INTRODUCTION
12th UEMS PREPARATORY COURSE TRANSPLANT SURGERY 27th-28th November 2020

Due to the situation of the COVID-19 in Europe, the UEMS Transplant Surgery Division decided to hold its 2020 preparatory course online. The module contains the topics for the 2020 preparatory course. UEMS recommend Transplant Live modules including pre recorded lectures made specifically for this preparatory course. Please click on the Lectures tab to access them.
The modules linked from the column to the right are also an integral part of the preparatory course.
The Syllabus for the exam is as below:
- Subject objective
- Ability to evaluate donor suitability
- Ability to retrieve abdominal organs for transplantation
- Evaluation of donor/ organs suitability (including non heart beating donors)
- Contraindications to organ donation: general, organ-specific
- Criteria for brain/ brainstem death
- Pathophysiology of brain/ brainstem death
- Principles of donor management and organ preservation
- Surgical anatomy of multi-organ retrieval
- Donor transmitted diseases
- Assessment and management of organ donors (including live and non heart beating donors)
- Kidney retrieval from deceased donor
- Liver retrieval from deceased donor
- Pancreatic retrieval from deceased donor
- Kidney retrieval from live donor
- Check, record and retrieve relevant information from donor medical records
- Communication
- Teamwork
- Ability to act in a multi-disciplinary environment
- Understand ethical and medical-legal issues in organ donation and organ allocation
Subject objective- Ability to assess patients for renal transplantation and manage their care
- Acute and chronic renal failure: causes, complications, pathophysiology, treatment options
- Anatomy: implantation site, kidney anatomy (including variations and anomalies)
- Immunology: ABO compatibility, cytotoxic cross match, flow cytometry, HLA matching, immunosuppression, rejection
- Indications and contraindications for: deceased and live kidney donation and transplantation
- Principles of pre-op preparation and post-op management
- Principles of organ allocation
Clinical skills- Evaluation of donor/ organ suitability (including non heart beating donors)
- Select appropriate patient from the waiting list
- Kidney retrieval from deceased donor
- Kidney retrieval from live donor
- Kidney transplantation: bench preparation, prepare implant site, perform vascular and ureteric anastomoses
- Manage post-op care: drug therapy, fluid management, laboratory and imaging investigations, renal biopsy
- Identify and treat post-op complications: drug side effects, infection, rejection, vascular and ureteric complications
- Post-transplant graft nephrectomy
- Vascular access experience or attendance of training course, vascular surgery experience or attendance of training course, microsurgery experience or attendance of training course
Professional skills- Assess patients referred for kidney transplantation (including live donors): arrange appropriate investigations, counsel patients and families and obtain informed consent, prepare patients for theatre
- Demonstrate diagnostic, prescribing and counselling skills, good communication and teamwork.
- Practise evidence-based medicine: audit, clinical trials, journal review
- Ability to act in a multidisciplinary environment
- Understand medico-legal and ethical issues
- Record and retrieve information from databases
Subject objective- Assessment of patients for pancreatic transplantation in consult with a multidisciplinary team
- Operative management and post operative care
- Diabetes: causes, complications, pathophysiology, treatment options (including islet transplantation)
- Indications and contraindications for pancreatic donation: simultaneous kidney and pancreas transplant, pancreas after kidney transplant, pancreas transplantation alone
- Anatomy: pancreatic graft and implantation site
- Immunology: ABO compatibility, cytotoxic cross match, flow cytometry, HLA matching, immunosuppression, rejection
- Principles of pre-op preparation and post op-management
- Knowledge regarding kidney transplantation
- Evaluation of donor/ organ suitability (including non heart beating donors)
- Pancreatic graft retrieval
- Select appropriate patient from the waiting list
- Pancreatic graft bench preparation and implantation
- Manage post-op care: drug therapy, fluid management, laboratory and imaging investigations, pancreatic graft biopsy
- Identify and treat post-op complications: drug side effects, infection, rejection, vascular complications, pancreatic fistula, graft pancreatitis
- Post transplant graft pancreatectomy
- Assess patients referred for pancreas transplantation: arrange appropriate investigations, counsel patients and families and obtain informed consent, prepare patients for theatre
- Demonstrate diagnostic, prescribing and counselling skills, good communication and teamwork.
- Practise evidence-based medicine: audit, clinical trials, journal review
- Ability to act in a multidisciplinary environment
- Understand medico-legal and ethical issues
- Record and retrieve information from databases
Subject objective- Assess and manage patients undergoing liver transplantation
- Acute and chronic liver failure: causes, complications, pathophysiology and treatment options
- Immunology: immunosuppression, rejection
- Indications and contraindications for: deceased and live liver donation, liver transplantation and re-transplantation
- Liver anatomy: anatomical variants, surgical anatomy for splitting/ reduction/ live donation
- Principles of pre-op preparation and post-op management
- Complications of liver transplantation and their management
- Evaluation of donor/ organ suitability (including non heart beating donors)
- Select appropriate patient from the waiting list
- Deceased donor liver retrieval
- Split liver procedure
- Deceased donor liver transplantation including: bench work preparation, common intra-operative challenges and variations
- Split liver transplantation or attendance of training course
- Manage post-op care: drug therapy, fluid management, laboratory and imaging investigations, liver biopsy
- Identify and treat post-op complications: drug side-effects, infection, rejection, vascular complications, biliary complications, recurrent disease, hepatitis
- Assess patients referred for liver transplantation: arrange appropriate investigations, counsel patients and families and obtain informed consent, prepare patients for theatre
- Demonstrate diagnostic, prescribing and counselling skills, good communication and teamwork.
- Practise evidence-based medicine: audit, clinical trials, journal review
- Ability to act in a multidisciplinary environment
- Understand medico-legal and ethical issues
- Record and retrieve information from databases