Transplant hepatology fellowship training encompasses competencies in advanced hepatology as well as pre- and post-liver transplant medicine.

Training programs in the U.S.A. may offer ACGME-accredited pathway(s), or non-ACGME accredited pathway or both.

  • For the ACGME-accredited pathway(s), the candidate must have completed three years of ACGME-accredited gastroenterology fellowship training for a fourth-year transplant hepatology fellowship or be training in an ACGME-accredited gastroenterology fellowship for the “Dual Gastroenterology/ Transplant Hepatology (GI/TH) Pathway (formerly GI-TH Pilot Program)”.
  • For non-accredited pathway, candidates must have completed three years of internal medicine residency training.

By achieving American Board of Internal Medicine (ABIM) and/or American Board of Pediatric (ABP) certification in transplant hepatology, you demonstrate your commitment to the profession and show the public, your patients, your institution, and your colleagues that you have attained expertise in advanced and transplant hepatology beyond the general hepatology competence expected of a gastroenterologist. Certification in transplant hepatology is the preferred pathway for the expert hepatologist, whether your career goals involve practice in an academic liver transplant program or a community general hepatology practice.

There are two pathways available to achieve certification in transplant hepatology.

Transplant Hepatology Training After Gastroenterology Fellowship ("Fourth Year")

  • One year of advanced training for those who have completed a three-year fellowship in gastroenterology. (Total of four years for completion of gastroenterology and transplant hepatology fellowship training.)
  • Benefits of an additional year of fellowship training after completion of gastroenterology fellowship include:
    • Advanced training in general and transplant hepatology
    • More time available for training and development of competence in gastroenterology
    • More time to pursue scholarly activities including research during the three-year gastroenterology fellowship
    • Opportunity to pursue advanced training at a different institution
    • Ability to be funded on the T32 training grant
  • Ideal for trainees interested in an academic hepatology career and/or a career with a significant research focus


  • Three-year combined gastroenterology/transplant hepatology fellowship program uses a competency-based model to allow for certification in both GI and transplant hepatology within a three-year period (formerly referred to as the ABIM/AASLD GI/Transplant Hepatology Pilot Training Program).
  • From 2012 – 2019 this was a pilot competency-based training program sponsored by the AASLD and the American Board of Internal Medicine (ABIM) that granted exceptions to individual trainees to focus on achieving competency in transplant hepatology during the third year of gastroenterology fellowship. The pilot functioned via ABIM-granted individual exceptions to training.
  • Benefits of the combined GI/Transplant Hepatology Pilot Program include:
    • Shorter training period
    • Ability to focus on clinically-oriented career goals
    • Less exposure to subspecialized GI rotations that may not be applicable to future career goals
    • Opportunity to participate in and contribute to an innovative training model
  • Ideal for trainees interested in a clinical hepatology career with possible participation in clinical trials

When and How to Apply for Each Transplant Hepatology Pathway

  • Applicants interested in the traditional 1-year transplant hepatology fellowship (ACGME-accredited and non-ACGME accredited)
    • New: Launching December 2021 - Visit the AASLD Transplant Hepatology Fellowship Application System  to search for available transplant hepatology fellowship positions. You can reach out to learn more about programs and/or submit applications to participating programs through the site. Programs can be viewed, and applications submitted late January – March. Interviews should take place between April – June with offers in July. Visit the site for the current schedule and to search for participating programs.  
  • Applicants interested in the three-year dual certification pathway
  • Transplant Hepatology Fellowship Programs
    • 59 ACGME-accredited fellowships in transplant hepatology are currently available
    • Most TH programs have participated in the GI/TH pilot and are likely to offer the new dual certification pathway

Transplant Hepatology Certification

  • Upon completing transplant hepatology training and passing the gastroenterology board certification, fellows will be eligible to take the Transplant Hepatology Board Certification Exam jointly offered by the American Board of Internal Medicine and American Board of Pediatrics
  • The dual certification GI/TH pathway is currently only eligible for certification through the American Board of Internal Medicine and is not currently available through the American Board of Pediatrics