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

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

Solid Organ Transplant Fellows

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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.