Kidney transplantation is a major advance of modern medicine which provides high-quality of life for patients with end-stage renal disease. What used to be an experimental, risky, and very limited treatment option more than 50 years ago is now routinely performed in many countries worldwide. The number of renal transplants is expected to rise sharply in the next decade since the proportion of patients with end stage renal disease is increasing.
Are you interested in clinical kidney, pancreas and islet transplantation? If you are a (bio) medical student or a health care professional who works in the (pre) clinical transplant field this might be the course for you. This course is also for anyone interested in the research and knowledge on clinical transplantation. The course will be taught by a multidisciplinary team of transplant professionals and will give you the state of the art updates.
It is divided in 4 modules:
1) Before the transplant
2) The surgical procedures and the challenged patient, including the patient with diabetes
3) Early challenges
4) Late challenges after transplantation.
The offered modules will include lectures, interactive patient cases, 3D movies, interviews with well-known experts and with patients and a donor, a serious game to increase knowledge of the field and of course an active forum. Become an expert and join us!
The course has been endorsed by The European Society of Organ Transplantation (ESOT), The International Society of Nephrology (ISN) and The Transplantation Society (TTS).
This MOOC has been accredited for Continuing Medical Education (CME). Health care professionals who works in the (pre) clinical transplant field, other health care professionals and general practitioners can obtain CME credit at 'LUMC-Boerhaave CME' upon passing the course. For more information we like to refer to the "Additional introduction for obtaining CME credit" module in week 1 of the course
For another interesting course on organ donation and transplantation, see Organ Donation: From Death to Life from Cape Town University https://www.coursera.org/learn/organ-donation
Great that you are joining us! In this course you will learn about clinical kidney, pancreas and islet transplantation and its challenges. Before you start with studying we invite you first go through our introduction module and introduce yourself in the forum to meet your fellow learners. If you encounter any difficulties while studying, please let us know in the forum. For technical difficulties or questions regarding the course certificate, you can always contact the Coursera Learner Helpdesk. Good luck & we hope you enjoy studying in this course!
What's included
2 videos1 reading1 discussion prompt1 plugin
Show info about module content
2 videos•Total 4 minutes
Trailer Clinical Kidney Transplantation•2 minutes
How to succeed in your online class?•2 minutes
1 reading•Total 5 minutes
About us: Introduction to the Team•5 minutes
1 discussion prompt•Total 20 minutes
Introduce yourself•20 minutes
1 plugin•Total 2 minutes
Discover The World at Leiden University [video]•2 minutes
Before the Transplant
Module 2•6 hours to complete
Module details
Welcome to this first module of the course! We will answer important questions before transplantation. These include: why is transplantation the preferred option for patients with end stage renal disease? What are the immunological barriers for transplantation? And what are the selection criteria before transplantation? Unique 3D movies about the different immunological tests will help you to understand the concepts. There are also optional lectures, including a fascinating movie about the Eurotransplant allocation system and patient/donor interviews. At the end of the module we will link the contents you have learned to clinical patient cases, patient - donor interviews and a quiz. You can find each other on the discussion forum. With the e-tivities you can apply your knowledge. In the honors lessons more in depth immunological testing and pre transplant screening can be obtained. The lesson also includes peer reviews about important preclinical questions. Have fun and good luck with the first module!
Cases from Daily Practice - Patient Selection•8 minutes
Eurotransplant Company Film 'More than a Match'•13 minutes
Interview: Transplant Recipient and Donor: Part 1•10 minutes
Epitopes•6 minutes
4 readings•Total 110 minutes
Glossary•20 minutes
References•30 minutes
HLA Epitope Matching is the Future•30 minutes
HLA Antibody Detection: Not All Antibodies are the Same•30 minutes
2 assignments•Total 60 minutes
Check your knowledge•30 minutes
Check your knowledge•30 minutes
1 peer review•Total 30 minutes
Advise your Colleague: a Pretransplantation Question•30 minutes
3 discussion prompts•Total 100 minutes
E-tivity: Which Donor do you choose?•40 minutes
The COVID-19 Pandemic and Transplantation•20 minutes
E-tivity: Which Strategy would you choose for this Highly Sensitized Patient?•40 minutes
The Procedure and the Patient
Module 3•8 hours to complete
Module details
Now you know the factors of importance before transplantation, including the immunological barriers and important aspects for patient selection, we can focus on challenged patient groups and on surgical procedures. What does a kidney, pancreas and islet transplantation surgical procedure look like? What is important? And what are the key aspects in elderly patients, patients with diabetes and immunological challenged patients. We have unique visulisations, 360 virtual reality videos and a game about a patient case. Advanced readings will invite you to look at the different subjects in more depth. At the end of the module there are interviews about a patient with diabetes and the transplant recipient and donor to illustrate the impact of life. You can discuss patient cases on the forum together with your peers. In the honors lesson you can apply knowledge about more in depth immunological, surgical and metabolic challenges and living kidney donation. Let’s start and we hope you will enjoy this module.
Who is Involved in a Transplantation Procedure?•25 minutes
3 discussion prompts•Total 125 minutes
E-tivity: Critical Moments During a Donor Nephrectomy•45 minutes
E-tivity: Which treatment do you advise?•40 minutes
E-tivity: Do you accept this donor?•40 minutes
2 plugins•Total 30 minutes
Donor Nephrectomy (360 VR video)•15 minutes
Kidney transplantation (360 video)•15 minutes
Early Challenges in Transplantation
Module 4•10 hours to complete
Module details
You are now familiar with the basic knowledge about challenges in transplant recipients and the surgical transplant procedures. Once the transplantation has been successful, it doesn’t mean everything is stable. What are actually the graft survival data? Which challenges do we face in the first months? How can we tackle these challenges? 3D movies about early surgical challenges and about the targets for immunosuppressives, including cell therapy, will help you to understand the concepts. In addition, we invite you to master the advanced knowledge and to give your opinion in the patient cases in the forum. There is also a serious game about a patient case. Can you solve the challenges? And can you think of a scenario for the game and help us with building? We will make a game of the best scenario, which will be incorporated in the course. In the honors lesson you can learn in more detail about immunological concepts, including the complement system. A patient case will help to show you the importance of this knowledge. Good luck with this module and happy learning!
Introduction & Overview of Early Challenges in Transplantation•7 minutes
Surgical Challenges in the Early Period•6 minutes
Ischemia Reperfusion Injury•7 minutes
Cellular Rejection•9 minutes
Antibody Mediated Rejection•7 minutes
Immune Suppression•11 minutes
Novel Therapeutics: Cell Therapy after Transplantation•8 minutes
Cases from Daily Practice A - Patient Cases with Early Challenges•7 minutes
Cases from Daily Practice B - Patient Cases with Early Challenges•7 minutes
Interview Transplant Recipient & Donor: Part 3•9 minutes
The Complement System and Transplantation•11 minutes
Cases from Daily Practice: Patient Case with an Early Challenge•7 minutes
9 readings•Total 295 minutes
Serious Game: Interactive Patient Case•30 minutes
Optional - Immunesuppressive Regimens and Toxicity Profiles•60 minutes
Biomarkers•40 minutes
Therapeutic drug monitoring of immunosuppressive drugs•60 minutes
Glossary•10 minutes
References•5 minutes
A closer Look at Antibody Mediated Rejection•30 minutes
Innate Immunity and Impact on Transplantation•30 minutes
Molecular Insights into Cellular Rejection•30 minutes
2 assignments•Total 60 minutes
Check your knowledge•30 minutes
Check your knowledge•30 minutes
1 peer review•Total 60 minutes
Design the next game•60 minutes
4 discussion prompts•Total 110 minutes
Advanced e-tivity - MSC therapy in the transplant recipient•20 minutes
Etivity: Personalized dosing: what is your advice•40 minutes
Etivity: What is your therapeutic advice?•10 minutes
Advanced e-tivity - Which cytokine is target of the next drug?•40 minutes
Late Challenges in Transplantation
Module 5•7 hours to complete
Module details
Now you’ve learned about the challenges in the early period after transplantation. But what about the late period? What is the long term patient and allograft survival? Have we improved in the last decades? What are the main causes for morbidity and mortality? And can we reach tolerance in the future? We invite you to give your opinion in the patient cases and to discuss it on the forum. There are also advanced readings to look at additional subjects, including recurrence of the kidney disease after transplantation, the organization of dermatological care for the transplant recipient and the role of the patient himself in the whole process. The interview about tolerance gives you insight why pregnancy is of interest to understand the concept of tolerance and which steps have been made from lab research to a clinical protocol. In the honors lesson late challenges will be discussed in more detail, with a focus on infections, recurrence of the kidney disease after transplantation and tolerance. Have fun and good luck with this last module.
Introduction & Overview of Late Challenges in Transplantation•5 minutes
Infections: Overview and CMV infection•9 minutes
Infections: BK and EBV infection•7 minutes
Malignancies•8 minutes
Late Challenges after Pancreas and Islet Transplantation•9 minutes
Post Transplant Diabetes Mellitus•8 minutes
Cardiovascular Disease•8 minutes
Tolerance: Interview with Prof. Claas (LUMC) and Prof. Wood (Oxford)•14 minutes
Cases from Daily Practice A - Patient Cases with Late Challenges•6 minutes
Cases from Daily Practice B - Patient Cases with Late Challenges•7 minutes
Recurrence of Kidney Disease after Transplantation•9 minutes
Vaccination and Transplantation•8 minutes
5 readings•Total 85 minutes
Pneumocystis jirovecii•10 minutes
Glossary•10 minutes
References•5 minutes
Skin Diseases after Transplantation and Dermatological Aftercare•30 minutes
Tolerance in more Detail•30 minutes
5 assignments•Total 95 minutes
Patient Case 1: Enhanced Glucose after SPK•15 minutes
Patient Case 2: Hyperglycemia after Islet Transplantation•15 minutes
Patient Case 3: A Complication after Pancreas-alone Transplantation•15 minutes
Check your knowledge•30 minutes
Check your knowledge•20 minutes
1 peer review•Total 60 minutes
Advise your Colleague: Donor Derived Infections•60 minutes
4 discussion prompts•Total 80 minutes
E-tivity - How can we prevent Pneumocystis Jirovecii Pneumoniae?•20 minutes
E-tivity - Why do many transplant patients suffer from obesity?•20 minutes
E-tivity - Can the patient himself influence allograft survival•20 minutes
E-tivity: How can we reach tolerance?•20 minutes
Final Quiz
Module 6•1 hour to complete
Module details
We hope you have enjoyed all the modules. Good luck with the final quiz!
If you are interested in an intensive course about transplantation go to the course resources.
What's included
2 assignments
Show info about module content
2 assignments•Total 60 minutes
Final Exam•30 minutes
Final Honours Exam•30 minutes
Instructors
Instructor ratings
Instructor ratings
We asked all learners to give feedback on our instructors based on the quality of their teaching style.
Leiden University is one of Europe's foremost research universities. This prominent position gives our graduates a leading edge and prepares them for careers both within and outside of academia. Leiden University is the oldest university in the Netherlands, founded in 1575. Our motto is: Praesidium Libertatis (Bastion of Liberty) - Freedom of spirit, thought and expression. Leiden University has a campus in Leiden and The Hague, with 7 faculties, 47 Bachelor Programmes, 79 Master Programmes and nearly 30,000 students.
Continuing Medical Education (CME) consists of educational activities that aim to maintain, develop, or increase the knowledge, skills, and professional performance in order to maintain competence and learn about new and developing areas of the medical field. Content for these programs is developed, reviewed, and delivered by faculty who are experts in their individual clinical areas. In various countries, a certain amount of CME-credit hours must be obtained by medical professionals to maintain their licenses.
For this course it is possible to obtain 5, 9 or 13 CME credit points. For more information on how to obtain these points we like to refer to the "Additional introduction for obtaining CME credit" module in week 1 of the course
Can I apply for CME credits if I have already finished the course previously?
Yes, if you have already done the course previously and obtained the Coursera official Course Certificate as proof we encourage you to apply for the CME credits. You can obtain 5 or 9 CME as follows:
1. Sign up for the course at “Boerhaave Continuous Medical Education” (https://www.boerhaavecontinuousmedicaleducation.com/)
2. Upload your Verified Certificate from Coursera (without honors 5 CME or with honors 9 CME). Pay the contribution according to “Boerhaave Continuous Medical Education." They will provide you with the instructions and add the CME credits to GAIA (Dutch participants) and/or provide you with a CME certificate (international participants)
When will I have access to the lectures and assignments?
To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.
What will I get if I purchase the Certificate?
When you purchase a Certificate you get access to all course materials, including graded assignments. Upon completing the course, your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.
Is financial aid available?
Yes. In select learning programs, you can apply for financial aid or a scholarship if you can’t afford the enrollment fee. If fin aid or scholarship is available for your learning program selection, you’ll find a link to apply on the description page.