For Medical Professionals

The latest information for our transplantation health professionals. Find information about continuing education, resources, fellowship and other professional programs.

Toll-Free: 866.320.4573

Call Us Toll Free:

866.223.2273 x1234

Advanced Heart Failure and Transplant Cardiology Fellowship»

The program is a 1-year training program, which begins July 1 and concludes June 30. At the end of the program, the fellow will qualify to serve as a medical director of a UNOS certified heart transplant program and be eligible for certification in the subspecialty, Advanced Heart Failure and Transplant Cardiology, by the American Board of Internal Medicine (ABIM).

Learn more about the program:

Transplant Hepatology Fellowship»

The Hepatology Section of Cleveland Clinic's Digestive Disease Institute has had a long-standing fellowship program, which is designed to afford fellows the opportunity to receive sophisticated training in the care of patients with all forms of liver disease. In particular, the training program aims to give a broad base of experience in transplant hepatology, beyond what would be typically acquired in a general gastroenterology fellowship.

Director, Hepatology Fellowship
Robert O’Shea, MD
Cleveland Clinic - Department of Gastroenterology
Phone: 216.444.6518
Toll-free: 800.223.2273 ext. 46518
Email: oshear@ccf.org

Program Coordinator
Cheryl Borowski
Email: borowsc@ccf.org

Learn more about the program:

GI (Gastroenterology) Fellowship»

Director, GI Fellowship
Jean-Paul Achkar, MD
Cleveland Clinic - Department of Gastroenterology
Phone: 216.444.6513
Toll-free: 800.223.2273 ext. 46513
Email: achkarg@ccf.org

Program Coordinator
Cheryl Borowski
Email: borowsc@ccf.org

ASTS Kidney Transplant Fellowship»

Director, ASTS Kidney Transplant Fellowship Program
Venkatesh Krishnamurthi, M.D.

Program Coordinator
Tanya Moore
ASTS Kidney Transplant Fellowship
Phone: 216 444-0856
Toll-free: 800.223.2381 ext. 48726
Email: mooret2@ccf.org

Intestinal and Multivisceral Transplantation Fellowship»

Specific Program Description:

I. Clinical Activities:

The intestinal and multivisceral transplant fellowship requires completion of general surgery residency program. The program is a full one-year of clinical and research fellowship designed for trainees who are seeking training in intestinal and multivisceral transplantation including a different combination of en bloc visceral organs such as stomach, duodenum, small bowel, pancreas and liver. During the fellowship period, trainees will participate in the management of both the adult and pediatric intestinal and multivisceral recipients.

The intestinal and multivisceral transplant fellowship has been designed to provide comprehensive training in patient care, surgical techniques, and clinical research. The medical management before transplantation focuses on the nutritional support of the short bowel syndrome patients, gut rehabilitation, pathology of the complex gastrointestinal disorders and candidate selection. Teaching the cutting edge surgical techniques of donor and recipient operations including allograft implantation aims to polish the surgical skills of the transplant fellow, increase the creativity and broaden the surgical ability to safely handle complex abdominal diseases. The transplant fellow will master the post-operative care of the most complex and highly immunogenic allograft recipients including monitoring of immunosuppression and critical care management with prompt response to the post-operative medical and surgical complications. With more than 200 patients being evaluated annually for gut rehabilitation including surgical reconstruction and transplantation, the intestinal and multivisceral transplant fellow is intended to develop a cumulative experience in the medical and surgical treatment of patients with intestinal failure. The case volume is an equal mix of both adult and pediatric transplants. In addition, the fellows will participate in a large number of ancillary procedures such as portal hypertensive surgery and intestinal reconstructive procedures.

The focus during the first 3 months of the fellowship year is on the state-of-art management of short bowel syndrome and postoperative care of both adult and pediatric intestinal and multivisceral recipients. Meanwhile, they participate in the donor operation learning the surgical techniques of retrieving the different types of intestinal allografts including intestine, en bloc liver/intestine, and multivisceral. They will also learn the bench technique of preparing the visceral allograft particularly the required complex vascular reconstruction. At the end of the first half of the year, fellows are able to take the lead in the donor operation and actively participate in the recipient procedure particularly removal of the native organs. During the second half of the fellowship period, the trainees are usually able to perform part of the lengthy and very challenging transplant operation including vascular reconstruction and restoration of continuity of the gastrointestinal tract. At the end of the fellowship, the fellow is usually capable of performing straight forward cases of isolated intestinal and combined liver/intestinal transplantation. Fellows with gifted hands and fine surgical techniques are usually able to take full responsibility in transplanting complex patients with multivisceral transplantation.

II. Clinical Research:

Intestinal and multivisceral transplantation is an evolving field with great opportunities for clinical research and establishment of a unique academic career for a young transplant surgeon. One of the academic goals of this highly specialized program is to assist the transplant fellow in conducting valuable clinical research activities that will help him to better understand the different aspects of the procedure. For further advancement of the field of intestinal and multivisceral transplantation, the program is currently focusing on the following areas of relevant clinical research:

  • Organ preservation and monitoring of ischemia reperfusion injury
  • Allograft Immunogenicity and induction of tolerance
  • Innate immunity and intestinal transplantation
  • Outcome analysis and causes of late graft loss
  • Long-term graft survival and risk factors
  • Chronic rejection particularly of the intestinal component of the visceral allograft
  • The immunoprotective effect of the concomitantly transplanted liver
  • Opportunistic infections and risk of post-transplant lymphoma
  • Monitoring of intestinal allograft functions and achievement of nutritional autonomy
  • Intestinal allograft recipients and micronutrients deficiencies

Didactic Components:

Outpatient clinics are held four times a week. All of the staff mentioned below participates in the relevant clinic with full-time clinical and teaching activities. Two clinics are designed for the adult pre-transplant evaluation and gut rehabilitation. One clinic is devoted for post-operative care and are staffed mainly by the transplant physicians and coordinators. The last clinic specifically for pediatric services. The Transplant Fellows participate in the decision making process of monitoring immunosuppression and prompt diagnosis of underlying pathology of patient symptoms. In addition, the fellows take part in the endoscopic examination of the intestine for monitoring allograft rejection. On a weekly basis, a morbidity and mortality conference, patient selection conference, and intestine pathology conference, for both the pediatric and adult services, are held for patient care and continued medical education. Furthermore, the research activities of the program are discussed on a regular basis for educational and publication purposes.

Teaching Staff:

The staff of the Center for Gut and Rehabilitation & Transplantation (CGRT) is a multidisciplinary team that includes surgeons, gastroenterologists, psychiatrist, nurse practitioner, nutritionist, pharmacist, social worker, case manager and transplant coordinators. The teaching physicians that carry full responsibility and supervise the fellows are:

Physicians:

A. Surgeons

  • Kareem Abu-Elmagd, MD
  • John Fung, MD
  • Cristiano Quintini, MD
  • Bijan Eghtesad, MD
  • Koji Hashimoto, MD
  • Masato Fujiki, MD
  • Ajai Khanna, MD

B. Gastroenterologist

  • Donald Kirby, MD
  • Abdullah Shatnawei, MD
  • Mansour Parsi, MD

C. Psychiatrist

  • Kathy Coffman, MD

Program Director:

Kareem M. Abu-Elmagd, MD, PhD, FACS
Director, Transplant Center
Director, Center for Gut Rehabilitation & Transplantation (CGRT)
9500 Euclid Avenue
Desk A100
Cleveland, OH 44195
Phone: 216-445-8876
Fax: 216-636-7060
E-mail: abuelmk@ccf.org

Referring Physician Hotline Available 24 Hours a Day
Call 855.REFER.123 or 855.733.3712

description

Cleveland Clinic’s Referring Physician Center has established a 24/7 hotline for referring physicians and their office staff to streamline access to our array of medical services. Our goal is to make it as easy as possible for you and your patients when you entrust us with their care.

Contact the Referring Physician Hotline to obtain information on our clinical specialists and services; schedule and confirm patient appointments; receive assistance in the resolution of any service-related issues; and connect with Cleveland Clinic specialists.

When contacting us to schedule your patients, please have the following information readily available:

  • Patient demographic information
  • Reason for visit
  • Any special needs that will require facilitation once the patient arrives
  • Patient insurance information, if available

We will work with your patient to complete the registration process and to schedule an appointment at the patient's convenience. You will be notified once the appointment is scheduled.

The Referring Physician Hotline can be reached 24 hours a day, 7 days a week, by calling 855.REFER.123 (855.733.3712).

No events are listed at this time.

Schedule an Appointment Online

Call us for an Appointment

To find a transplant specialist for your needs, contact the Transplant Center at 216.444.2394 (or toll-free 800.223.2273, ext. 42394)

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2014 Cleveland Clinic. All rights reserved.

Cleveland Clinic Mobile Site