Clinical Transplantation

Sites: BIDMC
Director(s): Katharyn Atkins, Amy Evenson
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not offered in April 2016.
Location: BIDMCW - BI-Deaconess Med Ctr-West (12)
Open to Exclerks: US/Canadian
Description: Students will participate actively in the day-to-day activities of the multidisciplinary Transplant Service, one of the busiest transplant services in Boston. They will be integral members of the team and work closely with transplant surgeons, nephrologists, hepatologists, residents and fellows to evaluate and follow patients undergoing kidney, pancreas, and liver transplantation, as well as dialysis access patients and patients with end organ failure requiring general surgical procedures. Students will perform admission evaluations and follow at least 3 patients at any one time, present his/her findings orally on rounds to the attending surgeon for review and feedback, write daily progress notes in the medical record, attend the patients� surgical procedure, and participate in all aspects of the patients� care. The attending surgeon will supervise the student�s work and provide timely feedback. Activities will also include travel with organ procurement teams to recover organs for transplantation and attendance in surgery when transplants and other procedures are being performed. Students will attend weekly lectures, patient care conferences, and seminars. Students are expected to deliver one or two detailed oral presentation(s) on a patient or clinical problem they have encountered on the rotation with an emphasis on evidence-based medicine, demonstrating an understanding of the basic science aspects relevant to the problem and its pathophysiology.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science is an integral part of transplantation, particularly kidney transplantation. The student will be exposed to HLA typing and crossmatching and other aspects of the immunology of transplantation on rounds, in conferences, and during patient care meetings.
Grade Criteria:
Honors with Distinction: Top 5%. Exceptional ability and work ethic. Honors: Top 10%. Satisfactory: Average performance. Unsatisfactory: Did not complete basic requirements of the course.