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1. SUMMARY page 3
2. STATUTES pages 4-6
3. CERTIFICATION pages 7-19
4. FUTURE AMEDMENTS pages 20
5. FOUNDING MEMBERS pages 21-23
DIVISION OF TRANSPLANTATION
1. SUMMARY
Union Européene des Medecins Spécialistes (UEMS)Section of Surgery
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Division of Transplantation
The Division of Transplantation (called onwards in the document as Division) was formed in 2007. It was the product of the work from May 2005 to February 2007of the Transplant Working Group of the Section of Surgery of the UEMS and the European Board of Surgery (EBS). The main objective of the Division is to guarantee the best standard of care in organ transplantation in Europe by ensuring that training in transplantation surgery is maintained at the highest possible level. The Division operates in close collaboration with the European Society of Organ Transplantation (ESOT). The Division of Transplantation is a non-profit organisation.
The Division shall achieve its objectives by setting and recommending standards to the EBS and the UEMS and by encouraging health authorities, national and international transplantation societies to live up to such standards concerning all aspects of professional practice in transplantation surgery.
The Division's membership is comprised by up to two representatives from each member state of the UEMS who shall be nominated by the competent professional medical organisation in official communication with the EBS/ UEMS. The Division also has a representative of ESOT who is appointed by the ESOT Council. The members of the Transplant Working Group of the UEMS and the EBS are the founding members of the Division.
The Division is directed by a Management Council comprised by a Chairman (President), a Vice Chairman (Vice President), two Secretaries (Senior and Junior), a Treasurer and the Representative of ESOT.
The Management Council communicates with the General Secretary of the UEMS through the Section of Surgery. The Executive Bureau of the UEMS shall communicate with the Division of Transplantation through the Section of Surgery on behalf of the European Union (EU) bodies.
The Section of Surgery and the Executive of the UEMS shall be entrusted with communicating all opinions issuing from the Division of Transplantation to the Commission of the EU and the Advisory Committee for Medical Training.
The Division is financed by the fees of applicants for their assessment of eligibility and examination for obtaining accreditation in transplantation surgery.
2. STATUTES
Union Européene des Médecins Spécialistes
Division of Transplantation associated with theEBS and the UEMS Section of Surgery
1. Introduction
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The Division of Transplantation within the UEMS is an associate section of the UEMS Section of Surgery. The Division operates in close collaboration with ESOT. The Division advises on issues relating to training and professional practice in transplantation surgery within the EU as well as all member states of the UEMS, for the benefit of training in transplantation surgery and patient care. The Division of Transplantation is a non-profit organisation.
2. Title
The associate section shall be known as the Division of Transplantation associated with the Speciality Section of Surgery of the European Union of Medical Specialists.
3. Composition
3.1 There shall be up to two representatives from each member state of the UEMS who shall be nominated by the competent national professional medical organisation in official communication with the UEMS and the EBS.
3.2 The Division has a representative of ESOT appointed by the ESOT Council. The representative of ESOT will be member of the Management Council of the Division, present the views of ESOT to the Management Council and the members of the Division and vice versa and forward copies of the documents produced by the Division to the ESOT Council.
3.3 The tenure of each full member (including the representative of ESOT) shall be for 4 years, renewable only once. Following completion of their term, the members of the Division and the representative of ESOT are responsible for ensuring their succession following consultation with their professional organisations and ESOT respectively. This is to ensure proper representation of all countries and ESOT at any given time.
3.4 In the event that none of the full members of a certain country are able to attend a meeting, they may nominate a deputy previously nominated by their medical organisation to attend on their place, subject to prior approval of the Chairman of the Division.
3.5 The Division shall elect a Management Council from its members, which will include a Chairman, a Vice Chairman, two Secretaries (Senior and Junior) and a Treasurer. The Representative of ESOT will also be a member of the Management Council and is appointed by the ESOT Council.
3.6 The Chairman and Vice Chairman shall have tenure of 4 years and shall not be eligible for re-election. The Chairman and Vice Chairman shall be elected at intervals separated by 2 years. The tenure of the Secretaries will be for 4 years. The Senior and Junior secretary shall be appointed at intervals separated by 2 years. Of the 4 years tenure, 2 will be spent as Junior and 2 as Senior Secretary. The Treasurer shall have tenure of 4 years and shall not be eligible for re-election. The Representative of ESOT cannot hold a second post in the Management Council of the Division.
3.7 Election of Executive Officers: The Secretary will notify members of the Division of an impending vacancy one year in advance and ask for nominations at the same time. Any nomination should be proposed and seconded by two members of the Division. The Secretary will then arrange a postal ballot to all members of the Division 6 months before the appointment will become active.
3.8 The Chairman and Secretary of the Division shall attend meetings of the Speciality Section of Surgery of the UEMS as ex-officio members.
3.9 The Division may appoint working groups to prepare draft documents or recommendations on specific topics for consideration by the full Division.
4. Objectives
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The main objective of the Division is to guarantee the best standard of care in organ transplantation in Europe by ensuring that training in transplantation surgery is maintained at the highest possible level.
5. Accountability
5.1 The Division of Transplantation shall report to the UEMS Management Council through the UEMS Section of Surgery and the EBS.
5.2 Relations with any organisation or institution outside the UEMS shall be in accordance with article 11 (III) of the statute and article 24 (III) of the current rules of procedure.
6. Functioning
6.1 The Division shall meet at least once per year and the minutes of the meeting shall be forwarded to the UEMS Section of Surgery and the EBS. The date and place of every meeting is to be decided at the end of the previous meeting. Extraordinary meetings can be called by the Management Council or following the request of one or more members and approval by the Management Council.
6.2 Meetings shall be organised in such a way that will allow the maximum possible number of members to attend and to entail the minimum of expense.
6.3 Meetings may be attended by the General Secretary of the UEMS or a nominated deputy who shall be a member of the Management Council. Meetings may also be attended by the President of the UEMS Section of Surgery or the President of the EBS or a nominated deputy who is a member of the Management Council of the UEMS Section of Surgery. The Chairman of the Division of Transplantation should be informed beforehand in all cases.
6.4 The agenda shall consist of subjects proposed by the Management Council of the Division, the members of the Division, officers of the UEMS Section of Surgery, the EBS or the Secretary General of the UEMS.
6.5 The agenda shall be circulated to the members and the Secretary General of the UEMS, the UEMS Section of Surgery and the EBS at least 1 month before the meeting.
6.6 The minutes of the meetings shall be circulated to all members, the President and Secretary of the UEMS Section of Surgery, the President of the EBS, the General Secretary of the UEMS and the Management Council of the UEMS within 1 month of the meeting.
7. Financing
7.1 The Division is a non-profit organisation and is financed by the fees of the applicants for the two parts of the accreditation process: eligibility and examination.
7.2 The Division holds a bank account in Euros in a well established bank in a European country which is a member of the UEMS. The Treasurer and one more nominated person by the Management Council are the authorised users of the account. In order to facilitate international transactions, the account must have an International Bank Account Number. The Treasurer and the second nominated user of the account have to present at the annual meeting of the Division a signed report of the account as well as copies of the bank statements of the account. The Treasurer and the second nominated user must also forward each annual report to the Treasurer of the Section of Surgery of the UEMS and the EBS.
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3. CERTIFICATION
Modules
Certification can be obtained for the following separate modules:
1. Multi-organ retrieval2. Kidney transplantation3. Pancreas transplantation4. Liver transplantation
The Diploma of the European Board of Surgery Qualification (Transplantation) is obtained on Passing Part I (Eligibility) and Part II (Examination). A candidate can be accredited for one or more modules. For obtaining accreditation for any of 2, 3 and 4 modules it is mandatory to obtain accreditation in module 1 as well.
Part I - Eligibility
To apply for certification, a candidate must fulfil the following requirements for eligibility:
Requirements
1. The candidate can apply for accreditation when he meets one of the following criteria:
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a. Has completed the surgical training of one specialty (general surgery, vascular surgery, urology, paediatric surgery) and is a board certified/ specialised surgeon in a country which is a member of the EU or the UEMS and has accomplished his/ her transplant surgical training in EU or UEMS member countries.
b. Has completed the surgical training of one speciality (general surgery, vascular surgery, urology, paediatric surgery) and is a board certified/ specialised surgeon in a country which is not a member of
the EU or the UEMS, but has accomplished his/ her transplant surgical training in EU or UEMS member countries.
c. Has a temporary or a permanent licence to be trained or practise surgery in EU or UEMS member countries and has accomplished his/ her transplant surgical training in EU or UEMS member countries
2. The candidate must be able to take the exam in the English language
3. The candidate must have a minimum of 2 years of training in transplantation surgery. The training can be obtained in parts but the time from the initiation of the first part of the training to the end of the last part of the training must be maximum 4 years.
4. The candidate must provide a Logbook countersigned by a trainer. The Logbook must provide the following information:
a. Index Procedures (date, hospital, patient ID/ number but no information that allows identification of the patient’s name, procedure)
b. Indication on whether the surgeon was the - (A) Assistant- (B) Principal surgeon assisted by a trainer - (C) Principal surgeon assisted by someone other than the trainer
The Logbook information should be provided in the following format
DATE NAME OF PATIENT PROCEDURE (A) (B) (C)HOSPITAL ID NO
5. The minimum number of cases that the candidate must have recorded in his Logbook to be eligible for accreditation for each individual module are as follows:
- Multi-organ retrieval moduleAssisted Performed
Procurement of cadaveric kidneys 20 20Procurement of cadaveric pancreases (incl. retrieval for islets) 10 2Procurement of cadaveric livers 10 10
- Kidney transplantation module Assisted Performed
Procurement of cadaveric kidneys 20 20Kidney back table preparation 20 20Cadaveric kidney transplantation 20 20Kidney re-transplantation 2 0Live donor kidney transplantation 5 0Live donor nephrectomy 5 0Pediatric kidney transplantation 5 0Kidney graft nephrectomy 5 2Surgery of complications of kidney transplantation 20 0
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Kidney biopsy 5 (Attended) 0 - Pancreas transplantation module Assisted Performed
Procurement of cadaveric pancreases (incl. retrieval for islets) 10 2Pancreas back table preparation 5 5Cadveric pancreatic transplantation 5 5Surgery of complications of pancreas transplantation 5 0
- Liver transplantation module Assisted Performed
Procurement of cadaveric livers 10 10 Liver back table preparation 20 20Cadaveric liver transplantation 20 20Split/ Living donor liver procedure* 2 0Liver re-transplantation 2 0Surgery of complications of liver transplantation 20 0Liver biopsy 5 (Attended) 0* Alternatively attendance of an accredited course
6. The candidate must have a total of 20 credit points (CPs) based on the following system:
- Attendance of transplant course (predominantly-but not exclusively- the ESOT educational courses) 10 CPs
- Participation at recognised international congress i. Participation
5 CPs ii. Participation with first authorship (poster or abstract)
8 CPs
- Participation at national congressi. Participation 3 CPs ii. Participation with first authorship 5 CPs
- Attendance of transplant symposia 2 CPs
Attendance of a minimum of two educational meetings (courses, congresses, symposia) is mandatory.
Note 1: The Continuing Medical Education (CMEs) points of every course/ congress/ symposium will initially count as CPs. Eventually a sub-committee of the Division (two members of the Division and the representative of ESOT in the Division) will examine the available educational activities and award CPs to every activity.
Note 2: The following qualifications, although not mandatory, are considered of great importance and can count to the applicants favor:- Higher degree (M.Sc., Ph.D.) in the field of transplantation- Publication(s) in peer review journals in the field of transplantation (especially as first author)- Visit to a transplant centre/ laboratory either than the one where the applicant was mainly trained
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7. The applicant must complete and sign the following application form: (see next page)
APPLICATION FOR EUROPEAN BOARD OF SURGERY QUALIFICATION IN TRANSPLANTATION
1.It is mandatory that a signed hard copy of the application and all the relevant documents (Logbook, certificates of attendance of educational activities, certificates of eligibility and training in transplantation surgery) will be mailed to the Senior Secretary of the. Division of Transplantation of the UEMS (name and contact details will be provided). It is useful to also e-mail the application to the Senior Secretary. The deadline for submission of application for eligibility will be six months prior to the date of the next exam.
2. Please attach a copy of your CV.
3. Please provide two passport size photographs.
4. Please attach at the end extra pages with any information that does not fit in the space provided.
FAMILY NAME FIRST NAMES
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NATIONALITY DATE AND PLACE OF BIRTH
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ADDRESS FOR CORRESPONDENCE HOME ADRESS (if different)
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TELEPHONE FAX E-MAIL
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PRESENT APPOINTMENT (title, department and hospital address)
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PLEASE INDICATE FOR WHICH OF THE FOUR MODULES YOU WANT TO APPLY(please tick where appropriate)
1. Multi-organ retrieval ……………2. Kidney transplantation ……………3. Pancreas transplantation …………...4. Liver transplantation ……………
FEES
Please attach a cheque for 200 Euros payable to the Division of Transplantation of the UEMS.
In exceptional circumstances, an application for a reduced fee can be considered. The reasons for such an application must be clarified.
PPLEASE ATTACH CERTIFICATES (TRANSLATED IN ENGLISH IF NOT IN ENGLISH ORIGINALLY) CONFIRMING THAT YOU BELONG TO ONE OF THE FOLLOWING CATEGORIES:
a. You have completed your surgical training in one specialty (general surgery, vascular surgery, urology, paediatric surgery) and you are a board certified/ specialised surgeon in a country which is a member of the EU or the UEMS and have accomplished your transplant surgical training in EU or UEMS member countries.
b. You have completed your surgical training in one speciality (general surgery, vascular surgery, urology, paediatric surgery) and you are a board certified/ specialised surgeon in a country which is not a member of the EU or the UEMS, but have accomplished your transplant surgical training in EU or UEMS member countries.
c. You have a temporary or a permanent licence to be trained or practise surgery in EU or UEMS member countries and have accomplished your transplant surgical training in EU or UEMS member countries.
NAME AND HOSPITAL ADDRESS OF TWO PRINCIPAL TRAINERS IN TRANSPLANTATION SURGERY
1 ………………………………………………………………………………………………………………..
2 …………………………………………………………………………………………………………………
UNDERGRADUATE AND POSTGRADUATE MEDICAL EDUCATION
Undergraduate training (please provide certified copies of the relative certificates translated in English if not in English originally)
Institution Dates (from-to) Degree
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Postgraduate training (please provide certified copies of the relative certificates translated in English if not in English originally)
Institution Dates (from-to) Degree
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Training in transplantation surgery (please provide certified copies of the relative certificates translated in English if not in English originally)
Institution Dates (from-to) Degree
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TOTAL DURATION OF TRAINING IN TRANSPLANTATION SURGERY
Years …………………………… Months ………………………………….
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DECLARATION BY APPLICANT
I wish to apply for Part I (Eligibility) of the European Board of Surgery Qualification (EBSQ) in Transplantation Surgery for modules (please put in circle) 1, 2, 3 , 4 which I understand may be awarded upon the recommendation of the Division of Transplantation based upon assessment of my training experience. I declare that all information provided on this form in support of my application is correct.
Signature ……………………………………………………………………
Print name …………………………………………………………………...
Date …………………………………………………………………..
THE APPLICANT MUST PROVIDE A LETTER BY ONE OF HIS/ HER PRINCIPAL TRAINERS IN TRANSPLANTATION SURGERY IN SUPPORT OF THE APPLICATION
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8. The application will be considered by a sub-committee of the Division. The sub-committee will have three members: the Senior or Junior Secretary and two nominated members of the Division who are not members of the Management Council. The applicant will be informed by mail and e-mail for the acceptance or rejection of his/ her application no later than one month from the date the application was received by the Senior Secretary of the Division.
9. If the applicant is successful:
- He/ she will be asked to pay the examination fee which is 200 Euros in a cheque payable to the Division of Transplantation of the UEMS. As with the eligibility fee, in exceptional circumstances, an application for a reduced fee can be considered. The reasons for such an application must be clarified.
- He/ she will be provided with information regarding the date/ time/ venue of the exam and a list of suggested textbooks to study in preparation for the exam.
- He/ she will be provided with the Syllabus of the examination which is as follows for each module: (see next page)
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SYLLABUS FOR TRAINING IN TRANSPLANTATION SURGERY
1. Multi-organ retrieval module
Subject objective
- Ability to evaluate donor suitability- Ability to retrieve abdominal organs for transplantation
Knowledge
- Evaluation of donor/ organs suitability
- Contraindications to organ donation: general, organ-specific
- Criteria for brain/ brainstem death
- Pathophysiology of brain/ brainstem death
- Principles of donor management and organ preservation
- Surgical anatomy of multi-organ retrieval
- Donor transmitted diseases
Clinical skills
- Assessment and management of organ donors (including live and non heart beating donors)
- Kidney retrieval from cadaveric donor
- Liver retrieval from cadaveric donor
- Pancreatic retrieval from cadaveric donor
- Kidney retrieval from live donor
Professional Skills
- Check, record and retrieve relevant information from donor medical records
- Communication
- Teamwork
- Understand ethical and medical-legal issues in organ donation and organ allocation
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2. Kidney transplantation module
Subject objective
- Ability to assess patients for renal transplantation and manage their care.
Knowledge
- Acute and chronic renal failure: causes, complications, pathophysiology, treatment options
- Anatomy: implantation site, kidney anatomy and anomalies
- Immunology: ABO compatibility, cytotoxic cross match, flow cytometry, HLA matching,
immunosuppression, rejection
- Indications and contraindications for: cadaveric and live kidney donation and transplantation
- Principles of pre-op preparation and post-op management
Clinical skills
- Evaluation of donor/ organ suitability
- Select appropriate patient from the waiting list
- Kidney retrieval from cadaveric donor
- Kidney retrieval from live donor
- Transplant kidney: bench preparation, prepare implant site perform vascular and ureteric
anastomoses
- Manage post-op care: drug therapy, fluid management, laboratory and imaging investigations,
renal biopsy
- Identify and treat post-op complications: drug side effects, infection, rejection, ureteric, vascular
complications
- Post-transplant graft nephrectomy
- Vascular access experience or attendance of training course, vascular surgery experience or attendance of training
course, microsurgery experience or attendance of training course
Professional skills
- Assess patients referred for kidney transplantation (including live donors): arrange appropriate
investigations, counsel patients and families and obtain informed consent, prepare patients for
theatre
- Demonstrate diagnostic, prescribing and counselling skills, good communication and teamwork.
- Practise evidence-based medicine: audit, clinical trials, journal review
- Understand medico-legal and ethical issues
- Record and retrieve information from databases
3. Pancreas transplantation module
Subject objective
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- Assessment of patients for pancreatic transplantation in consult with a multidisciplinary team
- Operative management and post operative care
Knowledge
- Diabetes: causes, complications, pathophysiology, treatment options (including islet transplantation)
- Indications and contraindications for pancreatic donation: simultaneous kidney and pancreas
transplant, pancreas after kidney transplant, pancreas transplantation alone
- Anatomy: pancreatic graft and implantation site
-Immunology: ABO compatibility, cytotoxic cross match, flow cytometry, HLA matching,
immunosuppression, rejection
- Principles of pre-op preparation and post op-management
Clinical skills
- Evaluation of donor/ organ suitability
- Pancreatic graft retrieval
- Select appropriate patient from the waiting list
- Pancreatic graft implantation
- Manage post-op care: drug therapy, fluid management, diagnostic investigations
- Identify and treat post-op complications: drug side effects, pancreatic fistula, infection, pancreatitis,
rejection, vascular complications
- Post transplant graft pancreatectomy
Professional skills
- Demonstrate diagnostic, prescribing and counselling skills
- Demonstrate good communication and good teamwork
- Record and retrieve information from databases
- Assess potential candidates for pancreas transplantation, arrange appropriate investigations,
counsel and obtain informed consent, prepare patient for theatre
- Practise evidence-based medicine: audit, clinical trials journal review
- Understand medico-legal and ethical issues
4. Liver transplantation module
Subject objective
- Assess and manage patients undergoing liver transplantation
Knowledge
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- Acute and chronic liver failure: causes, complications, pathophysiology and treatment options
- Immunology: immunosuppression, rejection
- Indications and contraindications for: cadaveric and live liver donation, liver transplantation
- Liver anatomy: anatomical variants, surgical anatomy for splitting/reduction/live donation
- Principles of pre-op preparation and post-op management
- Complications of liver transplantation and their management
Clinical skills
- Evaluation of donor/ organ suitability
- Select appropriate patient from the waiting list
- Cadaveric liver retrieval
- Split liver procedure
- Cadaveric liver transplantation including common intra-operative challenges
- Split liver transplantation
- Manage post-op care, drug therapy, fluid management, investigations, liver biopsy
- Identify and treat post-op complications: biliary complications, drug side-effects, infection,
recurrent disease, rejection, vascular complications
Professional skills
- Assess patients referred for liver transplantation: arrange appropriate investigations
- Assess patients referred for liver transplantation: counsel and obtain informed consent,
prepare patients for surgery
- Demonstrate diagnostic, prescribing and counselling skills
- Demonstrate good communication and teamwork
- Practise evidence-based medicine: audit, clinical trials, journal review
- Record and retrieve information from database
- Understand medico-legal and ethical issues
Part II-Examination
1. The examination takes place every two years and during the biannual meeting of ESOT.
2. There is a separate examination for each module.
3. Each candidate is examined individually for every module for which he/ she has applied.
4. For each module the examination board has a total of four examiners:
- The chairman who is a member of the Division and is an expert in the field examined in the module. The chairman is appointed by the Division.
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- Two members of the Division who are appointed by the Division and of whom one is an expert in the field examined in the module and one in a different field of transplantation surgery. The chairman designates one of the two members to be the examiner responsible for keeping the minutes of the examination process. The minutes are signed by all members of the examining board and are forwarded to the Management Council of the Division. The minutes are filed by the Senior Secretary of the Division.
- A representative of ESOT appointed by the ESOT Council
5. Examination format
- Oral examination only.
- The duration of the exam for each module will be 60 minutes.
- The first part of the exam will be examination on clinical topics that can include: direct questions, discussion of cases, questions based on presentation of radiological and histological findings.
- The second part of the exam will be a general viva voce with discussion around the topics included in the syllabus of each module.
- A pass/ fail mark will be decided following discussion among the members of the examining board without the presence of the applicant. Each member of the examining board has one vote. Three votes are necessary for pass or fail mark to be decided. In case of a split 2-2 vote the chairman can cast an extra decisive vote.
- The candidate is informed in writing regarding the result of the examination no later than a month form the date of the exam.
6. The successful candidates are awarded the EBSQ in Transplantation Surgery (with specification for which modules) and are provided with the relevant Diploma.
4. FUTURE AMENDMENTS
The Statutes as well as the Certification (Part 1-Eligibility, Part 2-Examination) Process can be amended following relevant suggestion by a member of the Division and approval by 2/3 (two thirds) of the members of the Division.
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5. FOUNDING MEMBERS
Founding members of the Division of Transplantation of the UEMS (ESOT followed by countries in alphabetical order):
1. EUROPEAN SOCIETY OF ORGAN TRANSPLANTATION
Professor Jan Lerut e-mail: [email protected]
Professor Xavier Rogierse-mail: [email protected]
2. AUSTRIA
Professor Ferdinand Muehlbachere-mail: [email protected]
3. BELGIUM
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Professor Jan Lerute-mail: [email protected]
Professor Jacques Pirennee-mail: [email protected]
4. CROATIA
Dr. Leonardo Patrlje-mail: [email protected]
5. CYPRUSDr. George Kyriakidese-mail: [email protected]
6. CZECH REPUBLIC
Professor Milos Adamece-mail: [email protected]
7. DENMARK
Professor Allan Rasmussene-mail: [email protected]
8. FINLAND
Professor Krister Hockerstedt e-mail: [email protected]
9. FRANCE
Professor Karim Boudjema e-mail: [email protected]
10. GERMANY
Professor Wolf Bechstein e-mail: [email protected]
11. GREECE
Dr. Michael Mitsise-mail: [email protected]
12. HUNGARY
Professor Jeno Jaraye-mail: [email protected]
13. ITALY
Dr. Jacopo Romagnoli
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14. NETHERLANDS
Professor MHJ Slooff e-mail: [email protected]
15. NORWAY
Dr Per Pfeffer e-mail: [email protected]
Dr Aksel Fosse-mail: [email protected]
16. POLAND
Professor Zbigniew Wlodarczyke-mail: [email protected]
17. PORTUGAL
Dr. Vitor Ribeiroe-mail: [email protected]
18. SLOVAKIA
Dr. Frantisek Hample-mail: [email protected] 19. SLOVENIA
Dr. Valentin Sojar e-mail: [email protected]
20. SPAIN
Dr. Daniel Casanova e-mail: [email protected]
Dr. Fernando Pardoe-mail: [email protected]
21. SWEDEN
Professor Michael Olaussone-mail: [email protected]
Dr. Lars Wennberg e-mail: [email protected]
Professor Annika Tibelle-mail: [email protected]
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22. SWITZERLAND
Professor Philippe Morele-mail: [email protected]
Professor Markus Webere-mail: [email protected]
23. UNITED KINGDOM
Mr. Vassilios Papaloise-mail: [email protected]
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