Post on 19-Jan-2016
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?