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Nephrology Transplant Elective

Renal Transplant Elective

I.  Overview:

                The Renal Transplant elective allows house officers the unique experience of learning the fundamentals of renal transplant including patient selection, organ procurement, and management of post-operative transplant patients. There is a large amount of interdisciplinary teaching, since the transplant team is comprised of the transplant attending, surgery attending, transplant fellow, social worker, pharmacist, and nutritionist.  

II. Competency-Based Learning/Overall Goals: PGY1-3 levels

1. Patient Care:  Gathers and synthesizes accurate information to define each patient’s clinical problem(s), develops a comprehensive plan, and can manage patients with progressive responsibility and independence.

 

2. Medical Knowledge: Review the literature on topics including pathophysiology of renal failure, selection criteria for organ transplantation, role of immunosuppression medication in renal transplant, cellular and antibody mediated forms of rejection, and role of the medical and surgical team post-transplant.

3. Professionalism: Establish trust and respect for patients and staff. Attendance at conferences, rounds, and clinic.

4. Interpersonal and Communication Skills: Gathers information appropriately from patients in the outpatient and inpatient settings and is able to communicate their plan. Can effectively communicate during transplant rounds with the medical and surgical transplant team members.

5. Practice Based Learning and Improvement: Identifies resources in the medical literature to answer questions raised during transplant rounds. Recognize one’s limitation of knowledge and to ask for help when needed.

6. System Based Practice: Develop an understanding of the necessity for renal transplant, selection process/criteria, organ allocation, and.

III. Learning Objectives:

-Describe pathophysiology of renal failure and necessity for renal transplantation.

-Identify the multifactorial process for organ selection such as donor status, recipient status, and social support system.

-Delineate responsibilities of the medical and surgical teams post transplant.

-Review the essence of histocompatibility testing and crossmatching.

-Identify histological changes of cellular and antibody mediated rejection.

-Utilize immunosuppressive medications and protocols for kidney transplantation.

-Observe a living donor kidney transplant surgery.

 

 

IV. Schedule of Activities:

Monday

Tuesday

Wednesday

Thursday

Friday

8:15 AM:

Inpatient renal transplant rounds

 

9 AM – 11:30 AM: Renal transplant Clinic

(Rosenthal Pavilion)

8:15 AM:

Inpatient renal transplant rounds

 

9 AM – 11:30 AM: Renal transplant Clinic

(Rosenthal Pavilion)

8:15 AM:

Inpatient renal transplant rounds

 

9 AM – 11:30 AM: Renal transplant Clinic

(Rosenthal Pavilion)

8:15 AM:

Inpatient renal transplant rounds

 

9 AM – 11:30 AM: Renal transplant Clinic

(Rosenthal Pavilion)

8:15 AM:

Inpatient renal transplant rounds

 

9 AM – 11:30 AM: Renal transplant Clinic

(Rosenthal Pavilion)

2 PM:

Morbidity & Mortality Conf

(Rosenthal Pavilion)

12 PM:

Journal Club

 

3 PM:

Selection meeting

 

4 PM: Journal Club

 

5PM: Grand Rounds

12 PM: Topic based lecture (kidney & liver transplant)

 

V. Contact:

-Medical Director: Dr. Enver Akalin

-Nephrology Transplant Attendings: Dr. Ajaimy, Dr. DeBoccardo, Dr. Lubetzky, Dr. Kamal.

-Nephrology Transplant Surgeons: Dr. Kinkhabwala, Dr. Rocca, Dr. Greenstein, Dr. Graham.

 

 VI. Evaluation:

The house officer is evaluated continuously during their two weeks on the transplant service. Importantly, formative feedback is given to the rotating house officer throughout the rotation experience. The final evaluation is entered through www.new-innov.com and a summary performance assessment is discussed in a meeting with the house officer. House officers will have the opportunity to evaluate both the rotation and the specific faculty with whom they worked most closely.

ĉ
Chief Resident,
Aug 3, 2016, 8:33 AM
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