The Duke Division of Gastroenterology’s Transplant Hepatology Fellowship Training Program is a one-year program that prepares physicians for a career in academic Gastroenterology and Transplant Hepatology.
The year is designed to meet the ACGME and ABIM requirements to sit for the Transplant Hepatology board exam, and also to provide enough experience to serve as a UNOS certified primary liver transplant physician. Duke has an integrated, multi-disciplinary approach to transplant with close collaboration between Hepatology and transplant surgery services in every venue. The physical offices of the Transplant Hepatology service are imbedded with transplant surgery and the clinic space is shared between the services five days per week. Joint daily rounds are conducted on the inpatient transplant service.
Transplant Hepatology Fellows have access to comprehensive training in Transplant Hepatology, Transplant Infectious Diseases, Hepatopathology and Interventional Radiology, as well as access to research training, advanced clinical skills and training in medical education.
The Duke Liver Transplant Program is a UNOS approved liver transplant program and has performed more than 1300 liver transplants since its inception in 1984. In FY 2016, 409 new evaluations were undertaken, and 96 liver transplants were performed. The program is actively following 723 adult liver transplant recipients. It is the largest program in NC, SC, and VA from where it draws most of its referrals, although patients are also routinely referred from New England and New York, as well as WV, and eastern TN. The program offers multi-visceral transplantation as well as split, domino and living donor liver transplants. The transplant staff includes eight hepatologists, six liver transplant surgeons, four NPs and PAs, six liver transplant coordinators, three research nurses, a dietician, social worker, 3 clinical psychologists, and secretarial support. Transplant patients are seen in clinic by the transplant hepatologists and surgeons every day of the week. There is also a robust pediatric liver transplant program at Duke which is integrated with the Transplant Center. In 2015, this was the fifth highest volume pediatric program in the U.S. Adult hepatology trainees are exposed to pediatric liver diseases in joint pathology, radiology and QAPI conferences with our pediatric colleagues.
Supervision and mentorship is provided by an outstanding team of Transplant Hepatologists: Drs. Carl Berg, Carla Brady, Matt Kappus, Lindsay King, Andrew Muir and Cristina Segovia. The program is also supported by Drs. Manal Abdelmalek, Steve Choi, Anna Mae Diehl, Cindy Moylan and Julius Wilder.
The training year begins in July. Applicants must have completed both an ACGME accredited Internal Medicine residency and Gastroenterology fellowship. The Duke Transplant Hepatology Fellowship Program looks to attract trainees who aspire to full time Hepatology careers at academic medical centers.
Fellows participate in various clinical activities including rotating on the inpatient service under the supervision of a transplant hepatologist for 6-7 months of the year. The patients on this service are typically new transplant recipients up to approximately one year post transplant. On this service, the transplant hepatology fellow works closely with the transplant surgery fellow. When on the inpatient service, the fellow attends three half day transplant clinics in the afternoon, often seeing patients under evaluation, on the waitlist, or post-transplant, with more limited exposure to general cirrhotic patients.
During the months when the transplant hepatology fellow is not on the inpatient service, there are a number of elective experiences. These have routinely included a month on the inpatient transplant ID consult service focusing on patients who have undergone an abdominal transplant, a month with abdominal imaging colleagues in radiology reading CTs, MRIs, and IR studies, and a month with Duke hepatopathologists. When on an elective rotation, the fellow attends three morning clinic sessions with the transplant hepatologists.
Clinical research projects are strongly encouraged, and typically two to three months of research electives are available.
Transplant selection conference (Weekly – Tuesday 3:30-5:00 PM)
Multidisciplinary Hepatology/Surgery/Radiology/Oncology Management Conference (Weekly - Tuesday 7:30-8:30 AM)
Hepatology core curriculum conference (Weekly – Tuesday 5:00-6:00 PM)
Liver pathology conference (Weekly - Wednesday 4:00-5:00 PM)
Gastroenterology and Hepatology Grand Rounds (Weekly when not on inpatient service - Wednesday 8:00-9:00 AM)
Transplant Journal Club/Transplant Academia (Monthly –Tuesday 12:00-1:00 PM)
Liver Transplant QAPI Conference (Monthly – Tuesday 4:30-5:30 PM)
Gastroenterology Research Conference (Monthly – Wednesday 5:00-6:00 PM)
Liver transplant Mortality and Morbidity Conference (Monthly Tuesday 5:00-6:00 PM)
Liver transplant retreat (Quarterly, date and time varies)
Hepatology Transplant Fellows are encouraged to participate in the weekly educational activities available to the general GI fellows, including core curriculum lectures, case conference, GI Grand Rounds and GI Journal Club.
Carl L. Berg, MD
Professor of Medicine
Medical Director, Abdominal Transplantation
Director,Transplant Hepatology Training Program
Lindsay Y. King, MD, MPH
Associate Director, Transplant Hepatology Training Program
Extensive interactions also occur with Duke faculty in transplant surgery, radiology, hepatopathology and infectious diseases.
Yuval Patel, MD
Bonike Oloruntoba, MD
Julis Wilder, MD, PhD, left, and Matt Kappus, MD
All clinical training takes place at Duke Hospital. The Duke Liver Transplant Program is currently evaluating approximately 400 patients a year for liver transplant listing and is performing 80-90 liver transplants per year including with living liver donor transplantation. One-year patient survival rate of liver transplantation at Duke is among the highest in the U.S.
How to Apply
The Duke Transplant Hepatology Fellowship Program is currently receiving applications for the 2018/2019 Academic Year. Eligible applicants should forward a completed application along with all other required documents to the Transplant Hepatology Program Coordinator firstname.lastname@example.org.
For additional information please contact:
Carl L Berg, MD
Director, Transplant Hepatology Fellowship Training Program
c/o Jill M. Rimmer, Program Administrator
Duke University Medical Center
Division of Gastroenterology
P.O. Box 3913
Durham, NC 27710