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Renal Transplantation

  • 22.5 hours
  • 3 days

Overview

This three-day course provides an update on renal transplantation for nephrology clinicians, renal transplant surgeons and renal nurses.

You'll learn about the clinical aspects of kidney transplants, from donor and recipient selection through to surgical and medical management post-transplant.

You'll also have the opportunity to discuss practical aspects of difficult cases.

You'll be able to apply the skills you learn on this course in your everyday workplace to deliver a better standard of care for your patients.

This course is run by the UCL Centre for Nephrology.

Who this course is for

The course is designed for:

  • consultant and trainee nephrologists
  • recently appointed consultant and trainee transplant surgeons

Nursing staff who specialise in this field will also find the course of interest.

Although some of the statistics and guidelines discussed on the course are UK specific, the key concepts and learning aims are relevant internationally.

Course content

The topics covered on each day are as follows:

Day one

  • State of play – renal transplantation in the UK
  • Deceased donor assessment, including increased-risk situations and case discussions
  • Live donation evaluation
  • Immunological assessment pre- and post-transplantation
  • Novel approaches in histocompatibility and immunogenetics (H&I)
  • Cardiac evaluation
  • Anaesthetic evaluation of the recipient
  • Evaluation of the increase risk recipient
  • Live donor evaluation
  • Strategies to minimise sensitisation after transplant failure

Day two

  • Kidney transplantation - surgical techniques and management of complications
  • Maximising deceased donor kidney utilisation
  • Perfusion technologies and their future in renal transplantation
  • Organ offer scenarios
  • Pancreas transplantation, why, who and how?
  • Living kidney donation - surgical aspects and donor outcomes
  • Management of the urinary tract pre- and post-transplant
  • Surgical complication - case discussions
  • Management of the paediatric renal transplant recipient

Day three

  • Medical complications of transplantation
  • Graft survival - what impacts and how to improve
  • Infections in the transplant recipient - case discussions
  • Screening, pre-treatment, prophylaxis and management of infections
  • BK virus (BKV)
  • Histology cases (in groups)
  • Recurrent disease and management
  • Transplant pathology
  • Acute and chronic rejection - immunological risk, diagnosis, consequences and treatment
  • Immunosuppression - seminal studies and toxicities
  • Management of the long-term transplant, including bone disease, reproductive medicine, post-transplant malignancy and chronic kidney disease (CKD)

Teaching and structure

You can attend one, two or three days.

The course involves a combination of lectures and case-based discussions/workshops.

Certificates and accreditation

CPD credit to be confirmed by the Royal College of Physicians (RCP). Last year’s course was awarded 20 category 1 (external) CPD credits.

Learning outcomes

The course will help you:

  • understand how to assess kidney donors and recipients, the critical features of surgical transplantation, tissue typing and the medical management of kidney transplant recipients
  • gain up-to-date knowledge of acute developments in the clinical management of transplantation and its complications
  • evaluate real cases of donor and recipient assessment, cross-matching and infectious complications of transplantation
  • critically reflect on ways to improve current practice and the patient pathway

Costs and concessions

The fees per day are:

  • Consultant/GP - £130
  • SPR/SHO/staff grade - £100
  • Royal Free Hospital/UCL staff - £80
  • NHS nursing staff - £50

The fees for three days are:

  • Consultant/GP - £300
  • SPR/SHO/staff grade - £250
  • Royal Free Hospital/UCL staff - £200
  • NHS nursing staff - £100

NHS nursing staff can attend one day of the course for free. For further information please email the course administrator at Med.Cfnevents@ucl.ac.uk

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Course team

Dr Mark Harber

Mark is Honorary Senior Lecturer at UCL Centre for Nephrology, Royal Free and Consultant Nephrologist at the Royal Free London NHS Foundation Trust. He has a specialist interest in transplantation. His research interests include the immune system, infectious diseases and transplantation, urinary tract infection and acute kidney injury.


Neal Banga

Neal is a consultant transplant and endocrine surgeon at the Royal Free Hospital and Honorary Senior Lecture at UCL Centre for Nephrology. His main interests are renal transplantation, complex laparoscopic surgery, and adrenal and retroperitoneal tumours. Having first worked on the transplant unit at St James’s Hospital in Leeds, Neal completed his general surgery training in London and underwent specialist training in renal transplantation and laparoscopic renal/adrenal surgery at Guys and the Royal Free hospitals.


Dr Ciara Magee

Ciara is a Consultant Nephrologist at Royal Free London. Her research interests include the immunobiology of transplant rejection, transplant virology and ageing. She's co-editor of the Pocket Companion to Brenner and Rector’s 'The Kidney'. Ciara completed her postgraduate training in nephrology in Ireland, before undertaking a research fellowship in transplant immunology at Brigham and Women’s Hospital and Harvard Medical School, Boston. She was awarded a PhD from Royal College Surgeons in Ireland in 2015.


Dr Gareth Jones

Gareth is a consultant nephrologist and transplant physician at UCL Centre for Nephrology, Royal Free. He's been clinical lead of renal transplantation at the Royal Free since 2008. His areas of interest include living donation, incompatible renal transplantation and transplant of the diabetic recipient with either islet or solid organ pancreas transplant. After qualifying from St Bartholomew’s medical school in 1993, he completed his training in London and the South West. During his training, he completed a PhD in islet transplantation and helped establish the clinical islet transplant program at the Royal Free.


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Course information last modified: 09 May 2018, 10:25

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