Transplant administration—A survey of the roles and responsibilities of kidney and pancreas medical directors of US transplant centers
dc.contributor.author | Singh, Neeraj | |
dc.contributor.author | Friedewald, John | |
dc.contributor.author | Bloom, Roy | |
dc.contributor.author | Dadhania, Darshana | |
dc.contributor.author | Parsons, Ronald F. | |
dc.contributor.author | Kaplan, Bruce | |
dc.contributor.author | Samaniego, Millie | |
dc.contributor.author | Qazi, Yasir | |
dc.contributor.author | Doshi, Mona | |
dc.contributor.author | McNatt, Gwen | |
dc.contributor.author | Naseer, Muhammad Saad | |
dc.contributor.author | Pesavento, Todd | |
dc.contributor.author | Wiseman, Alexander | |
dc.date.accessioned | 2021-07-01T20:10:57Z | |
dc.date.available | 2022-07-01 16:10:56 | en |
dc.date.available | 2021-07-01T20:10:57Z | |
dc.date.issued | 2021-06 | |
dc.identifier.citation | Singh, Neeraj; Friedewald, John; Bloom, Roy; Dadhania, Darshana; Parsons, Ronald F.; Kaplan, Bruce; Samaniego, Millie; Qazi, Yasir; Doshi, Mona; McNatt, Gwen; Naseer, Muhammad Saad; Pesavento, Todd; Wiseman, Alexander (2021). "Transplant administration—A survey of the roles and responsibilities of kidney and pancreas medical directors of US transplant centers." Clinical Transplantation (6): n/a-n/a. | |
dc.identifier.issn | 0902-0063 | |
dc.identifier.issn | 1399-0012 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/168278 | |
dc.description.abstract | The current American Society of Transplantation (AST) accredited transplant fellowship programs in the United States provide no structured formal training in leadership and administration which is essential for successfully running a transplant program. We conducted a survey of medical directors of active adult kidney and kidney‐pancreas transplant programs in the United States about their demographics, training pathways, and roles and responsibilities. The survey was emailed to 183 medical directors, and 123 (67.2%) completed the survey. A majority of respondents were older than 50 years (61%), males (80%), and holding that position for more than 10 years (47%). Only 51% of current medical directors had taken that position after completing a one‐year transplant fellowship, and 58% took on the role with no prior administrative or leadership experience. The medical directors reported spending a median 50%–75% of time in clinical responsibilities, 25%–50% of time in administration, and 0%–25% time in research. The survey also captured various administrative roles of medical directors vis‐à‐vis other transplant leaders. The study, designed to be the starting point of an improvement initiative of the AST, provided important insight into the demographics, training pathways, roles and responsibilities, job satisfaction, education needs, and training gaps of current medical directors. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | organ procurement and transplantation network | |
dc.subject.other | accreditation council for graduate medical education | |
dc.subject.other | American board of internal medicine | |
dc.subject.other | medical directors | |
dc.subject.other | primary physicians | |
dc.subject.other | US centers for Medicare & Medicaid Services | |
dc.subject.other | united network for organ sharing | |
dc.title | Transplant administration—A survey of the roles and responsibilities of kidney and pancreas medical directors of US transplant centers | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Medicine (General) | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/168278/1/ctr14305_am.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/168278/2/ctr14305.pdf | |
dc.identifier.doi | 10.1111/ctr.14305 | |
dc.identifier.source | Clinical Transplantation | |
dc.identifier.citedreference | Warner J, Ellmann N, Boesch D. The Women’s Leadership Gap. Women’s Leadership by the Numbers. https://www.americanprogress.org/issues/women/reports/2018/11/20/461273/womens‐leadership‐gap‐2/. Accessed December 12, 2019. | |
dc.identifier.citedreference | Nassir BA, Dean CE, Li S, et al. Variation in cost and quality in kidney transplantation. Transplantation. 2015; 99 ( 10 ): 2150 ‐ 2157. | |
dc.identifier.citedreference | Howard RJ. The challenging triangle: balancing outcomes, transplant numbers and costs. Am J Transplant. 2007; 7 ( 11 ): 2443 ‐ 2445. | |
dc.identifier.citedreference | Organ Procurement and Transplantation Network (OPTN) Bylaws. Appendix E. Avalable on: https://optn.transplant.hrsa.gov/media/1201/optn_bylaws.pdf#nameddest=Appendix_E. Accessed on 9/10/2019. | |
dc.identifier.citedreference | Kasiske BL, Salkowski N, Wey A, Israni AK, Snyder JJ. Potential implications of recent and proposed changes in the regulatory oversight of solid organ transplantation in the United States. Am J Transplant. 2016; 16 ( 12 ): 3371 ‐ 3377. | |
dc.identifier.citedreference | Schold JD, Miller CM, Henry ML, et al. Evaluation of flagging criteria of United States Kidney Transplant Center Performance: How to best define outliers? Adv Chronic Kidney Dis. 2016; 23 ( 5 ): 332 ‐ 339. | |
dc.identifier.citedreference | Howard RJ, Cornell DL, Schold JD. CMS oversight, OPOs and transplant centers and the law of unintended consequences. Clin Transplant. 2009; 23 ( 6 ): 778 ‐ 783. | |
dc.identifier.citedreference | Woodside KJ, Sung RS. Do federal regulations have an impact on kidney transplant outcomes? Clin J Am Soc Nephrol. 2014; 9 ( 10 ): 1773 ‐ 1780. | |
dc.identifier.citedreference | OPTN. Request for feedback. Update Transplant Program Key Personnel Training and Experience Requirements. https://optn.transplant.hrsa.gov/media/4341/2021_pc_mpsc_update_tx_program_key_personnel_requirements_feedback.pdf. Accessed January 25, 2021. | |
dc.identifier.citedreference | ACGME Program Requirements for Graduate Medical Education in Nephrology. II.A.3. Qualifications of the program director: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/148_Nephrology_2019.pdf?ver=2019‐06‐18‐145540‐580. Accessed October 6, 2019. | |
dc.identifier.citedreference | Organ Procurement and Transplantation Network (OPTN) Bylaws. Appendix E: Membership and Personnel Requirements for Kidney Transplant Program. https://optn.transplant.hrsa.gov/media/1201/optn‐bylaws‐effective‐dec‐3‐2019.pdf. Accessed December 28, 2019. | |
dc.identifier.citedreference | Sharif MU, Elsayed ME, Stack AG. The global nephrology workforce: emerging threats and potential solutions! Clin Kidney J. 2016; 9 ( 1 ): 11 ‐ 22. | |
dc.identifier.citedreference | Berns JS, Ghosn M, Altamirano RR. International medical graduates in nephrology: roles, rules, and future risks. AJKD. 2018; 72 ( 1 ): 113 ‐ 117. | |
dc.identifier.citedreference | Seo G, Huang W, Han S‐H. Conceptual Review of Underrepresentation of Women in Senior Leadership Positions From a Perspective of Gendered Social Status in the Workplace: Implication for HRD Research and Practice. Hum Resour Dev Rev. 2017; 16 ( 1 ): 35 ‐ 59. | |
dc.identifier.citedreference | Obstacles to Female Leadership. Public Says Women are Equally Qualified, but Barriers Persist. https://www.pewsocialtrends.org/2015/01/14/women‐and‐leadership/. Accessed December 28, 2019. | |
dc.identifier.citedreference | Wiseman A, Akalin E, Dadhania DM, et al. Defining the roles and responsibilities of the kidney transplant medical director: a necessary step for future training, mentoring, and professional development. Am J Transplant. 2020; 21 ( 4 ): 1556 ‐ 1563. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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