Curriculum

Pediatric Advanced/Transplant Hepatology Fellowship

Clinical

During this year of training, the Pediatric Advanced/Transplant Hepatology fellow will gain clinical mastery in a wide range of general acute and chronic liver disease, inclusive of but not limited to: Management of portal hypertension, evaluation, selection and procurement for deceased donor liver transplantation, management of hepatitis B and hepatitis C in children, biliary diseases, vascular malformations of the liver, management of liver tumors, neonatal cholestasis, and long-term post-liver transplantation care. Fellows will interact closely with fellow and faculty from other subspecialty divisions within Pediatrics, including critical care medicine, interventional radiology, pathology, metabolic genetics, transplant surgery. They will develop diagnostic and therapeutic expertise in areas of hepatology and nutritional disorders and develop proficiency in percutaneous liver biopsy.

Fellows gain expertise in inpatient and outpatient patient care, consultative services and gastroenterological and hepatic procedures. Fellows also participate in subspecialty clinics for hepatology, transplant and bowel rehabilitation and adult hepatology and liver transplantation procedures and care at the University of Washington Medical Center. The fellows prepare and give talks in multiple formats and information settings, and lead multi-specialty conferences.Our active Pediatric GI fellowship includes 3 fellows in training who will work closely with the current Transplant Hepatology Fellow.

Research

Seattle Children’s Hospital performs between 15 and 20 pediatric liver transplants per year and follows an additional 100 post-transplant patients. We work closely with our partners at University of Washington Medical Center, a very busy adult liver transplantation program. Faculty members of the Divisions of Pediatric Gastroenterology and Hepatology and Pediatric Liver Transplantation are recognized as leading clinicians, researchers and educators in the field of pediatric hepatology and liver transplantation and are currently involved in national and local research studies of pediatric liver transplantation, acute liver failure, biliary atresia, hepatitis B and C treatment, digital health in improving quality of transplant pharmacy teaching, transplant immunology and non-alcoholic fatty liver disease. Fellows in this program will have numerous opportunities for participation in clinical research, translational research, and quality improvement initiatives.

With over $100 million of NIH funding to the University of Washington and the Fred Hutchinson Cancer Research Center, the research opportunities for our trainees are nearly limitless. Within our division we are currently doing clinical research in liver and small bowel transplantation, infectious hepatitis and other hepatopathies, inflammatory bowel disease, pancreatitis and abdominal pain along with basic science research in hepatic metabolism. Collaborative researchers at our affiliate institutions in gastroenterology have active programs in hepatobiliary disease, inflammatory bowel disease, motility disorders, and the immunologic basis of gastrointestinal disease; they also do basic science research in the pathophysiological and biochemical basis of these diseases.