Veidlapa Nr. M-3 (8)

Study Course Description

Acquisition of Donor Organs, Donor Management

Main Study Course Information

Course Code

RTL_005

Branch of Science

Clinical medicine; Surgery

ECTS

21.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Jānis Jušinskis

Residency Speciality

Speciality

Transplantologist

Supervisor of Medical Speciality

Jānis Jušinskis

Contacts

About Study Course

Objective

To ensure the acquisition and improvement of theoretical knowledge and practical skills in donor management and transplantation coordination, in accordance with the requirements of the regulations of the specialty of transplantology, in order to prepare the doctor for certification in the specialty of transplantologist, in accordance with the regulatory documents of the Republic of Latvia.

Learning Outcomes

Knowledge

1.Resident acquires basic knowledge and competence on the management of deceased donors, legitimate and ethical aspects of the donor process, documentation, transplantation coordination, allocation of donor organs.

Skills

1.The resident will be able to carry out organ donor selection, management, preparation for organ procurement, coordinate the work of the donor team, organize the work of further transplantation (transportation of the organ to the transplant center, selection of recipients).

Competences

1.Organization of transplantation coordination while working with deceased and living donors, ensuring maximum quality in organ transplantation.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Detailed theoretical knowledge of the following organization of transplantology: legislative and ethical aspects in transplantation, principles of organ allocation, types of deceased donors, donor management, transplantation coordination and its role in the acquisition of donor organs, immunological determination of the donor / recipient pair (ABO match, HLA match, cross-match, etc.) and non-immunological (organ size, recipient weight, age, etc.) basics, transplant combinations and their role in improving transplant outcomes, organ exchange, organ and tissue preservation, ischemia, cell biochemistry and physiology during ischemia and preservation, preservation with hypothermia, organ and tissue preservation solutions, properties of preservation of various organs, complications of reperfusion in cases of organ preservation. Must learn practical skills in donor management and maintenance in the pre-operative period and during the procurement. Must be able to ensure high-quality procurement of donor organs from various types of deceased donors in compliance with legislative, ethical and quality control requirements.

Examination

Title	% from total grade	Grade
1. Examination	-	-
2. Examination	-	-
Teacher evaluates the practical skills in a 10-point system, recording it in the resident's book. The test of theoretical knowledge is conducted in writing and is graded in a 10-point system.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Auditorium

Topics

Legislation regulating organ procurement and transplantation.

Seminar

Modality	Location
On site	Auditorium

Topics

Principles of transplantation coordination, structure and functions of the service.

Seminar

Modality	Location
On site	Auditorium

Topics

Organ procurement technique from deceased donors. Multiorgan donors.

Seminar

Modality	Location
On site	Auditorium

Topics

Preservation of donor organs, preservation solutions, packaging and preparation for transport.

Seminar

Modality	Location
On site	Auditorium

Topics

Management of the deceased donor in cases of asystole, preparation of the donor for organ procurement and conservation.

Seminar

Modality	Location
On site	Auditorium

Topics

management of deceased donors in cases of brain death, donor preparation for organ procurement and preservation.

Seminar

Modality	Location
On site	Auditorium

Topics

Multi-organ donors.

Seminar

Modality	Location
On site	Auditorium

Topics

Shortage of donor organs. Suboptimal donors, their use in transplantation.

Seminar

Modality	Location
On site	Auditorium

Topics

Non-standard risk donors.

Seminar

Modality	Location
On site	Auditorium

Topics

Allocation of donor organs.

Seminar

Modality	Location
On site	Auditorium

Topics

Donor organ exchange programs, transplant associations, documentation

Seminar

Modality	Location
On site	Auditorium

Topics

Obtaining organs from living donors: indications and contraindications for organ procurement and use in transplantation, donor preparation, documentation

Seminar

Modality	Location
On site	Auditorium

Topics

Organ procurement from living donors: explantation and preservation techniques.

Seminar

Modality	Location
On site	Auditorium

Topics

Living donor management after surgery, complications, outcomes. Long-term results after organ procurement from living donors.

Total ECTS (Creditpoints):

21.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Textbook of organ transplantation, vol 1, 2. (edit. Allan D. Kirk). Willey Blackwell, Oxford, 2014.

Gabriel M.Danovich. Handbook of Kidney Transplantation. 6th edition. Lippincott Williams & Wilkins, Philadelphia, 2017.

Abhinav Humar, Mark L. Sturdevant. Atlas of Organ Transplantation, 2nd edition. 2015.

Carol E.H.Scott-Conner. Essential operative techniques and anatomy. 4th editioin. Wolters Kluwer | Lippincott Williams and Wilkins, Philadelphia, 2014.

Guide to the quality and safety of organs for transplantation. 7th edition. EDQM, Strasbourg, 2018.

Nieru transplantācija (red. R.Rozentāls, I.Folkmane). Nacionālais Apgāds, Rīga, 2008.

Rekomendācijas nieru transplantācijā. (autoru kolektīvs, R.Rozentāla vad.). Medicīnas Apgāds, Rīga, 2015.

Additional Reading

Living donor organ transplantation. (edit. Rainer W.G.Gruessner, Enrico Benedetti). MCGrawHill Medical, New York, 2008.

Transplantation of the liver. 2nd edition. (edit. Ronald W Busuttil, Goran K. Klintmalm). Elsevier Saunders, Philadelphia, 2005.

Рафаил Розенталь. Получение органов, тканей и клеток для трансплантации. Nacionālais Apgāds, Rīga, 2005.

Ķirurģija. (red. J.Gardovskis). Rīgas Stradiņa Universitāte, rīga, 2013

Other Information Sources

Periodika: Transplant International, Nephrology Dialysis Transplantation, Transplantation Proceedings, Transplantation, JAMA, Lancet, NEJM, Transplant Newsletter, American Journal of Transplantation, cita transplantoloģijas periodika