The Abdominal Multi-Organ Transplantation Fellowship at the University of Iowa offers fellow physicians a two-year experience, including all aspects of adult and pediatric kidney transplantation, laparoscopic living donor nephrectomy, and multiorgan recovery.
The program is accredited by the American Society of Transplant Surgeons for one fellow each year.
Through a comprehensive didactic curriculum, weekly small group teaching sessions with program faculty, and transplant conferences, fellows develop a deep understanding of the pre-transplant evaluation and post-transplant management.
The Organ Transplant Center performs over 100 kidney transplants annually at University of Iowa Hospitals & Clinics and the nearby VA medical center.
Fellows also participate in the following types of surgeries and procedures.
The fellowship includes an extensive operative experience in the management of primary and metastatic hepatic and biliary malignancies, bile duct injury, and general surgery in patients after transplant.
Our transplant surgery fellows participate in transplant procedures at the University of Iowa Hospitals & Clinics, Iowa City Veterans Administration Hospital, and University of Iowa Stead Family Children’s Hospital.
In addition, fellows participate in multiorgan recovery procedures throughout the Midwest.
In addition to clinical training, fellows participate in a variety of education experiences to further their education and exposure to transplant surgery.
Fellows participate in a variety of educational experiences including our weekly Transplant Issues Conference including invited leaders in transplant medicine and surgery.
The Organ Transplant Center also directs the multidisciplinary hepatobiliary tumor board which meets weekly to develop plans for patients with primary and metastatic malignancy.
Additional training opportunities are available in the following areas.
Abdominal organ transplant surgical fellows actively participate in numerous weekly conferences including the following.
In addition, there are weekly kidney and liver evaluation meetings, multidisciplinary hepatobiliary conference, and team rounds.
Fellows also join the Department of Surgery grand rounds and morbidity/mortality conference. Finally, the fellows have dedicated teaching hours weekly with Organ Transplant Center staff physicians and complete the ASTS Academic Universe curriculum.
Fellows complete required ASTS required in-service examinations. The fellow will be certified in FLS prior to graduation.
Abdominal multi-organ transplantation fellows are responsible for all aspects of inpatient care of patients on the transplant and hepatobiliary service.
Our fellows work with residents, medical students, and physician extenders to cover patients in the intensive care unit and transplant ward. Fellows participate in all transplant procedures, multiorgan recoveries, and living donor procedures.
The fellows have 1-2 days of clinic weekly in which they evaluate pre-transplant candidates and manage post-transplant complications. Fellows also assess hospitalized patients with decompensated organ failure and patients with complex surgical conditions. Duties include the care of adult and pediatric transplant recipients.
Alan Reed, MD, MBA, professor and chief of the division of transplant and hepatobiliary surgery, serves on the American Society of Transplant Surgeons leadership counsel and was former chair of the Membership and Professional Standards Committee for UNOS
David Axelrod, MD, MBA, FACS, clinical professor of surgery and surgical director of kidney/pancreas and living donor transplant, is the Chair of the ASTS Standards committee, former chair of the Business Practice Committee and creator of the Leadership Development Program. He is an editor for AJT, Current Transplantation Reports, and previously for Liver Transplantation. He has NIH funding for health services research in transplantation and has worked with industry to improve post-transplant monitoring.
The Organ Transplant Center at the University of Iowa has active research programs in kidney transplant, transplant health services research, transplant economics, and transplant immunology.
Fellows are encouraged to participate in clinical research projects and expected to prepare at least one clinical or review manuscript prior to graduation.
Fellows seeking a dedicated laboratory experience can be accommodated with an additional year of training.
All clinical rotations are conducted at the main University of Iowa Hospitals & Clinics and the attached University of Iowa Stead Family Children’s Hospital.
The transplant service includes recent transplant recipients, post-operative hepatobiliary surgery patients, and patients with complex liver conditions.
The service works collaboratively with the transplant medicine service which cares for waitlisted patients and transplant recipients without surgical issues.
The first year of the fellowship is dedicated to learning kidney transplantation and the second year to living donor nephrectomy; however, fellows participate in transplantation of all organs during both years.
Abdominal multi-organ transplantation fellows are directly supervised by one of four full-time transplant surgical faculty and work collaboratively with medicine faculty and fellows.
Overnight and on weekends primary call for transplant patients is covered by night float residents. Fellows are “on service” two weeks per month during which time they direct daily rounds and supervise residents and medical students. No in-house call is required, although fellows are expected to be available to night float surgical residents for questions. On non-service weeks, fellows alternate organ donor recovery call with surgical residents and are guaranteed one weekend per month free of all clinical responsibilities.
Board eligibility or certification in surgery or urology is desired but not required for application to the Abdominal Multi-Organ Transplantation Fellowship. The program welcomes talented women and men who have trained both in the United States and abroad.
Please see the ASTS website for match details and deadlines.
Completion of training in general surgery or urology with clinical exposure to organ transplantation. Preference is given to physicians who have exposure to the United States healthcare system, either as full-time residents or during away rotations.
All candidate interviews are held virtually using Zoom. All candidates interested in this fellowship program must apply through the SF Match, which is the match program used by the American Society of Transplant Surgeons fellowship programs.
Sung Hoon Kim, MD, PhD
Catholic Kwandong University College of Medicine, Gangneung, South Korea
Shengliang He, MD
Shanghai Medical College, Fudan University, Shanghai, China