The Advanced Hepatology and Liver Transplant program at Western University is 1-2 years in duration and is accredited by the Royal College of Physicians and Surgeons of Canada. It is offered at University Hospital Multi-Organ Transplant Unit, London Health Sciences Centre. The program provides the trainee with opportunities to develop the skills requisite to the practice of Advanced Hepatology and Liver Transplant. The cornerstone of the hepatology fellowship is its involvement with the Western University Liver Transplantation Program. Since inception in 1983, the London program remains one of the largest programs in Canada and typically performs 50 - 70 transplants per year. The program is active in living donor liver transplantation (LDLT), deceased cardiac donation (DCD) and neurological determination of death (NDD). Our geographical scope encompasses primarily the London area, but expands throughout all of South Western Ontario; hence we care for a wide variety of liver and metabolic diseases. Approximately 500 patients per year are newly diagnosed with liver disease.
The Liver Fellow will be involved in pre and post-operative management of transplant recipients. Fellows will also participate in general and theme oriented hepatology clinics with the Hepatology staff. Endoscopy training will include gastroscopy, variceal band ligation, variceal glue injection, colonoscopy, liver biopsy, and paracentesis. There are opportunities for research projects involving viral hepatitis, hemochromatosis, fatty liver and transplantation.
There are strong linkages between the Hepatology service and Gastroenterology, Hepatobiliary Surgery, Pathology and Interventional Radiology. Weekly activities encompass Hepatobiliary/Liver Transplant grand rounds, Histopathology rounds, the Liver Transplant selection board meeting, and a monthly Journal Club where cutting-edge hepatology and liver transplantation topics are discussed. We also share nationally with McMaster University’s Hepatology group Journal Club following significant meetings such as AASLD and EASL.
Liver fellows typically share a call schedule with senior surgical trainees in the liver transplantation surgical fellowship program (1 in 4). It is recommended that applicants have salary support commensurate with level of training (PGY6) prior to start of the fellowship year. Applicants typically have successfully completed a certified fellowship in Gastroenterology but there is flexibility in the entry requirements. Our Hepatology program is a certified subspecialty by the Royal College of Physicians and Surgeons of Canada and our liver transplant program is accredited by the American College of Transplantation. Liver fellows may be eligible to write the new American examinations in Liver Transplantation.
For further information on how to apply for the Liver Fellowship please contact the Program Director, Karim Qumosani.
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