The curriculum encompasses all aspects of liver transplantation, ensuring that by the end of the fellowship, the trainee is proficient in both clinical and academic facets of transplant surgery. Key areas include:

• Transplant Immunology:
  • Basic and clinical immunology, mechanisms of rejection and tolerance.
• Immunosuppression:
  • Pharmacology, induction and maintenance protocols, adverse effects and tailored immunosuppression strategies.
• Organ Recovery & Allocation:
  • Legal aspects of organ transplantation, donor assessment, organ preservation techniques (static cold storage, machine perfusion), and allocation systems.
• Indications for Liver Transplantation:
  • Evaluation of disease severity, management of acute liver failure, chronic liver disease and special considerations for combined transplants.
• Live Liver Donation:
  • Donor assessment, surgical techniques (open, laparoscopic, robotic) and post-operative management.
• Recipient Surgery:
  • Techniques of hepatectomy, implantation methods (whole vs. partial grafts) and management of post-operative complications.
• Long-term Management:
  • Post-transplant care including immunosuppression management, rejection episodes, complications and quality of life issues.
• Ethical Considerations:
  • Principles of deceased donation, donor autonomy and ethical challenges in transplantation.
• Training Resources:
  • Use of a standardized LTSI e-logbook, recommended textbooks, journals, surgical videos and online lectures organized by LTSI.
• Additional Postings:
  • Transplant Hepatology – 2 weeks
  • Transplant Anaesthesia - 2 weeks
  • Transplant Endoscopy & Diagnostic/Interventional Radiology – 2 weeks
  • Liver Pathology – 2 weeks
  • Infectious Disease – 2 weeks
  • Transplant ICU – 4 weeks
  • External posting at another accredited center for 2 weeks (or at an agreed international center)
• Academic Requirements:
  • Fellows must participate in academic activities (seminars, journal clubs, case presentations) and maintain a comprehensive (or electronic) logbook of clinical and academic activities.