1. Pediatric Transplantation Committee Fall 2014

2. Pediatric Transplant Training and Experience  Peds experience not required for key personnel in programs that transplant pediatric patients  MANY attempts to resolve since 1993 - difficulty achieving consensus  Spring 2014 regional presentation incorporated professional society and community feedback  Slated for Jan 2015 Public Comment Ongoing Committee Initiatives

3. Pediatric Kidney Component Qualifying Criteria Pediatric Primary Kidney Surgeon  Meet current Bylaws for Primary Kidney Surgeon  12 Kidney transplants in patients younger than 18 Pediatric Primary Kidney Physician Meet Bylaws requirements outlined in one of the following sections of Appendix E (Membership and Personnel Requirements for Kidney Transplant Programs), Section E.3 (Primary Kidney Transplant Physician Requirements):  3.C (Three-year Pediatric Nephrology Fellowship Pathway)  3.D (Twelve-month Pediatric Transplant Nephrology Fellowship Pathway)  3.E (Combined Pediatric Nephrology Training and Experience Pathway)

4. Pediatric Liver Component Qualifying Criteria Pediatric Primary Liver Surgeon  Meet current Bylaws for Primary Liver Surgeon  18 liver transplants in patients younger than 18 Pediatric Primary Liver Physician Meet Bylaws requirements outlined in one of the following sections of Appendix F (Membership and Personnel Requirements for Liver Transplant Programs), Section F.3 (Primary Liver Transplant Physician Requirements):  3.C (Three-year Pediatric Gastroenterology Fellowship Pathway)  3.D (Pediatric Transplant Hepatology Fellowship Pathway)  3.E (Combined Pediatric Gastroenterology/Transplant Hepatology Training and Experience Pathway)

5. Pediatric Heart Component Qualifying Criteria Pediatric Primary Heart Surgeon  Meet current Bylaws for Primary Heart Surgeon  8 heart transplants in patients younger than 18 Pediatric Primary Heart Physician  Meet current Bylaws requirements for Primary Heart Physician  Care for 8 heart transplant patients younger than 18 years of age  American Board of Pediatrics: Sub-board of Pediatric Cardiology Certification

6. Pediatric Lung Component Qualifying Criteria Pediatric Primary Lung Surgeon  Meet current Bylaws for Primary Lung Surgeon  4 lung transplants in patients younger than 18 Pediatric Primary Lung Physician  Meet current Bylaws requirements for Primary Lung Physician  American Board of Pediatrics certification in pulmonology medicine possessed by the individual who meets the current bylaw requirements OR another member of the lung transplant team.

7.  Conditional Pathway  Eliminate Alternative Pathway for Predominantly Pediatric Programs  Use appropriate medical judgment for rare situations Additional Considerations

8. Ethical Considerations for Pediatric Candidates  NOTA and Final Rule require equitable allocation policy addressing special needs of children  June 2010: Ethics Committee publishes white paper  Jan-Sept 2014: Ped-Ethics Joint Subcommittee drafts companion paper--pediatric principles of organ allocation  Board approved on Nov 13, 2014 New Committee Initiatives

9.  Eileen Brewer, MD Committee Chair ebrewer@bcm.edu  Regional Rep name (RA will complete) Region X Representative email address  Christine Flavin, MPH Committee Liaison christine.flavin@unos.org Questions?