Defining the roles and responsibilities of the kidney transplant medical director: A necessary step for future training,mentoring, and professional development |
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Authors: | Alexander C. Wiseman Enver Akalin Darshana M. Dadhania Angelo DeMattos Mona Doshi John Friedewald Christina Klein Nicolae Leca Kim Nicoll Todd Pesavento Luke Preczewski Millie Samaniego Neeraj Singh Roy Bloom |
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Affiliation: | 1. Kidney Transplantation, Centura Transplant at Porter Hospital, Denver, Colorado;2. Montefiore Medical Center – Renal Transplantation, Albert Einstein College of Medicine,, Bronx, New York;3. Transplantation Medicine, Weill Cornell Medicine, New York, New York;4. Transplant Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon;5. Medicine, University of Michigan Hospital, Ann Arbor, Michigan;6. Northwestern University, Evanston, Illinois;7. Piedmont Healthcare - Piedmont Transplant Institute, Atlanta, Georgia;8. Department of Medicine, Division of Nephrology, University of Washington Medical Center, Seattle, Washington;9. US Transplant Reimbursement, TransMedics Inc, Andover, Massachusetts;10. Ohio State Univ - Nephrology-Internal Medicine, Columbus, Ohio;11. Transplant, Jackson Health System – Miami Transplant Institute, Miami, Florida;12. Medicine, Henry Ford Health System, Detroit, Michigan;13. Nephrology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana;14. University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania |
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Abstract: | The management of a kidney transplant program has evolved significantly in the last decades to become a highly specialized, multidisciplinary standard of care for end-stage kidney disease. Transplant center job descriptions have similarly morphed with increasing responsibilities to address a more complex patient mix, increasing medical and surgical therapeutic options, and increasing regulatory burden in the face of an ever-increasing organ shortage. Within this evolution, the role of the Kidney Transplant Medical Director (KTMD) has expanded beyond the basic requirements described in the United Network for Organ Sharing bylaws. Without a clear job description, transplant nephrology trainees may be inadequately trained and practicing transplant nephrologists may face opaque expectations for the roles and responsibilities of Medical Director. To address this gap and clarify the key areas in which the KTMD interfaces with the kidney transplant program, American Society of Transplantation (AST) formed a Task Force of 14 AST KTMDs to review and define the role of the KTMD in key aspects of administrative, regulatory, budgetary, and educational oversight of a kidney transplant program. |
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Keywords: | business/management clinical research/practice education employment kidney transplantation/nephrology Organ Procurement and Transplantation Network (OPTN) physician education quality of care/care delivery United Network for Organ Sharing (UNOS) |
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