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TRAINING INTERNSHIPS IN LUNG TRANSPLANTATION

12 de Octubre University Hospital Madrid. Spain

Dr. Rodrigo Alonso Moralejo is a researcher in the field of respiratory medicine, and over the past ten years he has devoted himself almost exclusively to lung transplantation. He has served as principal investigator or co-investigator in approximately 50 indexed articles. His main research interests include infectious complications in lung transplantation, the study of acute and chronic rejection in lung transplant recipients, and the clinical management of the major medical complications associated with this procedure.

He has authored/co-authored several peer-reviewed articles, collaborates with medical professionals and institutions, and contributes to improving diagnostic practices in pulmonary medicine.

Main Areas of Interest

· Lung Transplantation & Clinical Management: Comprehensive training in referral criteria, patient selection, pre-transplant evaluation, and post-transplant follow-up, with emphasis on evidence-based management protocols in intensive care, inpatient, and outpatient settings.

· Immunosuppression & Rejection: In-depth understanding of immunosuppressive therapies, their clinical applications, dose adjustments, and side effects, along with diagnosis, treatment, and case-based learning on acute and chronic rejection.

· Infectious Complications in Transplantation: Specialized focus on viral (e.g., CMV), bacterial, and fungal infections in lung transplant recipients, with training in prophylaxis, diagnosis, and management strategies tailored to transplant patients.

· Cardiopulmonary Disorders & Rehabilitation: Clinical insights into managing pulmonary arterial hypertension (PAH) and other cardiopulmonary conditions in transplant candidates, complemented by physical rehabilitation approaches for optimizing recovery and long-term outcomes.

· Multidisciplinary & Translational Clinical Training: Exposure to collaborative care through joint meetings with pulmonology, intensive care, thoracic surgery, and infectious disease teams, integrating theoretical teaching, clinical practice, and real case resolution to prepare fellows for advanced lung transplant care.

Training placements in the multidisciplinary TxP unit will consist of three parts:

• Theoretical Training: in the form of presentations in which written teaching materials will also be provided, including management protocols for the most common situations experienced by lung transplant patients and a follow-up schedule.

• Practical Training in which participants will participate in the daily care activities of the unit, sharing daily visits to post-transplant patients in intensive care, on the hospital ward, and in consultation, as well as attending the weekly clinical session of the Transplant Unit.

• Resolution of clinical cases: among course students, advised by the unit's physicians on how to proceed with their diagnosis and treatment.

Specialties

Transplant Surgery

Pulmonology

Techniques You Will Learn

· Clinical Care of Lung Transplant Patients: Direct participation in daily ward rounds, intensive care follow-up, and outpatient consultations, gaining hands-on experience in the continuum of transplant patient management.

· Management of Immunosuppressive Therapy: Practical training in the initiation, adjustment, and monitoring of immunosuppressive regimens, including recognition and management of side effects.

· Diagnosis & Treatment of Rejection: Exposure to real clinical cases of acute and chronic rejection, including interpretation of pulmonary function tests and application of diagnostic and therapeutic strategies.

· Infectious Disease Management in Transplantation: Applied training in prophylaxis, early recognition, and treatment of viral (CMV and others), bacterial, and fungal infections specific to lung transplant recipients.

· Case-Based Clinical Decision-Making: Structured resolution of transplant-related clinical cases under faculty supervision, integrating theoretical knowledge with practical problem-solving.

· Multidisciplinary Team Integration: Participation in weekly transplant, pulmonology, and intensive care meetings with thoracic surgeons, cardiologists, and infectious disease specialists to develop collaborative and translational clinical skills.

· Rehabilitation & Long-Term Care: Training in physical rehabilitation strategies and patient self-care education to optimize recovery and quality of life post-transplant.

Curriculum

First Week
· 8:00 Welcome by Dr. Alicia de Pablo
· Course presentation and organization
· Distribution of protocol and teaching materials
· 8:30–1:30 PM Start of clinical care: 1 student in hospital with a Respiratory Medicine doctor
· 12:00–12:30 (joint meeting in Intensive Care Unit)
· 13:30–14:00 PM Lunch break in the hospital
· 2:00–4:30 Meeting, theoretical classes and clinical cases

Second Week
· 8:30–1:30 PM Start of clinical care: 1 student in outpatient consultation with a Respiratory Medicine doctor
· 12:00–12:30 (joint meeting in Intensive Care Unit)
· 13:30–14:00 PM Lunch break in the hospital
· 2:00–4:30 Meeting, theoretical classes and clinical cases

Meetings
· Daily Meeting at 12:00 PM with Intensive Care Unit. Postoperative Clinical Case Presentation
· Weekly Meeting every Thursday at 8:30 AM Pulmonology Meeting. Presentation of clinical cases in pulmonology
· Weekly Meeting every Thursday at 13:30 PM Lung Transplant Meeting with Thoracic Surgery. Presentation of clinical cases for inclusion on the transplant waiting list

Class Schedule
· "Referral criteria and indication for lung transplant" — Speaker: Dr. Alicia de Pablo
· "Referral criteria and indication for lung transplant" — Speaker: Dr. Alicia de Pablo
· "Patient preparation before referral and treatment strategy for secondary PAH for transplant" — Speaker: Dr. Andrés Quezada
· "Immunosuppressants: Introduction to their management, equivalences, modifications, and most common side effects" — Speaker: Dr. Rodrigo Alonso
· "Interpretation of post-lung transplant pulmonary function" — Speaker: Dr. Juan Margallo
· "Acute and chronic rejection: presentations and diagnosis" — Speaker: Dr. Rodrigo Alonso
· "Treatment Options for Acute and Chronic Rejection" — Speaker: Dr. Rodrigo Alonso
· Clinical Cases of Rejection — Dr. Rodrigo Alonso and Dr. Andrés Quezada
· "Self-care for the transplant patient" — Ms. Visitacion Ayuso
· "Importance of CMV in lung transplantation and its management" — Speaker: Dr. Alicia de Pablo
· "Importance of viruses in lung transplantation" — Speaker: Dr. Rodrigo Alonso
· "Fungal infections: interpretation, prophylaxis, and treatment. What's different about lung Tx?" — Dr. Francisco Lopez Medrano
· Infectious Clinical Cases — Dr. Andrés Quezada
· "Bacterial infections: prophylaxis and treatment. What's different about pulmonary transplantation?" — Dr. Juan Margallo
· "Follow-up of a transplant patient in a non-transplant center" — Dr. Alicia de Pablo
· Clarification of doubts and long-term transplant case review — Dr. Alicia de Pablo
· "Management of PAH before lung transplantation" — Speaker: Dr. Pilar Escribano
· "Physical rehabilitation for lung transplant candidates and recipients" — Speaker: Cristina Dumitri

Accommodation

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Fees and Program Logistics

This program has the following durations available:

Duration	Fee
2 weeks	$1,063.00

Who Can Apply

• Physicians from hospitals that refer patients who are candidates for lung transplantation (LTx) and are interested in participating in the post-transplant follow-up of these patients.

• Pulmonologists from centers with a LTx program who wish to learn about a different approach to clinical practice than their own unit.

Host Details

Host Name: Rodrigo Alonso Moralejo MD, PhD

Affiliation: 12 de Octubre University Hospital Madrid. Spain

Address: 12 de Octubre University Hospital Madrid. Spain

Website URL: https://www.comunidad.madrid/hospital/12octubre/

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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