Physician Fellowship Opportunities
The two-year Transplant Surgery Fellowship at The Nebraska Medical Center, which is the hospital arm of the University of Nebraska Medical Center, is divided into two services. The transplant fellows spend the majority of their first year on the kidney/pancreas service. On the kidney/pancreas service, the fellows are responsible for the clinical organization of the transplant service. Other residents rotating with them include mid-level general surgical and urology residents. During the time spent on the kidney/pancreas service, the fellows are involved with multi-organ donor operations. Early in the fellowship, the fellows are given training in the performance of multi-organ procurement that includes liver, kidneys, pancreas and small bowel. As the transplant fellows demonstrate competence with this operation, they are gradually given more and more independence. The second year for the transplant fellowship is primarily spent on the liver/small bowel transplant service. The transplant fellows are directly responsible for all of the patients receiving both liver and intestinal transplants. It is a multidisciplinary service and rounds are made with both the surgical and medical staff in attendance.
For more information on our transplant fellowship opportunities, click here or contact:
Alan Langnas, DO
Chief of Transplantation
The Gastroenterology and Hepatology section at the University of Nebraska Medical Center (UNMC) is active at two hospitals within a geographic area of six blocks: The Nebraska Medical Center and the Omaha Veterans' Administration Hospital (OVAH). The division has full-time faculty members in gastroenterology and hepatology, as well as basic sciences. Experience in surgical approaches to gastrointestinal diseases is provided through our close relationship with members of the Department of General Surgery; in particular, our fellows are involved in an active liver transplant program. Professional associations with radiology, pathology and pediatric gastroenterology add to our well-rounded program.
The GI fellowship program is three years in length. In general, the rotations are in six-week blocks. The core curriculum includes six to nine months at the OVAH, six to nine months at UNMC, six months on the pre-liver transplant service, six months on research and three months on the ERCP/motility service. The remaining time would be spent doing clinical research or services tailored to meet the individual fellow's needs (depending on future goals, weaknesses or strengths of the individual fellow).
Clinical exposure encompasses both primary and consultation inpatients, as well as endoscopic procedures. Training is provided in all procedural aspects of gastroenterology and liver disease, including diagnostic and therapeutic ERCP and endoscopic ultrasound. Busy outpatient clinics exist at both UNMC and OVAH. Fellows have a continuity clinic where they see patients with staff supervision. Fellows are also involved in staff clinics.
Areas of basic and clinical research include: (1) ethanol effects on hepatocyte and glycoprotein secretion, microtubular function; (2) clinical studies in liver disease and transplantation hepatology; (3) clinical studies in gastrointestinal endoscopy; (4) clinical studies in hepatocellular cancer and its detection; and (5) clinical studies in intestinal rehabilitation and short bowel syndrome. Our research laboratories are located at both the OVAH and UNMC campus.
For contact information and how to apply for a Fellowship in Gastroenterology, click here.
The nephrology program at UNMC began in 2007. We offer two positions each year through the National Resident Matching Program.
The clinical facilities utilized by the program include The Nebraska Medical Center, which is a 550-bed facility and the 100-bed Omaha VA Medical Center. The Section of Nephrology directs five outpatient dialysis units and provides care for over 250 chronic dialysis patients, including peritoneal and home hemodialysis. The Section of Nephrology plays an active role in the renal transplant program at the University of Nebraska Medical Center, providing consultation/care to patients before, during, as well as long-term follow-up post transplant. The transplant program averages approximately 130 kidney and kidney/pancreas transplants annually.
First-year fellows divide their time between three services: Acute Nephrology, Transplant Nephrology and VA Nephrology.
The Acute Nephrology Service is our busiest rotation, providing inpatient consultative nephrology for all hospital services, excluding kidney and kidney/pancreas transplant patients. In addition, this is our primary admitting service. This rotation provides the most exposure to evaluation and management of critical care patients, acute renal failure, fluid and electrolyte disorders, hemodialysis-related complications, as well as continuous renal replacement therapies. Nephrology fellows on this rotation supervise two Internal Medicine residents. The typical census for this service is typically between 15 and 25 patients.
The census on the Transplant Nephrology Service averages approximately 10 patients, which consists of primary patients and consults. Kidney transplant patients who are typically more than six months following transplant with medical issues are admitted to this service. Kidney and kidney-transplant patients, who are peri-operative or with primary surgical issues, are admitted to Transplant Surgery with Transplant Nephrology following as consultants. We have an active transplant center performing approximately 130 kidney and kidney/pancreas transplants yearly. In addition, we provide post-transplant care to over 700 patients, affording fellows exposure to acute and long-term complications of transplant. In addition to general nephrology continuity clinic, fellows attend two transplant clinics. One-half day is spent in the post-transplant clinic and one-half day is dedicated to pre-transplant evaluations and donor work-ups each week.
The VA nephrology rotation consists of inpatient and outpatient consultative nephrology. The census averages between five and 10 inpatients. While on this service, fellows also participate in two active nephrology clinics composed on general and consultative nephrology and the follow-up of VA patients with kidney and kidney/pancreas transplants. These clinics meet a total of two one-half days per week.
Second year nephrology fellows divide their time between six months of inpatient rotations and a six- month block of time that is devoted to research and outpatient dialysis. Research is performed with either clinical or basic science faculty. Fellows with an interest in research and academic medicine are encouraged to pursue an additional year of training. Fellows interested in clinical research are encouraged to pursue a master's degree in Clinical Research or Public Health. The outpatient dialysis experience consists of rounding on six to eight in-center hemodialysis patients weekly, as well as providing care to home hemodialysis and peritoneal dialysis patients in two clinics monthly.
To learn more about the application process for a fellowship in Nephrology, please contact:
UNMC Section of Nephrology
983040 Nebraska Medical Center
Omaha, NE 68198-3040
Email: Glennys Hirsh
The Cardiology Fellowship Program strives to provide the fellow with both a well-rounded clinical and research experience. In addition, there exists opportunities to acquire additional special skills in areas such as electrophysiology, interventional cardiology, echocardiography and congestive heart failure and heart transplant. At the end of the three-year fellowship program, the trainee is prepared to act as a consultative cardiologist and will be able to perform routine invasive and non-invasive diagnostic studies. The program offers rotation experience at University Hospital and the Omaha VA Medical Center. The trainee will actively participate in a number of clinical and research-oriented conferences. Journal Club is conducted for current literature review, focusing on both research and statistical techniques. The Cardiology and Internal Medicine Grand Rounds both offer educational opportunities, which frequently draw well-known speakers from outside institutions.
For contact information and how to apply for a Fellowship in Cardiology, click here
The Immunocompromised Host Infectious Disease (ICH-ID) program at UNMC focuses specifically on managing infections in patients who have undergone solid-organ transplantation. ID fellows enrolled in the two-year fellowship program available through UNMC and Creighton University have the opportunity to round with the ICH-ID service. The ID fellows gain experience in the diagnosis and treatment of a wide range of infectious complications that can occur in intestinal, liver, kidney, pancreas and heart transplant patients. During two one-month rotations with ICH-ID, fellows receive an introduction into immunosuppressive therapies. The ID fellows work very closely with the transplant surgeons to provide focused, high-level ID input into infectious problems occurring after transplant as a consequence of surgery and/or immunosuppressive drugs needed to prevent rejection.
For more information on the ICH-ID opportunity, please contact:
Alison Freifeld, MD
Director, Immunocompromised Host Infectious Diseases Program
Professor, Department of Medicine University of Nebraska Medical Center
For general program information, please contact:
Dr. Gary Gorby
For further information and additional educational resources, please visit www.unmc.edu.