Published for Members of the American Society of Transplant Surgeons Summer 2014 7th Annual Surgical Fellows Symposium: Elevating the Educational Experience Snowbird, Utah Our Mission: To advance the art and science of transplant surgery through leadership, advocacy, education, and training. ASTS.org Chimera Summer 2014 1 ASTS Council July 2014 – May 2015 Vol. XXIV, No. 3 Summer 2014 President Lloyd E. Ratner, MD, MPH (2015) Peter G. Stock, MD, PhD (2015) Columbia University University of California-San Francisco Department of Surgery Department of Surgery, 622 West 168th Street, New York, NY 10032 Division of Transplant 212-342-3539 [email protected] 505 Parnassus Avenue, Box 0780 San Francisco, CA 94143-0780 Douglas G. Farmer, MD (2016) 415-353-1551 [email protected] Ronald Reagan UCLA Medical Center Surgery-Liver & Pancreas Transplant President-Elect MC7054 Charles M. Miller, MD (2015) 757 Westwood Plaza, Suite 8501 Cleveland Clinic Foundation Los Angeles, CA 90095-9574 9500 Euclid Avenue, Mail Code A-110 310-267-9612 [email protected] Cleveland, OH 44195 216-445-2381 [email protected] James F. Markmann, MD, PhD (2016) Division of Transplantation 20 Immediate Past President 55 Fruit Street Alan N. Langnas, DO (2014) 503 White Building Editor’s Letter 3 University of Nebraska Medical Center Boston, MA 02114 PO Box 983280, 600 South 42nd Street 617-643-4533 [email protected] President’s Letter 4 Omaha, NE 68198 402-559-8390 [email protected] Mark D. Stegall, MD (2016) ASTS News 5 Mayo Clinic Past President 200 First Street, SW ASTS Fellowship Training 8 Kim M. Olthoff, MD (2014) Rochester, MN 55905 University of Pennsylvania Hospital 507-266-2812 [email protected] Department of Surgery Across the Field 10 3400 Spruce Street, 2 Dulles Ginny l. Bumgardner, MD, PHD (2017) Philadelphia, PA 19104 The Ohio State University What's Your Perspective? 13 215-662-6136 [email protected] Department of Surgery 395 West 12th Avenue, #166 Transplant on Twitter 14 Secretary Columbus, Oh 43210 Dixon B. Kaufman, MD, PhD (2017) 614-293-6177 bumgardner.9osu.edu University of Wisconsin 2014 World Transplant Division of Transplant, Kenneth D. Chavin, MD, PhD (2017) Congress 17 Department of Surgery Medical University of South Carolina 600 Highland Avenue, H5/701 96 Jonathan Lucas Street, Suite 404CSB ASTS Business Meeting 20 Clinical Science Center PO Box 250611 Madison, WI 53792-7375 Charleston, SC 29425 608-265-6471 [email protected] 843-792-3368 [email protected] Workplace Partnership for LIfe Completes Phase III 21 Treasurer A. Osama Gaber, MD, FACS (2017) Timothy L. Pruett, MD (2015) Methodist Hospital - Houston OPTN/UNOS 25 University of Minnesota Department of Surgery Department of Surgery 6550 Fannin Street, Smith Tower 1661 ODTA 26 420 Delaware Street, SE MMC 195 Houston, TX 77030 Minneapolis, MN 55455 713-441-6170 [email protected] 612-626-7282 [email protected] Corporate Contributors 28 National Office Councilors-At-Large Kim A. Gifford, MBA Foundation Contributors 29 Jean C. Emond, MD (2015) Executive Director Columbia University Medical Center 2461 South Clark Street, Suite 640 New Members 30 622 West 168th Street, New York, NY 10032 Arlington, VA 22202 212-305-9691 [email protected] 703-414-7870 [email protected] Calendar 31 Abhinav Humar, MD (2015) Thomas E. Starzl Transplant Institute UPMC Montefiore - 7th Floor Suite N725 3459 Fifth Avenue, Pittsburgh, PA 15213 412-692-4553 [email protected] 2 Chimera Summer 2014 ASTS.org Published for Members of the American Society of Transplant Surgeons Summer 2014 7th Annual Surgical Fellows Symposium: Elevating the Educational Experience Snowbird, Utah Editor’s Letter Our Mission: To advance the art and science of transplant surgery through leadership, advocacy, education, and training. Welcome to the Summer 2014 issue of the Chimera. The ASTS Communications About the Cover Committee is interested in making the Chimera more accessible and valuable Past presidents at the 40th to you. Options we are considering include returning to a print edition and Anniversary Reception at the World Transplant Congress on July 29, creating a web-based version to replace the PDF. If you have ideas or comments, 2014: Front from left, Drs. Miller, please let us know! This is your magazine, and we want to know what you Salvatierra, Cosimi, and Monaco. would like to read—and how you would like to read it. Please send your Middle row from left, Drs. Lorber, Roberts, Sutherland, Ascher, Starzl, comments to Diane Mossholder, ASTS Senior Manager, Communications, Olthoff, and Henry. Back from left, at [email protected] and she will pass them along to the committee for Drs. Hardy, Abecassis, Shaked, consideration. Merion, and Klintmalm. If you have a photograph you This issue features the second appearance of our new column, “What’s Your would like displayed on the cover of Perspective?” on page 13. We encourage you to let us know your thoughts on the Chimera, please email it, along with topic—we’d like to publish those as well! If you would like to participate, please a brief description, to Diane Mossholder email your response to Diane at [email protected]. Senior Manager, Communications, at [email protected]. In this issue, you’ll also find a recap of the World Transplant Congress and the ASTS 40th anniversary reception (page 17), reports from various transplant- related organizations, and all the latest committee news and reports (page 5). There’s also information on the progress of the Fellowship Training Published by the American Society of Committee’s changes to training programs (page 8) and an article on how a Transplant Surgeons transplant center live tweeted a living donor kidney transplant (page 14). Sander S. Florman, MD Chair, Communications Committee [email protected] Our next issue will feature special coverage of the 15th Annual ASTS State of the Art Winter Symposium in Miami, January 15–18, 2015, as well as updates on all Diane L. Mossholder ASTS Senior Manager, the work the Society and its committees are doing. Communications Chimera Managing Editor [email protected] Stay connected! Sander S. Florman, MD Karol A. Keane Design & Communications, Inc. www.keanedesign.com © Copyright 2014 American Society of Transplant Surgeons. All rights reserved. ASTS.org Chimera Summer 2014 3 President’s Letter Dr. Peter G. Stock or my first President’s Letter, I’m thrilled to impacting outcomes, and I hope we can have a Fannounce that ASTS and the University of respectful debate and engage in healthy discussions Michigan have been selected to continue operating the within the OPTN channels. Any public acrimony National Living Donor Assistance Center until 2019. might be picked up in (or exaggerated by) the media, This new grant from HRSA is for up to $3 million in and stories that make people question the fairness of year one and up to $3.5 million for years two through the organ donation system could very well lead to a five, representing a much-welcome increase in funding decrease in donors, both living and deceased. I trust over a longer period than previous grants. we can all agree that is the last thing we want. Since 2007, this invaluable program has helped more A Changing Landscape than 4,000 prospective living donors by paying travel The Affordable Care Act continues to reshape health and subsistence expenses for their evaluation, donation, and care in the United States, including transplantation. ASTS is follow-up. Three-quarters of those who donated say they could not working to help you keep up with the changes. Recently, ASTS have done so without NLDAC support. The program has resulted organized a call with leaders from CMS, HRSA, and AST to learn in more than 2,300 surgeries, so that is a significant number of more about the FQAPI survey program. The pilot stage of the transplants directly attributable to NLDAC. FQAPI program was completed in 2013. CMS has conducted approximately 20 FQAPI surveys in 2014, with more on the way Providing optimal care for our patients is an important part of in 2015. ASTS plans to host a webinar for members in the fall ASTS’ mission, and increasing the donor pool benefits all our featuring FQAPI experts from CMS to help explain the process, patients. NLDAC is a shining example of how we can make things answer any questions, and help prepare your center. easier for our living donors, and I’m pleased we can continue to do so as we explore how to further remove disincentives. The movement away from fee-for-service to quality measures is far-reaching and complex, but our Society is working hard to offer Over the course of my term, I hope to focus on some specific tools to help centers and surgeons thrive in the new environment. issues of importance to the Society and to all of us. Work is progressing in partnership with American College of Surgeons’ NSQIP team on the design of the new “TransQIP” Fellowship Training program, which will be a fully customized, transplant-specific A core part of ASTS’ mission is training the next generation of NSQIP module. TransQIP will enable surgeons to comply with the transplant surgeons, and the Fellowship Training Committee is requirement to submit data to a Qualified Clinical Data Registry doing exciting work to not only accredit programs but eventually (QCDR). Alpha testing for TransQIP is estimated to begin in early certify fellows. Designing a certification program is no small 2015. ASTS is still exploring whether the SRTR can be approved as undertaking, but it is imperative that we maintain control of how a QCDR, but TransQIP will allow surgeon-specific reporting and transplant surgeons are being trained.