TACC oral exam preparation

Select responsibly. Reconstruct precisely. Rescue decisively.

Prepare for Transplant Surgery certification with two-session oral simulations, de-identified Personal Case Uploads, donor and recipient selection, immunology, organ-specific operations, complications, ethics, and structured feedback.

2 × 50

Online sessions

4

Examiner perspectives

3

Submitted cases

SurgiTest is an independent educational platform. It does not submit official TACC records, reproduce secure examination content, calculate an official score, predict certification, or claim TACC or ASTS endorsement. Personal cases must be newly written and fully de-identified.

Current public examination facts

Prepare around the format TACC actually publishes.

The experience keeps official facts, reasonable educational inference, and SurgiTest product design clearly separated.

Two complete oral sessions

Current TACC examinee information describes two online sessions lasting 50 minutes each, separated by a break, with two examiners in every session.

Three submitted personal cases

Candidates submit three post-fellowship transplant cases at oral-exam registration. TACC encourages interesting or technically complicated cases.

General plus organ-specific judgment

Public topics span donor and recipient selection, procurement, immunosuppression, infection, ethics, technique, complications, and kidney and/or liver depth.

Independent examiner scoring

Each question is independently scored by both examiners in that session, with results from four examiners reviewed by the Oral Exam Committee.

Source-grounded and current-review oriented

The guide cites TACC’s current oral-exam and certification materials, labels the kidney/liver organ-specific boundary, and does not invent a future date, question count, cut score, or pancreas/intestine room.

Current public TACC architecture

Two 50-minute sessions. Four examiner perspectives. Three submitted cases.

Practice the published structure exactly where it is known—and avoid inventing a fixed question count, room blueprint, or numerical cut score that TACC has not published.

Session 01

50 minutes

2 examiners

General transplant judgment, organ-specific questioning, and submitted-case discussion can be integrated throughout the session.

Recipient & donor
Operation & complications
Personal cases
Break

Session 02

50 minutes

2 new examiners

A second examiner pair tests whether the same clinical structure remains stable across different topics and questioning styles.

Immunology & infection
Kidney and/or liver
Ethics & follow-up

Public topic 01

Recipient selection

Indication, benefit, contraindications, urgency, anatomy, psychosocial readiness, and alternatives.

Public topic 02

Donor selection

Organ quality, anatomy, donor-derived risk, preservation, allocation, consent, and acceptance.

Public topic 03

Intraoperative technique

Procurement, graft preparation, reconstruction, reperfusion, completion assessment, and bailout.

Public topic 04

Perioperative complications

Hemorrhage, vascular compromise, leak, obstruction, dysfunction, infection, and rescue.

Public topic 05

Post-transplant management

Immunosuppression, rejection, infection, malignancy, recurrence, adherence, and surveillance.

Public topic 06

General topics

Procurement, donor-derived disease, common infections, psychosocial issues, immunosuppression, and ethics.

Current TACC materials specifically describe organ-specific questioning in kidney and/or liver according to training and current practice. SurgiTest’s pancreas, intestine, and multivisceral sections provide comprehensive education without claiming separate official rooms or weights.

The transplant answer architecture

Keep patient, graft, donor, immunity, operation, and time in the same clinical frame.

SurgiTest trains the transitions that make independent transplant judgment visible—from candidacy and organ acceptance through reconstruction, rescue, and lifelong care.

Stage 01Assess both sides

Define recipient need, donor risk, organ quality, and transplant benefit.

Make indication, urgency, alternatives, contraindications, psychosocial readiness, anatomy, transmissible risk, ischemia, and consent visible before committing to transplantation.

Recipient · donor · graft
Stage 02Map immune risk

Connect compatibility and allograft injury to a concrete plan.

Interpret sensitization, antibodies, crossmatch, induction, maintenance, biopsy, rejection mechanism, infection risk, toxicity, and monitoring without treating rejection as a single diagnosis.

Risk · mechanism · tradeoff
Stage 03Commit responsibly

Accept, decline, list, defer, transplant, transfer, or treat—with reasons.

State the primary plan, the meaningful alternative, the information that changes the decision, and the policy, ethical, or capability boundary that controls safe action.

Decision · alternative · trigger
Stage 04Protect the graft

Describe procurement, reconstruction, reperfusion, endpoint, and bailout.

Show exposure, control, preservation, graft preparation, inflow and outflow, organ-specific reconstruction, completion assessment, and how you respond when flow, anatomy, or physiology fails.

Control · reperfusion · endpoint
Stage 05Recognize and rescue

Stabilize the patient while distinguishing technical, immune, and infectious failure.

Protect perfusion, control hemorrhage or source, obtain decision-changing imaging or pathology, modify immunosuppression deliberately, and escalate to intervention, exploration, explantation, or retransplant evaluation when needed.

Recognize · control · reassess
Stage 06Own the outcome

Close with graft function, prevention, surveillance, and the patient’s life beyond discharge.

Integrate immunosuppression, prophylaxis, recurrence, adherence, infection, malignancy, cardiovascular and metabolic risk, quality of life, communication, and long-term follow-up.

Patient · graft · future

One certification

TACC describes one Certified Abdominal Transplant Surgeon credential rather than separate organ certificates.

Two patients when living donation is involved

Donor autonomy and safety remain visible even when recipient need is urgent.

One longitudinal responsibility

The answer continues through graft function, infection, malignancy, adherence, recurrence, and quality of life.

Exam demand → practice behavior

Train the decisions the public format makes visible.

Defend three submitted cases

Personal Case Uploads

Rehearse newly written, fully de-identified educational versions of recipient, donor, operation, complication, outcome, and changed-variable decisions.

Switch across transplant domains

Adaptive voice-first questioning

Move from candidacy and organ acceptance to immunology, procurement, implantation, dysfunction, infection, ethics, and follow-up without losing structure.

Interpret graft dysfunction

Image, pathology, and data prompts

Use flow, anatomy, laboratory trajectory, microbiology, antibodies, biopsy, medication exposure, and timing to distinguish competing mechanisms.

Describe complex transplant operations

Technique-defense prompts

State procurement, exposure, control, graft preparation, reconstruction, reperfusion, endpoint, bailout, and immediate postoperative priorities.

Rescue patient and graft

Progressive instability

Respond to hemorrhage, vascular compromise, leak, obstruction, primary dysfunction, rejection, infection, and systemic collapse with explicit endpoints.

Own ethics and longitudinal care

Communication and follow-up scenarios

Practice living-donor autonomy, allocation, donor-derived risk, adherence, disclosure, immunosuppression tradeoffs, malignancy, and lifelong surveillance.

SurgiTest differentiator

Turn the three submitted cases into a private, de-identified decision laboratory.

TACC’s public pathway explicitly uses three post-fellowship cases during oral-exam registration. SurgiTest lets candidates rehearse newly written educational versions aloud—while keeping the official cases, surgical log, clinical record, donor, and recipient data entirely separate.

The key distinction

Official surgical log ≠ official three cases ≠ clinical record ≠ SurgiTest Personal Case Upload.

Explore Personal Case Uploads

Step 01

Complete the official TACC records separately

The post-fellowship surgical log and the three oral-exam case submissions remain inside TACC-authorized workflows. Examiners do not select the three cases from the surgical log.

Step 02

Create a new de-identified educational reconstruction

Abstract only the minimum recipient, donor, graft, immunologic, operative, complication, outcome, and follow-up facts needed to rehearse judgment—without copying any official or clinical document.

Step 03

Build the decision ledger and branch map

For every major decision, record what was known, what you chose, the principal alternative, why the choice was reasonable, and the finding that would change it.

Step 04

Defend the case aloud under pressure

Explain recipient and donor selection, operation, complication recognition, rescue, outcome, and learning while adapting to changed anatomy, antibodies, organ quality, infection, pathology, or capability.

Step 05

Repair the observable weakness

Review clinical framing, selection, immunology, technical execution, rescue, longitudinal ownership, communication, ethics, and adaptability—then repeat with a new branch.

The complete Transplant Surgery curriculum

Eight connected domains from donor selection to lifelong allograft care.

These are SurgiTest’s exact curriculum sections—not a claim that TACC publishes eight equally weighted rooms. The matrix builds comprehensive abdominal-transplant readiness while keeping current public kidney/liver exam language transparent.

transplant_hy

Domain 01

High-Yield

Recipient and donor selection, organ acceptance, allocation and ethics, immunosuppression, perioperative priorities, graft dysfunction, infection, malignancy, communication, and cross-organ complication rescue.

Selection · operation · rescue · follow-up
transplant_immune

Domain 02

Immunologic and Allograft Injury

HLA and antibody risk, crossmatch interpretation, induction and maintenance therapy, sensitization, acute and chronic rejection, antibody-mediated injury, biopsy reasoning, treatment tradeoffs, and competing infection risk.

Selection · operation · rescue · follow-up
transplant_donor

Domain 03

Donor and Procurement Pathology

Deceased and living donation, donor-derived disease risk, organ quality, DBD and DCD pathways, procurement conduct, preservation, back-table assessment, anatomy, injury recognition, organ acceptance, and safe decline decisions.

Selection · operation · rescue · follow-up
transplant_kidney

Domain 04

Kidney Transplantation

Candidate evaluation, immunologic risk, organ acceptance, implantation, ureteral reconstruction, delayed graft function, vascular and urologic complications, rejection, infection, recurrence, and long-term graft protection.

Selection · operation · rescue · follow-up
transplant_liver

Domain 05

Liver Transplantation

Listing and allocation, acute and chronic liver failure, donor selection, hepatectomy, caval and portal reconstruction, arterial and biliary technique, reperfusion, primary nonfunction, vascular and biliary complications, rejection, and recurrence.

Selection · operation · rescue · follow-up
transplant_pancreas

Domain 06

Pancreas Transplantation

Candidate and donor selection, pancreas and simultaneous pancreas-kidney strategy, graft preparation, vascular reconstruction, enteric drainage, thrombosis, leak, pancreatitis, rejection, infection, and glycemic outcomes.

Selection · operation · rescue · follow-up
transplant_intestine

Domain 07

Intestinal and Multivisceral Transplantation

Intestinal failure, rehabilitation and listing, graft selection, operative planning, vascular inflow and outflow, reconstruction, nutrition, surveillance, rejection, infection, graft-versus-host disease, and complex reoperative rescue.

Selection · operation · rescue · follow-up
transplant_complications

Domain 08

Post-Transplant Infectious, Neoplastic, and Systemic Complications

Time-dependent infection, donor-derived disease, opportunistic pathogens, PTLD and other malignancy, cardiovascular and metabolic disease, renal injury, cytopenias, medication toxicity, adherence, pregnancy, ethics, and lifelong surveillance.

Selection · operation · rescue · follow-up

Current public TACC information identifies general transplant content plus kidney and/or liver organ-specific questions based on the candidate’s training completion and current practice. Pancreas, intestinal, and multivisceral content is presented here as high-value educational breadth—not as a separate official examination blueprint.

The complete Transplant Surgery library

Eleven source-grounded guides for the entire preparation journey.

Every resource is independently indexable, internally linked, mobile-first, and connected to personal-case or catalog-case practice intent.

A deliberate 12-week arc

Progress from transplant breadth to stable two-session performance.

The plan develops public-format fluency, organ-specific depth, procurement and operations, complication rescue, ethics, and all three personal cases in parallel.

Open the complete study plan
1

Weeks 1–3

Map the exam and build transplant foundations

Verify current TACC sources, establish a baseline, select official cases separately, and strengthen immunology, donor assessment, procurement, and organ acceptance.

2

Weeks 4–6

Deepen kidney, liver, and technical execution

Practice recipient and donor selection, implantation, reperfusion, organ-specific complications, graft dysfunction, operation description, and bailout.

3

Weeks 7–9

Integrate breadth, complications, and personal cases

Add pancreas, intestinal and multivisceral breadth, infection, PTLD, systemic complications, ethics, and three complete de-identified case defenses.

4

Weeks 10–12

Run full two-session simulations

Use different examiner styles, unpredictable personal-case entry points, targeted repair, current logistics, and a final performance taper.

Observable answer signals

Sound like the surgeon who can select, transplant, rescue, and own the outcome.

01

Frames the recipient, donor or graft, immunologic risk, anatomy, physiology, timing, and immediate decision before ordering a broad workup.

02

Accepts, declines, lists, defers, operates, biopsies, treats, transfers, or escalates with a clear rationale and a meaningful alternative.

03

Distinguishes technical, hemodynamic, immunologic, infectious, toxic, recurrent, and systemic causes of graft dysfunction by timing.

04

Describes procurement and implantation through control, graft protection, reconstruction, reperfusion, completion endpoint, and bailout.

05

Owns complications in personal cases without hindsight distortion, blame, or inconsistency and adapts when one major variable changes.

06

Closes with patient and graft reassessment, immunosuppression, prophylaxis, recurrence, adherence, malignancy, surveillance, ethics, and communication.

Patient and graft safety

Feedback prioritizes stabilization, selection, source or flow control, complication rescue, and longitudinal outcomes.

Mechanism-aware immunology

The product separates technical, infectious, toxic, recurrent, and immune causes rather than labeling every dysfunction rejection.

Strict privacy boundaries

No official TACC files, clinical records, donor/recipient identifiers, OPTN/UNOS identifiers, OPO/center data, or PHI belong in uploads.

Candidate questions

Clear boundaries between official TACC requirements and SurgiTest educational design.

What is the current TACC oral examination format?

TACC’s current examinee information describes two online oral-examination sessions lasting 50 minutes each, with a break between sessions and two examiners in each session. The examination can include general transplant topics, kidney and/or liver questions based on the candidate’s Certificate of Completion and current practice, and discussion of three cases submitted during oral-exam registration.

Does TACC use personal cases?

Yes. Candidates submit three post-fellowship transplant cases when registering for the oral examination, and TACC encourages interesting or technically complicated cases. The three oral-exam cases are separate from the post-fellowship surgical log submitted during certification application. SurgiTest Personal Case Uploads are a private rehearsal workflow for newly written, fully de-identified educational summaries; they do not submit or replace either official TACC record.

Is TACC certification organ-specific?

TACC describes one Certified Abdominal Transplant Surgeon certification rather than separate organ-specific certificates. Current oral-exam information says organ-specific questioning is in kidney and/or liver according to the candidate’s training completion and current practice. SurgiTest also includes pancreas, intestine, and multivisceral domains for comprehensive transplant education, but does not represent them as separately weighted official TACC rooms.

How is the TACC oral examination scored?

TACC states that each question is independently scored by the two examiners in the session and that the Oral Exam Committee reviews the four examiners’ rubric results against a threshold determined by TACC. TACC does not publish a candidate-facing numeric cut-score formula for SurgiTest to reproduce, so SurgiTest feedback remains an educational readiness framework rather than an official score or certification prediction.

Can I upload my official surgical log or TACC case documents to SurgiTest?

No. Do not upload the official TACC surgical log, official case submissions, medical records, operative reports, donor or recipient identifiers, OPTN or UNOS identifiers, OPO or center identifiers, exact dates, labeled images, DICOM metadata, peer-review material, or any protected health information. Create a new, fully de-identified educational reconstruction instead.

Does SurgiTest reproduce TACC questions or guarantee certification?

No. SurgiTest uses original educational scenarios informed by public examination structure and accepted transplant principles. It does not solicit or reproduce secure examination content, calculate an official TACC score, predict certification, guarantee a result, or claim affiliation with or endorsement by TACC or ASTS.

Two sessions. Three cases. One stable transplant voice.

Assess. Accept. Reconstruct. Reperfuse. Rescue. Follow.

Practice de-identified personal cases and original transplant scenarios aloud, defend operations and immunologic decisions, and turn every miss into a specific repair.

Personal cases must be newly written and fully de-identified. SurgiTest does not submit or replace TACC records, reproduce secure examination content, calculate an official score, predict certification, or claim TACC or ASTS endorsement.

Explore Personal Case Uploads