Hepatology Fellowship Curriculum

Ensuring that the fellows acquire comprehensive knowledge and skills.

Hepatology curriculum will ensure that the fellows acquire the following specific basic knowledge/skills:

  • Significant knowledge about genetic markers of liver disease, immunology, virology, and other pathophysiological mechanisms of liver injury; the basic biology and pathobiology of the liver and biliary systems as well as a thorough understanding of the diagnosis and treatment of a broad range of hepatobiliary disorders
  • Skill in the performance of pertinent (or related) diagnostic and therapeutic procedures
  • An appreciation of the indications and use of several diagnostic and therapeutic procedures that are needed to manage hepatobiliary disorders

Hepatology curriculum will ensure that during the training period, comprehensive coverage of the following topics will be provided:

Demonstrate competence in:

  • The biology and pathophysiology of liver diseases
  • Diagnosis and management of patients with the wide variety of diseases of the liver and biliary tract system, including the following:
  • Acute hepatitis: viral, autoimmune, toxic, drug-induced
  • Fulminant hepatic failure, including the timing to transplant, management of cerebral edema, coagulopathy, and other complications associated with acute hepatic failure
  • Chronic hepatitis (and cirrhosis); chemical, biochemical, serological, and histopathologic diagnosis of chronic viral hepatitis
  • Complications of chronic liver disease, including complications of portal hypertension (ascites, spontaneous bacterial peritonitis, prevention and treatment of bleeding esophageal varices and gastropathy), hepatic encephalopathy, hepatorenal syndrome
  • Hepatocellular carcinoma (screening and diagnostic options, treatment options)
  • Non-viral causes of chronic liver disease, such as alcohol, nonalcoholic fatty liver disease (including nonalcoholic steatohepatitis), Wilson’s disease, primary biliary cirrhosis, autoimmune hepatitis hemochromatosis, and α-1-antitrypsin deficiency
  • Gallstone disease, including the appropriate use of medical and surgical therapies
  • Hepatobiliary disorders associated with pregnancy, including care of patients with abnormal liver tests as well as those with severe liver disease associated with pregnancy
  • Perioperative care of patients with defined disease of the liver or evidence of hepatobiliary dysfunction
  • Selection and care of patients awaiting liver transplantation, including the assessment of the candidacy of patients for transplantation
  • Care of patients following liver transplantation, including an understanding of the use of immunosuppressive agents; diagnosis and management of rejection; and recognition of other complications of transplantation, such as certain infections and biliary tract and vascular problems.
  • Use of antiviral agents in the treatment of liver disease
  • Management of the nutritional problems associated with chronic liver disease
  • Competency based goals and objectives
  • Goal: Able to assess new patient problems, formulate and execute a treatment plan with guidance and teach basic hepatology skills and evidence-based medicine to residents, medical students and other trainees