA, and ISHLT View full profile
	Ashley Fritz, D.O. Transplant anesthesiology Peri-operative ECLS Improving perioperative outcomes for lung transplantation Intraoperative Transesophageal Echocardiography Circulatory support device management View full profile
	Wendelyn Bosch, M.D. Transplant infectious diseases Mycobacterial infections View full profile
	Lisa Brumble, M.D. Organ transplant infection Fungal infections View full profile

Wellness initiatives

As a trainee, your physical and mental health are priorities to Mayo Clinic and the department. Trainees have access to several resources to promote well-being, as well as time off clinical duties to attend appointments.

Fitness centers
Groups on campus
Well-being

Fitness centers

Trainees exercising in a studio Mayo Clinic residents or fellows can experience 24/7 free access to the Bill Hewitt Employee Wellness Center — opened in the summer of 2024 and spans 6,700 square feet with modern cardio machines, weight machines, free weights, a studio for live classes, and includes showers and locker rooms for convenience.

Additionally, residents or fellows at our three campuses get discounted membership fees to area gyms. In Jacksonville, Florida, residents and fellows can obtain an exclusive discount with the YMCA (several locations).

Groups on campus

Mayo Employee Resource Group (MERG) in Florida

Opportunities to join a variety of groups on campus provide regular social activities and can help enhance your training while connecting with a broad group of peers.

Trainees will have the opportunity to join a Mayo Employee Resource Group (MERG) at any time during their training program. Mayo Employee Resource Groups (MERGs) are employee-led affinity groups to promote belonging, increase cultural awareness, and foster an environment of respect and inclusivity. Any Mayo Clinic employee can join a group of interest and choose their level of involvement

Well-being

Cardiovascular diseases fellow works on a computer at Mayo Clinic in Rochester, Minnesota. The Office of Academic Support and Well-Being provides resources to promote academic, emotional, social, cognitive, financial, and physical well-being. Career and academic services include academic advising, peer tutoring, and accommodations for learners with disabilities or health conditions. Mental health services, counseling, interview practice, and a variety of enrichment sessions on topics like budgeting, resiliency, and stress and burn-out are also available through the Academic Support and Well-Being office.