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Transplant Hepatology Fellowship

The Transplant Hepatology (TH) Fellowship offers advanced training in all aspects of liver disease, particularly focused upon the management of decompensated cirrhosis, hepatobiliary cancers, and post-transplant care. There is extensive exposure and engagement to complex clinical cases and procedures (endoscopy and biopsy) supplemented by numberous educational sessions and research conferences. 

Our Liver Transplant (LT) Program has demonstrated continued success with both high volume (over 100 LTs per year, of which ~ 10-15% are living donation) and excellent patient outcomes in-line with national norms. We are one of the few LT centers in the United States to offer both specialized Hispanic and African-American Transplant Programs. Our Hepatology faculty have diverse interests and attachments to research (clinical, translational, and basic sciences), education, national organizations and industry. 

This fellowship is administratively contained within the Department of Medicine, but functions operationally within the Division of Solid Organ Transplatation. This organizational structure underlies the inherent multi-disciplinary nature of this specialty.

We believe in, and strongly support a collegial work-environment with our colleagues and staff members. In such an environment enhanced patient-care, scientifc collaboration, mentorship and deep friendships can all flourish. 

This is an ACGME-accredited fellowship (1-2 positions/year) after which the fellows are eligible for TH Board Certification.

Our mission is to provide excellent patient care, generate substantive research, and train future academic leaders. We proudly serve the Chicagoland and Midwest region, with particular emphasis to under-served populations, exemplified by our African-American and Hispanic Transplant Programs.

Exhaustive detail of the NW TH Fellowship can be found in the Handbook (TH Fellowship Handbook PDF).

 Clinical Experience

Overview


The fellowship is 12 months in duration and divided into in/out-outpatient modules. The fellow(s) will alternate on a monthly basis. Vacation (1 month, 20 working days) ideally occurs during outpatient modules.  All experiences are supervised by Hepatology and/or Transplant faculty, with graduated autonomy as fellow competency increases.

Outpatient


The outpatient module mainly comprises pre- and post-LT clinics. The post-LT Hepatology clinic serves as a continuity clinic. A General Hepatology clinic (ad hoc) is also encouraged to maintain broad Hepatology expertise. In the later half of the academic year, subspecialty rotations, Pediatric TH and Transplant Infectious Diseases, will be engaged (2 weeks each).

Inpatient

The Hepatology primary service contains pre-LT (eligible and/or listed for LT) and long-term post-LT patients. The day-to-day work of this service is carried out by residents, whom the fellow will oversee, assist and educate. The fellow has operational control over this service and will present all patients at daily multidisciplinary rounds. The Hepatology consult service (general hepatology issues and/or LT patients with non-graft issues) is managed by a GI fellow. The fellow is encouraged to attend rounds to solidify and augment their own hepatology knowledge. It is the reality that some patients on the consult service may in time, or with otherwise new information, become eligible for further transplant evaluation, and/or require, e.g. transplant immunologic adjustments. For pre/post LT ICU patients, the fellow may indeed be the primary consultant (schedule permitting, otherwise defaulting to the GI fellow).
 
Procedures


Procedural competency in endoscopy (EGD, colonoscopy) is expected by the time of entry to the fellowship, however endoscopy half-day are dispersed throughout the week (weighted to the outpatient fellow) to maintain and augment skills. In general, on inpatient services, the Hepatology consult service GI fellow performs all procedures. Liver biopsy procedural interpretive (at least 200) competencies will be achieved during this fellowship. Note, in 2022 the ACGME procedural biopsy requirement was withdrawn. Nonetheless, liver biopsy procedural competency is offered and highly encouraged. During the second-half of the year, fellows will attend (and can participate in) at least 1 deceased donor procurement and 3 recipient surgeries with the Transplant Surgery team.

 Education

The education of the fellow will occur through extensive clinical experiences with directed feedback from the faculty for cognitive, procedural and professional improvement. Regarding didactic methods, the fellow will have access to:  (1) an online standardized educational curriculum (meeting requirements for board review testing) and an iterative reading list in General Hepatology and TH; (2) participate in multiple, weekly faculty-led conferences regarding specific transplant issues in and across Medicine and Surgery, and; (3) weekly meetings with the TH Program Director for 1:1 education, feedback and overall wellness assessments.

 Scholarly Activities

This is a clinical fellowship, and as such, formal research is not a requirement. However one intra-mural Quality Improvement (QI) projects is required. Publishable scholarship is strongly encouraged (ideall at least 3), and many opportunities are available given the varied interests and intensity of faculty research. Given the nature of the fellow's traditional schedule, there is in fact ample time to generate a successful QI project and/or publish scholary work.  For trainees who seek a career in transplant hepatology/surgical-related research, the NIH-funded T32 Transplant Surgery Scientist Training Program. 

 Diversity and Inclusion

The Department of Medicine at Northwestern University seeks to attract inquisitive, motivated residents and fellows and is committed to providing them with every opportunity for success. The greatest challenges facing the medical field are complex, and addressing them will require a diverse body of physicians and researchers who can work collaboratively. Northwestern offers unparalleled training and research opportunities and encourages fellowship applications from those who seek to become future leaders in the subspecialties of medicine.  We are committed to and inspired by a diverse and inclusive work environment that allows each trainee to achieve their personal goals.

For more information on Northwestern’s commitment to diversity please see the following resources:

 Requirements and Eligibility

TH fellows, at time of matriculation, must be board-eligible or board-certified in Gastroenterology. The fellowship is accessible through and completes the following pathways: traditional (totaling 3 year GI fellowship (internal or external to NW) +1 year), or integrated pathway (totaling 2 year GI fellowship +1 year, all internal to NW). At the end of the TH fellowship the fellow will be board-eligible for TH.

Availability of positions are in part determined by internal applicant trajectories.

 

 

 Application Process

External applicants, i.e. those not currently within the NW GI fellowship, should utilize the AASLD Transplant Hepatology Fellowship Application System (AASLD's Transplant Hepatology Fellowship Application (aasldapp.org). Requirements and deadlines for the TH fellowship are listed there precisely. In general this includes: (1) CV; (3) three letters of recommendation (1 from their Program Director); (4) personal statement; and (5) USMLE Step scores.

Internal appliants, via the traditional or integrated pathways, must demonstrate high performance and otherwise meet NW GI Fellowship milestones of professionalism and competency. Thus, matriculation is conditional upon the consensus assessment of the GI and TH Program Directors, with the assent of the Hepatology faculty.

2022-23 Position(s) filled. Closed.

2023-24 Position(s) filled. Closed.

2024-25 1-2 positions available.

Angela Tucker
Program Coordinator
Division of Gastroenterology and Hepatology 
Northwestern University Feinberg School of Medicine
676 N. St. Clair, Suite 1400
Chicago, Illinois 60611
312.695.5398 office
312.695.3999 fax
angela.tucker2@nm.org 

northwesternmedicine.org

 

 Why Northwestern?

Housestaff training through McGaw Medical Center of Northwestern University provides diverse and challenging clinical experiences and world-class education located in the heart of the beautiful city of Chicago. Learn more via the links to the McGaw website below.

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More Information

Further program details, including our Housestaff Manual and a sample training contract, are available on our McGaw Medical Center Graduate Education site. Likewise, we recommend reading through our FREIDA listings: Program Number 158-16-14-015.

Contact Us

Christopher Moore, MD

Christopher Moore, MD

Program Director - Transplant Hepatology Fellowship

Gastroenterology and Hepatology

View Faculty Profile

Angela Tucker

Education Coordinator

Gastroenterology and Hepatology

angela.tucker2( at )nm.org
312-695-5398

Physician-Scientist Training & Resources

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