Curriculum
Hepatology and Liver Transplantation Elective Rotation (Lifelink)
Goals and Objectives
Medical Knowledge:
Gastroenterology fellows completing this rotation will have an in depth knowledge of the
following:
1. Epidemiology, pathophysiology, and clinical presentation of hepatitis C and B.
2. Pathophysiology and clinical manifestations of autoimmune liver disorders
including autoimmune hepatitis, PBC, and primary sclerosing cholangitis.
3. Pathophysiology and clinical manifestations of alcoholic liver disease including
alcoholic hepatitis and cirrhosis.
4. Pathophysiology and clinical manifestations of NASH.
5. Pathophysiology and clinical manifestations of portal hypertension, hepatic
encephalopathy, and hepato-renal syndrome
6. Pathophysiology and clinical manifestations of genetic disorders effecting the
liver.
7. Pathophysiology and clinical manifestations of fulminant liver failure.
8. Indications for liver transplantation.
9. Manifestations of acute cellular rejection, and chronic rejection post liver
transplantation.
10. Laboratory evaluation of liver disorders.
11. Indications for liver biopsy, hepatic angiography, hepatic imaging procedures,
and TIPS.
Patient Care:
Gastroenterology fellows completing this rotation will be able to evaluate, diagnose and
manage the following conditions:
1. Hepatitis B and C, autoimmune liver disorders, alcoholic liver disease, NASH,
and genetic liver disorders (hemochromatosis, Wilson’s disease, alpha1 antitrypsin deficiency, and others).
2. Complications of cirrhosis including esophageal varicies, ascites, spontaneous
bacterial peritonitis, hepatic encephalopathy, and hepatorenal syndrome.
3. An understanding and abillity to apply the methods employed to assess quality of
care and initiate improvement projects in patients with liver disorders.
4. A commitment to continuous improvement in the delivery of medical care
including the appropriate use of liver transplantation.
5. The ability to evaluate reported hepatic and related research, and use the
information obtained from reviewing the literature to improve the care of patients
with liver disorders.
6. The ability to use information technology to manage practice information.
7. The ability to use information technology to enhance professional development
and continuing education.
8. A willingness to participate in the education of students, residents and other
health care professionals.
9. Fulminant hepatic failure.
10. Problems developing in patients currently on the transplant list.
11. Post liver transplantation problems including prevention of rejection, evaluation
of graft failure, treatment of acute cellular and chronic rejection, treatment of
recurrent hepatitis C and other infections post transplant.
12. Patients with graft failure requiring re-transplantation.
Practice Based Learning and Improvement:
Gastroenterology fellows participating in this elective rotation will develop:
1. A critical approach to the hepatology literature to facilitate review and
assessment of the quality of reported scientific studies.
2. An ability to apply the methods used to assess quality of care and initiate
quality improvement projects for patients with liver disorders..
3. A commitment to continous quality improvement in the delivery of care to
patients with liver disorders.
4. The ability to evaluate reported research and use the information obtained from
reviewing the literature to improve patient care.
4. The capability of using information technology to manage data on patients
with liver disorders.
5. The ability to use information technology to enhance professional development
and continuing education.
6. A willingness to participate in the education of students, residents and other
health care professionals involved in the care of patients with liver disorders.
Systems Based Practice:
Gastroenterology fellows participating in this elective rotation will:
1. Be able to function as part of the liver transplant team.
2. Understand and be able to participate in liver transplant committee meetings.
3. Be able to function as a patient advocate for individuals with advanced liver
disease.
4. Be able to participate in the multidisciplinary management of patients with
hepatocellular carcinoma.
Communication:
Gastroenterology fellows participating in this elective rotation will be able to:
1. Create and sustain a therapeutic and ethically sound relationship with patients
having advanced liver disease, and with their families.
2. Communicate effectively with chronically ill patients and their families.
3. Work with others as an effective team member.
4. Counsel and educate patients and families concerning health issues relating to
liver disease, transplantation, and expectations post treatment and
transplantation.
Professionalism:
Gastroenterology fellows participating in this rotation will learn and/or demonstrate:
1. Respect, compassion and integrity in all interpersonal relationships.
2. A commitment to provide continued effort until patient care needs are
completed or responsibility for them is transferred to another health care
provider.
3. An understanding of diversity issues treating all patients with respect and
consideration.
4. A commitment to the ethical principles pertaining to informed consent.
5. Accountability to to patients, society and the profession.
6. A commitment to lifelong learning and continued professional development.
Weekly Schedule for Fellows During
Hepatology/Transplant Elective
A
M
Monday
Tuesday
Hospital
Rounds
(8-12)
Journal
Club/IR
Conference
(7-8)
Transpla
nt
Liver
Biopsy
(12-1)
PM Transpla
nt Clinic
(1-4)
Wednesda
y
Hospital
Rounds
(8-12)
Thursday
Friday
Hospital
Rounds
(8-12)
Hospital Rounds
(8-12)
Hospital
Rounds
(8-12)
Transplant
Liver
Biopsy
(12-1)
Transplant
Liver
Biopsy
(12-1)
Transplant
Liver Biopsy
(12-1)
Transplant
Clinic
(1-4)
Hepatolog
y Clinic
(1-4)
Transplant
Clinic
(1-4)
Transplant
Liver
Committee
(3:30-5)
Topic
Presentatio
n by
Fellow
(4-5)
USF
GI/Hepatolo
gy
Conference
(4-6)
Transplant
Liver Biopsy
(12-1)
Research/Didacti
cs
(1-5)