Overview

The Transplant Anesthesia Fellowship program at University of Miami/Jackson Memorial Hospital, Miami, FL was established in 2007. Since the take-off, the fellowship provided a comprehensive curriculum focusing on the clinical aspects of organ transplantation and research. The mix of transplant cases provides the fellow with an excellent clinical transplant experience. A well-developed and structured didactic program will systematically review all relevant subject areas associated with transplant medicine, surgery and anesthesia. In addition, research opportunities in transplant anesthesia abound in both the basic and clinical arenas.

The Transplant Anesthesia Fellowship program is a 1-year fellowship training program in anesthesiology, non-ACGME accredited, open to qualified USA and international anesthesia graduates.

In accordance with the new UNOS regulation, a 1-year fellowship will achieve sufficient qualifications to become Director of Liver Transplant Anesthesia at major medical centers in US.

Clinical Experience

The clinical program emphasizes an extensive perioperative management. Fellowship candidates will consistently be exposed to intraoperative management of organ abdominal transplants offered at the University of Miami, Jackson Memorial Hospital.

During this 1-year experience, the fellow will participate in at least 40 cases of liver transplantation including combined liver-kidney and multivisceral transplant. Fellows will have the opportunity to participate in pediatric liver transplantation, living-related kidney transplantation, cadaveric kidney and pancreatic transplantation and intestinal transplantation.

Fellows will participate in the preoperative evaluation of transplant candidates. They will also learn to perform a comprehensive preoperative examinations for the purposes of transplant candidate selection, optimize perioperative patient care, and will be able to discuss risks and benefits

In addition, fellows will participate in the weekly multidisciplinary selection committee to discuss the candidate suitability for liver transplantation. Fellows should develop an understanding of what resources are required by the larger multidisciplinary team for efficient decision-making.

During the 1-month intensive care unit rotation, fellow will follow and manage patients who underwent abdominal organ transplantation. Further, up to 1-month rotation with Life Alliance Organ Recovery Agency will broad the training with organ procurement process.

During the 1-year fellowship, fellows are also expected to cover at least 50 major non-transplant cases: transplant patient’s bring-backs, liver resections, esophagectomies, Whipple procedures, pancreatectomies, biliary reconstructions, major vascular surgeries, surgeries in patients who have undergone previous transplantation, living donor nephrectomies, or radical nephrectomies.

At the end of the1-year fellowship, fellows will be able to manage the perioperative course of the critically-ill transplant patient, resulting in the following proficiencies: placing invasive monitoring, basic transesophageal echocardiography, managing the coagulopathy by using Thrombelastogram, managing large-volume resuscitations using rapid infusion system (Belmont), and running intraoperative dialysis.

Research Experience

Our program encourages liver transplant anesthesia fellows to participate in ongoing research projects or to initiate at least one new investigation project.

Fellows will complete certification in Human Subjects Training in order to be able to do research. University of Miami currently uses the web-based modules available at the Collaborative Institutional Training Initiative (CITI) website for certification in Human Subjects Training. University of Miami’s Electronic Protocol Submission and Tracking system (eProst) is used to submit human subjects research IRB protocols online.

Fellows will learn to use statistical computer software (JMP software from SAS) and create/maintain database system.

Fellows are expected to complete submission of a manuscript for peer-review and eventual publication. Research work will be presented at the Department of Anesthesia Grand Rounds.

Clinical Sites

Jackson Health System

Life Alliance Organ Recovery Agency

Medical Knowledge

Fellows will be provided several lecture series, weekly anesthesia morbidity and mortality conference, journal club, case presentation etc. The goal is that the fellows will acquire comprehensive knowledge about the pathophysiology of donor and recipient disease in order to provide appropriate and effective care

The liver transplant anesthesia fellow will have the possibility to attend the weekly echo conference with the anesthesia cardiac team and to attend TEE simulation lab. The fellow will be encouraged to attend a basic TEE CME meeting for non-cardiac anesthesia and pursue the Certification in Basic Perioperative Transesophageal Echocardiography.

The fellow will be enrolled in International Liver Transplantation Society (ILTS) to be able to access up to date information, please visit ILTS.org.

During the fellowship, the fellow is expected to attend the “Perioperative Care in Liver Transplantation” meeting that is held yearly in October at the American Society of Anesthesiology.

Appointments and Applications

Application to the University of Miami/ Jackson Memorial Anesthesiology Fellowship Programs requires:

1. A completed University of Miami/Jackson Memorial application form

2. To download the fellowship application form, please click here

3. A certificate of completion from an ACGME accredited anesthesia residency program

4. An official record of board scores (NBME, FLEX, USMLE, LMCC, VQE, or FMGEMS)

5. Three letters of recommendation

6. Updated curriculum vitae

7. A personal statement

8. A valid ECFMG certificate (if a graduate from medical school outside of the United States or Canada)

6. A letter from the anesthesiology residency program director confirming successful completion of residency training

Fouad Ghazi Souki, M.D.
Program Director
Solid Organ Transplant Anesthesia Fellowship
University of Miami/Jackson Memorial Medical Center
Email: fsouki@miami.edu

Send Application and Correspondence to:

María-Cristina Wells-Albornoz, M.H.A., M.P.H.
Coordinator, Fellowship Programs
UM/JMH Department of Anesthesiology
Ryder Trauma Center, Room T-215
1800 NW 10th Avenue (LC: M-820)
Miami, FL 33136
Telephone: (305) 585-1191, X2, X1
Fax: (305) 545-6195
Email: MCWells@med.miami.edu

2018-2019

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Bhavna P. Singh, M.D.
Chief Fellow, Transplant Anesthesia

Dr. Bhavna P. Singh is from the Silicone Valley of India, Bangalore. She completed medical school in Bangalore Medical College & Research Institute where she received her M.B.B.S. (2011.) She completed her residency training in Anesthesiology, Pain & Critical Care, at the ESIC Medical College and Post-Graduate Institute of Medical Sciences & Research (2015), also in Bangalore.

Dr. Singh further specialized in critical care, nationally competing for, and obtaining a coveted Fellowship position with the National Board of Education, training at Fortis Hospital, in Bangalore, where she completed two years of training (2018.) Seeking to increment her education, she obtained a Fellowship position in Transplant Anesthesia at Jackson Memorial Hospital/University of Miami, in Miami, Florida. Her ultimate career goal is to apply her training in a way that provides comfort to the sickest and most challenging patients.

Dr. Singh is an enthusiastic individual who is not afraid to join in. She enjoys watching movies and spending time with her family; participates in quiz competitions, and various musical and sports activities; and volunteers for “causes that matter” and “of lasting impact.”

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Waseem Alfahel, M.D.
Fellow, Transplant Anesthesia

Dr. Waseem Alfahel graduated medical school from the University of Damascus Faculty of Medicine, Syria (2011.) He completed his residency training in anesthesiology at the American University of Beirut, Lebanon (2016.)

Searching for further training opportunities, Dr. Alfahel came to the United States where he assumed the following positions: Fellow in Pediatric Anesthesia (2016-2017: Oishei Children’s Hospital/University at Buffalo, Buffalo, NY); Fellow in OB Anesthesia (2017-2018: Oishei Children’s Hospital/University at Buffalo); Fellow in Transplant Anesthesia (2018-2019: Jackson Memorial Hospital/University of Miami; in Miami, FL.)

Dr. Alfahel considers himself an outgoing person who enjoys going on road trips and exploring new places. He has already visited 17 American states, and is planning to visit many more. He is an enthusiastic sports fan, particularly of swimming and soccer.

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Martine Lindsay, M.D.
Fellow, Transplant Anesthesia

Born and raised in Ottawa, Canada, Dr. Lindsay completed medical school at the University of Ottawa’s Faculty of Medicine (2013.) She then went on to complete residency training at the University of Alberta’s Department of Anesthesiology and Pain Medicine in Edmonton, Alberta, Canada (2018) where she developed a keen interest in liver transplantation anesthesiology.

Academic interests include: Perioperative care of the liver transplant recipient; Simulation in medical education.

Outside the operating room, Dr. Lindsay enjoys snowshoeing, traveling, and is a devoted fan of the Toronto Blue Jays.

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Mahmoud S. Sleem, M.D.
Fellow, Transplant Anesthesia

Dr. Mahmoud Sleem is a native of Egypt where he obtained his medical degree from the University of Alexandria Faculty of Medicine (2006.) He also completed his anesthesiology residency training at Etay Elbaround Hospital (2015), followed by a Master Degree in Anesthesia & Critical Care from Benha University (2016.)

Dr. Sleem’s advanced training and experience include the following positions: Fellow in Anesthesia & Intensive Care (2015-2017: Sahel Teaching Hospital; Cairo, Egypt); Fellow in Advanced Perioperative Transplant Care (2017-2018: Jackson Memorial Hospital/University of Miami, in Miami, Florida); Fellow in Transplant Anesthesia (2018-2019: Jackson Memorial Hospital/University of Miami.)

On the lighter side, Dr. Sleem has trained as a table tennis player since the age of six. Broader interests include, learning about different cultures, and studying their native languages. He speaks Arabic, English, German, and is studying Spanish. He is also interested in web-based education, and enjoys listening to classical music.

2017-2018

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Georges Nasrallah, M.D. Chief Fellow



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Lemuel S. Paredes, M.D.


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Rahul V. Shabadi, M.D.


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Guillermo Silguero, M.D.

2016-2017

Sina Ghaffaripoor, M.D.
Kianfa Martínez-Lu, M.D.
Georges Nasrallah, M.D.
Gisele Wakim, M.D.

2015-2016

Michael P. Demos, M.D.
Claudia Fernández Robles, M.D.
Sravankumar R. Polu, M.D.
Coridalia Wald Chen, M.D.

2014-2015

Sajith P. Abeyawickrama, M.D.
Zhiyong Peng, M.D.
Coridalia Wald Chen, M.D.
Shweta Yemul-Golhar, M.D.

2013-2014

Alya Ali, M.D.
Behrouz Ashrafi, M.D.
Shashank S. Shettar, M.D.
Faisal A. Siddiqui, M.D.

2012-2013

Behrouz Ashrafi, M.D.
Shashank S. Shettar, M.D.
Faisal A. Siddiqui, M.D.

2011-2012

Luz M. Aguina, M.D.
Behrouz Ashrafi, M.D.
Yoshihisa Morita, M.D.

2006-2011

2010-2011
Lovkesh Arora, M.D.
Kirsten Naguit, M.D.
Vikramkumar Patel, M.D.

2009-2010
Luz M. Aguina, M.D.
Lovkesh Arora, M.D.
Rajinder Singh, M.D.
Gayatri Siram, M.D.
Xiaolin Wang, M.D.

2008-2009
Zalak Patel, M.D.
Venkata Sampathi, M.D.
Lalitha Sundararaman, M.D.

2007-2008
Francisco Herrera, M.D.
Neepa Patel, M.D.
Fouad G. Souki, M.D.

2006-2007
Kyota Fukazawa, M.D.
Neepa Patel, M.D.