Post-Doctoral Fellowship In Liver Transplantation


Transplant Surgery, although being a surgical super-specialty, in reality deals with a lot of medical aspects. The success in transplantation involves understanding the disease process and treating the patient as a whole rather than just the technical aspects of the surgery. Keeping this as the background, the curriculum for training emphasizes the importance of imparting training in all aspects of managing a Liver Transplant Patient.

This curriculum will be under continuous review and may be changed as techniques develop with time, but serves as a present definition of the minimum requirement for fellows in the specialty.

The purpose of Fellowship programme in Liver Transplantation is to provide a structured educational and training experience necessary to achieve expertise in the understanding, diagnosis, and management (including the necessary surgical skills) in the treatment of diseases of the liver and Liver Transplantation.

This course is designed:

  • To provide trainees with actual knowledge and technical proficiency in the preoperative evaluation, operative management, and postoperative care of patients with disease of the liver and Liver Transplantation.
  • To provide trainees with technical proficiency in liver transplantation- Deceased & Live Donor
  • Demonstrate clinical, intra operative and peri operative decision making that is based upon sound medical knowledge that minimises complications and demonstrates an awareness of the limitations of clinical experience and technical skills.
  • To provide trainees with understanding and experience in immunosuppression management.
  • To provide trainees the ability to evaluate donor organs and perform multi-organ procurements.
  • To provide experience in the management of patients in an intensive care setting.
  • Manage and lead clinical teams in an efficient and harmonious manner to optimise patient management.
  • To provide an environment in which clinical and basic science literature can be evaluated and assessed critically, leading to sound conclusions.
  • To provide the ability and desire to ask important questions and initiate investigative studies
  • To foster attitudes and interpersonal skills that will allow a trainee to communicate well with peers and patients, and to carry him or herself with dignity.

Liver Intensive Care


Our liver ICU with 36 beds provides a comprehensive service for the management of critically ill patients with liver disease including acute liver failure, patients with chronic liver disease related complications and acute on chronic liver failure, major HPB surgeries and liver trauma. The liver ICU with 36 beds provides a comprehensive service for the management of critically ill patients with liver disease including acute liver failure, patients with chronic liver disease related complications and acute on chronic liver failure, major HPB surgeries and liver trauma. The team has a reputation and expertise of managing more than 1200 liver transplants so far. Liver intensive care is a highly specialized and demanding specialty which requires integration of good clinical knowledge, evidence based practices and technical skills. This Fellowship program in liver intensive care will provide a comprehensive curriculum covering peri-operative care of patients presenting for HPB surgeries and liver transplantation and all other services offered in the ICU. The main goal of the Fellowship is to help fellows become clinical experts in the field and grow to become academic leaders in the field of liver intensive care. The program also provides exposure to combined organ transplants. There will be ample research opportunities with participation in ongoing projects or newly developed investigative projects. Financial and logistic support is abundant and fellows are expected to be able to present research abstracts at national or international liver transplant-oriented meetings during their course.

The program will involve 12 months training liver intensive care. We propose to cover the curriculum in the form of organized lectures, bedside teaching sessions and other interactive sessions. Fellows will advance their medical knowledge through a number of didactics. Fellows are expected to participate in teaching sessions and pre-transplant listing meet every week apart from the monthly morbidity and mortality meet and other teaching sessions within the Institute of Liver Diseases and Transplantation.

The objectives of the program include:

  • Establish competency in the management of complications of End-stage Liver Disease and critically ill in medical Liver ICU
  • Establish proficiency in the postoperative ICU care of liver transplant recipients (both cadaveric and living liver donor transplantation) including simultaneous liver and kidney transplantation, with comprehensive understanding of various stages in liver transplantation and their implications, and optimization of other organ system involvement as a consequence of liver cirrhosis.
  • Impart knowledge and skills for efficient management of patients with acute liver failure
  • Enhancement of procedural skills - arterial catheterization, central line insertion, pulmonary artery catheter insertion, transoesophageal echocardiography, extracorporeal support systems
  • Establish proficiency in management of coagulopathy, in the selection and use of the various available blood products and their associated potential complications
  • Ensure adept use and interpretation of cardiac output monitoring devices and point of care coagulation testing

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