TRX8002 : Transplantation of The Kidney; Liver & Pancreas

  • Offered for Year: 2012
  • Module Leader(s): Mr Steven White
  • Owning School:
Semesters
Semester 1 Credit Value: 5
Semester 2 Credit Value: 15
ECTS Credits: 10.0

Aims

The module aims to provide the students with a basic insight into the major clinical issues and practices in solid organ transplantation below the diaphragm. The module focuses on the liver and kidney but will include information on islet cell and pancreas transplantation.

Outline Of Syllabus

The module will be delivered in a series of lectures with the first half concentrating on the liver and the second on the kidney and pancreas. There will be opportunities for discussion in the lectures and there will be some overlap between the two study areas - though every effort will be taken to keep this to a minimum and to use this where it is an important aspect of the module. Students will learn about the basic procedures as applied in clinical transplantation from preoperative considerations to post operative care and future developments.

The syllabus is in two parts:

Part One: Transplanation of the Liver

1. Acute & chronic liver failure & indications for transplantation
2. Assessment of patients for liver transplantation (including the importance of the multi-donor transplantation MTD and acceptable donor type)
3. Donor assessment and optimisation
4. Surgical aspects – retrieval technique, hepatectomy, anhepatic and implantation
5. Post-operative care
6. Immune suppression in liver transplantation
7. Early graft dysfunction
8. Late graft dysfucnction -
9. Long-term monitoring and care of the transplant recipient
10.New developments

Part Two: Transplantation of the Kidney & Transplantation of the Pancreas

1. Recipient selection and evaluation and management of the transplant waiting list
2. Assessment and care of patients who are difficult to transplant
3. Transplantation of ABO Blood type incompatible ABOi and highly sensitised patients (to include paired exchange)
4. Donor selection, assessment and management (cadaveric and live donors)
5. Surgery and early post-operative care – kidney
6. Surgery and early post-operative care – pancreas
7. Acute graft dysfunction – assessment, diagnosis and treatment
8. Chronic graft dysfunction – assessment, diagnosis and treatment
9. Long-term monitoring and care of the transplant recipient -
10.Islet cell transplantation

Teaching Methods

Teaching Activities
Category Activity Number Length Student Hours Academic Staff Contact Hours Comment
Guided Independent StudyAssessment preparation and completion46:0024:000:00Case Studies; Preparation and Presentation
Guided Independent StudyAssessment preparation and completion140:0040:000:00Essay Preparation; Reading and Writing
Scheduled Learning And Teaching ActivitiesLecture201:0020:0020:00Lectures
Guided Independent StudyAssessment preparation and completion120:0020:000:00Preparation and Revision for the Quiz
Guided Independent StudyAssessment preparation and completion120:0020:000:00Preparation time for Journal Club
Scheduled Learning And Teaching ActivitiesPractical12:002:002:00Picture Quiz
Guided Independent StudyDirected research and reading150:0050:000:00Preparation of Notes from Lectures & Reading
Scheduled Learning And Teaching ActivitiesFieldwork13:003:002:00Journal Club
Guided Independent StudyReflective learning activity121:0021:000:00Additional Reading and Reflective Learning
Total200:0024:00
Teaching Rationale And Relationship

There is considerable amount of specialist knowledge in this module. Students will be be from various clinical backgrounds with different degrees and levels of prior knowledge the lecture series is set out in such a way to bring the students through the transplant process for both the liver and the kidney/pancreas sections. This format of delivery does allow for considerable discussion in the clincal setting but also enables an efficient delivery of the body of knowledge.

Assessment Methods

Exams
Description Length Semester When Set Percentage Comment
Oral Presentation152M25Journal Club- 4 recent articles- working in groups. 15 min presentsation on 1 paper
Exam Resits
Description Length When Set Percentage Resit Available Off Campus Comment
Oral Presentation15M25Journal Club- 4 recent articles- working in groups. 15 min presentsation on 1 paper
Other Assessment
Description Semester When Set Percentage Comment
Case study2M25Case studies - 2 selected from a possible 4 - submitted as a powerpoint presentation (5 Slides)
Written exercise2M25Picture Quiz- students presented with slides based on real cases
Essay2M252000 word essay
Other Assessment Resits
Description When Set Percentage Comment
Case studyM25Case studies - 2 selected from a possible 4 - submitted as a powerpoint presentation (5 Slides)
Written exerciseM25Picture Quiz- students presented with slides based on real cases
EssayM252000 word essay
Assessment Rationale And Relationship

There are four assessments targetted at knowledge and understanding of the topic as taught as well as transferable skills within the profession. The first assessment tests: knowledge, understanding, communication, presentation and IT skills. The second assessment tests all of the above and team work. The third assessment tests the student's knowledge of the subject in a format familar to medical practicioners and used in real medicine - slides will include pictures of operations, scars, histology and blood results. The fourth assessment test the knowledge in a different format and tests the student's capacity to give written presentation as may be required in a professional or academic environment.

In the first assessment "Understanding the complexities related to choosing a potential donor for a recipient" students select 2 from 4 case studies of interesting / complex donors (kidney, liver, pancreas) - from case studies provided or persoanl experience and discuss factors relevant in the consideration of their suitability to act as donors giving their reasoning. We suggest that each case is submitted in the form of a power point presentation of a maximum of 5 slides.

In the second assessment "Journal Club" 4 recent journal articles will be circulated in advance of the meeting. At the time of the meeting the students will be allocated groups. Each group will be required to review one paper in the first hour and present it in 15 mins in the second hour of the session. Each student will be marked on presentation skills, interpretation of paper and team working skills. If a resit of this assessment is required, students will review a paper and present individually.

In the 3rd assessments "Picture Quiz" students will be shown slides. The slides will be presented in order, accompanied by an examination paper giving clinical details. The fourth assessment is a standard short essay (2000 words).

Reading Lists

Timetable

Disclaimer: The University will use all reasonable endeavours to deliver modules in accordance with the descriptions set out in this catalogue. Every effort has been made to ensure the accuracy of the information, however, the University reserves the right to introduce changes to the information given including the addition, withdrawal or restructuring of modules if it considers such action to be necessary.

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