Our 1-year and 3-year patient and graft survival of kidney transplant recipients are better than expected. The IU Health Physician Transplant Center's multidisciplinary kidney transplant team is comprised of many important staff members including skilled transplant surgeons, nurse coordinators, anesthesiologists and surgical team members, pharmacologists, nephrologists, interventional radiologists, pathologists, dietitians, social workers, psychologists, nursing staff, chaplains, administrative staff and financial counselors.
During the training, the fellow will primarily be located at Indiana University Hospital Organ Transplant Unit while also covering transplant related issues, if needed at the other clinical services of the Indiana University School of Medicine.
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The basic educational goals for the transplant nephrology fellow include:
- Managing minimum 30 new patients with kidney and/or KP transplant thoroughly and follow them for at least 3 months.
- Observing 5 cadaveric, 5 living-donor kidney transplants and observing 3 organ harvests.
- Doing minimum 30 pre-transplant recipient evaluations and 20 living donor evaluations.
The fellow will be involved in primary decision-making in all aspects of clinical care, including immunosuppression. During the training period, the fellow is extensively trained and becomes proficient in the following:
- Managing acute and chronic transplant rejections.
- Transplant related infectious diseases, such as BK Virus Nephropathy, CMV.
- Transplant related malignancies such as PTLD, skin cancers.
- Management of immunosuppressive regimens, cardiovascular disease, diabetes, hypertension, metabolic bone disease, anemia and chronic allograft nephropathy, in both inpatient and outpatient settings.
Comprehensive clinical experience is also acquired in managing patients with stable, as well as complicated courses, who have received kidney-pancreas transplants, liver transplants with renal complications and liver-kidney transplants. He/she will also be involved in teaching and guiding 1st year nephrology fellows.
Lectures will be provided by basic and clinical scientists on immunology, pharmacology, obstetrics, diabetes, metabolic bone disease and infectious disease topics to be included along with sessions on post operative and maintenance transplant care.
All year round, the fellow also attends an acute transplant clinic (once a week), chronic kidney and kidney/pancreas transplant clinic (once a week) and a pre-transplant donor and recipient evaluation clinic (alternate week).
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The transplant fellow will share on-call with the rotating nephrology fellow. They will take calls from residents for any medical or renal problems. One faculty member will always be on call and available to guide them.
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Approximately 150-200 transplant kidney biopsies are done every year at Indiana University Medical Center . Transplant fellows will alternate with the rotating nephrology fellow for the biopsies throughout the year to perform a minimum of 30 transplant biopsies. The transplant fellow is well experienced and can independently perform transplant kidney biopsies mid-way through their fellowship and generally performs approximately more than 35 biopsies during the training period.
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The fellow is strongly encouraged to pursue clinical / translational research leading to at least one publication or national presentation. The Transplant Center is actively involved in research. Examples of current active research include:
- A phase III, randomized open-label, comparative, multi-center study to assess the safety and efficacy of Prograf® (tacrolimus)/MMF, modified release (MR) tacrolimus/MMF and Neoral® (cyclosporine)/MMF in de novo kidney transplant recipients.
- Evaluation of immune globulin intravenous (human), 10 percent manufactured by chromatography process (IGIV-C, 10 percent), as an agent to reduce anti-HLA antibodies and improve transplantation results in cross-match positive living donor kidney allograft recipients.
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Successful completion of the fellowship should ensure that you meet criteria set forth by UNOS for designation as a renal transplant physician and a pancreas transplant physician as well as be eligible to become medical director of a kidney transplant program.
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- Four weeks of vacation per year, with additional time off for the annual AST conference.
- Medical insurance for you and your dependents at no cost to you.
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