Curriculum

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Clinical training

During the Advanced Lung Disease and Lung Transplant Fellowship, you acquire skills in patient diagnosis and management, procedural techniques, teaching, and research.

Rotation schedule

This is a typical rotation schedule:

Rotation	Length
Lung transplant (outpatient)	12 weeks
Inpatient lung transplant	12 weeks
Lung transplant/ECMO/ex-vivo lung perfusion at Mayo Clinic in Jacksonville, Florida	4 weeks
HLA/laboratory medicine	1 week
Anatomic pathology	2 weeks
Transplant infectious diseases	4 weeks
Research	12 weeks

Elective rotations in pulmonary hypertension, thoracic surgery, cardiovascular surgery, and ECMO ICU, interstitial lung disease clinic, chronic obstructive lung disease clinic, and adult congenital heart disease are also available.

Didactic training

Didactic training is an integral part of the Advanced Lung Disease and Lung Transplant Fellowship. One-on-one instruction while rotating is an integral part of your fellowship education. In addition, you will attend the following:

Transplant core curriculum series
Monthly lung histopathology conference
Bimonthly advanced heart and lung disease and transplant conference
Weekly transplant grand rounds
Biannual heart and lung transplant retreats
Small discussion groups at weekly selection conferences and weekly list review
Quarterly lung transplant journal club

Research training

Over the last decade, Mayo Clinic staff and fellows have presented hundreds of publications and talks at national and international meetings. Mayo Clinic is renowned for its leadership role in the transplantation of patients with a variety of lung diseases.

Each fellow has an opportunity to conduct a minimum of three months of research under the supervision of a mentor within a broad spectrum of projects in clinical investigation and basic science research.

What research topics are faculty and fellows currently working on?

Faculty research topics

	I am interested in lung transplant outcomes and risk prediction research. Currently, I am using machine learning to predict which lung transplant recipients are at high risk for invasive fungal disease. Kelly Pennington, M.D. Faculty
	I am interested in research on frailty, obesity, and psychosocial and emotional factors for patients with lung and/or heart transplants as well as end-stage lung disease. My goals are to identify both risk factors and effective interventions to improve such risk factors, thereby improving transplant outcomes and candidate selection. Cassie Kennedy, M.D. Faculty
	I am interested in the pathogenesis of chronic rejection as well as the cardiopulmonary interactions with both lung and heart-lung transplants. J.P. Scott, M.D. Faculty
	I am interested in complications of lung transplantation, pulmonary, and critical care complications of solid organ and hematopoietic stem cell transplantation, and applied clinical informatics in improving quality and value. Steve Peters, M.D. Faculty
	My current research interest is in developing biomarkers for solid organ graft integrity. We have developed a platform using donor-specific DNA junction sequences and polymorphisms to quantify cell-free DNA as a graft-integrity index. We seek to use this to detect occult rejection and to seek the least immunosuppression targets. We are continuing to advance our breakthrough work on donor transmissible Mollicute colonization eliciting recipient hyperammonemia and infection. Mark Wylam, M.D. Faculty

Moonlighting

This one-year fellowship is dedicated to focused training and research in advanced lung disease and lung transplant. Therefore, any moonlighting activities require discussion with and approval from the program director.

Evaluation

To ensure that you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout the fellowship. You are formally evaluated by your supervising faculty member after completing each clinical rotation, and you will meet with the program director quarterly to review these evaluations. In addition, you will regularly have the opportunity to evaluate the faculty to ensure that your educational goals are being met.