Clinical training

A key strength of the Renal Transplant Fellowship at Mayo Clinic's campus in Jacksonville, Florida, is your exposure to a large, wide-ranging population of kidney and pancreas and liver transplant recipients within a highly integrated, patient-centered clinical program. You train in inpatient, acute outpatient and long-term outpatient settings.

Throughout the year, you work closely with Mayo Clinic consultants in:

• Transplant nephrology
• Transplant surgery
• Transplant critical care
• Renal pathology
• Transplant infectious diseases
• Tissue typing and transfusion medicine
• Renal radiology

You also interact regularly with specialists in endocrinology, cardiology, dermatology and psychiatry who have focused expertise in the care of transplant recipients. In addition, you have opportunities to share the care of multitransplant recipients with members of the liver and heart-lung transplant groups.

Specific areas of clinical and didactic teaching are:

• Recipient evaluation and preparation for kidney and pancreas transplantation
• Evaluation of the potential living kidney donor
• The biologic basis of HLA and transplant rejection
• Methods of tissue typing, cross matching and alloantibody measurement, and the clinical application of these methods
• Pharmacology and clinical use of established and emerging immunosuppression for kidney and pancreas transplantation
• Evaluation and comparison of different combinations of immunosuppressive medication in kidney and pancreas transplantation
• Perioperative and early outpatient care of kidney and pancreas transplant recipients
• Recognition of surgical complications of kidney and pancreas transplantation
• Evaluation and management of acutely ill kidney or pancreas transplant recipients
• Diagnosis and management of infections in transplant recipients
• Long-term medical management of kidney and pancreas transplant recipients
• Diagnosis, pathogenesis and clinical management of renal allograft dysfunction
• The use of plasmapheresis, intravenous immunoglobulin and other techniques to lower or modify anti-HLA antibody in sensitized patients
• Allocation of deceased donor organs for transplantation
• Ethical considerations in organ transplantation

Call frequency

The call schedule varies by rotation but does not exceed, and will frequently be less than, one in four weeknights for any rotation. A small number of weekends during the year — while on the inpatient service only — are required. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education.

Moonlighting

You may moonlight with program director approval. Moonlighting activities may be scheduled only during outpatient rotations. Moonlighting should not interfere with the required learning and must not violate the work-hour rules of the Accreditation Council for Graduate Medical Education or visa regulations.

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 Renal Transplant Fellowship. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.

Work/life balance

Fellows in the Renal Transplant Fellowship program have access to all that Mayo Clinic and Jacksonville, Florida, have to offer. We'll support you both inside and outside of Mayo Clinic's campus to promote wellness and ensure your work/life balance.