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 hepatology. 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.
• Pre-Transplant Optimisation
  • Comprehensive evaluation and optimization of patients listed for liver transplantation
• 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.
• Public Policy and Organ Allocation
  • Principles and frameworks governing organ allocation, including national and regional transplant policies, donor-recipient matching, prioritization based on medical urgency and transplant benefits
• Economics of Transplantation
  • Overview of the financial aspects of liver transplantation, including cost structures, resource utilization, funding models, insurance coverage, and the economic challenges associated with both deceased donor and living donor liver transplantations
• Training Resources:
  • Use of a standardized LTSI e-logbook, recommended textbooks, journals, surgical videos and online lectures organized by LTSI.
• Additional Postings:
  • Transplant Surgery – 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 logbook of clinical and academic activities.