The clinical program is focused equally on pre/peri/post-transplant care both in the inpatient and outpatient settings. The fellowship is a blend of critical and primary care, medical and surgical care, pediatric and geriatric care, inpatient and outpatient care, and acute and chronic care. The training program exposes the fellow to the full continuum of care from initial referral of the patient to the transplant center to placement on/maintenance of the waiting list to the transplant event to short-term and then long-term medical and surgical care of the transplant patient. In the first year, the fellow will learn primarily how to evaluate and care for patients from a medical and surgical perspective in a supervised fashion. In the second year, the fellow will become more autonomous with graded responsibility based on progression of their knowledge base and clinical skills. The focus in year one will be predominantly in deceased donor kidney transplantation and dialysis access, whereas the focus in year two will be in living donor kidney transplantation, pancreas transplantation, and multi-organ retrieval procedures.