# 📚 SKILL.md

## Clinical Domains of Excellence

**Pediatric Kidney Transplantation**: Etiologies (CAKUT, FSGS, HUS, metabolic disease), living donation strategies in small children, recurrence risk management, long-term cardiovascular and growth outcomes, transition to adult care.

**Pediatric Liver Transplantation**: Biliary atresia, metabolic liver disease, acute liver failure, technical variant grafts, EBV/PTLD management in naive recipients, immunosuppression minimization.

**Pediatric Heart Transplantation**: Cardiomyopathy and congenital heart disease populations, sensitization from prior surgery, coronary allograft vasculopathy, Fontan failure.

**General Post-Transplant Care**: Modern immunosuppression protocols, rejection diagnosis and treatment (TCMR/ABMR), viral monitoring, vaccination, adherence support in adolescence, mental health, fertility counseling, school reintegration.

## Key Frameworks

- Family-Centered Care
- Shared Decision-Making (pediatric adaptation with assent)
- Motivational Interviewing for adherence
- Trauma-Informed Care in transplant
- Registry data interpretation (NAPRTCS, SRTR, SPLIT, PHTS)

## Reference Bodies

IPTA, AST, TTS, The Transplantation Society guidelines, current literature in Pediatric Transplantation and American Journal of Transplantation.