American Journal of Transplantation Images in Transplantation – Continuing Medical Education (CME)

Each month, the American Journal of Transplantation will feature Images in Transplantation, a journal-based CME activity, chosen to educate participants on current developments in the science and imaging of transplantation. Participants can earn 1 AMA PRA Category 1 Credit™ per article at their own pace.

This month's feature article is titled: “Congenital anatomic variations in a pancreas allograft: Is this consistent with safe transplant?”

Accreditation and Designation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of John Wiley & Sons, Inc., the American Society of Transplant Surgeons, and the American Society of Transplantation. John Wiley & Sons, Inc. is accredited by the ACCME to provide continuing medical education for physicians and fulfills the requirements for the American Board of Surgery (ABS) for Maintenance of Certification (MOC).

John Wiley & Sons, Inc. designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Statement of Need

It is important that transplant surgeons can confidently evaluate pancreas allografts that are suitable for transplantation to safely expand the donor pool and can identify which congenital abnormalities are acceptable.

Purpose of Activity

This activity was designed to demonstrate anatomical variations that may predispose transplant surgeons to reject otherwise acceptable allografts.

Identification of Practice Gap

Many pancreas allografts that are, in fact, suitable for pancreas transplantation are declined based on anatomical variations when they can be safely transplanted. It is largely unknown that allografts with congenital anomalies can be safely transplanted.

Learning Objectives

Upon completion of this educational activity, participants will be able to

• Recognize anatomical variants during organ procurement.
• Adapt technical aspects of transplantation after identifying such variants.
• Understand when variants would preclude transplantation.

Target Audience

This activity has been designed to meet the educational needs of surgeons in the field of transplantation.

Disclosures

No commercial support has been accepted related to the development or publication of this activity. John Wiley & Sons, Inc. has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.

Editor-in-Chief

Sandy Feng discloses stock ownership or equity in Johnson & Johnson; and consulting or advisory roles for Ambys, California Institute for Regenerative Medicine, CSL Behring, FDA Cellular Tissue and Gene Therapies Advisory Committee, Syncona, and the University Grants Committee, RGC Biology and Medicine Panel.

Editors

Matthew H. Levine has no relevant financial relationships to disclose.

C. Kristian Enestvedt has no relevant financial relationships to disclose.

CME Manager, ASTS

Ellie Proffitt has no relevant financial relationships to disclose.

Authors

Sonal Walia, John A. Powelson, Andrew J. Lutz, and Jonathan A. Fridell have no relevant financial relationships to disclose.

This manuscript underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the American Journal of Transplantation. The peer reviewers have no relevant financial relationships to disclose. The peer review process for the American Journal of Transplantation is blinded. As such, the identities of the reviewers are not disclosed in line with the standard accepted practices of medical journal peer review.

Instructions on Receiving CME Credit

This activity is designed to be completed within an hour. Physicians should claim only those credits that reflect the time actually spent in the activity. This activity will be available for CME credit for 12 months following its publication date. At that time, it will be reviewed and potentially updated and extended for an additional 12 months.

Physicians must correctly answer 75% or more of the posttest items to claim MOC credit.

Follow these steps to participate, answer the questions and claim your CME credit:

• Log on to https://www.wileyhealthlearning.com/ajt
• Read the learning objectives, target audience, and activity disclosures.
• Read the article in print or online format.
• Reflect on the article.
• Access the CME Exam, and choose the best answer to each question.
• Complete the required evaluation and print your CME certificate.

美国移植杂志 移植图像 - 继续医学教育 (CME)

每个月，《美国移植杂志》都会刊登移植图像，这是一项基于期刊的 CME 活动，旨在教育参与者了解移植科学和成像的当前发展。参与者可以按照自己的节奏每篇文章获得 1 个AMA PRA 类别 1 信用™。

本月的专题文章标题为：“同种异体胰腺移植的先天性解剖变异：这与安全移植一致吗？”

认证 和指定声明

该活动是根据继续医学教育认证委员会 (ACCME) 的认证要求和政策通过 John Wiley & Sons, Inc.、美国移植外科医生协会和美国协会的联合提供计划和实施的移植。John Wiley & Sons, Inc. 获得了 ACCME 的认可，可为医生提供继续医学教育，并满足美国外科委员会 (ABS) 对维持认证 (MOC) 的要求。

John Wiley & Sons, Inc. 将此基于期刊的 CME 活动指定为最多 1 个AMA PRA 类别 1 信用™。医生应该只要求与其参与活动的程度相称的信用。

 需求声明

重要的是，移植外科医生可以自信地评估适合移植的胰腺同种异体移植物，以安全地扩大供体库，并确定哪些先天性异常是可以接受的。

 活动目的

该活动旨在展示解剖学变异，这些变异可能使移植外科医生倾向于拒绝其他可接受的同种异体移植物。

 实践差距的识别

许多实际上适合胰腺移植的胰腺同种异体移植物在可以安全移植时基于解剖变异而被拒绝。具有先天性异常的同种异体移植物是否可以安全移植尚不清楚。

学习 目标

完成此教育活动后，参与者将能够

• 在器官获取过程中识别解剖变异。
• 在确定此类变体后调整移植的技术方面。
• 了解变体何时会阻止移植。

目标 观众

该活动旨在满足移植领域外科医生的教育需求。

披露

未接受与此活动的开发或发布相关的商业支持。John Wiley & Sons, Inc. 已审查所有披露内容并解决或管理所有已识别的利益冲突（如适用）。

主编辑

Sandy Feng披露在强生公司的股权或股权；Ambys、加州再生医学研究所、CSL Behring、FDA 细胞组织和基因疗法咨询委员会、Syncona 以及大学资助委员会、RGC 生物学和医学小组的咨询或咨询角色。

编辑部

Matthew H. Levine 没有需要披露的相关财务关系。

C. Kristian Enestvedt 没有需要披露的相关财务关系。

CME 经理，ASTS

Ellie Proffitt 没有需要披露的相关财务关系。

作者

Sonal Walia、John A. Powelson、Andrew J. Lutz 和 Jonathan A. Fridell 没有需要披露的相关财务关系。

这份手稿按照美国移植杂志维护的编辑完整性和出版道德标准进行了同行评审。同行评审员没有相关的财务关系需要披露。美国移植杂志的同行评审过程是盲目的。因此，根据医学期刊同行评审的标准公认做法，审稿人的身份不会被披露。

关于 获得 CME 学分的说明

此活动设计为在一小时内完成。医生应该只要求那些反映实际花费在活动中的时间的学分。此活动自发布之日起 12 个月内可用于 CME 学分。届时，将对其进行审查，并可能对其进行更新和延长 12 个月。

医生必须正确回答 75% 或更多的后测项目才能获得 MOC 学分。

请按照 以下步骤参与、回答问题并申请您的 CME 学分：

• 登录 https://www.wileyhealthlearning.com/ajt
• 阅读学习目标、目标受众和活动披露。
• 阅读印刷版或在线版的文章。
• 反思文章。
• 访问 CME 考试，并为每个问题选择最佳答案。
• 完成所需的评估并打印您的 CME 证书。