title: Establishment of educational program for multiorgan procurement from deceased donors.
abstract: BACKGROUND
  Multiorgan procurement is not an easy procedure and requires special technique and training. Since sufficient donors are not available for on-site training in Japan, establishment of the educational program for multiorgan procurement is mandatory.
  
  
  METHODS
  Development of e-learning and simulation using pigs are our main goals. E-learning contains three dimensional computer graphic (3DCG) animations of the multiorgan procurement, explanation of both donor criteria and procurement procedure, and self-assessment examination. To clarify the donor criteria, the risk factors to 3-month survival of the recipients were analyzed in 138 adult cases of liver transplantation. The 3DCG animation for liver procurement was developed, which was used in the lecture prior to the simulation on August 10, 2013. The results of the examination after this lecture (exam 2013) were compared with the results after the lecture without using animation in 2012 (exam 2012). The simulation was performed by 97 trainees divided into 9 teams, and the surveys were conducted.
  
  
  RESULTS
  The risk factors for early outcome of the recipients were cold ischemia time (≥ 10 hours), Model for End-stage Liver Disease score (≥ 20), and donor age (≥ 55 years). Results of examination showed that overall percentage of the correct answers was significantly higher in exam 2013 than in exam 2012 (48.3% vs 32.7%; P = .0001). The survey after the simulation of multiorgan procurement revealed that most trainees thought that the simulation was useful and should be continued.
  
  
  CONCLUSIONS
  The novel educational program could allow young surgeons to make precise assessments and perform the exact procedure in the multiorgan procurement.
authors.affiliation: Asahikawa Medical University, Asahikawa, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Taniguchi
authors.affiliation: Asahikawa Medical University, Asahikawa, Japan. Electronic address: f-hiro@asahikawa-med.ac.jp.
authors.forename: H
authors.initials: H
authors.lastname: Furukawa
authors.affiliation: Waseda University, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kawai
authors.affiliation: Aoyama Gakuin University, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Morikawa
authors.affiliation: Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Morozumi
authors.affiliation: Fukushima Medical University, Fukushima, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Goto
authors.affiliation: Tohoku University, Sendai, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kondo
authors.affiliation: Toho University, Tokyo, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Aikawa
authors.affiliation: Osaka University, Suita, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ito
authors.affiliation: Osaka University, Suita, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takahara
authors.affiliation: Tohoku University, Sendai, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Nio
authors.affiliation: Tokyo University, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Kokudo
authors.affiliation: Kyoto University, Kyoto, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Uemoto
authors.affiliation: Osaka University, Suita, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Fukushima
authors.affiliation: Kitasato University, Sagamihara, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yoshida
authors.affiliation: Fujita Health University, Toyoake, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kenmochi
authors.affiliation: Kyoto University, Kyoto, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Date
authors.affiliation: Tokyo University, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Ono
authors.affiliation: Nagasaki University, Nagasaki, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Eguchi
authors.affiliation: Hokkaido University, Sapporo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Shimamura
authors.affiliation: Jichi Medical University, Shimotsuke, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Mizuta
authors.affiliation: Kyusyu University, Fukuoka, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yoshizumi
authors.affiliation: Osaka University, Suita, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ueno
mesh_terms: D000367:Age Factors; D000818:Animals; D050377:Cold Ischemia / Q000009:adverse effects; D003196:Computer Graphics; D003194:Computer-Assisted Instruction; D003479:Curriculum; D046148:Donor Selection / Q000379:methods*; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects / Q000193:education*; D008875:Middle Aged; D023421:Models, Animal; D016730:Program Development; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013552:Swine; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000193:education*; D016896:Treatment Outcome