Abdominal Transplant Surgery Fellowship
The multi-organ transplantation fellowship had its first fellow starting in 1969. It is approved through the American Society of Transplant Surgeons and employs two fellows (one each year). The program has graduated 41 fellows since that time, with many fellows having gone on to lead transplant divisions across the country and abroad.
The fellowship consists of two clinical years of training in liver, kidney, and pancreas transplantation, along with deceased and living donor procurements, hepatobiliary, and vascular access. The fellows become proficient in not only the surgical aspect of transplantation, but also in the clinical management of the routine and complex transplant patient.
The fellowship is structured to provide optimal exposure to all aspects of transplantation throughout the two-year training period. The first year is focused on renal transplant (living and deceased donor), pancreas transplant, deceased donor multi-organ procurements, and vascular access. They also learn management of the inpatient transplant patient in regards to perioperative management. This includes management of immunosuppression medications. Their outpatient duties include attending clinics for evaluation of the pre-transplant renal and pancreas candidates and postoperative management of the same post-transplant patient population. The goal of their first year is to become proficient in the above surgeries and to gain expertise in the evaluation of end stage renal disease and Type 1 diabetic patients for renal and pancreas transplantation, assess their suitability for transplantation, and understand their proposed perioperative surgical course and long-term risks and benefits.
The second year focuses on liver transplantation, living donor nephrectomy, and hepatobiliary surgery, and the fellows continue the perfection of vascular access, kidney and pancreas transplantation, and deceased donor procurements. They learn the perioperative management of the liver transplant recipient, including potential complications. The fellows attend both preoperative and postoperative liver transplant clinics and focus on the outpatient workup of potential liver transplant candidates along with the long-term management of liver transplant recipients.
They also attend a hepatobiliary clinic from which elective cases are scheduled. This allows them the opportunity to participate in preoperative planning, perform the operation, and continue outpatient management. The second-year fellow also focuses on the living donor nephrectomy portion of the living donor kidney transplant process. They not only learn to perfect the operative case, but they are taught the workup of a potential living donor, review of the imaging required to determine kidney selection, and postoperative management. They will participate in the liver selection meeting where potential candidates are discussed in regards to their suitability for transplantation.
The transplant surgery fellow leads the inpatient care of all transplant patients at University of Cincinnati (UC) Medical Center. All transplant recipients are cared for by the Transplant Surgery service, which consists primarily of attending surgeons, surgery fellows, surgical residents and medical students. Structured multidisciplinary rounds are made by the Transplant Surgery service daily, led by the attending surgeons, physicians, and transplant surgery fellow. All immunosuppressive clinical decisions are made by the fellow in coordination with the surgical and medical transplant attendings. As their experience and ability increase, fellows are granted increasing autonomy.
Fellows participate in weekly multidisciplinary conferences for kidney, liver, pancreas, and hepatobiliary. They are responsible for presenting the inpatients, operations and complications. These conferences are attended by transplant surgeons, transplant hepatologists and transplant nephrologists, nurse practitioners, social workers, pharmacists, ethicists, dietitians, coordinators and anesthesiologists.
They also attend a weekly meeting to discuss elective cases, past transplants, and structured didactic teaching. In addition, the surgical fellows attend a multidisciplinary weekly didactic conference along with quarterly transplant grand rounds.
R. Cutler Quillin, III, MD, Program Director
For questions, contact:
Renee Dudik, Program Coordinator
Department of Surgery Division of Transplantation
University of Cincinnati College of Medicine
231 Albert Sabin Way (ML0519)
Cincinnati, OH 45267-0519