Characteristic of the Japanese Liver Transplant Donors

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Presentation transcript:

Characteristic of the Japanese Liver Transplant Donors   Education of Recipient Transplant Coordinators through a Six National Universities Consortium in a Liver Transplant Professionals Training Program (SNUC-LT) in Japan YUMI UMEYA RN, CRTCs 1)   MACHIKO NISHIJIMA RN, CRTCs 2) ETSUKO SOEDA PhD, RN, CRTCs 3) YUKIHIRO INOMATA4)  1)Division of Nursing, Kyoto University Hospital 2)Division of Nursing, Kumamoto University Hospital 3)Faculty of Nursing and Medical Care, Keio University 4)Prof. Em, Kumamoto University Hospital                          Background Characteristic of the Japanese Liver Transplant Donors Role of RTCs Recipient Transplant Coordinators (RTCs) support both recipients and donors continuously during all processes of live donor transplantation. RTCs are also required to have abilities to conduct communications among professionals related to Certification system for RTC was started by the Japan Society for Transplantation in 2011. However there were mainly lecture type educations. Kumamoto University launched Consortium for a Liver Transplant Professionals Training Program with five other National University Hospitals in 2014, which provided a new training program in Japan, with respecting bedside training for surgeons, pathologists and RTCs. Kyoto University and National Center of Child Health and Development have joined the program as guidance cooperation facilities. More than 90% are living donor Life long Follow up at out patient clinic Post transplant management Transplantation Waiting period Recipient evaluation Donor evaluation Initial clinics for transplantation RTCs take care of both transplant recipients and living donors simultaneously. Continuous support in all processes. Six National Universities Consortium in a Liver Transplant Professionals Training Program (SNUC-LT) 2014~2018 Purpose 【Guidance cooperation facilities】 To evaluate the products of the new education and training program for RTCs with “Six National Universities Consortium in a Liver Transplant Professionals Training Program (SNUC-LT)” Major transplant centers. Kumamoto University Kyoto University Okayama University Coordinators  ・Practical     training (20 days +)  ・Case experience @transplant major facilities   (10 cases +) Surgeons ・Practical training (140 hr. +) ・Surgical Practice @transplant major facilities (3 facilities + ) Pathologists ・Practical Training (50 hr. +) ・Work experience @transplant major facilities (10 days +) Programs of SNUC-LT National Center for Child Health and Development Nagasaki University Key Lectures by senior RTCs. Joint meeting held by SNUC-LT and programs sponsored by the Japanese Society for Transplantation. ③ Case conferences using Teleconference system. ④ Bedside training at major transplant centers.   Future Goal of Training System Create standard and conformity assessment system Kick-off meeting under 6 university (Faculty Meeting) Niigata University Chiba University Kanazawa University {Supported by Ministry of Education Culture, Sports, Science and Technology of Japan.}           Results  Trainees (7 coordinators) So far total 7 members attended during Practical Training Details Facility # Transplant (-2015) LDLTX(DDLTX) Trainees Experience as RN (years) as RTC # Lecture  Join Meeting (Time) # Clinical training (Time(Day)) Enrollment Experienced case Kumamoto 461 Case(9) A B 26  11 3  24.5  20 48 (6) 40 (5) 2 1 25 Okayama 371(25) C 8 3 35.5 120(15) 28 Chiba 56(3) D E 5 0  20.5 8.5 64 (8) 64(8) Ongoing Kanazawa F 80(10 ) Niigata 114(3) G 18 13.5 24 (3)  Key Lectures Meetings with Case Conferences (171hours) Clinical Training at major transplant Centers (440hours) Topics Decision making process from the time of initial meeting Support recipients and families pre- and post- transplantation Management of immunosuppression at out patient clinic Management of team conferences Deceased Donor Transplant case    *Lectures *Meetings      *Case Conferences                *Clinical Training at major Centers Lectures by Doctor, Pharmacologist, RTCs and Procurement Coordinators Case conferences using Teleconference   Clinical Training at  Kumamoto university hospital    Kyoto university hospital Initial meeting for transplantation Recipients and living donor evaluation Surgery Post-transplant management Transplant team conference Follow-up out-patient Deceased Donor Transplant Pediatric Liver Transplant Japan National Center for Child Health and Development Ethics in Transplantation Immunosuppression    Deceased donor transplantation case Conclusion ① This program was effective and efficient to share knowledge and experience among RTCs to brush up their clinical skills. ② This program was beneficial in a way to build good communication among institutions. ③This program will broaden RTCs vision by experiencing different system and cases of other institutions. ④This program was effective to enlarge the potential pool for future RTCs. More education (Clinical Training) programs are necessary in order to standardize RTCs role in Japan. These opportunities are important to build up personal network among RTCs and to level up their skills.