Changes to Transplant Program Key Personnel Procurement Requirements

1. Changes to Transplant Program Key Personnel Procurement Requirements Membership and Professional Standards Committee Fall 2015

2. What is the goal of the proposal? • Update key personnel procurement Bylaws to: • Correct unexplained inconsistencies • Clearly establish requirements that are currently viewed as optional • Remove unnecessary specificity • Accommodate applications that the MPSC generally believes are acceptable, but that it must reject due to current Bylaws requirements • Thereby, • Simplifying the key personnel application process for members and the MPSC

3. What problem will the proposal solve? • Inconsistent primary surgeon procurement requirements • Solution: • Delete primary kidney transplant surgeon multi-organ procurement requirement • Delete primary liver transplant surgeon donor selection and management requirement

4. What problem will the proposal solve? • The word “should” means Primary transplant physician aren’t required to observe organ procurements • Solution: • Use the word “must”

5. What problem will the proposal solve? • Questionable necessity of specifying primary transplant physicians must observe multi-organ donor procurements • Solution: • Delete primary transplant physician multi-organ procurement observation requirement • Exposure to multi-organ donors will likely occur without an explicit OPTN Bylaws requirement considering: • Proposed change that primary transplant physicians must observe at least three organ procurements • Multiple organs procured from the overwhelming majority of donors

6. What problem will the proposal solve? • Surgeons applying through fellowship pathway sometimes meet all requirements, but didn’t perform the requisite number of procurements during fellowship • Solution: • Allow applying surgeons to cite procurements performed both during their fellowship and 2 years after completion • Otherwise, must apply through clinical experience pathway

7. Supporting Evidence • Proposal stems directly from recommendations developed by a Joint Societies Working Group (JSWG) • Collaborative effort between: • American Society of Transplantation (AST) • American Society of Transplant Surgeons (ASTS) • North American Transplant Coordinators Organization (NATCO) • MPSC

8. How will members implement this proposal? • No immediate action required of members upon implementation • Membership and key personnel change applications submitted on or after the implementation date will be evaluated based on these requirements • Anticipated board review date – December 2015 • Anticipated implementation date – March 2016

9. How does this proposal support the OPTN Strategic Plan? • Promote the efficient management of the OPTN • Proposal addresses key personnel procurement requirements that are: • inconsistent • unnecessarily specific • needing additional flexibility

10. Questions? Jonathan Chen, MD Committee Chair jonathan.chen@seattlechildrens.org Regional representative name (RA will complete) Region X Representative email address Chad Waller Committee Liaison chad.waller@unos.org