Some transplant program key personnel requirements in OPTN bylaws involving organ procurement experience stand to be updated. Specifically, the Bylaws addressed in this proposal are unnecessary due to the evolution of transplantation, unenforceable as currently written, inconsistent across the different transplant programs, or include periods to obtain necessary procurement experience that have been restrictive and problematic for some members. This proposal recommends Bylaws changes that address these issues and update transplant program key personnel procurement requirements. Proposed changes include deleting multi-organ procurement requirements for all key personnel, requiring that all primary transplant physicians must (as compared to “should”) observe three procurements of the organ that corresponds to the transplant program they are applying to be the primary physician of, removing “selection and management of the donor” requirements from the primary liver transplant surgeon pathways, and extending the time period for performing the requisite number of procurements in each primary transplant surgeon training pathway. Clarifying and updating these Bylaws primarily supports the OPTN strategic plan key goal of promoting the efficient management of the OPTN.

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