Introduction:
The Transplant Hepatology Fellowship at Washington University in St. Louis is a 12-month fellowship focused on providing additional training and experience in the diagnosis and management of patients with liver disease, including the pre and post-transplant period.
Structure:
Fellows spend time on the inpatient Hepatology consult service, where they supervise 1-2 general gastroenterology fellows, internal medicine residents and occasionally medical students. They are encouraged to engage in teaching, and leading rounds under the supervision of the attending on service. The clinic rotation entails working with hepatology attendings in general hepatology clinics, and focuses on outpatient management of liver diseases. Fellows will also spend time on the inpatient transplant surgery service, where they will be expected to attend procurements and transplants. Finally, there is dedicated research time, where fellows are expected to complete at least one Quality Improvement project during the year.
Fellows will attend transplant clinic every Wednesday morning, where they will work with all the hepatology attendings. This clinic focuses on seeing patients that are undergoing transplant evaluations, on the waitlist, or are post-transplant. A weekly selection committee is held, where patients that have undergone liver transplant evaluation are discussed. Fellows will frequently present patients at this conference, to familiarize themselves with the evaluation process.
| Rotation | Duration |
| Inpatient Hepatology consult service | 6 months |
| Outpatient Hepatology clinic | 2 months |
| Transplant Surgery | 2 months |
| Research | 2 months |
Clinical Site:
Barnes Jewish Hospital is the main site for inpatient clinical care and consultative services. Outpatient experience is primarily at the Washington University Center of Advanced Medicine but occasionally the fellow will be supervised in clinics at BJC West County and BJH South County Center for Advanced Medicine.
Education Activities and Research:
Individual didactic lectures on topics outlined by the AASLD training committee are completed throughout the year. In addition, fellows participate in regular conferences (GI/liver tumor conference, GI Grand Rounds, Hepatopathology conference, Imaging conference, Journal Club, Research conference and Multidisciplinary Liver Transplantation conference). Each fellow selects a research mentor for at least one clinical research project during the fellowship. Fellows are trained in transient elastography procedure and interpretation. Fellows also observe at least 3 cadaveric liver procurements and 3 liver transplantations.
Liver Transplant volumes (previous 5 years):
- 2019: 124
- 2020: 128
- 2021: 154
- 2022: 136
- 2023: 130
Current Faculty:
- Jaquelyn F. Fleckenstein, M.D. Professor of Medicine. Director, Hepatology Program. Director, Advanced Hepatology Fellowship
- Jeffrey S. Crippin, M.D. Professor of Medicine. Marilyn E. Bornefield Chair in Gastrointestinal Research and Treatment. Associate Chairman for Clinical Programs.
- Kevin M. Korenblat, M.D. Professor of Medicine. Medical Director, Liver Transplantation.
- Scott McHenry, M.D. Assistant Professor of Medicine
- Jason J. Pan, M.D. Assistant Professor of Medicine
- Lindsay Meurer, M.D. Assistant Professor of Medicine
- Vivian Ortiz, M.D. Assistant Professor of Medicine
- Lolwa Al-Obaid, MBBChB. Assistant Professor of Medicine
- Parth Shah, M.D. Assistant Professor of Medicine
Current Fellows:
- Megan White, MD
Apply:
Applications are accepted through the American Association for the Study of Liver Diseases Transplant Hepatology Fellowship Matching Program: https://www.aasldapp.org/
For questions please, please contact Lori Lonigro at llonigro@wustl.edu