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Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015
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Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Jan 19, 2016

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Noel Flowers
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Page 1: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Membership Requirements for VCA Transplant Programs

Vascularized Composite Allograft CommitteeSpring 2015

Page 2: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Current VCA program requirements Report type(s) of VCA a hospital will transplant Identify reconstructive surgeon and transplant physician Assurance from local OPO

Membership requirements have sunset provision of September 1, 2015

No training or experience requirements for VCA program key personnel

The Problem

Page 3: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

• Establish objective credentialing, training, and experience requirements for medical and surgical leaders involved in VCA transplantation

• Promote patient safety by ensuring medical and surgical leaders meet minimum requirements

• Enhance accountability to the OPTN

Goal of the Proposal

Page 4: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA program must:

Complete an application for: Upper Limb Head and Neck Abdominal Wall Other VCAs not commonly performed

Identify the following key personnel: Program Director Primary Transplant Physician Primary Transplant Surgeon

How the Proposal will Achieve its Goal

Page 5: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Program Director

Page 6: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Primary Transplant Physician

Page 7: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Primary Transplant Surgeon

Page 8: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Upper Limb Primary Surgeon

Page 9: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Upper Limb Primary Surgeon

Page 10: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Experience in lieu of fellowship training

Type of ProcedureMinimum Number of

Procedures Bone 20Nerve 20

Tendon 20Skin or Wound Problems 14

Contracture or Joint Stiffness

10

Tumor 10Microsurgical Procedures

Free flaps10

Non-operative 6Replantation or Transplant 5

Page 11: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Head & Neck Primary Surgeon

Page 12: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

VCA Head & Neck Primary Surgeon

Page 13: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Type of Procedure Minimum Number of Procedures

Facial trauma with bone fixation

10

Head or neck free tissue reconstruction

10

VCA Head & Neck Primary Surgeon

Page 14: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Must meet the primary transplant surgeon requirements of a head and neck, kidney, liver, pancreas, or upper limb transplant program.

VCA Abdominal Wall Primary Surgeon

Page 15: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Other VCA Primary Surgeons

Page 16: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Other VCA Primary Surgeons

Page 17: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Transplant hospitals need to complete and submit formal application created by UNOS staff

Re-apply for OPTN membership

Key personnel need to meet OPTN membership criteria in effect at the time of the program’s application

What Members will Need to Do

Page 18: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

The MPSC will review these VCA applications and may offer interim approval

Final review and approval for a VCA program by the OPTN/UNOS Board of Directors

Program approval

Page 19: Membership Requirements for VCA Transplant Programs Vascularized Composite Allograft Committee Spring 2015.

Sue V. McDiarmid, M.D. Committee Chair [email protected]

Christopher L. Wholley, M.S.A., NRP, CPTCCommittee Liaison

[email protected]

Questions?