Educational Gaps and Suggestions for Change for Pediatric Transplant Fellowship Training Based on Fellow Survey...

Advancements in organ transplant technology are pushing global transplant capabilities to new heights. However, challenges persist in pediatric surgical and medical transplant fellowship training, primarily due to a limited number of adequate training programs and gaps in education. Addressing these gaps is essential for improving patient outcomes and advancing the field of pediatric transplantation.

An international survey was distributed to 416 pediatric transplant fellows via multiple global transplant associations. The 29-question survey, available in English and Spanish, assessed current clinical knowledge, training satisfaction, and preferred learning formats. The survey received responses from 237 pediatric transplant fellows.

One of the key findings was that respondents felt most confident in their pre-transplantation clinical knowledge. About 75.5% of fellows reported being extremely or very aware of pre-transplant workups and assessments. However, significant gaps were identified in other areas of training. Notably, 24% of respondents felt extremely knowledgeable about the side effects of immunosuppression, and only 22.8% were very confident in managing acute rejection. Fellows expressed strong interest in dynamic educational formats, particularly clinical case discussions (88.8%). Preferred methods to enhance training included continuing medical education (64.6%), hands-on workshops, and support for transition protocols and psychosocial counseling.

This global survey highlights critical educational gaps in pediatric transplant fellowship training and identifies preferred learning methods among fellows. Targeted improvements such as standardized curricula, case-based learning, interdisciplinary collaboration, and accessible continuing education are essential to enhance training. These strategies will ensure that future transplant professionals are well-equipped to deliver high-quality care across diverse healthcare settings.