Transplant Anesthesiology Fellowship
Mission & Vision:
Our mission at the Division of Solid Organ Transplant and Vascular Anesthesia is to serve our patient population to the best of our ability with integrity and empathy while training fellows to be great clinicians and future scientists.
We strive to deliver timely, safe and compassionate state-of-the-art care that embraces cultural values while respecting the needs of our diverse society. We provide excellence through the education and training of all learners.
Mission & Vision:
Our mission at the Division of Solid Organ Transplant and Vascular Anesthesia is to serve our patient population to the best of our ability with integrity and empathy while training fellows to be great clinicians and future scientists.
We strive to deliver timely, safe and compassionate state-of-the-art care that embraces cultural values while respecting the needs of our diverse society. We provide excellence through the education and training of all learners.
Program Director’s Welcome
We appreciate your interest in our program and look forward to showing you what makes us so proud of the University of Miami/Jackson Health System Transplant Anesthesiology Fellowship Program.
Each fellow administers more than 100 different transplant anesthetics per year under the direct supervision of full-time academic staff. Our graduates count themselves among the most well-trained transplant anesthesiologists in the country and all will agree they feel more than confident entering the workforce with the skills and expertise acquired over the course of our program.
Jackson Memorial Hospitalis a large, university-affiliated county hospital and is the perfect sponsor for your anesthesiology training. It is home to the Miami Transplant Institute, the largest transplant center in the U.S., performing some common (kidney, liver) and unique (intestinal, multivisceral and pancreatic) transplant procedures. Our transplant anesthesia division is very busy in clinical research and publications. Fellows get the chance to not only be a valued part of research projects, but to attend and present at a variety of anesthesia meetings.
The surroundings in which you train are an important aspect of selecting a fellowship program and Miami is a wonderful place to both live and work. Situated in one of the world’s premier destinations, we invite you to come see for yourself why patients, faculty and students from across the country and world are drawn to Miami and the UM/Jackson Health System.
-Division Chief Ramona Nicolau-Raducu, MD, PhD
-Director Fouad G. Souki, MD, MS
Program Director’s Welcome
We appreciate your interest in our program and look forward to showing you what makes us so proud of the University of Miami/Jackson Health System Transplant Anesthesiology Fellowship Program.
Each fellow administers more than 100 different transplant anesthetics per year under the direct supervision of full-time academic staff. Our graduates count themselves among the most well-trained transplant anesthesiologists in the country and all will agree they feel more than confident entering the workforce with the skills and expertise acquired over the course of our program.
Jackson Memorial Hospitalis a large, university-affiliated county hospital and is the perfect sponsor for your anesthesiology training. It is home to the Miami Transplant Institute, the largest transplant center in the U.S., performing some common (kidney, liver) and unique (intestinal, multivisceral and pancreatic) transplant procedures. Our transplant anesthesia division is very busy in clinical research and publications. Fellows get the chance to not only be a valued part of research projects, but to attend and present at a variety of anesthesia meetings.
The surroundings in which you train are an important aspect of selecting a fellowship program and Miami is a wonderful place to both live and work. Situated in one of the world’s premier destinations, we invite you to come see for yourself why patients, faculty and students from across the country and world are drawn to Miami and the UM/Jackson Health System.
-Division Chief Ramona Nicolau-Raducu, MD, PhD
-Director Fouad G. Souki, MD, MS
Fast Facts
Accreditation
None
Number of Fellows per Year?
4
Duration of Fellowship?
1 year
Clinical Experience
Year 1
Fellows’ education is a priority of our program. Fellowship curriculum comprises three major areas: education, clinical experience and research experience.
Education
Fellows will be provided several lecture series, weekly anesthesia morbidity and mortality conferences, journal club and case presentations. The goal is for fellows to acquire comprehensive knowledge about the pathophysiology of donor and recipient disease in order to provide appropriate and effective care. In addition, a basic transesophageal echocardiogram course with simulation is designed to enhance knowledge and skills.
Fellows will be enrolled in the International Liver Transplantation Society to be able to access up-to-date information via ILTS.org.
Fellows are also provided time to attend the Perioperative Care in Liver Transplantation meeting that is held annually in October at the American Society of Anesthesiology.
Clinical Experience
The clinical program emphasizes extensive perioperative management. Fellows will participate in the preoperative evaluation of transplant candidates. They will also learn to perform comprehensive preoperative examinations for the purposes of transplant candidate selection, optimize perioperative patient care and will be able to discuss risks and benefits.
In addition, fellows will participate in the weekly multidisciplinary selection committee to discuss the candidate suitability for liver transplantation. Fellows should develop an understanding of what resources are required by the larger multidisciplinary team for efficient decision-making.
During the one-month intensive care unit rotation, fellows will follow and manage patients who underwent abdominal organ transplantation. Furthermore, up to a one-month rotation with Life Alliance Organ Recovery Agency will broaden the fellows’ training relative to the organ procurement process.
Throughout the one-year fellowship, fellows are expected to cover at least 50 major, non-transplant cases: biliary reconstructions; esophagectomies; liver resections; living donor nephrectomies; major vascular surgeries; pancreatectomies; radical nephrectomies; surgeries in patients who have undergone previous transplantation; transplant patient’s bring-backs or Whipple procedures.
Additionally, the fellow will participate in at least 50 cases of liver transplantation including combined liver-kidney and multivisceral transplant. Fellows will have the opportunity to participate in cadaveric kidney and pancreatic transplantation, intestinal transplantation, living-related kidney transplantation and pediatric liver transplantation.
At the end of the one-year fellowship, fellows will be able to manage the perioperative course of the critically-ill transplant patient, resulting in the following proficiencies: basic transesophageal echocardiography, managing large-volume resuscitations using the Belmont Rapid Infuser, managing the coagulopathy by using Thromboelastogram, placing invasive monitoring and running intraoperative dialysis.
Research Experience
Our program encourages liver transplant anesthesia fellows to participate in ongoing research projects or to initiate at least one new investigation project.
Fellows will learn to use statistical computer software (JMP Software from SAS) and create/maintain database systems. Fellows are expected to complete submission of a manuscript for peer-review and eventual publication. Research work will be presented at the Department of Anesthesia grand rounds.
Your Faculty
Behrouz Ashrafi, MD
Assistant Professor, Clinical Anesthesiology
Michael P. Demos, MD
Assistant Professor, Clinical Anesthesiology
Marina Gitman, MD
Associate Professor
Cosmin Guta, MD
Staff Physician
Joshua Livingstone, MD
Associate Professor, Clinical Anesthesiology
Vinaya Manmohansingh, MD
Assistant Professor, Clinical Anesthesiology
Ramona Nicolau-Raducu, MD, PhD
Professor, Clinical Anesthesiology
Chief, Division of Solid Organ Transplant and Vascular Anesthesia
Vadim Shatz, MDAssistant Professor, Clinical Anesthesiology
Fouad G. Souki, MD, MS
Professor, Clinical Anesthesiology
Director, Transplant Anesthesia Fellowship Program
Alumni Placements Include:
Jackson Memorial Hospital
Montefiore Medical Center NY
University of Alberta
University of Arkansas
University of Miami
University of Washington
Washington University in St. Louis
Yale University
Alumni Placements Include:
Jackson Memorial Hospital
Montefiore Medical Center NY
University of Alberta
University of Arkansas
University of Miami
University of Washington
Washington University in St. Louis
Yale University