{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T10:43:47Z","timestamp":1791110627693,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international survey was distributed to 416 pediatric transplant fellows via multiple global transplant associations. The 29\u2010question 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One of the key findings was that respondents felt most confident in their pre\u2010transplantation clinical knowledge. About 75.5% of fellows reported being extremely or very aware of pre\u2010transplant 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\u2010on workshops, and support for transition protocols and psychosocial counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u2010based learning, interdisciplinary collaboration, and accessible continuing education are essential to enhance training. These strategies will ensure that future transplant professionals are well\u2010equipped to deliver high\u2010quality care across diverse healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70105","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:00:57Z","timestamp":1747630857000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Educational Gaps and Suggestions for Change for Pediatric Transplant Fellowship Training Based on Fellow Survey Responses"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3892-8376","authenticated-orcid":false,"given":"Rupesh","family":"Raina","sequence":"first","affiliation":[{"name":"Department of Pediatric Nephrology Akron Children's Hospital  Akron Ohio USA"},{"name":"Department of Nephrology Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center  Akron Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1254-1957","authenticated-orcid":false,"given":"Flora R.","family":"Gallegos","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine Northeast Ohio Medical University  Rootstown Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mignon","family":"McCulloch","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Red Cross Children's Hospital University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Nair","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7601-5446","authenticated-orcid":false,"given":"Jared","family":"Hinton","sequence":"additional","affiliation":[{"name":"Department of Medicine, College of Medicine Northeast Ohio Medical University  Rootstown Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Pediatrics II University Hospital of Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Twombley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan N.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine Mayo Clinic Children's Center  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology University Medical Center Hamburg\/Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Andrew","family":"Bonham","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation, Department of Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgenia","family":"Preka","sequence":"additional","affiliation":[{"name":"N\u00e9phrologie P\u00e9diatrique, Centre de R\u00e9f\u00e9rence Des Maladies R\u00e9nales H\u00e9r\u00e9ditaires de L'enfant et L'adulte (MARHEA), H\u00f4pital Universitaire Necker\u2010Enfants Malades, Assistance Publique\u2010H\u00f4pitaux de Paris (APHP) Universit\u00e9 Paris Cit\u00e9  Paris France"},{"name":"INSERM U970, PARCC Paris Translational Research Centre for Organ, Transplantation  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4475-9751","authenticated-orcid":false,"given":"Sharon","family":"Bartosh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Department of Pediatrics University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anchal","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"Williams College  Williamstown Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3982-7118","authenticated-orcid":false,"given":"Jieji","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Nephrology Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center  Akron Ohio USA"},{"name":"Department of Medicine, College of Medicine Northeast Ohio Medical University  Rootstown Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen D.","family":"Marks","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology Great Ormond Street Hospital for Children NHS Foundation Trust  London UK"},{"name":"NIHR Great Ormond Street Hospital Biomedical Research Centre UCL Great Ormond Street Institute of Child Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Esquivel","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation, Department of Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sempedsurg.2022.151192"},{"key":"e_1_2_10_3_1","unstructured":"GODT \u201cOrgan Donation and Transplantation Activities 2020 Report \u201d Global Observatory on Donation and Transplantation 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