Over the last several decades we witnessed a surge in prevalence of liver disease in the United States. According to current statistics chronic viral hepatitis affects one out of 50 people in the general population, and nonalcoholic steatohepatitis affects one out of every 20 to 30 individuals. Despite the recognition of the need for hepatology trained physicians by the GI and liver professional societies we face significant shortages in the workforce that cares for patients who have chronic liver diseases.
The trainees will:
* gain knowledge and experience in diagnosing and managing patients with different liver diseases like viral, alcoholic, metabolic, drug induced, immune mediated liver diseases, end-stage liver disease, jaundice, patients with hepatocellular carcinoma, and acute fulminant hepatic failure, liver disease in pregnancy and other liver diseases but not limited to a few listed above.
* acquire particular knowledge of liver diseases prevalent in the community and participate in the teaching community about prevention and care of the liver diseases.
* gain expertise in evaluating prospective transplant candidates.
* learn about multidisciplinary approach in the care of patients with end-stage liver disease and transplant including psychosocial and ethical issues.
* learn immediate and long term management of patients after liver transplant.
* acquire understanding of the surgical procedures performed both in donors and recipients of liver transplant.
* gain experience in the use of immunosuppressive agent, drug interactions as well as evaluation and management of graft dysfunction.
* maintain continuity of care both in the in-patient and out-patient setting.
* have opportunity to learn about immediate and long term infectious, metabolic, cardiovascular, renal and other complications after liver transplant.
* develop understanding and participate in the decision making and care of patients undergoing various interventional radiology procedures.
* gain knowledge and understanding of the indications, contraindications and outcomes of procedures like TIPS, hepatic artery chemo-embolization, radio frequency ablations, biliary stent placements etc.
* interact with attendings in the review and discussions on patient care options.
* read and get involved in the implementation of evolving newer treatment modalities for chronic viral hepatitis and liver cancer etc.
* gain further skills in endobiliary diagnostic and therapeutic procedures.
* develop proficiency in the indications, techniques and interpretations of liver biopsy.
Interpretation of liver histology including graft rejection will be an integral part of the training. The training encompasses patient care learning in areas of ambulatory patient management, consult services and in-patient hepatology unit patient care. The trainees will participate in teaching medical students, resident house staff and participate in peer teaching activities and that of the department of Medicine.
There will be a board certified/eligible hepatology staff physician assigned to each rotation at all times. There will be 4 core faculty members within the Division of Gastroenterology, Hepatology and Nutrition who regularly rotate with the fellow in both inpatient and ambulatory settings.
Trainees will participate in ongoing research projects in the hepatology and liver transplant surgery services. In addition, trainees will be encouraged to have a well defined research project in the area of their interest in the field of hepatology. Trainees will work under the mentorship of a faculty to complete the project during training period.