A Pathway of Excellence in Organ Donation and Transplantation: A novel curricular design

Background: Solid organ transplantation is a lifesaving treatment for individuals with end-stage organ failure. The demand for donor organs far exceeds supply, resulting in patients dying on the waitlist. Numerous studies report that medical students have limited knowledge in topics around organ donation and transplantation. Our objective was to design a curriculum on organ donation and transplantation. Methods: This study utilized Kern’s curricular development. Qualitative interviews were performed with 1) donation and transplantation healthcare professionals, 2) organ transplant recipients, live donors and deceased donor families to identify teaching topics. A survey conducted with primary care providers assessed the significance of topics. Curricular threads were developed linking objectives with specific courses. Results: Stakeholder interviews identified two competencies essential for organ donation and transplantation education: 1) medical knowledge, 2) patient-centered communication. Within each category, sub-themes emerged: knowledge of kidney disease and transplantation, patient processes, post-surgical care, logistical challenges, empathy and compassion, personal connection, clear communication, advocacy, and practical experiences. Consensus surveys highlighted communication, ethics, logistical challenges, and medical overview of donors and transplantation as being important. Five curricular threads were developed-Science of organ donation and transplantation, Skills of organ donation and transplantation, Communication, Humanistic Aspect of organ donation and transplantation, Showing Empathy-to be embedded within existing courses. Conclusion: We propose a novel curriculum on organ donation and transplantation that is designed from the needs of key stakeholders; healthcare professionals, patients, families, and donors. This curriculum aims to enhance medical student education, ultimately contributing to improved organ donation rates and transplant opportunities.