Dolores Fuentes

When Dolores Fuentes suddenly found it difficult to swallow and to keep food down, her daughter wouldn't take her to any other hospital but "my Methodist."

Read more about Dolores Fuentes and her experience at NYM.



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Liver Transplantation Training

NewYork-Presbyterian/ Weill Cornell Medical Center Liver Transplant Educational Goals and Objectives

Patient Care

The third year fellow will

  • evaluate the patient with liver disease at the specialist level, with particular reference to liver transplantation. The fellow will evaluate patients for liver transplantation, treat patients who are awaiting transplantation and monitor post-transplantation both at NewYork-Presbyterian/ Weill Cornell Medical Center and New York Methodist Hospital.
  • receive advanced training in hepatology and transplant hepatology. The fellow will attend the clinics of the transplant service, and evaluate inpatients and outpatients referred for consultation for liver transplantation and will present patients to the attending physician. on daily rounds.
  • follow patients through the liver transplant process, observing the surgical approaches employed. After transplantation, the fellow will follow patients both at the transplant center and at the New York Methodist site to understand appropriate monitoring and treatment after transplantation. The fellow will be involved in research protocols at the transplant center.

Medical Knowledge

The fellow will

  • understand the pathophysiology and pathology of multiple diseases of the liver and biliary tree that lead to liver failure, requiring liver transplantation.
  • improve understanding of metabolic liver disease.
  • master evaluation of patients for liver transplantation.
  • understand the mechanics of liver transplantation (harvesting organs, surgical techniques).
  • manage of patients immediately post-transplant and in outpatient follow-up care.
  • employ evidence based methods and analysis of outcomes of therapy of liver disease as related to liver transplantation.

Practice Based Learning

The fellow will

  • gain knowledge of the evaluation and management of patients for liver transplantation through evaluation and management of inpatients and outpatients, using evidence based methodology and the limits of current evidence, taking the benefits and limits of technology in liver diseases into consideration.
  • gain experience in the management of patients with chronic illnesses awaiting liver transplantation.
  • manage transplant rejection and monitor immunosuppressive therapy, complications and outcomes.
  • participate in consultations with all patients referred to the service for liver transplant evaluation and present patients to the rounding attending physician on a daily basis.
  • assist at performance liver biopsies and review the pathologic material.
  • attend monthly seminars in nutrition with an emphasis on nutrition in liver disease, pre and post transplant.
Teaching Methods

The fellowship will utilize
  • lectures in transplant hepatology.
  • performance of histories and physical examinations of patients on the transplant service and the service of the fulltime faculty, with discussion on daily attending physician rounds.
  • participation in the evaluation and testing of patients referred to the liver transplant evaluation clinics and responsibility in the Hepatology and Transplant Evaluation Clinic.
  • one-to-one training in liver biopsy and paracentesis with the clinical faculty during interventional at the transplant center.
  • the divisional library, NYM library and the Weill Cornell online library, along with seminars.
Diseases

The fellow will study
  • fulminant hepatitis.
  • cirrhosis (complications of advanced cirrhosis and pre-transplant and post-transplant monitoring).
  • drug induced hepatitis.
  • autoimmune liver diseases.
  • hepatic and biliary tumors.
Clinical Gastroenterology Training
Clinical Hepatology Training
Evaluation
Patient Population
Professionalism

Conferences

Faculty
Application and Contact

Back to Gastroenterology Fellowship Curriculum
Back to Gastroenterology Fellowship Program