ANEXO II
ACADEMIC PROGRAM IN THE MEDICAL SPECIALTIES FOR VISITING
PHYSICIANS
DEPARTMENT/DIVISION: Transplantation Institute
PROGRAM DIRECTOR: Sander S. Florman, M.D.
TITLE OF PROGRAM: Clinical and Research Training in Solid Organ
Transplantation
DURATION: 6 months*
*If more than 6 months of clinical education is requested, ECFMG certification and a
limited NYS permit are required.
General Description of the Program The Transplantation Institute at Mount Sinai
encompasses liver, kidney, intestinal and pancreatic transplantation. It includes
transplantation in both adults and children and encompasses both living donor and
deceased donor transplantation. The work-up, listing, transplantation, and short and long
term follow-up of the patients occurs in a unique multidisciplinary setting involving the
transplant surgeons and medical and pediatric subspecialists, including hepatology and
nephrology, along with a number of other consultants. Furthermore, there are over sixty
clinical and translational research projects taking place providing up-to-date care and
cutting edge, highly organized and efficient care to the large panoply of patients under
our purview. Within this setting is an extraordinary opportunity for the teaching and
training of residents, fellows and advanced degree holders in a variety of aspects of the
clinical and basic science and surgical techniques in solid organ transplantation.
Educational Goals & Objectives The various applicants come to the Transplant Institute
with a variety of goals, and the program allows flexibility in the precise design of the plan
of study for each applicant. The primary focus may be in one or more of the following
areas: liver transplantation, kidney transplantation, pancreas transplantation, intestinal
transplantation, adult transplantation, an pediatric transplantation. Participants will be
exposed to the breadth of clinical activities within the Transplant Institute, with special
attention to the activity related to their primary focus or foci of interest. Clinical activity
will be carried out under the direct preceptorship of the Surgical and medical Program
Directors for each are a in which the participant has chosen to focus. The objectives of the
program are to provide hands-on training in state-of-the-art surgery and patient care, and
to provide training in clinical research methodology leading to one or more publications
in peer-reviewed journals and/or presentations at national or international meetings. Page
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Didactic Program** The attached weekly schedule of conferences and activities within
the Transplant Institute demonstrates a large number of opportunities for formal teaching
and learning on an ongoing basis. Participants are expected to take part in all educational
activities related to their primary focus or foci, as well as selected activities in related
areas. In addition, participants will have the opportunity to audit courses within the
institutional K-30 clinical research training program. Biweekly meetings with a preceptor
will take place to develop and monitor progress of research projects. In addition, there
will be ample opportunity to set up independent tutorials to further train the individual in
specific areas of clinical, surgical and research work.
**Hours per week in Grand Rounds, Journal Club, lectures, etc. should be specified.
Hours in Didactics per Week: 10
Clinical Activities The participants will take part in scheduled, emergent and urgent
surgeries relating to their particular area or areas of focus. Currently over 300 solid organ
transplants take place each year, providing ample opportunity for observing multiple
procedures. Participants will also accompany procurement staff for deceased donor,
multi-organ harvesting. Participants will also join the clinical team on daily
interdisciplinary rounds on the transplant service.
Hours in Clinical Activity per Week: Variable, averaging 50-60 hours
Describe Method of Evaluation Evaluation will be carried out on an ongoing basis
during the biweekly sessions with the preceptor. There will be no formal examination. It
is expected that each participant will produce at least one publication or presentation as
described above. A written evaluation will be completed by the preceptor and other
members of the transplant team at the completion of the program.