Educational Gaps and Suggestions for Change for Pediatric Transplant Fellowship Training Based on Fellow Survey Responses

Background: 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. Methods: An international survey was distributed to 416 pediatric transplant fellows via multiple global transplant associations. The 29-question 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. Results: One of the key findings was that respondents felt most confident in their pre-transplantation clinical knowledge. About 75.5% of fellows reported being extremely or very aware of pre-transplant 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-on workshops, and support for transition protocols and psychosocial counseling. Conclusion: 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-based learning, interdisciplinary collaboration, and accessible continuing education are essential to enhance training. These strategies will ensure that future transplant professionals are well-equipped to deliver high-quality care across diverse healthcare settings.