Evidence map›Paper›PMID 41694836›Full record

ArticleCureus2026

Beyond the Fellowship: Rebuilding the Pathway to Transplant Leadership.

Dimitrios Moris, Yuri S Genyk, Emmanouil Giorgakis

Abstract readEditorial
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dimitrios MorisTransplant, MedStar Georgetown University Hospital, Washington, D.C., USA.
Yuri S GenykTransplant, MedStar Georgetown University Hospital, Washington, D.C., USA.
Emmanouil GiorgakisSurgery, University of North Carolina at Chapel Hill, Chapel Hill, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Training in abdominal organ transplantation has historically lacked standardization and alignment with contemporary surgical education paradigms. The current fellowship-based model in the United States provides variable exposure, inconsistent academic structure, and limited integration with related fields such as hepatopancreatobiliary (HPB) surgery and surgical oncology. Drawing lessons from integrated cardiothoracic and vascular surgery pathways, a restructured, competency-based model emphasizing early specialty exposure, academic development, and alignment with national certification frameworks could enhance the quality and coherence of transplant training. Integrated training has been shown to improve recruitment, research productivity, and trainee satisfaction in other disciplines, and similar principles could strengthen transplantation. Moreover, the growing convergence between HPB surgery, oncology, and transplantation highlights the emergence of transplant oncology as a new subspecialty. This evolving field integrates oncologic and advanced HPB surgical principles with core transplant expertise, warranting formal recognition through a dedicated three-year fellowship that includes focused experience in living donor liver transplantation and complex cancer surgery. Reforming transplant education through such models is essential to ensure the sustainability, academic vitality, and multidisciplinary evolution of the field and to reaffirm transplantation's central role in advancing academic surgery.

Indexed as

competency-based educationhepatopancreatobiliary surgerysurgical leadershiptraining reformtransplant fellowship

Identifiers

PMID41694836
PMCPMC12906301

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.