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A transplant surgeon is expected to have an understanding of the anatomy physiology, pathophysiology, investigations, and differential diagnosis of organ failure. The surgeon should maintain a current understanding of indications for the provision of and the procedures of organ transplantation to overcome organ failure.
The transplant surgeon should be aware of the implications for management of patients with organ failure presenting with general surgical conditions. The transplant surgeon should be capable of participating in multi-organ donation. The transplant surgeon should also be prepared for and capable of caring for the characteristic complications of organ transplantation that includes serious sepsis and malignancy.
This curriculum module is divided into the following sections, outlining essential and desirable technical expertise for the following:
- General Transplantation
- Renal Transplantation
- Pancreas Transplantation
- Liver Transplantation
This curriculum also covers for all organs:
- Living and deceased (donation after brain death and donation after cardiac death) donation, including donor assessment and risk of transmission of infection and malignancy
- Principles of eligibility for transplantation and organ allocation
- ABO and histocompatibility, cellular, humoral and vascular rejection processes, Cytotoxic and flow cytometric crossmatch analysis and luminex technology
- Causes of graft dysfunction
- Immunosuppressive agents
- Complications of immunosuppression – medical, viral, bacterial, fungal and oncological
Trainees are expected to keep abreast of the current literature, including textbooks, journal articles, consensus guidelines and other on-line resources.