membership requirements for vca transplant programs vascularized composite allograft committee...

Membership Requirements for VCA Transplant Programs

Vascularized Composite Allograft CommitteeSpring 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

• 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

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

VCA Program Director

VCA Primary Transplant Physician

VCA Primary Transplant Surgeon

VCA Upper Limb Primary Surgeon

VCA Upper Limb Primary Surgeon

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

VCA Head & Neck Primary Surgeon

VCA Head & Neck Primary Surgeon

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

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

Other VCA Primary Surgeons

Other VCA Primary Surgeons

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

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

Sue V. McDiarmid, M.D. Committee Chair SMcDiarmid@mednet.ucla.edu

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

Christopher.Wholley@unos.org

Questions?